首页 > 最新文献

Sleep Health最新文献

英文 中文
Dreamscapes and sleep science 梦境和睡眠科学。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-28 DOI: 10.1016/j.sleh.2025.08.004
Kyran Blau, Meir Kryger MD
{"title":"Dreamscapes and sleep science","authors":"Kyran Blau, Meir Kryger MD","doi":"10.1016/j.sleh.2025.08.004","DOIUrl":"10.1016/j.sleh.2025.08.004","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 549-550"},"PeriodicalIF":3.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974647","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}
引用次数: 0
Healthy sleep patterns and risk of incident cardiovascular disease, liver-related events, and all-cause mortality among individuals with metabolic dysfunction--associated steatotic liver disease: A large prospective cohort study 代谢功能障碍相关脂肪变性肝病患者健康睡眠模式与心血管疾病、肝脏相关事件和全因死亡率的风险:一项大型前瞻性队列研究
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-22 DOI: 10.1016/j.sleh.2025.07.007
Shijia Wang MB , Yingxin Liao MB , Yuqing Deng MD, PhD , Chao Yu MD, PhD , Xuechen Chen MD, PhD , Xinyu Liu MB , Qiaoqiao Yang MB , Ke Chen MD, PhD , Xu Chen MD, PhD , Hongliang Xue MD, PhD

Objectives

This study aimed to investigate the association between overall healthy sleep patterns and cardiovascular disease, liver-related events, and all-cause mortality among individuals with metabolic dysfunction--associated steatotic liver disease.

Methods

This cohort study included 123,228 participants with metabolic dysfunction--associated steatotic liver disease from the UK Biobank, who had detailed sleep assessment at baseline. The healthy sleep pattern was constructed by a composite healthy sleep score that incorporated different sleep behaviors. Incident cardiovascular disease, liver-related events, and all-cause mortality were identified from hospital inpatient records and death register systems. Cox proportional hazards models and restricted cubic splines were applied to estimate hazard ratios and 95% confidence intervals (CIs).

Results

During a 15.45 person-years of follow-up, we recorded 20,287 cardiovascular disease events, 1304 liver-related events, and 10,306 deaths in patients with metabolic dysfunction--associated steatotic liver disease. Compared with participants with a poor sleep pattern, the multivariable-adjusted hazard ratios for participants with a healthy sleep pattern were 0.72 (95% CI, 0.67-0.77) for cardiovascular disease, 0.73 (95% CI, 0.57-0.94) for liver-related events, and 0.87 (95% CI, 0.79-0.96) for all-cause mortality. Restricted cubic splines indicated a significant linear association between healthy sleep scores and cardiovascular disease, liver-related events, and all-cause mortality in patients with metabolic dysfunction--associated steatotic liver disease.

Conclusions

Our findings suggest that patients with metabolic dysfunction--associated steatotic liver disease who maintained healthy sleep patterns were associated with a lower risk of cardiovascular disease, liver-related events, and mortality, highlighting the importance of favorable sleep patterns in the prevention of intrahepatic/extrahepatic events in individuals with metabolic dysfunction--associated steatotic liver disease.
目的:本研究旨在调查代谢功能障碍相关脂肪变性肝病患者整体健康睡眠模式与心血管疾病、肝脏相关事件和全因死亡率之间的关系。方法:该队列研究包括来自英国生物银行的123228名患有代谢功能障碍相关脂肪变性肝病的参与者,他们在基线时进行了详细的睡眠评估。健康睡眠模式是通过综合健康睡眠评分构建的,该评分包含了不同的睡眠行为。从医院住院记录和死亡登记系统中确定心血管疾病、肝脏相关事件和全因死亡率。Cox比例风险模型和受限三次样条用于估计风险比和95%置信区间(ci)。结果:在15.45人年的随访中,我们记录了20,287例心血管疾病事件,1304例肝脏相关事件,10306例代谢功能障碍相关脂肪变性肝病患者死亡。与睡眠模式较差的参与者相比,健康睡眠模式的参与者心血管疾病的多变量调整风险比为0.72 (95% CI, 0.67-0.77),肝脏相关事件的多变量调整风险比为0.73 (95% CI, 0.57-0.94),全因死亡率的多变量调整风险比为0.87 (95% CI, 0.79-0.96)。限制三次样条表明,健康睡眠评分与代谢功能障碍相关脂肪变性肝病患者的心血管疾病、肝脏相关事件和全因死亡率之间存在显著的线性关联。结论:我们的研究结果表明,保持健康睡眠模式的代谢功能障碍相关脂肪变性肝病患者心血管疾病、肝脏相关事件和死亡率的风险较低,强调了良好的睡眠模式在预防代谢功能障碍相关脂肪变性肝病患者肝内/肝外事件中的重要性。
{"title":"Healthy sleep patterns and risk of incident cardiovascular disease, liver-related events, and all-cause mortality among individuals with metabolic dysfunction--associated steatotic liver disease: A large prospective cohort study","authors":"Shijia Wang MB ,&nbsp;Yingxin Liao MB ,&nbsp;Yuqing Deng MD, PhD ,&nbsp;Chao Yu MD, PhD ,&nbsp;Xuechen Chen MD, PhD ,&nbsp;Xinyu Liu MB ,&nbsp;Qiaoqiao Yang MB ,&nbsp;Ke Chen MD, PhD ,&nbsp;Xu Chen MD, PhD ,&nbsp;Hongliang Xue MD, PhD","doi":"10.1016/j.sleh.2025.07.007","DOIUrl":"10.1016/j.sleh.2025.07.007","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the association between overall healthy sleep patterns and cardiovascular disease, liver-related events, and all-cause mortality among individuals with metabolic dysfunction--associated steatotic liver disease.</div></div><div><h3>Methods</h3><div>This cohort study included 123,228 participants with metabolic dysfunction--associated steatotic liver disease from the UK Biobank, who had detailed sleep assessment at baseline. The healthy sleep pattern was constructed by a composite healthy sleep score that incorporated different sleep behaviors. Incident cardiovascular disease, liver-related events, and all-cause mortality were identified from hospital inpatient records and death register systems. Cox proportional hazards models and restricted cubic splines were applied to estimate hazard ratios and 95% confidence intervals (CIs).</div></div><div><h3>Results</h3><div>During a 15.45 person-years of follow-up, we recorded 20,287 cardiovascular disease events, 1304 liver-related events, and 10,306 deaths in patients with metabolic dysfunction--associated steatotic liver disease. Compared with participants with a poor sleep pattern, the multivariable-adjusted hazard ratios for participants with a healthy sleep pattern were 0.72 (95% CI, 0.67-0.77) for cardiovascular disease, 0.73 (95% CI, 0.57-0.94) for liver-related events, and 0.87 (95% CI, 0.79-0.96) for all-cause mortality. Restricted cubic splines indicated a significant linear association between healthy sleep scores and cardiovascular disease, liver-related events, and all-cause mortality in patients with metabolic dysfunction--associated steatotic liver disease.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that patients with metabolic dysfunction--associated steatotic liver disease who maintained healthy sleep patterns were associated with a lower risk of cardiovascular disease, liver-related events, and mortality, highlighting the importance of favorable sleep patterns in the prevention of intrahepatic/extrahepatic events in individuals with metabolic dysfunction--associated steatotic liver disease.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 702-710"},"PeriodicalIF":3.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974711","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}
引用次数: 0
Association between subjective sleepiness and vigilant attention in elementary school students 小学生主观嗜睡与警觉性注意的关系
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-20 DOI: 10.1016/j.sleh.2025.07.013
Qinye Zhu PhD , Hiroo Wada MD, PhD , Yuito Ueda PhD , Keisuke Onuki MD, PhD , Mariko Miyakawa MMA , Setsuko Sato PhD , Yoshihito Kameda MD, PhD , Fumihiko Matsumoto MD, PhD , Ayako Inoshita MD, PhD , Hiroshi Nakano MD, PhD , Takeshi Tanigawa MD, PhD

Objectives

Daytime sleepiness in children is a significant public health concern. This study aimed to examine the association between subjective sleepiness and vigilant attention in elementary school students, as well as the interaction effects of grade and sleepiness on this association.

Methods

We enrolled 2789 students from six elementary schools in Tokyo, Japan. Sleepiness was assessed using the self-reported Karolinska Sleepiness Scale (KSS) and a parent-reported questionnaire. Vigilant attention was measured with the 3-minute brief Psychomotor Vigilance Test (PVT-B). Generalized linear models were used to examine the associations between sleepiness and PVT-B performance metrics, including response speed (mean reciprocal reaction time, 1/s) and lapse500 (number of reaction time ≥500 ms), as well as the interaction effects between sleepiness and grade.

Results

This cross-sectional study included 1955 elementary school students (aged 6-12 years; 52% boys). Significant interactions between KSS and grade were observed for response speed (B = −0.0032, FDR-adjusted q < 0.05) and lapse500 (B = 0.0096, FDR-adjusted q < 0.01). Similarly, significant interactions between parent-reported sleepiness (“falling asleep during an activity”) and grade were found for lapse500 (B = 0.0347, FDR-adjusted q < 0.05).

Conclusions

Our findings indicate that the association between sleepiness and vigilant attention among children varies by age, emphasizing the importance of considering developmental differences when evaluating sleep health in pediatric populations.
目的:儿童白天嗜睡是一个重大的公共卫生问题。本研究旨在探讨小学生主观嗜睡与警觉性注意的关系,以及年级和嗜睡对这种关系的交互作用。方法:我们从日本东京的六所小学招募了2789名学生。睡意评估采用卡罗林斯卡睡意量表(KSS)和家长报告的问卷。警觉性注意采用3分钟简短精神运动警觉性测验(PVT-B)进行测量。采用广义线性模型检验困倦与PVT-B表现指标之间的关系,包括反应速度(平均倒数反应时间,1/s)和lapse500(反应时间≥500 ms),以及困倦与等级之间的相互作用效应。结果:本横断面研究包括1955名小学生(6-12岁,男生占52%)。在反应速度(B = -0.0032,经fdr校正q < 0.05)和lapse500 (B = 0.0096,经fdr校正q < 0.01)方面,KSS与等级之间存在显著的交互作用。同样,家长报告的困倦(“在活动中入睡”)和成绩之间的显著相互作用在lapse500中被发现(B = 0.0347,经fdr调整的q < 0.05)。结论:我们的研究结果表明,儿童嗜睡和警惕注意力之间的关系因年龄而异,强调了在评估儿科人群睡眠健康时考虑发育差异的重要性。
{"title":"Association between subjective sleepiness and vigilant attention in elementary school students","authors":"Qinye Zhu PhD ,&nbsp;Hiroo Wada MD, PhD ,&nbsp;Yuito Ueda PhD ,&nbsp;Keisuke Onuki MD, PhD ,&nbsp;Mariko Miyakawa MMA ,&nbsp;Setsuko Sato PhD ,&nbsp;Yoshihito Kameda MD, PhD ,&nbsp;Fumihiko Matsumoto MD, PhD ,&nbsp;Ayako Inoshita MD, PhD ,&nbsp;Hiroshi Nakano MD, PhD ,&nbsp;Takeshi Tanigawa MD, PhD","doi":"10.1016/j.sleh.2025.07.013","DOIUrl":"10.1016/j.sleh.2025.07.013","url":null,"abstract":"<div><h3>Objectives</h3><div>Daytime sleepiness in children is a significant public health concern. This study aimed to examine the association between subjective sleepiness and vigilant attention in elementary school students, as well as the interaction effects of grade and sleepiness on this association.</div></div><div><h3>Methods</h3><div>We enrolled 2789 students from six elementary schools in Tokyo, Japan. Sleepiness was assessed using the self-reported Karolinska Sleepiness Scale (KSS) and a parent-reported questionnaire. Vigilant attention was measured with the 3-minute brief Psychomotor Vigilance Test (PVT-B). Generalized linear models were used to examine the associations between sleepiness and PVT-B performance metrics, including response speed (mean reciprocal reaction time, 1/s) and lapse500 (number of reaction time ≥500 ms), as well as the interaction effects between sleepiness and grade.</div></div><div><h3>Results</h3><div>This cross-sectional study included 1955 elementary school students (aged 6-12 years; 52% boys). Significant interactions between KSS and grade were observed for response speed (B = −0.0032, FDR-adjusted q &lt; 0.05) and lapse500 (B = 0.0096, FDR-adjusted q &lt; 0.01). Similarly, significant interactions between parent-reported sleepiness (“falling asleep during an activity”) and grade were found for lapse500 (B = 0.0347, FDR-adjusted q &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Our findings indicate that the association between sleepiness and vigilant attention among children varies by age, emphasizing the importance of considering developmental differences when evaluating sleep health in pediatric populations.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 640-646"},"PeriodicalIF":3.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974698","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}
引用次数: 0
Maternal-reported shorter total sleep duration but not consecutive sleep duration in infancy is associated with future sleep problems in preschoolers 母亲报告说,婴儿时期总睡眠时间较短,而不是连续睡眠时间较短,这与学龄前儿童未来的睡眠问题有关。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-19 DOI: 10.1016/j.sleh.2025.07.006
Bryan Butler PhD , Christine Laganière MA , Malka Hershon MA , Adrienne Vandenberg BA , Charlène Thauvin BA , Hélène Gaudreau PhD , Marie-Hélène Pennestri PhD

Objectives

Poor sleep during childhood can affect multiple domains of functioning. However, the association between early infant sleep patterns and future sleep problems is not well-understood. This study aimed to assess whether maternal-reported total sleep duration (over 24 hours) and consecutive sleep duration in infancy are associated with later maternal reports of sleep problems in preschoolers.

Methods

This longitudinal study included a community sample of 294 mother-child dyads. Total sleep duration and consecutive sleep duration were measured by maternal reports using the Questionnaire about Sleep Habits at 6 months. Sleep problems were assessed by maternal reports using the Sleep Problems subscale of the Child Behaviour Checklist/1.5-5 at 48 and 60 months.

Results

Generalized Estimating Equations models revealed that maternal-reported infant shorter total sleep duration, but not consecutive sleep duration, was associated with more sleep problems in preschoolers (higher total Child Behaviour Checklist Sleep Problems subscale scores), adjusting for socioeconomic status, maternal depression, breastfeeding status, sleeping arrangements, time, and biological sex. More specifically, infant shorter total sleep duration was associated with more bedtime resistance, difficulty falling asleep, the presence of nightmares, and shorter sleep duration.

Conclusions

Shorter maternal-reported total sleep duration but not consecutive sleep duration at 6 months was a marker of future parental reports of sleep problems in preschoolers. The results suggest that total sleep duration over 24 hours and sufficient opportunity to sleep should be prioritized over striving for an infant to sleep through the night during early infancy.
目的:儿童时期睡眠不足会影响多个功能领域。然而,婴儿早期睡眠模式与未来睡眠问题之间的关系尚不清楚。本研究旨在评估母亲报告的总睡眠时间(超过24小时)和婴儿时期连续睡眠时间是否与母亲后来报告的学龄前儿童睡眠问题有关。方法:本纵向研究纳入294对社区母子二人组样本。总睡眠时间和连续睡眠时间在6个月时由产妇报告使用睡眠习惯问卷进行测量。在48个月和60个月时,使用儿童行为检查表/1.5-5的睡眠问题子量表,通过母亲报告对睡眠问题进行评估。结果:广义估计方程模型显示,经社会经济地位、母亲抑郁、母乳喂养状况、睡眠安排、时间和生理性别调整后,母亲报告的婴儿总睡眠时间较短,而不是连续睡眠时间,与学龄前儿童更多的睡眠问题相关(儿童行为检查表睡眠问题子量表总分较高)。更具体地说,婴儿总睡眠时间较短与更多的就寝阻力、入睡困难、噩梦的出现和较短的睡眠时间有关。结论:母亲报告的总睡眠时间较短,但在6个月时没有连续睡眠时间,这是未来父母报告学龄前儿童睡眠问题的一个标志。结果表明,在婴儿早期,总睡眠时间超过24小时和充足的睡眠机会应该优先考虑,而不是努力让婴儿整夜入睡。
{"title":"Maternal-reported shorter total sleep duration but not consecutive sleep duration in infancy is associated with future sleep problems in preschoolers","authors":"Bryan Butler PhD ,&nbsp;Christine Laganière MA ,&nbsp;Malka Hershon MA ,&nbsp;Adrienne Vandenberg BA ,&nbsp;Charlène Thauvin BA ,&nbsp;Hélène Gaudreau PhD ,&nbsp;Marie-Hélène Pennestri PhD","doi":"10.1016/j.sleh.2025.07.006","DOIUrl":"10.1016/j.sleh.2025.07.006","url":null,"abstract":"<div><h3>Objectives</h3><div>Poor sleep during childhood can affect multiple domains of functioning. However, the association between early infant sleep patterns and future sleep problems is not well-understood. This study aimed to assess whether maternal-reported total sleep duration (over 24 hours) and consecutive sleep duration in infancy are associated with later maternal reports of sleep problems in preschoolers.</div></div><div><h3>Methods</h3><div>This longitudinal study included a community sample of 294 mother-child dyads. Total sleep duration and consecutive sleep duration were measured by maternal reports using the Questionnaire about Sleep Habits at 6 months. Sleep problems were assessed by maternal reports using the Sleep Problems subscale of the Child Behaviour Checklist/1.5-5 at 48 and 60 months.</div></div><div><h3>Results</h3><div>Generalized Estimating Equations models revealed that maternal-reported infant shorter total sleep duration, but not consecutive sleep duration, was associated with more sleep problems in preschoolers (higher total Child Behaviour Checklist Sleep Problems subscale scores), adjusting for socioeconomic status, maternal depression, breastfeeding status, sleeping arrangements, time, and biological sex. More specifically, infant shorter total sleep duration was associated with more bedtime resistance, difficulty falling asleep, the presence of nightmares, and shorter sleep duration.</div></div><div><h3>Conclusions</h3><div>Shorter maternal-reported total sleep duration but not consecutive sleep duration at 6 months was a marker of future parental reports of sleep problems in preschoolers. The results suggest that total sleep duration over 24 hours and sufficient opportunity to sleep should be prioritized over striving for an infant to sleep through the night during early infancy.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 631-639"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974745","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}
引用次数: 0
Family implication in adolescents’ sleep: A qualitative exploration with quantitative insights 青少年睡眠的家庭影响:一项具有定量见解的定性探索。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-19 DOI: 10.1016/j.sleh.2025.07.009
Ella Louis PhD , Elif Eyuboglu PhD , Didier Drieu PhD , Eve Reynaud PhD , Carmen Schröder PhD , Jean-Michel Coq PhD , Régine Scelles PhD

Introduction

The multiple changes in sleep patterns during adolescence are influenced by both biological and environmental factors, resulting in later bedtimes and insufficient sleep. Since most adolescents live with their families, the family environment plays a crucial role in shaping adolescent sleep behaviors. Existing research on this topic remains limited.

Methods

This study employed both qualitative and quantitative methods to explore family involvement in adolescent sleep. A total of 114 participants (31 families, including both parents, siblings, and the target adolescents) participated in semistructured interviews and wore actigraphs to measure sleep over 7 days.

Results

Actigraphy results revealed that most adolescents slept less than the recommended amount, with similar sleep patterns observed between adolescents, their siblings, and mothers. Thematic content analysis identified how sleep behaviors and attitudes were transmitted within families. Similar habits in the evening were observed between family members, such as meals, screen time, reading, and homework.

Discussion

The study highlighted how family members model behaviors related to sleep, with parents and siblings influencing adolescents’ sleep patterns. Parental roles, such as setting sleep-related rules, limiting screen time, and maintaining consistent bedtime routines, serve as key behavioral models that adolescents often adopt, leading to better sleep quality and quantity.

Conclusion

This study underscores the significant role of family in shaping adolescent sleep patterns through both explicit behaviors and implicit modeling.
青少年时期睡眠模式的多重变化受到生物和环境因素的双重影响,导致就寝时间晚,睡眠不足。由于大多数青少年与家人一起生活,家庭环境在塑造青少年睡眠行为方面起着至关重要的作用。关于这一主题的现有研究仍然有限。方法:采用定性与定量相结合的方法,探讨家庭对青少年睡眠的影响。114名参与者(31个家庭,包括父母双方、兄弟姐妹和目标青少年)参加了半结构化访谈,并佩戴了活动记录仪来测量7天内的睡眠情况。结果:活动描记结果显示,大多数青少年睡眠少于推荐量,在青少年、他们的兄弟姐妹和母亲之间观察到相似的睡眠模式。主题内容分析确定了睡眠行为和态度是如何在家庭中传播的。在晚上,家庭成员之间也有类似的习惯,比如吃饭、看屏幕、阅读和做作业。讨论:该研究强调了家庭成员如何塑造与睡眠相关的行为,父母和兄弟姐妹影响青少年的睡眠模式。父母的角色,如设定与睡眠有关的规则,限制屏幕时间,保持一致的就寝时间,是青少年经常采用的关键行为模式,从而提高睡眠质量和睡眠量。结论:本研究强调了家庭通过外显行为和内隐行为塑造青少年睡眠模式的重要作用。
{"title":"Family implication in adolescents’ sleep: A qualitative exploration with quantitative insights","authors":"Ella Louis PhD ,&nbsp;Elif Eyuboglu PhD ,&nbsp;Didier Drieu PhD ,&nbsp;Eve Reynaud PhD ,&nbsp;Carmen Schröder PhD ,&nbsp;Jean-Michel Coq PhD ,&nbsp;Régine Scelles PhD","doi":"10.1016/j.sleh.2025.07.009","DOIUrl":"10.1016/j.sleh.2025.07.009","url":null,"abstract":"<div><h3>Introduction</h3><div>The multiple changes in sleep patterns during adolescence are influenced by both biological and environmental factors, resulting in later bedtimes and insufficient sleep. Since most adolescents live with their families, the family environment plays a crucial role in shaping adolescent sleep behaviors. Existing research on this topic remains limited.</div></div><div><h3>Methods</h3><div>This study employed both qualitative and quantitative methods to explore family involvement in adolescent sleep. A total of 114 participants (31 families, including both parents, siblings, and the target adolescents) participated in semistructured interviews and wore actigraphs to measure sleep over 7 days.</div></div><div><h3>Results</h3><div>Actigraphy results revealed that most adolescents slept less than the recommended amount, with similar sleep patterns observed between adolescents, their siblings, and mothers. Thematic content analysis identified how sleep behaviors and attitudes were transmitted within families. Similar habits in the evening were observed between family members, such as meals, screen time, reading, and homework.</div></div><div><h3>Discussion</h3><div>The study highlighted how family members model behaviors related to sleep, with parents and siblings influencing adolescents’ sleep patterns. Parental roles, such as setting sleep-related rules, limiting screen time, and maintaining consistent bedtime routines, serve as key behavioral models that adolescents often adopt, leading to better sleep quality and quantity.</div></div><div><h3>Conclusion</h3><div>This study underscores the significant role of family in shaping adolescent sleep patterns through both explicit behaviors and implicit modeling.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 665-675"},"PeriodicalIF":3.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974738","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}
引用次数: 0
Sleep duration associated with acute care utilization: Revisiting Andersen’s Behavioral Model of Health Services Use 睡眠时间与急性护理利用的关系:重新审视安徒生的卫生服务使用行为模型。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-12 DOI: 10.1016/j.sleh.2025.06.007
Marie-Rachelle Narcisse PhD , Rhoda Moise PhD , Pearl A. McElfish PhD , Holly C. Felix PhD , Tracie Kirkland DNP , Girardin Jean-Louis PhD

Objectives

Andersen’s Behavioral Model of Health Services Use explains healthcare utilization through three key domains—health needs, predisposing characteristics, and enabling resources—that influence whether individuals access medical care. This study examined whether self-reported sleep duration, as a health needs factor, is associated with acute care hospital utilization in the United States.

Methods

We analyzed data from 30,122 civilians ages 18+ from the 2020 National Health Interview Survey. Acute care utilization included past-year emergency room visits and overnight hospitalizations. Zero-inflated negative binomial and multivariable logistic regression models were used to assess associations of health needs, predisposing, and enabling factors with acute care utilization.

Results

Eight in 10 adults had no emergency room visits (81.1%), while 12.3% had one visit, 4.3% had two, 1.1% had three, 1.2% had 4+ visits, and 8.4% experienced overnight hospitalization. Sixty-four percent reported healthy sleep. Very short and long sleep were associated with significantly higher emergency room visit rates, while very short, short, and long sleep were associated with greater odds of overnight hospitalization compared with healthy sleep. Poor or fair health and multiple chronic conditions were also associated with increased acute care use. Predisposing (e.g., ages 18-44, female sex, Black race, and place of birth) and enabling factors (e.g., financial hardship, health insurance) further contributed to greater utilization.

Conclusions

Sleep duration is a significant and underexamined health needs factor in acute care utilization. Improving sleep health may help reduce the frequency of emergency room visits and hospitalizations. Future studies should explore the directionality of these associations and examine other sleep dimensions in relation to acute care utilization.
目的:安徒生的健康服务使用行为模型通过三个关键领域——健康需求、倾向特征和使能资源——来解释医疗保健利用,这些领域影响个人是否获得医疗保健。这项研究调查了自我报告的睡眠时间,作为一个健康需求因素,是否与美国急症护理医院的使用率有关。方法:我们分析了来自2020年全国健康访谈调查的30122名18岁以上平民的数据。急性护理利用包括过去一年的急诊室就诊和过夜住院。使用零膨胀负二项和多变量logistic回归模型来评估健康需求、易感因素和使能因素与急性护理利用的关系。结果:8 / 10的成年人没有急诊室就诊(81.1%),12.3%的人有一次就诊,4.3%的人有两次就诊,1.1%的人有三次就诊,1.2%的人有4次以上就诊,8.4%的人住院过夜。64%的人表示睡眠健康。与健康睡眠相比,睡眠时间过短和过长与更高的急诊室就诊率相关,而睡眠时间过短、过短和过长与更大的过夜住院率相关。较差或一般的健康状况和多种慢性疾病也与急症护理使用的增加有关。易患因素(例如,18-44岁、女性、黑人种族和出生地)和有利因素(例如,经济困难、医疗保险)进一步促进了更高的利用率。结论:睡眠时间是急性护理利用中一个重要但未被充分研究的健康需求因素。改善睡眠健康可能有助于减少急诊室就诊和住院的频率。未来的研究应该探索这些关联的方向性,并检查其他睡眠维度与急性护理利用的关系。
{"title":"Sleep duration associated with acute care utilization: Revisiting Andersen’s Behavioral Model of Health Services Use","authors":"Marie-Rachelle Narcisse PhD ,&nbsp;Rhoda Moise PhD ,&nbsp;Pearl A. McElfish PhD ,&nbsp;Holly C. Felix PhD ,&nbsp;Tracie Kirkland DNP ,&nbsp;Girardin Jean-Louis PhD","doi":"10.1016/j.sleh.2025.06.007","DOIUrl":"10.1016/j.sleh.2025.06.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Andersen’s Behavioral Model of Health Services Use explains healthcare utilization through three key domains—health needs, predisposing characteristics, and enabling resources—that influence whether individuals access medical care. This study examined whether self-reported sleep duration, as a health needs factor, is associated with acute care hospital utilization in the United States.</div></div><div><h3>Methods</h3><div>We analyzed data from 30,122 civilians ages 18+ from the 2020 National Health Interview Survey. Acute care utilization included past-year emergency room visits and overnight hospitalizations. Zero-inflated negative binomial and multivariable logistic regression models were used to assess associations of health needs, predisposing, and enabling factors with acute care utilization.</div></div><div><h3>Results</h3><div>Eight in 10 adults had no emergency room visits (81.1%), while 12.3% had one visit, 4.3% had two, 1.1% had three, 1.2% had 4+ visits, and 8.4% experienced overnight hospitalization. Sixty-four percent reported healthy sleep. Very short and long sleep were associated with significantly higher emergency room visit rates, while very short, short, and long sleep were associated with greater odds of overnight hospitalization compared with healthy sleep. Poor or fair health and multiple chronic conditions were also associated with increased acute care use. Predisposing (e.g., ages 18-44, female sex, Black race, and place of birth) and enabling factors (e.g., financial hardship, health insurance) further contributed to greater utilization.</div></div><div><h3>Conclusions</h3><div>Sleep duration is a significant and underexamined health needs factor in acute care utilization. Improving sleep health may help reduce the frequency of emergency room visits and hospitalizations. Future studies should explore the directionality of these associations and examine other sleep dimensions in relation to acute care utilization.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 691-701"},"PeriodicalIF":3.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838283","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}
引用次数: 0
Association between insomnia symptoms and chronotype—A systematic review and meta-analysis 失眠症状与a型睡眠时间型的关系
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-07 DOI: 10.1016/j.sleh.2025.06.011
Yuqing Zhao MA , Haizhen Chen BSc , Torbjörn Åkerstedt PhD , Zefan Zhang MSc , Shuai Wang MD, PhD , Xiao Tan PhD

Objectives

This meta-analysis aimed to examine the association between chronotype and insomnia.

Methods

A systematic search of PubMed, Embase, and the Cochrane Library was conducted to identify prospective and cross-sectional studies published before July 2023. Sixteen studies involving 27,789 participants were included. Chronotype was assessed using the Morningness-Eveningness Questionnaire. Odds ratios with 95% confidence intervals were calculated for dichotomous outcomes, and mean differences with 95% confidence intervals were used for continuous outcomes. Random-effects models were applied in the presence of moderate-to-high heterogeneity. Sensitivity and subgroup analyses were performed to assess robustness and consistency.

Results

Compared with morning types, evening chronotypes had a significantly higher risk of insomnia (odds ratio, 3.47; 95% confidence interval, 2.50-4.83; P<.00001) and higher ISI scores (mean difference, 3.00; 95% confidence interval, 1.70-4.30; P<.00001). Intermediate chronotypes also showed elevated risk (odds ratio, 1.61; 95% confidence interval, 1.24-2.09; P = .0004) and moderately higher ISI scores (mean difference, 1.55; 95% confidence interval, 0.47-2.63; P = .005) compared with morning types.

Conclusion

Individuals with an evening chronotype were more likely to report insomnia symptoms compared with those with morning or intermediate chronotypes. Intermediate chronotypes tended to have a moderate association, while morning types showed the lowest likelihood of reporting insomnia symptoms. These findings highlight the importance of considering chronotype in the assessment and management of insomnia.
目的:本荟萃分析旨在研究睡眠类型与失眠之间的关系。方法:对PubMed、Embase和Cochrane图书馆进行系统检索,以确定2023年7月之前发表的前瞻性和横断面研究。纳入了16项研究,涉及27,789名参与者。时间类型评估使用晨醒性问卷。对于二分类结果计算具有95%置信区间的优势比,对于连续结果使用具有95%置信区间的平均差异。在存在中高异质性的情况下应用随机效应模型。进行敏感性和亚组分析以评估稳健性和一致性。结果:与早起型的人相比,晚睡型的人失眠的风险明显更高(优势比为3.47;95%置信区间为2.50-4.83;结论:与早晨或中间时间型的人相比,夜晚时间型的人更有可能报告失眠症状。中等时间类型的人往往有中等程度的关联,而早起类型的人报告失眠症状的可能性最低。这些发现强调了在失眠的评估和管理中考虑睡眠类型的重要性。
{"title":"Association between insomnia symptoms and chronotype—A systematic review and meta-analysis","authors":"Yuqing Zhao MA ,&nbsp;Haizhen Chen BSc ,&nbsp;Torbjörn Åkerstedt PhD ,&nbsp;Zefan Zhang MSc ,&nbsp;Shuai Wang MD, PhD ,&nbsp;Xiao Tan PhD","doi":"10.1016/j.sleh.2025.06.011","DOIUrl":"10.1016/j.sleh.2025.06.011","url":null,"abstract":"<div><h3>Objectives</h3><div>This meta-analysis aimed to examine the association between chronotype and insomnia.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, Embase, and the Cochrane Library was conducted to identify prospective and cross-sectional studies published before July 2023. Sixteen studies involving 27,789 participants were included. Chronotype was assessed using the Morningness-Eveningness Questionnaire. Odds ratios with 95% confidence intervals were calculated for dichotomous outcomes, and mean differences with 95% confidence intervals were used for continuous outcomes. Random-effects models were applied in the presence of moderate-to-high heterogeneity. Sensitivity and subgroup analyses were performed to assess robustness and consistency.</div></div><div><h3>Results</h3><div>Compared with morning types, evening chronotypes had a significantly higher risk of insomnia (odds ratio, 3.47; 95% confidence interval, 2.50-4.83; <em>P</em>&lt;.00001) and higher ISI scores (mean difference, 3.00; 95% confidence interval, 1.70-4.30; <em>P</em>&lt;.00001). Intermediate chronotypes also showed elevated risk (odds ratio, 1.61; 95% confidence interval, 1.24-2.09; <em>P<!--> </em>=<!--> <!-->.0004) and moderately higher ISI scores (mean difference, 1.55; 95% confidence interval, 0.47-2.63; <em>P<!--> </em>=<!--> <!-->.005) compared with morning types.</div></div><div><h3>Conclusion</h3><div>Individuals with an evening chronotype were more likely to report insomnia symptoms compared with those with morning or intermediate chronotypes. Intermediate chronotypes tended to have a moderate association, while morning types showed the lowest likelihood of reporting insomnia symptoms. These findings highlight the importance of considering chronotype in the assessment and management of insomnia.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 551-559"},"PeriodicalIF":3.4,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805107","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}
引用次数: 0
Housing well-being and sleep in Australia 澳大利亚的住房健康和睡眠。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-01 DOI: 10.1016/j.sleh.2025.02.001
Shannon L. Edmed PhD , M. Mamun Huda PhD , Md Ashraful Alam M.Sc, MPH , Cassandra L. Pattinson PhD , Kalina R. Rossa PhD , Shamsi Shekari Soleimanloo PhD , Simon S. Smith PhD

Objectives

The built and social aspects of housing influence a broad range of health and social outcomes and may be important enablers of barriers to occupants accessing sufficient and good-quality sleep. The aim of this study was to examine the relationships between housing well-being (a conceptualization of housing-related [dis]advantage), with self-reported sleep outcomes in Australians.

Methods

We conducted a cross-sectional analysis of Wave 21 (2021) of the Household, Income and Labour Dynamics in Australia (HILDA) Survey, a longitudinal, population-based study of Australian households. Multilevel logistic regression models were used to examine the association between “housing well-being” and sleep outcomes. The sample analyzed consisted of 13,516 respondents.

Results

Greater housing insecurity (a composite score comprising tenure type, housing affordability stress, and housing mobility) was associated with higher odds of insufficient sleep (AOR: 1.28; 95% CI: 1.15, 1.41) and sleep disturbance (AOR: 1.13; 95% CI: 1.04, 1.22) after adjustment. Unsuitable housing (a composite score comprising dwelling type, occupant density, and housing quality) was associated with increased odds of insufficient sleep (AOR: 1.36; 95% CI: 1.19, 1.55), napping (AOR: 1.13; 95% CI: 1.02, 1.25), and sleep disturbance (AOR: 1.14; 95% CI: 1.03, 1.26) after adjustment.

Conclusions

Improving housing condition and circumstances may support the sleep health of Australians. Future research should explore the ways in which sleep may play a mediating role through which built environments affect other health and well-being outcomes.
目标:住房的建成和社会方面影响着广泛的健康和社会结果,并可能成为阻碍居住者获得充足和高质量睡眠的重要因素。本研究的目的是研究澳大利亚人的住房福利(住房相关[不利]优势的概念化)与自我报告的睡眠结果之间的关系。方法:我们对澳大利亚家庭、收入和劳动力动态(HILDA)调查的第21波(2021年)进行了横断面分析,这是一项针对澳大利亚家庭的纵向、基于人口的研究。使用多水平逻辑回归模型来检验“住房幸福感”与睡眠结果之间的关系。分析的样本包括13516名受访者。结果:更大的住房不安全感(包括租住类型、住房负担能力压力和住房流动性的综合得分)与更高的睡眠不足几率相关(AOR: 1.28;95% CI: 1.15, 1.41)和睡眠障碍(AOR: 1.13;校正后95% CI: 1.04, 1.22)。不适宜的住房(包括居住类型、居住者密度和住房质量的综合评分)与睡眠不足的几率增加相关(AOR: 1.36;95% CI: 1.19, 1.55),午睡(AOR: 1.13;95% CI: 1.02, 1.25)和睡眠障碍(AOR: 1.14;校正后95% CI: 1.03, 1.26)。结论:改善住房条件和环境可能有助于澳大利亚人的睡眠健康。未来的研究应该探索睡眠可能通过建筑环境影响其他健康和福祉结果的中介作用的方式。
{"title":"Housing well-being and sleep in Australia","authors":"Shannon L. Edmed PhD ,&nbsp;M. Mamun Huda PhD ,&nbsp;Md Ashraful Alam M.Sc, MPH ,&nbsp;Cassandra L. Pattinson PhD ,&nbsp;Kalina R. Rossa PhD ,&nbsp;Shamsi Shekari Soleimanloo PhD ,&nbsp;Simon S. Smith PhD","doi":"10.1016/j.sleh.2025.02.001","DOIUrl":"10.1016/j.sleh.2025.02.001","url":null,"abstract":"<div><h3>Objectives</h3><div>The built and social aspects of housing influence a broad range of health and social outcomes and may be important enablers of barriers to occupants accessing sufficient and good-quality sleep. The aim of this study was to examine the relationships between housing well-being (a conceptualization of housing-related [dis]advantage), with self-reported sleep outcomes in Australians.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional analysis of Wave 21 (2021) of the Household, Income and Labour Dynamics in Australia (HILDA) Survey, a longitudinal, population-based study of Australian households. Multilevel logistic regression models were used to examine the association between “housing well-being” and sleep outcomes. The sample analyzed consisted of 13,516 respondents.</div></div><div><h3>Results</h3><div>Greater housing insecurity (a composite score comprising tenure type, housing affordability stress, and housing mobility) was associated with higher odds of insufficient sleep (AOR: 1.28; 95% CI: 1.15, 1.41) and sleep disturbance (AOR: 1.13; 95% CI: 1.04, 1.22) after adjustment. Unsuitable housing (a composite score comprising dwelling type, occupant density, and housing quality) was associated with increased odds of insufficient sleep (AOR: 1.36; 95% CI: 1.19, 1.55), napping (AOR: 1.13; 95% CI: 1.02, 1.25), and sleep disturbance (AOR: 1.14; 95% CI: 1.03, 1.26) after adjustment.</div></div><div><h3>Conclusions</h3><div>Improving housing condition and circumstances may support the sleep health of Australians. Future research should explore the ways in which sleep may play a mediating role through which built environments affect other health and well-being outcomes.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 506-514"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019612","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}
引用次数: 0
Winter sleep extension and fragmentation in a South African agropastoral community 南非农牧社区的冬季睡眠延长和碎片化。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-01 DOI: 10.1016/j.sleh.2025.05.008
Ming Fei Li MSc , Puseletso Lecheko , Tumelo Phuthing , Tsepo Lesholu , David R. Samson PhD

Objectives

To examine seasonal sleep variation and assess the effects of gender, age, and environmental variables (Wet-Bulb Globe Temperature, moonlight, sunrise and sunset times) on sleep in a rural agropastoral community in South Africa with gender division of labor.

Methods

We collected actigraphy data from 114 participants (83 men, 31 women, 4750 nights) during summer and winter seasons in 2023. We used Bayesian hierarchical regression models to investigate drivers of sleep duration and quality.

Results

Total Sleep Time was longer in winter (7.26 hours, SD = 1.0) compared to summer (6.40 hours, SD = 0.88), but so were Fragmentation Index and Wake After Sleep Onset. Higher Wet-Bulb Globe Temperature was associated with shorter Total Sleep Time, higher Fragmentation Index, and lower Sleep Efficiency. Greater moon illumination was correlated with shorter Total Sleep Time and reduced Fragmentation Index and Wake After Sleep Onset. Age was positively correlated with Total Sleep Time and Fragmentation Index among men, and older individuals had earlier sleep onset and offset than younger individuals. Compared to women, men had shorter and more disturbed sleep, especially in the winter, and were more impacted by Wet-Bulb Globe Temperature.

Conclusions

Sleep during the winter season was longer but more fragmented and of lower quality compared to the summer. Seasonal differences in extrinsic weather conditions and perceived risks operated on preexisting gendered labor and sleep disparities to drive seasonal sleep variation in this community. Future research should consider the disproportionate effects that environmental variables can have on sleep outcomes for different groups.
目的:研究南非一个性别分工的农牧社区的季节性睡眠变化,并评估性别、年龄和环境变量(湿球温度、月光、日出和日落时间)对睡眠的影响。方法:我们收集了2023年夏季和冬季114名参与者(83名男性,31名女性,4750晚)的活动记录仪数据。我们使用贝叶斯层次回归模型来研究睡眠时间和质量的驱动因素。结果:冬季总睡眠时间(7.26小时,SD = 1.0)明显长于夏季(6.40小时,SD = 0.88),碎片化指数(Fragmentation Index)和醒后指数(Wake After Sleep Onset)也明显高于夏季(6.40小时,SD = 0.88)。较高的湿球温度与较短的总睡眠时间、较高的碎片指数和较低的睡眠效率有关。月亮光照越强,总睡眠时间越短,碎片指数越低,睡眠后醒来率越低。年龄与男性总睡眠时间和睡眠碎片指数呈正相关,老年人比年轻人更早开始和抵消睡眠。与女性相比,男性的睡眠时间更短、更不安,尤其是在冬天,而且更容易受到湿球温度的影响。结论:与夏季相比,冬季睡眠时间更长,但更零碎,质量更差。外部天气条件和感知风险的季节性差异对先前存在的性别劳动和睡眠差异起作用,从而驱动该社区的季节性睡眠变化。未来的研究应该考虑环境变量对不同人群睡眠结果的不成比例的影响。
{"title":"Winter sleep extension and fragmentation in a South African agropastoral community","authors":"Ming Fei Li MSc ,&nbsp;Puseletso Lecheko ,&nbsp;Tumelo Phuthing ,&nbsp;Tsepo Lesholu ,&nbsp;David R. Samson PhD","doi":"10.1016/j.sleh.2025.05.008","DOIUrl":"10.1016/j.sleh.2025.05.008","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine seasonal sleep variation and assess the effects of gender, age, and environmental variables (Wet-Bulb Globe Temperature, moonlight, sunrise and sunset times) on sleep in a rural agropastoral community in South Africa with gender division of labor.</div></div><div><h3>Methods</h3><div>We collected actigraphy data from 114 participants (83 men, 31 women, 4750 nights) during summer and winter seasons in 2023. We used Bayesian hierarchical regression models to investigate drivers of sleep duration and quality.</div></div><div><h3>Results</h3><div>Total Sleep Time was longer in winter (7.26 hours, SD = 1.0) compared to summer (6.40 hours, SD = 0.88), but so were Fragmentation Index and Wake After Sleep Onset. Higher Wet-Bulb Globe Temperature was associated with shorter Total Sleep Time, higher Fragmentation Index, and lower Sleep Efficiency. Greater moon illumination was correlated with shorter Total Sleep Time and reduced Fragmentation Index and Wake After Sleep Onset. Age was positively correlated with Total Sleep Time and Fragmentation Index among men, and older individuals had earlier sleep onset and offset than younger individuals. Compared to women, men had shorter and more disturbed sleep, especially in the winter, and were more impacted by Wet-Bulb Globe Temperature.</div></div><div><h3>Conclusions</h3><div>Sleep during the winter season was longer but more fragmented and of lower quality compared to the summer. Seasonal differences in extrinsic weather conditions and perceived risks operated on preexisting gendered labor and sleep disparities to drive seasonal sleep variation in this community. Future research should consider the disproportionate effects that environmental variables can have on sleep outcomes for different groups.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 477-485"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601970","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}
引用次数: 0
Sleep deserts: From observational to interventional environmental patterns of sleep health and sleep disorders 睡眠沙漠:从观察到干预的睡眠健康和睡眠障碍的环境模式。
IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2025-08-01 DOI: 10.1016/j.sleh.2025.06.008
Dayna A. Johnson PhD, MPH, MS, MSW, FAHA, Hrayr Attarian MD, Lauren Hale PhD, Kristen Knutson PhD, FAHA
{"title":"Sleep deserts: From observational to interventional environmental patterns of sleep health and sleep disorders","authors":"Dayna A. Johnson PhD, MPH, MS, MSW, FAHA,&nbsp;Hrayr Attarian MD,&nbsp;Lauren Hale PhD,&nbsp;Kristen Knutson PhD, FAHA","doi":"10.1016/j.sleh.2025.06.008","DOIUrl":"10.1016/j.sleh.2025.06.008","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 4","pages":"Pages 403-405"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660832","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}
引用次数: 0
期刊
Sleep Health
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1