Sleep epidemiology最新文献_第3页

The association between subjective and objective sleep parameters and internalizing and externalizing problems in adolescents 青少年主观和客观睡眠参数与内化和外化问题的关系

Sleep epidemiology

Pub Date : 2025-03-28 DOI: 10.1016/j.sleepe.2025.100107

Roan van der Laars , Diandra C. Bouter , M. Elisabeth Koopman-Verhoeff , Milan Zarchev , Sibel Ercan , Witte J.G. Hoogendijk , Nina H. Grootendorst-van Mil

Sleep practices change markedly in adolescence, leading to reductions in both duration and quality. Poor sleep health is a core component of many psychiatric disorders, yet most previous studies have mainly used singular rather than multidimensional sleep measures, which fail to account for all aspects of sleep as a behavior. In an adolescent cohort oversampled for high psychopathology risk (n = 494, mean age 17.88), we used a validated 0–6 composite sleep health score based on sleep diary and actigraphy data. The Youth Self Report (YSR) quantified psychopathology symptoms as a total score, as broadband problem scales (e.g., externalizing problems), and narrowband scales (e.g., aggressive problems). Confounder-adjusted multiple linear regression models examined the association between the sleep composite score and total, broadband, and narrowband problem scores. A higher sleep composite score, indicating better sleep health, was linked to a lower total problems score (B -3.66, 95 % CI [-5.20; -2.12]) and was inversely related to all specific problem scales, including internalizing and externalizing problems, with the sole exception of aggressive problems. Secondary analyses revealed consistent associations between subjective sleep domains and various problem subscales, whereas objective domains showed none. Our study underscores the complementary roles of subjective and objective sleep measures in mental health research, illustrating that subjective measures are consistently associated with psychopathological symptoms and may offer personal relevance, while objective measures might provide accuracy and consistency by capturing detailed sleep patterns. However, limitations include the study's cross-sectional design and potential selection bias in the sleep measurement group.

在青春期，睡眠习惯会发生显著变化，导致睡眠时间和质量的减少。睡眠健康状况不佳是许多精神疾病的核心组成部分，然而，大多数先前的研究主要使用单一而非多维的睡眠测量方法，这无法将睡眠作为一种行为的所有方面都考虑在内。在高精神病理风险的青少年队列中（n = 494，平均年龄17.88），我们使用基于睡眠日记和活动记录数据的有效的0-6复合睡眠健康评分。青年自我报告（YSR）将精神病理症状量化为总分，包括宽频问题量表（如外化问题）和窄频问题量表（如攻击性问题）。经混杂因素调整的多元线性回归模型检验了睡眠综合得分与总、宽带和窄带问题得分之间的关系。睡眠综合得分越高，表明睡眠健康状况越好，与总问题得分越低有关(B -3.66, 95% CI [-5.20；-2.12])，并且与所有特定问题量表呈负相关，包括内化和外化问题，唯一的例外是攻击性问题。二次分析显示，主观睡眠领域和各种问题子量表之间存在一致的关联，而客观领域则没有。我们的研究强调了主观和客观睡眠测量在心理健康研究中的互补作用，说明主观测量始终与精神病理症状相关，可能提供个人相关性，而客观测量可能通过捕获详细的睡眠模式提供准确性和一致性。然而，局限性包括研究的横截面设计和睡眠测量组的潜在选择偏差。

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引用次数: 0

Sleep disparities in the United States: Comparison of logistic and linear regression with stratification by race 美国的睡眠差异：按种族分层的逻辑回归和线性回归的比较

Sleep epidemiology

Pub Date : 2025-01-10 DOI: 10.1016/j.sleepe.2025.100106

Irene A Doherty , Mary Ellen Wells

Background

Analyses of risk factors associated with poor sleep/deprivation often use nationally representative surveys of the United States such as the National Household and Nutrition Examination Survey (NHANES). Outcomes are dichotomized as <6, <7, or <8 h of sleep and modeled with logistic regression where race or ethnicity is treated as an independent variable. Converting a continuous variable (sleep hours) to a categorical compromises statistical power. Treating race as a confounder fails to uncover how sleep disparities affect minorities.

Methods

This analysis of NHANES from 2005 to 2008 of White and Black participants compares interpretations from logistic regression models using ≤6 h of self-reported sleep to linear regression models using number of sleep minutes as the outcome. The analysis includes bivariate and multivariable models of risk factors associated with poor sleep including race, markers of low socioeconomic status (SES), sleep difficulty measures, self-reported health, and clinical comorbidities (obesity, hypertension, diabetes). All models were generated for the complete sample and stratified by race.

Results

Linear regression models produced quantifiable, clinically meaningful results such as women slept ∼20 additional minutes than men for both Black and White strata or were OR=0.63 times as likely to sleep ≤6 h. Markers of low SES (education, poverty) and self-reported health were associated with sleep deprivation for Whites, but not for Blacks in both linear and logistic regression.

Conclusions

Stratified analyses by race using the amount of sleep as a continuous outcome in linear regression is more rigorous and informative than logistic regression for sleep research using US representative surveys.

背景：与睡眠不足/剥夺相关的风险因素分析通常使用具有全国代表性的美国调查，如国家家庭和营养检查调查（NHANES）。结果被分为6小时、7小时或8小时的睡眠时间，并采用逻辑回归建模，其中种族或民族被视为自变量。将连续变量（睡眠时间）转换为分类变量会损害统计能力。将种族视为混杂因素并不能揭示睡眠差异是如何影响少数族裔的。方法本研究对白人和黑人受试者2005 - 2008年的NHANES进行分析，比较了采用≤6小时自我报告睡眠时间的逻辑回归模型和采用睡眠分钟数作为结果的线性回归模型的解释。该分析包括与睡眠不良相关的风险因素的双变量和多变量模型，包括种族、低社会经济地位（SES）标志、睡眠困难测量、自我报告的健康状况和临床合并症（肥胖、高血压、糖尿病）。所有模型都是为完整样本生成的，并按种族分层。线性回归模型产生了可量化的、有临床意义的结果，例如黑人和白人阶层的女性比男性多睡20分钟，或者睡眠≤6小时的可能性or =0.63倍。在线性和逻辑回归中，低社会经济地位（教育、贫困）和自我报告的健康状况与白人的睡眠剥夺有关，但与黑人无关。结论：在线性回归中，使用睡眠时间作为连续结果的种族分层分析比使用美国代表性调查的睡眠研究的逻辑回归更严格，信息更丰富。

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引用次数: 0

Heart rate variability, sleep quality and physical activity in medical students 医学生的心率变异性、睡眠质量和身体活动

Sleep epidemiology

Pub Date : 2024-12-30 DOI: 10.1016/j.sleepe.2024.100105

Samuel Filipe Lopes Alves , Thaísy Andressa Bastos Primo de Sousa Santos , Marianne Lucena da Silva , Katiane da Costa Cunha

Aims

The present study aims to investigate the sleep quality, levels of physical activity, and their relationship with heart rate variability (HRV) in medical students.

Methods

We conducted a cross-sectional study with 105 medical students from Brazil. Data were collected through sociodemographic questionnaires, Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire Short Form (IPAQ-SF), anthropometric measurements, and resting HRV. One-way ANOVA analysed sociodemographic variables, PSQI, and IPAQ scores. Spearman correlation assessed the relationship between anthropometric data and HRV parameters. Multiple Linear Regression examined the relationship between PSQI, IPAQ, and HRV, with a significance level of 5%.

Results

A predominance of poor sleep quality and high physical activity levels were observed in medical students. Multivariate analysis revealed a significant association between HRV, IPAQ, and sleep quality in the SDNN (F reg=3.08; p = 0.0486) and LF (F reg=2.95; p = 0.0553) components. However, when analysing each variable independently, the correlation was statistically relevant only for the PSQI. The correlation was inversely proportional, indicating poorer sleep quality associated with lower HRV values.

Conclusion

The results indicate that poor sleep quality is common among medical students and is correlated with a reduction in HRV, which may have an adverse impact on the cardiovascular health of this population.

目的探讨医学生的睡眠质量、身体活动水平及其与心率变异性的关系。方法对105名巴西医科学生进行横断面研究。通过社会人口调查问卷、匹兹堡睡眠质量指数（PSQI）、国际体育活动问卷简表（IPAQ-SF）、人体测量和静息HRV收集数据。单因素方差分析分析了社会人口统计学变量、PSQI和IPAQ得分。Spearman相关性评估人体测量数据与HRV参数之间的关系。多元线性回归检验PSQI、IPAQ和HRV之间的关系，显著性水平为5%。结果医学生以睡眠质量差、运动水平高为主。多变量分析显示，SDNN中HRV、IPAQ和睡眠质量之间存在显著相关性(F reg=3.08；p = 0.0486)和LF (F reg=2.95；P = 0.0553)成分。然而，当独立分析每个变量时，相关性仅与PSQI具有统计学相关性。相关性成反比，表明较差的睡眠质量与较低的HRV值相关。结论睡眠质量差在医学生中普遍存在，并与HRV降低相关，可能对该人群的心血管健康产生不利影响。

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引用次数: 0

Prevalence of sleep disturbances and factors associated among school going children in Uganda, a cross-sectional study 乌干达学龄儿童睡眠障碍患病率及其相关因素，一项横断面研究

Sleep epidemiology

Pub Date : 2024-12-09 DOI: 10.1016/j.sleepe.2024.100104

Baluku Reagan Innocent , Oriokot Lorraine , Elly Katabira , Martha Sajatovic , Abbo Catherine , Kaddumukasa Mark

Background

Sleep disturbances greatly impact children's academic performance and social well-being. This study set out to determine the prevalence of sleep disturbances and factors associated among school going children in Kawempe division, Kampala, Uganda.

Methods

In a community cross-sectional study, 548 study participants using random cluster sampling were enrolled. The children start lessons at 8am and end the days classes at 5pm. Random cluster sampling method was used to select participants from the 19 parishes in Kawempe district. Data was collected using a semi-structured questionnaire and Sleep Disturbance Scale for Children (SDSC). Descriptive statistics and multivariate binary logistic regression were performed with a p < 0.05 level of significance, and a 95 % confidence interval as a measure of association between the sleep disturbance.

Results

Abnormal total sleep score (T- score >70) was at 3.5 %, and overall, 21.7 % of the children had an abnormal score on at least one SDSC factor. Among the children with sleep disturbances, we noted the following factors; use of an electronic device before bed, sleeping <7 h at night, having unemployed parents and lack of regular parental interaction.

Conclusion

Better understanding of sleep disturbances in needed to address challenges associated with sleep among children in Uganda.

睡眠障碍极大地影响了儿童的学习成绩和社会福利。本研究旨在确定乌干达坎帕拉Kawempe区学龄儿童中睡眠障碍的患病率及其相关因素。方法采用社区横断面研究方法，随机整群抽样入组548名研究对象。孩子们早上8点开始上课，下午5点结束一天的课程。采用随机整群抽样的方法，在卡温佩区19个堂区进行调查。采用半结构化问卷和儿童睡眠障碍量表（SDSC）收集数据。描述性统计和多元二元逻辑回归采用p <；0.05的显著性水平，95%的置信区间作为睡眠障碍之间的关联度量。结果总睡眠评分（T- score >70）异常占3.5%，总体而言，21.7%的儿童在至少一项SDSC因素上得分异常。在有睡眠障碍的儿童中，我们注意到以下因素；睡前使用电子设备，每晚睡7小时，父母失业，缺乏定期的父母互动。结论需要更好地了解乌干达儿童的睡眠障碍，以解决与睡眠相关的挑战。

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引用次数: 0

Longitudinal study of chronic nausea and vomiting and its associations with sleep-related leg cramps in the US general population 美国普通人群慢性恶心和呕吐及其与睡眠相关腿痉挛的关联的纵向研究

Sleep epidemiology

Pub Date : 2024-12-09 DOI: 10.1016/j.sleepe.2024.100103

MM Ohayon , YJ Chen , R Fass , ML Cote

Introduction

Chronic nausea and vomiting (CNV) can have a long-term impact on people's health and quality of life. This study aims to investigate whether CNV is involved in the development of sleep-related leg cramps (SRLCs) in a longitudinal study involving 10,931 participants representative of the US general population.

Methods

Participants were interviewed three years apart over the telephone using the Sleep-EVAL expert system. It collected information on sleep habits/disturbances (International Classification of Sleep Disorders), mental disorders (DSM-IV-TR) and medical conditions. CNV was defined as episodes of nausea and vomiting occurring at least five times a month for at least one month (outside pregnancy) as per the ROME IV recommendations.

Results

At the initial interview, 3% (95%CI:2.7%-3.3%) of the participants reported CNV, and 2.5% (95%CI:2.2%-2.8%) at follow-up. The 3-year incidence for CNV was 1.4%. SRLCs was found in 12.4% (95%CI:11.9%-13.1%) of the sample at the first-interview and 11.5% (95%CI:10.1%-12.1%) at follow-up. Multivariate models show that individuals with CNV at both interviews had a relative risk 4.1 times higher (95%CI:2.7–6.2; p < 0.0001) to have SRLCs at follow-up compared to those without nausea or vomiting. Magnesium intake at the initial interview was a protective factor for SRLCs (RR 0.4; 95%CI: 0.2–0.7; p = 003).

Discussion

Symptoms of CNV lasting for years is highly predictive of SRLC based on this longitudinal survey. The link between the two pathologies could be partially explained by potential potassium/magnesium depletion from muscles as a result of CNV. The findings of this study call for physician awareness of the association between CNV and SRLC.

慢性恶心和呕吐（CNV）会对人们的健康和生活质量产生长期影响。本研究旨在调查CNV是否与睡眠相关性腿痉挛（srlc）的发展有关，在一项涉及10931名代表美国普通人群的纵向研究中。方法采用Sleep-EVAL专家系统，隔3年进行电话访谈。它收集了关于睡眠习惯/干扰（国际睡眠障碍分类）、精神障碍（DSM-IV-TR）和医疗状况的信息。根据ROME IV的建议，CNV被定义为恶心和呕吐发作，每月至少发生5次，持续至少一个月（妊娠外）。结果在最初的访谈中，3% （95%CI:2.7%-3.3%）的参与者报告了CNV，在随访中，2.5% （95%CI:2.2%-2.8%）的参与者报告了CNV。3年CNV的发生率为1.4%。在第一次访谈中发现12.4% （95%CI:11.9%-13.1%）的样本存在srlc，在随访中发现11.5% （95%CI:10.1%-12.1%）的样本存在srlc。多变量模型显示，在两次访谈中都有CNV的个体的相对风险高出4.1倍(95%CI: 2.7-6.2；p & lt;0.0001)与无恶心或呕吐的患者相比，在随访时发生srlc。初次访谈时的镁摄入量是srlc的保护因素(RR 0.4；95%置信区间:0.2—-0.7;P = 003)。根据这项纵向调查，持续数年的CNV症状可高度预测SRLC。这两种病理之间的联系可以部分解释为CNV导致的肌肉中潜在的钾/镁消耗。这项研究的结果呼吁医生认识到CNV和SRLC之间的关系。

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引用次数: 0

Erratum to “Modeling and Feature Assessment of the Sleep Quality among Chronic Kidney Disease Patients” [Sleep Epidemiology Volume 2, December 2022, 100041] 对《慢性肾病患者睡眠质量的建模和特征评估》的勘误 [《睡眠流行病学》第 2 卷，2022 年 12 月，100041]

Sleep epidemiology

Pub Date : 2024-12-01 DOI: 10.1016/j.sleepe.2024.100072

Surani Matharaarachchi , Mike Domaratzki , Chamil Marasinghe , Saman Muthukumarana , Varuni Tennakoon

引用次数: 0

Corrigendum to “Obstructive Sleep Apnea (OSA) and contact sports: A systematic review and meta-analysis” [Sleep Epidemiology, 2C (2022) 100036] “阻塞性睡眠呼吸暂停（OSA）和接触性运动：一项系统回顾和荟萃分析”的更正[睡眠流行病学，2C (2022) 100036]

Sleep epidemiology

Pub Date : 2024-12-01 DOI: 10.1016/j.sleepe.2024.100094

Nathan E. Howarth , Adam J. White , Alan J. Pearce , Chris Nowinski , Robert Cantu , Chen Ji , Michelle A Miller

引用次数: 0

Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study 阿富汗女学生的焦虑症状、睡眠障碍和学习成绩：横断面研究

Sleep epidemiology

Pub Date : 2024-11-15 DOI: 10.1016/j.sleepe.2024.100102

Ahmad Neyazi , Bilal Ahmad Rahimi , Abdul Qadim Mohammadi , Nosaibah Razaqi , Laila Qanawezi , Shaharah Sarem , Saida Said , Raz Mohammad Tabib , Habibah Afzali , Mehrab Neyazi , Mark D. Griffiths

Background

Anxiety is a common psychological disorder in school-aged children and adolescents. The present study aimed to assess the prevalence of anxiety symptoms and sleep disturbances and their relationship with academic achievement among female students in Herat, Afghanistan.

Methods

A cross-sectional survey of 737 female students (mean age 11.8 years old) was conducted across 10 randomly selected schools in Herat, Afghanistan, covering Grades 1 to 6. Students were randomly chosen within these schools. The Depression Anxiety Stress Scale for Youth (DASS-Y) and Pittsburgh Sleep Quality Index (PSQI) assessed anxiety and sleep disturbance, while academic achievement ratings were provided by schoolteachers.

Results

Using the DASS-Y and the PSQI, 65.5% reported anxiety symptoms and 46.4% reported sleep disturbance. Low academic achievement correlated significantly with anxiety (r = 0.228) and sleep issues (r = 0.161). Multiple logistic regression analysis identified predictors for anxiety and sleep disturbance. Predictors for anxiety included being aged 13–16 years, having lower class grade, being of low economic status, and having unemployed parents. Predictors for sleep disturbance included being aged 13–16 years, having lower class grade, having an uneducated father, being of low economic status, and having unemployed parents.

Conclusion

There is a high prevalence of anxiety symptoms and sleep disturbances among female school students in Herat, Afghanistan. Significant correlations exist between students' academic achievement, anxiety, and sleep disturbances. Addressing anxiety and sleep disturbances among Afghan female school students could be facilitated by revising current government policies concerning students' health. Educational campaigns focused on sleep hygiene and anxiety management for both students and their parents may also prove beneficial.

背景焦虑是学龄儿童和青少年常见的心理障碍。本研究旨在评估阿富汗赫拉特市女学生中焦虑症状和睡眠障碍的发生率及其与学业成绩的关系。方法在阿富汗赫拉特市随机抽取了 10 所学校的 737 名女学生（平均年龄 11.8 岁）进行了横断面调查，调查范围涵盖一至六年级。学生在这些学校中随机抽取。青少年抑郁焦虑压力量表（DASS-Y）和匹兹堡睡眠质量指数（PSQI）对焦虑和睡眠障碍进行了评估，而学业成绩则由学校教师进行评分。结果使用 DASS-Y 和 PSQI，65.5% 的学生报告了焦虑症状，46.4% 的学生报告了睡眠障碍。学习成绩差与焦虑（r = 0.228）和睡眠问题（r = 0.161）有明显的相关性。多元逻辑回归分析确定了焦虑和睡眠障碍的预测因素。焦虑的预测因素包括 13-16 岁、年级较低、经济地位较低和父母失业。睡眠障碍的预测因素包括 13-16 岁、年级较低、父亲未受过教育、经济地位较低、父母失业。学生的学习成绩、焦虑和睡眠障碍之间存在明显的相关性。可以通过修订政府有关学生健康的现行政策来解决阿富汗女学生的焦虑和睡眠障碍问题。针对学生及其家长开展以睡眠卫生和焦虑管理为重点的教育活动也可能会有所裨益。

{"title":"Anxiety symptoms, sleep disturbance, and academic achievement among Afghan female school students: A cross-sectional study","authors":"Ahmad Neyazi , Bilal Ahmad Rahimi , Abdul Qadim Mohammadi , Nosaibah Razaqi , Laila Qanawezi , Shaharah Sarem , Saida Said , Raz Mohammad Tabib , Habibah Afzali , Mehrab Neyazi , Mark D. Griffiths","doi":"10.1016/j.sleepe.2024.100102","DOIUrl":"10.1016/j.sleepe.2024.100102","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety is a common psychological disorder in school-aged children and adolescents. The present study aimed to assess the prevalence of anxiety symptoms and sleep disturbances and their relationship with academic achievement among female students in Herat, Afghanistan.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of 737 female students (mean age 11.8 years old) was conducted across 10 randomly selected schools in Herat, Afghanistan, covering Grades 1 to 6. Students were randomly chosen within these schools. The Depression Anxiety Stress Scale for Youth (DASS-Y) and Pittsburgh Sleep Quality Index (PSQI) assessed anxiety and sleep disturbance, while academic achievement ratings were provided by schoolteachers.</div></div><div><h3>Results</h3><div>Using the DASS-Y and the PSQI, 65.5% reported anxiety symptoms and 46.4% reported sleep disturbance. Low academic achievement correlated significantly with anxiety (<em>r</em> = 0.228) and sleep issues (<em>r</em> = 0.161). Multiple logistic regression analysis identified predictors for anxiety and sleep disturbance. Predictors for anxiety included being aged 13–16 years, having lower class grade, being of low economic status, and having unemployed parents. Predictors for sleep disturbance included being aged 13–16 years, having lower class grade, having an uneducated father, being of low economic status, and having unemployed parents.</div></div><div><h3>Conclusion</h3><div>There is a high prevalence of anxiety symptoms and sleep disturbances among female school students in Herat, Afghanistan. Significant correlations exist between students' academic achievement, anxiety, and sleep disturbances. Addressing anxiety and sleep disturbances among Afghan female school students could be facilitated by revising current government policies concerning students' health. Educational campaigns focused on sleep hygiene and anxiety management for both students and their parents may also prove beneficial.</div></div>","PeriodicalId":74809,"journal":{"name":"Sleep epidemiology","volume":"4 ","pages":"Article 100102"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Listening to patients: Incidence and distribution of sleep disorders in Prader-Willi syndrome 倾听患者的心声普拉德-威利综合征患者睡眠障碍的发生率和分布情况

Sleep epidemiology

Pub Date : 2024-10-20 DOI: 10.1016/j.sleepe.2024.100101

Amee Revana , E. Robert Wassman , Niva Haber , Lara C. Pullen , Terry Jo Bichell , Jessica Duis , Randy Bartlett , Christopher DeFelice , Maria Picone

While the medical community continues to recognize the contributions of disordered sleep to the burden of Prader-Willi syndrome (PWS), the medical literature lacks characterization of the patient burden of sleep disorders by people living with PWS and their caregivers. We developed and fielded a 72-question survey to the online PWS community, to query caregivers about their experiences with sleep symptoms. Respondents for all age groups reported sleep-disordered breathing (40 %), cataplexy-like symptoms (28.4 %), and insomnia (43.5 %). The presentation of cataplexy-like symptoms tended to change as children aged, presenting initially (ages 0–4 years) as head bobbing while eating, then transitioning to knee buckling between the ages of 5–12 years. Finally, loss of generalized tone associated with extreme emotions became more common in the teenage years. Frequent screening for potentially treatable sleep disorders should be considered the standard of care for individuals with PWS.

虽然医学界不断认识到睡眠障碍对普拉德-威利综合征（PWS）造成的负担，但医学文献中缺乏对普拉德-威利综合征患者及其照顾者的睡眠障碍患者负担的描述。我们开发并在网上PWS社区开展了一项包含72个问题的调查，以询问护理人员在睡眠症状方面的经验。所有年龄组的受访者均报告了睡眠呼吸障碍（40%）、类反射症状（28.4%）和失眠（43.5%）。随着儿童年龄的增长，反射样症状的表现形式也会发生变化，最初（0-4 岁）表现为进食时摇头晃脑，然后在 5-12 岁时转变为膝关节屈曲。最后，与极端情绪相关的全身失调在青少年时期变得更为常见。经常筛查潜在的可治疗睡眠障碍应被视为 PWS 患者的护理标准。

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引用次数: 0

Association between skin temperature and actigraphic sleep metrics in patients with Parkinson's disease: The PHASE study 帕金森病患者的皮肤温度与动觉睡眠指标之间的关系：PHASE 研究

Sleep epidemiology

Pub Date : 2024-10-16 DOI: 10.1016/j.sleepe.2024.100100

Yoshiaki Tai , Kenji Obayashi , Yuki Yamagami , Keigo Saeki , Kazuma Sugie , Hiroshi Kataoka

Introduction Sleep initiation and maintenance are linked to thermoregulation. In Parkinson's disease (PD), thermoregulatory dysfunction potentially worsens sleep disorders. However, the association between thermoregulation and sleep quality in patients with PD remains unclear. We aimed to examine the association between skin temperature, a measure of heat dissipation, and actigraphic sleep metrics in PD.

Methods In this cross-sectional study with 186 outpatients with PD and 580 non-PD controls, we measured wrist skin temperature (WST) and actigraphic sleep quality for seven days in PD and two days in controls in real-life settings. Linear mixed-effect models were used to examine the association between nighttime WST and sleep quality.

Results Nighttime WST in PD was significantly lower than that in controls (adjusted difference 0.39 [95 % confidence interval, 0.23–0.54] °C, P < 0.001). In patients with PD, changes in sleep efficiency, wake after sleep onset, total sleep time, and log-transformed fragmentation index per 1 °C increase in nighttime WST were 3.2 (95 % CI, 2.4–3.9) %, −10.3 (95 % CI, −13.6, −7.1) minutes, 13.4 (95 % CI, 9.1–17.8) minutes, and −0.09 (95 % CI: −0.12, −0.06), respectively, independent of potential confounders. Significant interactions were observed between nighttime WST and the presence of PD for sleep efficiency, wake after sleep onset, and total sleep time.

Conclusions: Within-individual changes in nighttime WST were significantly associated with changes in actigraphic sleep measures in PD. Interventional studies are necessary that address the limitations and potential biases of this study to elucidate whether cutaneous temperature modulation can enhance the quality of sleep in PD.

导言睡眠的开始和维持与体温调节有关。帕金森病（PD）患者的体温调节功能障碍可能会加重睡眠障碍。然而，帕金森病患者的体温调节与睡眠质量之间的关系仍不清楚。在这项横断面研究中，我们对 186 名帕金森病门诊患者和 580 名非帕金森病对照组患者进行了为期七天的腕部皮肤温度（WST）和睡眠质量的测量。我们使用线性混合效应模型来研究夜间腕部皮温与睡眠质量之间的关系。结果白内障患者的夜间腕部皮温明显低于对照组（调整后差异为 0.39 [95 % 置信区间，0.23-0.54] °C，P < 0.001）。在帕金森氏症患者中，夜间 WST 每升高 1 °C，睡眠效率、睡眠开始后唤醒、总睡眠时间和对数变换破碎指数的变化分别为 3.2 (95 % CI, 2.4-3.9) %、-10.3 (95 % CI, -13.6, -7.1)分钟、13.4 (95 % CI, 9.1-17.8) 分钟和-0.09 (95 % CI: -0.12, -0.06)，不受潜在混杂因素的影响。在睡眠效率、睡眠开始后唤醒和总睡眠时间方面，观察到夜间WST与PD存在显著的交互作用：结论：夜间WST的个体内部变化与帕金森病患者睡眠动图测量的变化有显著相关性。有必要进行干预性研究，解决本研究的局限性和潜在偏差，以阐明皮肤温度调节是否能提高帕金森病患者的睡眠质量。

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引用次数: 0