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Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort

BACKGROUND: The epidemiological evidence on the association of sleep quality on anxiety symptoms has been inconclusive. This study aimed to explore the association between sleep quality and anxiety symptoms in rural Chinese population and investigate whether age, lifestyles, and chronic diseases mod...

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Autores principales: Shen, Jiali, Zhang, Haiqing, Wang, Yan, Abdulai, Tanko, Niu, Miaomiao, Luo, Zhicheng, Wang, Yikang, Li, Ruiying, Wang, Fang, Wang, Chongjian, Mao, Zhenxing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450150/
https://www.ncbi.nlm.nih.gov/pubmed/32854672
http://dx.doi.org/10.1186/s12889-020-09400-2
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author Shen, Jiali
Zhang, Haiqing
Wang, Yan
Abdulai, Tanko
Niu, Miaomiao
Luo, Zhicheng
Wang, Yikang
Li, Ruiying
Wang, Fang
Wang, Chongjian
Mao, Zhenxing
author_facet Shen, Jiali
Zhang, Haiqing
Wang, Yan
Abdulai, Tanko
Niu, Miaomiao
Luo, Zhicheng
Wang, Yikang
Li, Ruiying
Wang, Fang
Wang, Chongjian
Mao, Zhenxing
author_sort Shen, Jiali
collection PubMed
description BACKGROUND: The epidemiological evidence on the association of sleep quality on anxiety symptoms has been inconclusive. This study aimed to explore the association between sleep quality and anxiety symptoms in rural Chinese population and investigate whether age, lifestyles, and chronic diseases modified this association. METHODS: A total of 27,911 participants aged 18–79 years from the Henan Rural Cohort Study were included in the study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) scale. Poor sleep quality was defined as PSQI ≥6. Anxiety symptoms were evaluated with the two-item generalized anxiety disorder scale (GAD-2). Individual with score ≥ 3 was viewed as having anxiety symptoms. Logistic regression and restricted cubic spline were conducted to examine the association of sleep quality with anxiety symptoms. RESULTS: Altogether, 6087 (21.80%) participants were poor sleepers and 1557 (5.58%) had anxiety symptoms. The odds of anxiety were increased with increment of PSQI score after fitting restricted cubic splines. The poor sleep quality was associated with a higher possibility of anxiety symptoms [odd ratio (OR): 4.60, 95% confidence interval (CI): 3.70–5.72] in men, and (OR: 3.56, 95% CI: 3.10–4.09) in women for multivariable analysis. Further, stratified analyses showed that the effect of sleep quality on anxiety symptoms could be modified by age, marital status, smoking status, drinking status, hypertension, and type 2 diabetes mellitus. CONCLUSIONS: A dose-response association between PSQI score and anxiety symptoms was found. In addition, the relationship between poor sleep quality and greater anxiety symptoms was observed in this rural population, especially in participants aged ≥60 years and those with unhealthy habits or had a chronic disease. TRIAL REGISTRATION: The trial was prospectively registered on July 6, 2015 and available online at ClinicalTrials.gov ID: ChiCTR-OOC-15006699.
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spelling pubmed-74501502020-08-27 Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort Shen, Jiali Zhang, Haiqing Wang, Yan Abdulai, Tanko Niu, Miaomiao Luo, Zhicheng Wang, Yikang Li, Ruiying Wang, Fang Wang, Chongjian Mao, Zhenxing BMC Public Health Research Article BACKGROUND: The epidemiological evidence on the association of sleep quality on anxiety symptoms has been inconclusive. This study aimed to explore the association between sleep quality and anxiety symptoms in rural Chinese population and investigate whether age, lifestyles, and chronic diseases modified this association. METHODS: A total of 27,911 participants aged 18–79 years from the Henan Rural Cohort Study were included in the study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) scale. Poor sleep quality was defined as PSQI ≥6. Anxiety symptoms were evaluated with the two-item generalized anxiety disorder scale (GAD-2). Individual with score ≥ 3 was viewed as having anxiety symptoms. Logistic regression and restricted cubic spline were conducted to examine the association of sleep quality with anxiety symptoms. RESULTS: Altogether, 6087 (21.80%) participants were poor sleepers and 1557 (5.58%) had anxiety symptoms. The odds of anxiety were increased with increment of PSQI score after fitting restricted cubic splines. The poor sleep quality was associated with a higher possibility of anxiety symptoms [odd ratio (OR): 4.60, 95% confidence interval (CI): 3.70–5.72] in men, and (OR: 3.56, 95% CI: 3.10–4.09) in women for multivariable analysis. Further, stratified analyses showed that the effect of sleep quality on anxiety symptoms could be modified by age, marital status, smoking status, drinking status, hypertension, and type 2 diabetes mellitus. CONCLUSIONS: A dose-response association between PSQI score and anxiety symptoms was found. In addition, the relationship between poor sleep quality and greater anxiety symptoms was observed in this rural population, especially in participants aged ≥60 years and those with unhealthy habits or had a chronic disease. TRIAL REGISTRATION: The trial was prospectively registered on July 6, 2015 and available online at ClinicalTrials.gov ID: ChiCTR-OOC-15006699. BioMed Central 2020-08-27 /pmc/articles/PMC7450150/ /pubmed/32854672 http://dx.doi.org/10.1186/s12889-020-09400-2 Text en © The Author(s) 2020 Open AccessThis 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/. The Creative Commons Public Domain Dedication waiver (http://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 Article
Shen, Jiali
Zhang, Haiqing
Wang, Yan
Abdulai, Tanko
Niu, Miaomiao
Luo, Zhicheng
Wang, Yikang
Li, Ruiying
Wang, Fang
Wang, Chongjian
Mao, Zhenxing
Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort
title Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort
title_full Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort
title_fullStr Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort
title_full_unstemmed Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort
title_short Dose-response association of sleep quality with anxiety symptoms in Chinese rural population: the Henan rural cohort
title_sort dose-response association of sleep quality with anxiety symptoms in chinese rural population: the henan rural cohort
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450150/
https://www.ncbi.nlm.nih.gov/pubmed/32854672
http://dx.doi.org/10.1186/s12889-020-09400-2
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