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Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study

BACKGROUND: Adequate sleep is essential for health. Both, short and long sleep durations are associated to worse quality of life and poor health outcomes. Portugal represents a specific population model, since according to European statistics it has high rates of chronic diseases like depression, hy...

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Autores principales: Reis, Cátia, Dias, Sara, Rodrigues, Ana Maria, Sousa, Rute Dinis, Gregório, Maria João, Branco, Jaime, Canhão, Helena, Paiva, Teresa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Brazilian Association of Sleep and Latin American Federation of Sleep 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361301/
https://www.ncbi.nlm.nih.gov/pubmed/30746039
http://dx.doi.org/10.5935/1984-0063.20180036
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author Reis, Cátia
Dias, Sara
Rodrigues, Ana Maria
Sousa, Rute Dinis
Gregório, Maria João
Branco, Jaime
Canhão, Helena
Paiva, Teresa
author_facet Reis, Cátia
Dias, Sara
Rodrigues, Ana Maria
Sousa, Rute Dinis
Gregório, Maria João
Branco, Jaime
Canhão, Helena
Paiva, Teresa
author_sort Reis, Cátia
collection PubMed
description BACKGROUND: Adequate sleep is essential for health. Both, short and long sleep durations are associated to worse quality of life and poor health outcomes. Portugal represents a specific population model, since according to European statistics it has high rates of chronic diseases like depression, hypertension, diabetes and stroke; and low quality of life as well as low index of physical activity, while in parallel it has some other good health indicators such as: low age-standardized mortality for both genders, nutrition in terms of energy and fruit consumption, smoking and alcohol, obesity and overweight prevalence. The aim of this study was to characterize health and chronic diseases, lifestyles and quality of life in subjects with short and long sleep duration. METHODS: A population-based cross-sectional evaluation of the third wave of follow-up of the EpiDoC Cohort was carried between 2015-2016. A sample of 5,436 adults ≥18 years, representative of the national population, self-reported their daily total sleep time. Associations between short sleep duration (SSD ≤5h), long sleep duration (LSD≥9h) and independent variables were determined. RESULTS: The prevalence for SSD was high (20.7%) and the LSD (5.9%) was low. Being older, with lower education, retired and unemployed were associated to SSD and LSD (p<0.01). Being obese was associated to SSD as well as hypertension, gastrointestinal disease and hypercholesterolemia (p<0.01). SSD and LSD, were associated with diabetes (p<0.01 and p=0.03) and depression (p<0.01 and p=0.02) respectively. Cardiovascular disease (p<0.01) was associated to LSD. Multimorbidity (p<0.01) was associated to SSD. Worse quality of life and bad physical function were associated to SSD and LSD, as well as being hospitalized in the previous 12 months (p<0.01). CONCLUSIONS: Socio-demographic, physical activity and chronic diseases were associated to reduction and extension of sleep duration. There was no association between rheumatic diseases and cancer with sleep duration, as found in other studies. This study emphasizes the burden of self-reported SSD for Portugal, its consequences to health and the need to increase sleep awareness campaigns enhancing the importance of sleep in health. Furthermore, it emphasizes that chronic diseases risks are dependent on multiple parameters which varying in different countries or regions, imply the need of regional studies and interventions.
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spelling pubmed-63613012019-02-11 Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study Reis, Cátia Dias, Sara Rodrigues, Ana Maria Sousa, Rute Dinis Gregório, Maria João Branco, Jaime Canhão, Helena Paiva, Teresa Sleep Sci Original Article BACKGROUND: Adequate sleep is essential for health. Both, short and long sleep durations are associated to worse quality of life and poor health outcomes. Portugal represents a specific population model, since according to European statistics it has high rates of chronic diseases like depression, hypertension, diabetes and stroke; and low quality of life as well as low index of physical activity, while in parallel it has some other good health indicators such as: low age-standardized mortality for both genders, nutrition in terms of energy and fruit consumption, smoking and alcohol, obesity and overweight prevalence. The aim of this study was to characterize health and chronic diseases, lifestyles and quality of life in subjects with short and long sleep duration. METHODS: A population-based cross-sectional evaluation of the third wave of follow-up of the EpiDoC Cohort was carried between 2015-2016. A sample of 5,436 adults ≥18 years, representative of the national population, self-reported their daily total sleep time. Associations between short sleep duration (SSD ≤5h), long sleep duration (LSD≥9h) and independent variables were determined. RESULTS: The prevalence for SSD was high (20.7%) and the LSD (5.9%) was low. Being older, with lower education, retired and unemployed were associated to SSD and LSD (p<0.01). Being obese was associated to SSD as well as hypertension, gastrointestinal disease and hypercholesterolemia (p<0.01). SSD and LSD, were associated with diabetes (p<0.01 and p=0.03) and depression (p<0.01 and p=0.02) respectively. Cardiovascular disease (p<0.01) was associated to LSD. Multimorbidity (p<0.01) was associated to SSD. Worse quality of life and bad physical function were associated to SSD and LSD, as well as being hospitalized in the previous 12 months (p<0.01). CONCLUSIONS: Socio-demographic, physical activity and chronic diseases were associated to reduction and extension of sleep duration. There was no association between rheumatic diseases and cancer with sleep duration, as found in other studies. This study emphasizes the burden of self-reported SSD for Portugal, its consequences to health and the need to increase sleep awareness campaigns enhancing the importance of sleep in health. Furthermore, it emphasizes that chronic diseases risks are dependent on multiple parameters which varying in different countries or regions, imply the need of regional studies and interventions. Brazilian Association of Sleep and Latin American Federation of Sleep 2018 /pmc/articles/PMC6361301/ /pubmed/30746039 http://dx.doi.org/10.5935/1984-0063.20180036 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivative License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided the original work is properly cited and the work is not changed in any way.
spellingShingle Original Article
Reis, Cátia
Dias, Sara
Rodrigues, Ana Maria
Sousa, Rute Dinis
Gregório, Maria João
Branco, Jaime
Canhão, Helena
Paiva, Teresa
Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study
title Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study
title_full Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study
title_fullStr Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study
title_full_unstemmed Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study
title_short Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study
title_sort sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361301/
https://www.ncbi.nlm.nih.gov/pubmed/30746039
http://dx.doi.org/10.5935/1984-0063.20180036
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