Adequate Sleep Quality Research Articles

Sleep-wake cycle impairment adding on the risk for COVID-19 severity in people with diabetes.

In the present article, we explore the risks of circadian disruptions and impact on the sleep-wake cycle of individuals with diabetes during COVID-19 pandemic. The association between the duration and quality of sleep and the stability of glucose levels is well-established. Therefore, during the pandemic with changes and limitations in the exposure to cyclic cues that entrain the circadian rhythms, such as light-dark and social interactions, we hypothesize that the power and stability of circadian rhythms decrease if measures are not taken to intentionally create a routine that includes zeitgebers. Knowing that sleep-wake cycle disruptions impair melatonin production, immune system response and glucose metabolism, and that individuals with diabetes are at higher risk for poor prognosis when infected by SARS-CoV-2 (especially if their blood glucose is out of target), we recommend monitoring and advising these individuals towards strategies to maintain adequate sleep quality and duration as part of their preventive and protective measures during the new pandemic routine.

Dietary Inflammatory Index and Sleep Quality in Southern Italian Adults.

Background: Current evidence supports the central role of a subclinical, low-grade inflammation in a number of chronic illnesses and mental disorders; however, studies on sleep quality are scarce. The aim of this study was to test the association between the inflammatory potential of the diet and sleep quality in a cohort of Italian adults. Methods: A cross-sectional analysis of baseline data of the Mediterranean healthy Eating, Aging, and Lifestyle (MEAL) study was conducted on 1936 individuals recruited in the urban area of Catania during 2014–2015 through random sampling. A food frequency questionnaire and other validated instruments were used to calculate the dietary inflammatory index (DII®) and assess sleep quality (Pittsburg sleep quality index). Multivariable logistic regression analyses were performed to determine the association between exposure and outcome. Results: Individuals in the highest quartile of the DII were less likely to have adequate sleep quality (odds ratio (OR) = 0.49, 95% CI: 0.31, 0.78). Among individual domains of sleep quality, an association with the highest exposure category was found only for sleep latency (OR = 0.60, 95% CI: 0.39, 0.93). Conclusions: The inflammatory potential of the diet appears to be associated with sleep quality in adults. Interventions to improve diet quality might consider including a dietary component that aims to lower chronic systemic inflammation to prevent cognitive decline and improve sleep quality.

Adherence to the Mediterranean Diet is Associated with Better Sleep Quality in Italian Adults.

Background: Sleep quality has been associated with human health and diseases, including cognitive decline and dementia; however major determinants of sleep disorders are largely unknown. The aim of this study was to evaluate the association between sleep quality and adherence to the Mediterranean dietary pattern in a sample of Italian adults. Methods: A total of 1936 individuals were recruited in the urban area of Catania during 2014–2015 through random sampling. A food frequency questionnaire and validated instruments were used to assess the adherence to the Mediterranean diet and sleep quality (Pittsburg sleep quality index). Multivariate logistic regressions were performed to determine the association between exposure and outcome. Results: A total of 1314 individuals (67.9% of the cohort) reported adequate sleep quality: for each point increase of the Mediterranean diet score, individuals were 10% more likely to have adequate sleep quality. In an additional analysis stratifying the sample by weight status, the association between sleep quality and high adherence to the Mediterranean diet was observed only among normal/overweight individuals but not in obese participants. Conclusions: high adherence to a Mediterranean diet is associated with better sleep quality either toward direct effect on health or indirect effects through improvement of weight status.

Poor Sleep Quality is Independently Associated with Cardiometabolic Risk Factors

BackgroundThe prevalence of inadequate sleep in the general population is rising. While the detrimental health consequences of sleep disorders such as sleep‐disordered breathing are well established, little is known on the contributory role of perceived sleep quality on cardiometabolic risk profile. Importantly, poor sleep quality may be reported even in absence of objective findings of suboptimal sleep. We hypothesized that subjective poor sleep quality would be associated with markers of cardiometabolic risk in individuals without sleep disorders.MethodsWe compiled data from 667 research subjects (446 males, age 36.4±13.8 years) studied in the Cardiovascular/Sleep Laboratory at Mayo Clinic from 2000 to 2017. Subjects with history of sleep disorders and/or overt cardiovascular diseases, as determined from medical record or self‐report, were excluded from this study. Health status was further confirmed by physical exam. Supine systolic and diastolic blood pressure (SBP/DBP), height, weight, and waist and hip circumferences were collected. Body mass index (BMI, kg/m2) was derived from height and weight. Presence of hypertension (SBP and/or DBP ≥140/80 mmHg) and obesity (BMI ≥30 kg/m2) was recorded. Subjective sleep quality was self‐reported as either good or poor. Analysis of variance and Chi‐square tests were performed to examine differences in outcome measures according to sleep quality. Logistic regression models were run to examine the predictive value of poor sleep quality for hypertension and obesity risk.ResultsPoor subjective sleep quality was reported by 231 individuals out of 667 (34.6%). Subjects with perceived poor sleep were older (poor sleep vs good sleep: 42.3±12.9 years vs 33.2±13.3 years, p<0.0001), with greater BMI (31.4±7 kg/m2 vs 26.5±6.3 kg/m2, p<0.0001), waist (104.6±17.8 kg/m2 vs 89.7±14.8 kg/m2, p<0.0001) and hip (111.8±14.8 kg/m2 vs 102.3±11.5 kg/m2, p<0.0001) circumference than good sleepers. Compared to the latter group, SBP and DBP values were also higher in self‐evaluated poor sleepers (poor sleep vs good sleep, SBP: 128.8±15.5 mmHg vs 122.9±14.4 mmHg, p<0.0001; DBP: 74.5±10.6 mmHg vs 71.8±11.4 mmHg, p=0.012). Obesity was more prevalent in those with subjective poor sleep quality than in good sleepers (53.3% vs 19.7%, p<0.0001). Similarly, 72.5% of patients with hypertension reported poor sleep quality while only 27.5% of them were good sleepers (p<0.0001). In comparison to good sleep quality, perceived poor sleep was associated with 3.6 times greater risk of obesity (95% CI 2.5, 5.2, p<0.0001) and 3.5 times greater risk of hypertension (95% CI 1.7, 6.9, p=0.0004) after correcting for conventional covariates. Significance was retained after further adjustment for reported snoring and witnessed apneas.ConclusionsPoor perceived sleep quality is independently associated with elevated risk of high blood pressure and excess body weight in individuals without sleep disorders. These findings favor the concept that promoting adequate sleep quality, even subjectively, may benefit cardiometabolic health.Support or Funding InformationAmerican Heart Association grant 16SDG27250156; National Institutes of Health grants RO1 HL 065176 and HL 134808.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Hubungan Kualitas Tidur Dengan Kualitas Hidup Pada Lansia Di Surakarta

When human get an older, there more likely to experience physical, mental, spiritual, economic and social problems. One of the most basic problems in the elderly is the health problems caused by the degenerative process. The process of degeneration in the elderly causes an effective sleep time decreases, and causes not achieving adequate sleep quality and cause the sharing of sleep complaints that can disrupt the quality of life of the elderly This study aims to determine the relationship quality of sleep with quality of life in elderly in Surakarta. This research is descriptive correlative research with cross sectional approach. The study population was 334 elderly people in Surakarta. The sample of 96 elderly was obtained by proportional random sampling technique. Data collection used the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the WHOQL-BREF (World Health Organization of Life-BREF) questionnaire, while the data analysis used Chi Square test. Chi Square test results p-value of 0.002 so that Hypothetis null was rejected. The conclusion of the study where the level of quality of elderly sleep mostly good, the quality of life of the elderly mostly less and there where correlation level of quality of sleep with quality of life of elderly in Surakarta where better quality of sleep quality of life of elderly higher.

Abstract MP087: Sleep Quality is Associated with Subclinical Cardiovascular Disease in Mid-Life Mexican Women

Introduction: Sleep quantity has been associated with higher risk of cardiovascular disease (CVD), however little is known about the impact of sleep quality on subclinical CVD. Hypothesis: Poor sleep quality is associated with subclinical CVD. Methods: We assessed the relationship between sleep quality and common carotid artery intima media thickness (IMT) through a cross-sectional analysis of a sub sample of 442 disease-free women from the Mexican Teacher’s Cohort. Sleep quality was evaluated through the Pittsburgh Sleep Quality Index (PSQI) in an online questionnaire applied to participants in 2014-2016. We defined poor sleep quality as a PSQI score above 5. Right and left carotid IMT was measured at clinical visits in 2012, 2013 and 2016 through carotid ultrasound performed by trained neurologists; results were log-transformed. Subclinical CVD was defined as the mean of right and left IMT ≥0.8mm or the presence of an atherosclerotic plaque. Multivariable linear and logistic regression models were used to evaluate the association of sleep quality with IMT or subclinical CVD, respectively. Results: In women of 49±5 years, the prevalence of poor sleep quality was 41% (185 of 442) and of subclinical CVD was 12.2% (54 of 442). The multivariable-adjusted percent difference of IMT was 2.4% (95% CI 0.03, 4.9), greater amongst those with poor sleep versus adequate sleep quality. The odds of developing subclinical CVD in women with poor sleep quality were 2.2 (95% CI 1.2, 4.1) times greater than those with adequate sleep quality (figure). Additionally, further adjustments for stress and depressive symptoms attenuated the results and were no longer statistically significant. Conclusion: Poor sleep quality is associated with IMT and subclinical CVD in a population of middle-aged women and this association is potentially mediated by stress and depression. Further analysis is needed regarding this association.

Sleep well feel well: An investigation into the protective value of sleep quality on subjective well‐being

ObjectiveGetting a good night's sleep is important to ensure we function most effectively in our waking lives. One area that is particularly compromised when adequate sleep is not achieved is affect regulation, which has implications for subjective well‐being (SWB). Through the lens of homeostasis theory, an investigation into the relationship between self‐reported sleep quality, stress, and SWB was undertaken in an Australian sample, with the primary aim to further understanding of the importance of sleep and its role with regard to affect regulation.MethodThe study included 488 Australian participants (77% female) with a mean age of 28.71 (standard deviation = 10.61) who were recruited via advertisements on social media websites. Participants completed measures of SWB, sleep quality, dreaming, and stress.ResultsUsing a bootstrapped mediation analysis, sleep quality was found to partially mediate the relationship between stress and SWB. These results were further explored using a two‐way analysis of variance, which revealed significant main effects for sleep and stress on SWB, but no significant interaction effect. Finally, those who had nightmares or bad dreams reported higher stress than those who had no bad dreams or nightmares.ConclusionThese findings provide preliminary evidence to suggest that the impact of stress on SWB may be reduced when adequate sleep quality is achieved, and contribute to the growing field of literature exploring the function of dreams. The findings provide new insight that can inform therapeutic approaches to sleep disorders and stress management and guide clinical interventions.

Relationships of eating competence, sleep behaviors and quality, and overweight status among college students

Little is known about the relationships between eating competence (intra-individual approach to eating and food-related attitudes and behaviors that entrain positive bio-psychosocial outcomes) and sleep behaviors and quality in college students, a high-risk group for poor eating habits, weight gain, and inadequate sleep. Thus, data from full-time college students (N=1035; 82% White; 61% female) aged 18–24years from 5 U.S. universities were obtained from online questionnaires (eating competence (ecSI), Pittsburg Sleep Quality Index (PSQI), physical activity, demographics) and physical assessments (measured height, weight), to explore sleep behavior and quality between eating-competent (EC; ecSI score≥32) and non-EC groups (ecSI<32). Generalized linear models controlling for gender, body mass index, and physical activity were utilized. A higher proportion of those in the EC group reported adequate sleep quality (67% vs. 57% in non-EC, p=0.001), sleep duration of ≥7h nightly (58% vs. 50% in non-EC, p=0.007), and infrequent daytime dysfunction (72% vs. 65% in non-EC, p=0.02). When ecSI scores were grouped as tertiles, those in the highest tertile reported a higher prevalence of no sleep disturbances (7% vs. 2% in the lowest ecSI tertile, p=0.006) and lower prevalence of sleep medication use (10% vs. 15% in the lowest ecSI tertile, p=0.04). Results suggest that competent eaters are more likely to have better overall sleep quality and fewer sleep-related issuescompared to less competent eaters. These findings may inform future longitudinal studies, and health promotion and weight management interventions for young adults.

Sleep in the modern family: protective family routines for child and adolescent sleep

Study objectivesThe overall objective of the 2014 National Sleep Foundation Sleep in America Poll “Sleep in the Modern Family” was to obtain a current picture of sleep in families with at least 1 school-aged child. DesignCross-sectional poll. SettingInternet-based interview. ParticipantsNationally representative Internet panel of US households with a child 6-17 years. Measurements and resultsPrimary measures included parental perception of the importance of sleep, parental and child sleep quality, child sleep duration and habits, technology in bedroom, and family rules. Parents/guardians (n = 1103; mean age, 42; 54% female) completed the survey. Although the majority of parents endorsed the importance of sleep, 90% of children obtain less sleep than recommended. Significant predictors of age-adjusted sufficient sleep duration (estimated conservatively as ≥9 hours for ages 6-11 years and ≥8 hours for ages 12-17 years) included parent education, regular enforcement of rules about caffeine, and whether children left technology on in their bedroom overnight. Significant predictors of excellent sleep quality included whether a bedtime was always enforced and whether children left technology on overnight. ConclusionsChildren generally have better age-appropriate sleep in the presence of household rules and regular sleep-wake routines. Sufficient sleep quantity and adequate sleep quality were protected by well-established rules of sleep hygiene (limited caffeine and regular bedtime). In contrast, sleep deficiency was more likely to be present when parents and children had electronic devices on in the bedroom after bedtime. Public health intervention goals for sleep health might focus on reducing the encroachment of technology and media into time for sleep and supporting well-known sleep hygiene principles.

Sleep and allergic disease: A summary of the literature and future directions for research

Atopic diseases, such as asthma and allergic rhinitis, are common conditions that can influence sleep and subsequent daytime functioning. Children and patients with allergic conditions from ethnic minority groups might be particularly vulnerable to poor sleep and compromised daytime functioning because of the prevalence of these illnesses in these groups and the high level of morbidity. Research over the past 10 years has shed light on the pathophysiologic mechanisms (eg, inflammatory mediators) involved in many atopic diseases that can underlie sleep disruptions as a consequence of the presence of nocturnal symptoms. Associations between nocturnal symptoms and sleep and poorer quality of life as a result of missed sleep have been demonstrated across studies. Patients with severe illness and poor control appear to bear the most burden in terms of sleep impairment. Sleep-disordered breathing is also more common in patients with allergic diseases. Upper and lower airway resistance can increase the risk for sleep-disordered breathing events. In patients with allergic rhinitis, nasal congestion is a risk factor for apnea and snoring. Finally, consistent and appropriate use of medications can minimize nocturnal asthma or allergic symptoms that might disrupt sleep. Despite these advances, there is much room for improvement in this area. Asummary of the sleep and allergic disease literature is reviewed, with methodological, conceptual, and clinical suggestions presented for future research.