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Sleep disturbance increases the risk of severity and acquisition of COVID-19: a systematic review and meta-analysis
BACKGROUND: Understanding the association between sleep quality and COVID-19 outcomes is crucial for effective preventive strategies and patient management. This systematic review aims to evaluate the impact of sleep quality as a risk factor for acquiring COVID-19 infection and the severity of the d...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10583304/ https://www.ncbi.nlm.nih.gov/pubmed/37853444 http://dx.doi.org/10.1186/s40001-023-01415-w |
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author | Shafiee, Arman Jafarabady, Kyana Rajai, Shahryar Mohammadi, Ida Mozhgani, Sayed-Hamidreza |
author_facet | Shafiee, Arman Jafarabady, Kyana Rajai, Shahryar Mohammadi, Ida Mozhgani, Sayed-Hamidreza |
author_sort | Shafiee, Arman |
collection | PubMed |
description | BACKGROUND: Understanding the association between sleep quality and COVID-19 outcomes is crucial for effective preventive strategies and patient management. This systematic review aims to evaluate the impact of sleep quality as a risk factor for acquiring COVID-19 infection and the severity of the disease. METHODS: A comprehensive search of electronic databases was conducted to identify relevant studies published from the inception of the COVID-19 pandemic which was 31(st) of December 2019 until 30 April 2023. Studies investigating the relationship between sleep quality and COVID-19 infection, or disease severity were included. Random effect meta-analysis was performed with odds ratios (OR) and their 95% confidence intervals (95% CI) as effect measures. RESULTS: Out of the initial 1,132 articles identified, 12 studies met the inclusion criteria. All studies were observational studies (cohort, case–control, and cross-sectional). The association between sleep quality and COVID-19 infection risk was examined in 6 studies, The results of our meta-analysis showed that participants with poor sleep quality showed a 16% increase regarding the risk of COVID-19 acquisition (OR 1.16; 95% CI 1.03, 1.32; I(2) = 65.2%, p = 0.02). Our results showed that participants with poor sleep quality showed a 51% increase in the incidence of primary composite outcome (OR 1.51; 95% CI 1.25, 1.81; I(2) = 57.85%, p < 0.001). The result of our subgroup analysis also showed significantly increased risk of mortality (RR 0.67; 95% CI 0.50, 0.90; I(2) = 31%, p = 0.008), and disease severity (OR 1.47; 95% CI 1.19, 1.80; I(2) = 3.21%, p < 0.001) when comparing poor sleep group to those with good sleep quality. CONCLUSION: This study highlights a significant association between poor sleep quality and an increased risk of COVID-19 infection as well as worse disease clinical outcomes. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40001-023-01415-w. |
format | Online Article Text |
id | pubmed-10583304 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105833042023-10-19 Sleep disturbance increases the risk of severity and acquisition of COVID-19: a systematic review and meta-analysis Shafiee, Arman Jafarabady, Kyana Rajai, Shahryar Mohammadi, Ida Mozhgani, Sayed-Hamidreza Eur J Med Res Research BACKGROUND: Understanding the association between sleep quality and COVID-19 outcomes is crucial for effective preventive strategies and patient management. This systematic review aims to evaluate the impact of sleep quality as a risk factor for acquiring COVID-19 infection and the severity of the disease. METHODS: A comprehensive search of electronic databases was conducted to identify relevant studies published from the inception of the COVID-19 pandemic which was 31(st) of December 2019 until 30 April 2023. Studies investigating the relationship between sleep quality and COVID-19 infection, or disease severity were included. Random effect meta-analysis was performed with odds ratios (OR) and their 95% confidence intervals (95% CI) as effect measures. RESULTS: Out of the initial 1,132 articles identified, 12 studies met the inclusion criteria. All studies were observational studies (cohort, case–control, and cross-sectional). The association between sleep quality and COVID-19 infection risk was examined in 6 studies, The results of our meta-analysis showed that participants with poor sleep quality showed a 16% increase regarding the risk of COVID-19 acquisition (OR 1.16; 95% CI 1.03, 1.32; I(2) = 65.2%, p = 0.02). Our results showed that participants with poor sleep quality showed a 51% increase in the incidence of primary composite outcome (OR 1.51; 95% CI 1.25, 1.81; I(2) = 57.85%, p < 0.001). The result of our subgroup analysis also showed significantly increased risk of mortality (RR 0.67; 95% CI 0.50, 0.90; I(2) = 31%, p = 0.008), and disease severity (OR 1.47; 95% CI 1.19, 1.80; I(2) = 3.21%, p < 0.001) when comparing poor sleep group to those with good sleep quality. CONCLUSION: This study highlights a significant association between poor sleep quality and an increased risk of COVID-19 infection as well as worse disease clinical outcomes. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40001-023-01415-w. BioMed Central 2023-10-18 /pmc/articles/PMC10583304/ /pubmed/37853444 http://dx.doi.org/10.1186/s40001-023-01415-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Shafiee, Arman Jafarabady, Kyana Rajai, Shahryar Mohammadi, Ida Mozhgani, Sayed-Hamidreza Sleep disturbance increases the risk of severity and acquisition of COVID-19: a systematic review and meta-analysis |
title | Sleep disturbance increases the risk of severity and acquisition of COVID-19: a systematic review and meta-analysis |
title_full | Sleep disturbance increases the risk of severity and acquisition of COVID-19: a systematic review and meta-analysis |
title_fullStr | Sleep disturbance increases the risk of severity and acquisition of COVID-19: a systematic review and meta-analysis |
title_full_unstemmed | Sleep disturbance increases the risk of severity and acquisition of COVID-19: a systematic review and meta-analysis |
title_short | Sleep disturbance increases the risk of severity and acquisition of COVID-19: a systematic review and meta-analysis |
title_sort | sleep disturbance increases the risk of severity and acquisition of covid-19: a systematic review and meta-analysis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10583304/ https://www.ncbi.nlm.nih.gov/pubmed/37853444 http://dx.doi.org/10.1186/s40001-023-01415-w |
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