Sleep Health最新文献

{"title":"Association between before-bedtime hot-tub bathing and sleep quality in real-life settings among community-dwelling older adults","authors":"Yoshiaki Tai MD, PhD ,&nbsp;Kenji Obayashi MD, PhD,&nbsp;Yuki Yamagami PhD,&nbsp;Keigo Saeki MD, PhD","doi":"10.1016/j.sleh.2025.07.008","DOIUrl":"10.1016/j.sleh.2025.07.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to provide insights on the effects of hot-tub bathing on sleep quality under real-life conditions, accounting for various factors such as bathing behaviors, environmental influences, and individual characteristics.</div></div><div><h3>Methods</h3><div>We analyzed the association between hot-tub bathing and subsequent sleep in 2252 older adults (mean age, 68.8 years). Objective and self-reported sleep quality were assessed using actigraphy and the Pittsburgh Sleep Quality Index, respectively. Wrist and abdominal skin temperatures were recorded at 3- and 1-minute intervals, respectively, excluding and including the bathing period. The distal-proximal skin temperature gradient, an index of heat dissipation, was calculated as wrist skin temperature minus abdominal skin temperature.</div></div><div><h3>Results</h3><div>Multivariable models showed that individuals who bathed had significantly higher actigraphic sleep efficiency (1.3% [95% CI: 0.3-2.4], <em>P</em> = .013), shorter actigraphic wake after sleep onset (3.3 minutes [95% CI: 1.0-5.7], <em>P</em> = .005), higher distal-proximal skin temperature gradient after bedtime (0.26°C [95% CI: 0.11-0.41], <em>P</em> = .001), and lower odds of poor self-reported sleep quality (Odds ratio 0.73 [95% CI: 0.58-0.91], <em>P</em> = .006) compared with those who did not bathe, after adjusting for age, sex, body mass index, income, physical activity, day length, indoor and outdoor temperatures, and other confounders. Among bathers, immersion duration and abdominal skin temperature (surrogate for bathtub temperature) exhibited a negative interaction in relation to actigraphic sleep efficiency.</div></div><div><h3>Conclusions</h3><div>In real-world situations, hot-tub bathing was positively associated with actigraphic sleep metrics. Our findings can be used in future interventional studies to determine optimal hot-tub bathing conditions for improving sleep quality.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Pages 908-915"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequities in sleep duration among gender and sexual minority adolescents","authors":"Noah T. Kreski MPH ,&nbsp;Katherine M. Keyes PhD","doi":"10.1016/j.sleh.2025.09.005","DOIUrl":"10.1016/j.sleh.2025.09.005","url":null,"abstract":"<div><h3>Objectives</h3><div>Gender and sexual minority adolescents face health inequities compared to cisgender, heterosexual peers, including lower sleep duration. Our ability to measure these inequities recently expanded, as the 2023 Youth Risk Behavior Survey’s updated gender/sexuality items provide an opportunity to examine these inequities in a large, nationally-representative sample of adolescents.</div></div><div><h3>Methods</h3><div>Analyses (n<!--> <!-->=<!--> <!-->20,103 students, 2023 national YRBS, grades: 9-12) estimated survey-weighted prevalence of 3 sleep duration outcomes across gender and sexuality groups: sufficient sleep (8+ hours/night), short sleep (≤6), and extremely limited sleep (≤4). Survey-weighted logistic regressions compared outcomes between gender/sexual minority groups and cisgender/heterosexual peers, adjusting for demographic confounding.</div></div><div><h3>Results</h3><div>Sleep duration was consistently lower for gay/lesbian, bisexual, “another unlisted sexual identity” and transgender adolescents, plus those unsure of their gender or sexual identity (e.g., adjusted Odds Ratio for extremely limited sleep [“another unlisted sexual identity” vs. heterosexual]:3.14; 95% confidence interval: 2.00-4.92). For many gender and sexual minority groups, extremely limited sleep was more common than sufficient sleep.</div></div><div><h3>Conclusions</h3><div>Sleep duration is limited among adolescents, and this, in conjunction with inequities on the basis of gender/sexuality, warrants intervention.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Pages 823-828"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and preliminary efficacy results for WePAP: A transdiagnostic, couples-based intervention to promote positive airway pressure adherence and patient and partner sleep health","authors":"Kelly Glazer Baron PhD, MPH ,&nbsp;Brian R.W. Baucom PhD ,&nbsp;Alexandra Chapman MPH ,&nbsp;Kevin Duff PhD ,&nbsp;Suzanne B. Gorovoy PhD ,&nbsp;Krishna M. Sundar MD ,&nbsp;Allison Harvey PhD ,&nbsp;Wendy M. Troxel PhD","doi":"10.1016/j.sleh.2025.08.006","DOIUrl":"10.1016/j.sleh.2025.08.006","url":null,"abstract":"<div><h3>Study objectives</h3><div>The goal of this study was to examine feasibility, acceptability, and preliminary efficacy of WePAP, a novel, couples-based treatment to promote positive airway pressure adherence in patients with obstructive sleep apnea and sleep quality in patients and partners.</div></div><div><h3>Methods</h3><div>Patients who were recently diagnosed with obstructive sleep apnea and intended to start positive airway pressure and their partners completed pre-treatment self-report measures of study constructs and actigraphy. Couples were randomly assigned to WePAP or information control groups. Post-PAP assessments and adherence downloads were completed at 1 month and 3 months. Primary analyses evaluated feasibility, acceptability, and preliminary efficacy between the WePAP and information control groups. Secondary analyses examined between- and within-group changes in sleep, mood, and quality of life.</div></div><div><h3>Results</h3><div>The study enrolled 37 midlife and older adults (n<!--> <!-->=<!--> <!-->74, age m<!--> <!-->=<!--> <!-->62.97; SD<!--> <!-->=<!--> <!-->9.04). WePAP couples were 100% adherent with the 3 sessions. Compared with the information control group, patients and partners in WePAP rated the intervention more favorably and were more satisfied. Positive airway pressure adherence was high in both groups and the difference was not statistically significant (PAP use ≥4<!--> <!-->h<!--> <!-->=<!--> <!-->76% in WePAP and 72% in information control at 3 months). There were significant within-group differences for sleep quality, such that patients in both groups showed significant improvements in self-reported sleep, mood, and quality of life at 3 months. Patients in both groups showed improvements in sleep-related daytime impairment; however, only partners in the WePAP group showed improvement in sleep-related daytime impairment.</div></div><div><h3>Conclusions</h3><div>The results demonstrate that WePAP is feasible and well-liked by patients and partners, but it did not demonstrate greater adherence or improved sleep quality in this sample of highly adherent patients. Future studies should examine longer-term outcomes and enroll patients at greater risk for nonadherence to positive airway pressure.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Pages 849-858"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145394265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cover 2: Editorial Board","authors":"","doi":"10.1016/S2352-7218(25)00232-3","DOIUrl":"10.1016/S2352-7218(25)00232-3","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Page IFC"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnic and racial discrimination and sleep health among Asian American college students","authors":"Jinjin Yan PhD ,&nbsp;Natasha C. Johnson PhD ,&nbsp;Zhenqiang Zhao PhD ,&nbsp;Kyle Lorenzo PhD ,&nbsp;Heining Cham PhD ,&nbsp;Nidia Ruedas-Gracia PhD ,&nbsp;Mona El Sheikh PhD ,&nbsp;David H. Chae ScD ,&nbsp;Tiffany Yip PhD","doi":"10.1016/j.sleh.2025.07.011","DOIUrl":"10.1016/j.sleh.2025.07.011","url":null,"abstract":"<div><h3>Objectives</h3><div>Sleep health is increasingly recognized as a key factor influencing college students’ well-being. However, research remains limited on the ethnic and racial discrimination experiences (both indirect and direct discrimination) that shape sleep health in Asian American college students. This study investigated daily associations between discrimination and sleep among Asian American students.</div></div><div><h3>Methods</h3><div>Participants were 168 Asian American first-year college students (Mage = 18.38 years, SD = 0.41; 65.5% female) in the northeastern United States. Over a 14-day period, self-reported direct ethnic and racial discrimination, indirect discrimination (i.e., vicarious racism), and actigraphy-measured sleep outcomes were assessed.</div></div><div><h3>Results</h3><div>At the within-person level, on days when Asian American students reported higher-than-usual levels of ethnic and racial discrimination, they woke up earlier (b = −0.487, <em>p</em> = .050) and got out of bed earlier (b = −0.543, <em>p</em> = .006). However, at the between-person level, students with higher levels of direct discrimination woke up later (b = 1.571, <em>p</em> = .045) and got out of bed later (b = 1.769, <em>p</em> = .024). Students with higher levels of indirect discrimination had lower sleep efficiency (b = −16.809, p = .031), more WASO (b = 39.011, p = .021) and shorter sleep duration (b = −157.211, p = .024).</div></div><div><h3>Conclusions</h3><div>Both direct and indirect discrimination are critical social determinants of sleep health among Asian American college students. This study offers insights to guide culturally tailored institution-level policies that promote sleep health among Asian American college students during this crucial transicition.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Pages 808-815"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep-disordered breathing subtypes and future diet quality in the Multi-Ethnic Study of Atherosclerosis","authors":"Kaitlin S. Potts PhD ,&nbsp;Cecilia Castro-Diehl PhD ,&nbsp;Tianyi Huang ScD ,&nbsp;Alexis C. Wood PhD ,&nbsp;Jerome I. Rotter PhD ,&nbsp;Stephen S. Rich PhD ,&nbsp;Tamar Sofer PhD ,&nbsp;Susan Redline MD ,&nbsp;Heming Wang PhD","doi":"10.1016/j.sleh.2025.08.003","DOIUrl":"10.1016/j.sleh.2025.08.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Sleep-disordered breathing (SDB) and diet quality impact cardiometabolic disease, but few studies have examined if SDB influences diet quality. This study estimated the association between SDB subtypes (with and without sleepiness) and future diet quality in the Multi-Ethnic Study of Atherosclerosis.</div></div><div><h3>Methods</h3><div>Probable SDB was characterized by self-reported physician-diagnosed sleep apnea (PDSA) or habitual snoring and subtyped by presence or absence of sleepiness. A food frequency questionnaire measured diet 1.6 years before, and 7.8 years after SDB assessment. Diet quality was measured with the Alternate Healthy Eating Index-2010 (AHEI). Mean differences in AHEI at follow-up by SDB subtypes were estimated with multivariable linear regression adjusting for baseline AHEI, demographic, and lifestyle factors.</div></div><div><h3>Results</h3><div>Among 3294 participants (mean age 62 years, 51% women), 29.5% had SDB. When grouped by sleepiness, 20.6% had SDB without, and 8.9% had SDB with, sleepiness. Adjusting for baseline diet and potential confounders, those with SDB had lower follow-up AHEI scores compared with unaffected individuals (mean AHEI difference [95% CI]: −1.02 [−1.69, −0.35]). Upon stratifying by sleepiness, both groups had lower AHEI scores at follow-up compared with unaffected individuals, and the difference was greater for those with sleepiness (mean score difference [95% CI]: −0.8 [−1.56, −0.04], without sleepiness; −1.52 [−2.59, −0.45], with sleepiness). The difference between those with and without sleepiness was not statistically significant.</div></div><div><h3>Conclusions</h3><div>In a multi-ethnic cohort, SDB was associated with lower diet quality after 7.8 years and this association was larger among participants with SDB with sleepiness.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Pages 840-848"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of a low-load monitoring system based on millimeter-wave radar and pulse oximetry vs. polysomnography for obstructive sleep apnea diagnosis","authors":"Lin Sun MD ,&nbsp;Wei Wang BS ,&nbsp;Yiming Wang MD ,&nbsp;Wenbin Guo MD ,&nbsp;Zhuqi Chen MD ,&nbsp;Jinping Zeng BS ,&nbsp;Juan Zhang BS ,&nbsp;Gang Li PhD ,&nbsp;Wenbin Lei MD ,&nbsp;Huijun Yue MD","doi":"10.1016/j.sleh.2025.09.002","DOIUrl":"10.1016/j.sleh.2025.09.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the clinical diagnostic efficiency of the low-load sleep monitor Tsingray Sleep Respiratory Monitoring System QSA600 (Tsingray QSA600) against type 1 polysomnography (PSG) for obstructive sleep apnea (OSA).</div></div><div><h3>Methods</h3><div>This diagnostic study consecutively recruited 200 participants who underwent simultaneous overnight monitoring with both PSG and Tsingray QSA600 at the sleep center. The performance of Tsingray QSA600 was assessed against PSG considering 3 aspects: overnight sleep respiratory parameters, event-level analysis (apnea-hypopnea and oxygen desaturation), and sleep staging. Accuracy, sensitivity, specificity, intra-class correlation coefficient, Cohen's κ, and Bland-Altman analysis were evaluated.</div></div><div><h3>Results</h3><div>The sensitivity and specificity for predicting the apnea-hypopnea index (AHI) in patients with mild, moderate, and severe OSA were 95.5%, 97.7%, and 96.5% and 77.6%, 86.8%, and 93.0%, respectively, with a mean absolute error of 3.573 events per hour. The intra-class correlation coefficient between the reference and predicted AHI was 0.965. The sensitivity and specificity were 83.4% and 94.3% for predicting individual apnea-hypopnea, and 71.4% and 92.0% for predicting oxygen desaturation events, respectively. The accuracy of predicting sleep stages (nonrapid eye movement, rapid eye movement, and wakefulness) was 80.3% (Cohen's κ: 0.614).</div></div><div><h3>Conclusions</h3><div>Tsingray QSA600 demonstrated significant practical application value owing to its good diagnostic efficacy, low-load, and accessible capability as a screening device for OSA and sleep tracking in patients with OSA. However, its limited accuracy in diagnosing mild OSA and interpreting sleep stages precludes replacing gold standard PSG.</div></div><div><h3>Trial registration</h3><div>Validation study of a new type of sleep monitoring device for diagnosis of sleep-disordered breathing. <span><span>www.chictr.org.cn</span><svg><path></path></svg></span> (Identifier: ChiCTR2400093764).</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Pages 868-876"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A parent’s perspective: Lived experiences and a call for better awareness, resources, and equitable access to support","authors":"Adrienne Mageors BA","doi":"10.1016/j.sleh.2025.11.002","DOIUrl":"10.1016/j.sleh.2025.11.002","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Page 766"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep in a Bygone Era","authors":"Meir H. Kryger MD, FRCPC","doi":"10.1016/j.sleh.2025.10.012","DOIUrl":"10.1016/j.sleh.2025.10.012","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Page 763"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting the science of sleep health: New guidelines and features","authors":"Susan Redline MD, MPH","doi":"10.1016/j.sleh.2025.10.004","DOIUrl":"10.1016/j.sleh.2025.10.004","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Page 764"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}