Sleep Satisfaction Research Articles

Differences in risk of generalized anxiety disorder according to physical activity type in Korea adolescents: The Korea youth risk behavior web-based survey, 2020–2021

Objective This study aimed to analyze the association between the types of physical activity (PA) and the level of generalized anxiety disorder (GAD) in Korean adolescents. Methods This study analyzed data from the Korea Youth Risk Behavior Web-based Survey (KYRBS) for, 2020–2021. The dependent variable was the level of generalized anxiety disorder-7 (GAD-7). The GAD-7 scores were divided into four levels: normal, mild, moderate, and severe. The independent variables were moderate PA, vigorous PA, and strength exercises. Sex, school grade, body mass index, stress, depression, suicidal thoughts, violent victimization, drinking, smoking, substance abuse, sleep satisfaction, and sedentary time were selected as confounding variables. Results The independent variable and all confounding variables showed significant differences with the level of GAD-7 (all p < .001). After adjusting for all confounding variables, we observed a 1.062 elevation in mild anxiety disorders, a 1.147 increase in moderate anxiety disorders, and a 1.218 increased incidence of severe anxiety disorders in the absence of vigorous PA. In the absence of strength exercises, there was a 1.057 elevation in mild anxiety disorders, a 1.110 increase in moderate anxiety disorders, and a 1.351 increased incidence of severe anxiety disorders. However, in the case of moderate PA, after adjusting for confounding variables, there was no significant association with GAD-7 levels. Conclusion To prevent anxiety disorders among Korean adolescents, the type of PA should be considered. Vigorous PA or strength exercises may help prevent GAD in Korean adolescents.

How Healthy Lifestyle Habits Have Interacted with SARS-CoV-2 Infection and the Effectiveness of COVID-19 Vaccinations: Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study.

To examine the interaction between lifestyle habits and the COVID-19 vaccinations for preventing SARS-CoV-2 infection, we analyzed 11,016 adult participants registered in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. Lifestyle variables, including regular exercise, smoking and drinking habits, sleep status, body mass index, and daily breakfast consumption, were assessed from 2014 to 2019 using baseline questionnaires. Information on SARS-CoV-2 infection and the COVID-19 vaccination were also collected from March 2020 to May 2023. The study period was divided into two in the postvaccination phase: the first period (the beginning of the vaccination program) and the second period (the fourth shot onward). In the Cox proportional-hazards model analysis, the five-time vaccinations group showed a significantly lower risk of SARS-CoV-2 infection adjusted age, sex, underlying health condition, and lifestyle variables (hazard ratio [HR] 0.81, 95% confidence interval [CI] 0.76-0.86). Logistic regression analysis revealed that a higher number of vaccinations was significantly associated with a low risk of SARS-CoV-2 infection regardless of lifestyle habits (three times in the first period: odds ratio [OR] 0.19, 95% CI 0.15-0.24; five times in the second period: OR 0.07, 95% CI 0.05-0.11 vs. none). Regarding lifestyle habits, the risk reduction in those who had sleep satisfaction (OR 0.12, 95% CI 0.08-0.18) was slightly larger than in those who had sleep dissatisfaction (OR 0.23, 95% CI 0.17-0.32) in the group with the highest number of vaccinations in the first period; however, this interaction was hardly confirmed in the second period when the number of infected cases significantly increased. Our findings indicated that a higher number of COVID-19 vaccinations was associated with reduced risk of SARS-CoV-2 infection; otherwise, we may need to understand the advantages and limitations of a healthy lifestyle for preventing infection depending on the situation with vaccinations and infection spreading.

Sleep disorders and mortality: A prospective study in the Canadian longitudinal study on aging

Background and objectivesSleep disorders are commonly linked to various health conditions, although it remains unclear to what degree they are linked with overall mortality. We compared mortality in different self-reported sleep disorders in a large population-based prospective study. MethodsIn this case-control study within the CLSA cohort, participants completed a questionnaire at baseline (2011–2015) measuring overall sleep satisfaction, daily sleep duration, sleep-onset and sleep-maintenance insomnia, daytime somnolence, REM sleep behavior disorder (RBD), restless leg syndrome (RLS), and obstructive sleep apnea (OSA). The vital status of participants was assessed in July 2019. Baseline sleep problems of participants who died (cases) were compared to those who survived (controls). For each case, five age/sex-matched controls were selected. Binary logistic regression was used to estimate the association between sleep symptoms and mortality, adjusting for age, sex, marital status, province, education, alcohol consumption, smoking, caffeine, and body mass index. In a complementary model, anxiety and depression were also added. ResultsAmong 30,097 participants at baseline, 974 deaths were reported in 2019 (60.7 % male, age = 72.3 ± 9.4 years). In the initial analysis, mortality cases reported more baseline sleep-maintenance insomnia (12.1 % vs. 8.0 %, Adjusted OR[95%CI] = 1.62[1.15,2.29]), daytime somnolence (2.4 % vs. 1.1 %, AOR = 2.70[1.34,5.44]), and higher possible RLS (16.4 % vs. 12.4 %, AOR = 1.50[1.09,2.05]). They were also more likely to screen positive for possible OSA (33.8 % vs. 24.2 %, AOR = 1.32[1.07,1.64]); however, this effect was not related to core apnea symptoms. Sleep durations exceeding 10 h/day were also associated with increased mortality (3.4 % vs. 1.9 %, AOR = 1.83[1.04,3.24]). Other sleep symptoms/disorders, such as sleep-onset insomnia (7.3 % vs. 4.3 %, AOR = 1.54 [1.00,2.37]), possible RBD (5.3 % vs. 5.1 %, AOR = 1.02[0.62,1.69]), and overall sleep dissatisfaction (26.5 % vs. 22.6 %, AOR = 1.14[0.93,1.41]) were not different among these groups. After adding anxiety and depression to the adjustment model, all differences attenuated to become statistically non-significant, except for daytime somnolence disorder. When stratified by sex, the association between sleep disorders and mortality was only observed in women, with men showing no association. DiscussionWe confirm a relationship between numerous sleep disorders and mortality. This effect is most evident in women, and appears to be strongly related to co-existing anxiety and depression.

An Open-label Exploratory Study Investigating BDNF Essentials® on Cognition in Healthy Adults with Self-reported Memory Complaints

Background:: An open-label, exploratory study has been conducted to investigate the ef-ficacy of BDNF Essentials® for cognitive function and neurological health. Methods:: Twenty healthy adults ≥45 years of age, with a score ≥24 on the Mini-Mental State Ex-amination (MMSE-2) and self-reported memory complaints were supplemented with BDNF Es-sentials® for 84 days. Computerized Mental Performance Assessment System (COMPASS) tests for memory, attention, and processing speed were conducted, and change in plasma brain-derived neurotrophic factor (BDNF), Profile of Mood States (POMS), the Healthy People Sleep Quality Index (HPSQI), perceived stress scale (PSS), and salivary cortisol, interleukin (IL)-6, and tumour necrosis factor-α (TNF-α) were assessed at baseline and days 28, 56, and 84. Results:: Supplementation with BDNF Essentials® significantly increased COMPASS tests for memory, attention, and processing speed (all P<0.05). Salivary cortisol was found to be signifi-cantly decreased at days 56 and 84, and IL-6 at day 84 (P<0.05). A reduction in depression-dejection at day 56 and in confusion-bewilderment at day 84, and an improvement in sleep satis-faction at day 56 (all p<0.05) were reported. Conclusion:: BDNF Essentials® improved reaction time in measures of working memory, episodic memory, and attention, reduced biomarkers of stress and inflammation, and improved mood and sleep. BDNF Essentials® has been found to be safe and well-tolerated in adults with self-reported memory complaints.

POOR SLEEP HEALTH MAY BUILD THE ONSET OF A FEAR OF FALLING AMONG COMMUNITY-DWELLING OLDER ADULTS

Abstract A greater fear of falling (FOF) predicts activity restrictions, falls, disability, and increases the risk of mortality among older adults. Although poor sleep has been identified as a relevant factor for FOF among older adults, evidence is primarily shown in cross-sectional studies using isolated sleep characteristics. Whether multidimensional sleep health contributes to increase in FOF among older adults who are particularly vulnerable to falls is less well understood. We investigated the longitudinal relationship between sleep health and the incidence of FOF among community-dwelling older adults and how the association differed between those with or without prior falls experiences. Data were from individuals who completed the sleep module in the National Health and Aging Trends Study (2013-2014; n=695). FOF was assessed with a single item. Multidimensional sleep health was measured with self-reported sleep items based on the SATED model (i.e., sleep satisfaction, daytime alertness, timing, efficiency, and duration). Covariates included sociodemographics, assistive device usage, health, and sleep medications. Multiple logistic regression was used to analyze the data. Poor sleep health was associated with the onset of FOF at 1-year follow-up (OR=1.20, 95%CI=1.02-1.41). Moreover, poor sleep health increased the odds of having FOF among individuals without prior falls experiences and elevated the already heightened risks of developing FOF among those who fell at baseline. Improving sleep health may potentially prevent older adults from developing FOF.

Poor sleep health predicts the onset of a fear of falling among community-dwelling older adults

IntroductionA greater fear of falling predicts disability, falls, and mortality among older adults. Although poor sleep has been identified as a relevant risk factor for fear of falling among older adults, evidence is primarily shown in cross-sectional studies using isolated sleep characteristics. Less is known about whether prior fall experiences change the sleep health-fear of falling link among older adults. We investigated the longitudinal relationship between sleep health and the incidence of fear of falling among community-dwelling older adults and how the association differed between those with or without prior fall experiences. MethodsData were from individuals who completed the sleep module in the National Health and Aging Trends Study (2013-2014; n = 686). Fear of falling was assessed with a single item. Multidimensional sleep health was measured with self-reported sleep items based on the SATED model (ie, sleep satisfaction, daytime alertness, timing, efficiency, and duration). Covariates included sociodemographics, assistive device usage, health, risky behavior, and sleep medications. Multiple logistic regression was used to analyze the data. ResultsPoor sleep health was associated with the onset of fear of falling at 1-year follow-up (odds ratios=1.20, 95% confidence interval=1.02-1.41). Moreover, poor sleep health increased the odds of having fear of falling among individuals without prior falls experiences and elevated the already heightened risks of developing fear of falling among those who fell at baseline. ConclusionsGiven that fear of falling and experiencing a fall each increase the risk of the other occurring in the future, improving sleep health may prevent older adults from stepping into the vicious cycle of fear of falling and falls.

Association between prior-night sleep and next-day fatigue in older adults: a daily diary study

BackgroundFatigue is known as an element of frailty. Sleep problems (e.g., short sleep duration and low sleep quality) can increase fatigue, but the day-to-day relationship between sleep and fatigue has not been studied well in older adults. Using a daily diary method, this study examined the within- and between-person associations between sleep and fatigue in older adults.MethodsThe study recruited 56 Japanese community dwellers (age: 82–86 years; female: 37.5%). Participants responded to a daily diary questionnaire at the end of each day. Over seven days, time in bed and satisfaction were measured after waking up, whereas fatigue was assessed before going to bed. We included person-level covariates (demographic factors, and physical and mental health) and day-level covariates (time in study, and positive and negative emotions). Multilevel models were estimated to examine within- and between-person associations.ResultsAt the within-person level, on days following short and long time in bed and days following low levels of sleep satisfaction, individuals felt higher levels of fatigue compared with usual days. At the between-person level, no statistically significant differences in fatigue were observed between individuals with long and short time in bed.ConclusionsThe findings suggest that prior-day sleep is associated with next-day fatigue in older adults. Long and short sleep duration and low sleep quality can lead to fatigue. Considering that sleep is a modifiable health behavior, appropriate management of sleep behavior may reduce fatigue.

Interstitial Lung Disease Is Associated with Sleep Disorders in Rheumatoid Arthritis Patients.

To evaluate sleep disorders and associated factors in patients with rheumatoid-arthritis-associated interstitial lung disease (RA-ILD). We performed an observational study of 35 patients with RA-ILD (cases) and 35 age- and sex-matched RA patients without ILD (controls). We evaluated sleep disorders (Oviedo Sleep Questionnaire), positive psychological factors (resilience using the Wagnild and Young Resilience Scale, emotional intelligence using the 24-item Trait Meta-Mood Scale), anxiety and depression (Hospital Anxiety and Depression Scale), quality of life (36-item short-form survey), and fatigue (Functional Assessment of Chronic Illness Therapy Questionnaire). Other variables studied included the Charlson Comorbidity Index (CCI) and RA activity according to the DAS28-ESR. Compared to the controls, the cases were characterized by poorer sleep quality with a higher prevalence of insomnia (42% vs. 20%; p = 0.039), greater severity of insomnia (p = 0.001), and lower sleep satisfaction (p = 0.033). They also had poorer resilience and emotional recovery and more severe anxiety and depression. A diagnosis of ILD was the only factor independently associated with the three dimensions of sleep quality. The predictors of poorer sleep satisfaction in patients with RA-ILD were age (β = -0.379), DAS28-ESR (β = -0.331), and usual interstitial pneumonia pattern (β = -0.438). The predictors of insomnia were DAS28-ESR (β = 0.294), resilience (β = -0.352), and CCI (β = 0.377). RA-ILD is associated with significant sleep disorders. RA-ILD seems to be an independent risk factor for sleep alterations, with a greater impact on insomnia. Age, disease activity, and comorbidity also play a role in sleep disorders in patients with RA-ILD.

Poor sleep is associated with energy drinks consumption among Korean adolescents.

A growing number of Korean adolescents consume energy drinks, which may increase the risk of obesity, anxiety and insomnia. We examined whether poor sleep was associated with energy drink consumption among study participants. We used a cross-sectional design. The Korea Youth Risk Behavior Web-Based Survey data from 2019. To determine the association between sleep and energy drink consumption, we compared the independent variables for 50,455 adolescents in Korea (aged 14-19 years) using multivariate logistic regression and sensitivity analyses. In Korea, 69·5 % adolescents consumed energy drinks, 17·1 % slept for less than 5 h, 22·4 % slept for 5-6 h, 23·8 % slept for 6-7 h, 19·9 % slept for 7-8 h and 16·7 % slept for 8 h or more. Regarding sleep satisfaction, 21·0 % reported sufficient, 32·6 % reported just enough and 46·5 % reported insufficient. Regarding sleep duration, it was found that less than 5 h (OR, 2·36; 95 % CI (2·14, 2·60)) and lower sleep satisfaction (OR, 1·12; 95 % CI (1·03, 1·21)) were highly associated with energy drink consumption, with statistical significance at P < 0·05. Adolescents with lower sleep duration (adjusted OR (aOR), 6·37; 95 % CI (4·72, 8·61)) and a lack of sleep satisfaction (aOR, 1·44; 95 % CI (1·16, 1·78)) reported drinking a high amount of energy drinks, that is, at least once a day. In addition to efforts to decrease the amount of energy drinks consumed, sleep hygiene education needs to be strengthened.

The Influence of Bedroom CO2 Concentration on Sleep Quality

A person spends about a third of their life sleeping, and high sleep quality is very important for health. Environmental factors are one of the most important factors affecting sleep quality, and indoor carbon dioxide (CO2) concentration while sleeping has a significant effect on sleep quality. In an indoor bedroom with no open windows and no fresh air system, different numbers of people sleeping will lead to changes in indoor CO2 concentration. In order to study the changes in sleep quality caused by differences in CO2 concentration, experimental research was performed. Objective sleep quality data are collected with polysomnography (PSG) and a subjective questionnaire. The sleep quality of the subjects is tested under three different CO2 concentration levels; the average carbon dioxide concentration of three conditions is 680, 920, and 1350 ppm, which simulate a room with 1, 2, and 3 people sleeping, respectively. Other environment parameters are controlled as follows: test environment temperature is 26 ± 0.5 °C, relative humidity is 50 ± 5%, there is no obvious heat source in the test room, and the radiation temperature and air temperature difference is less than 1 °C. A total of 30 subjective tests were carried out with 10 subjects; the test lasted more than one month. The data subsequently underwent statistical analysis to determine the influence of CO2 concentration on sleep quality. The results show that as the CO2 concentration level increased, the sleep quietness and satisfaction of the subjects gradually decreased, the sleep duration gradually decreased, and symptoms such as throat discomfort, dyspnea, dry and itchy skin, difficulty falling asleep, difficulty waking up, congested nose and bad air smell become more obvious. The PSG test results showed that CO2 concentration has a significant impact on the proportion of the N3 period. According to the group of CO2 concentration conditions, the mean of the N3 period proportion under the conditions of one person, two persons, and three persons is 20.4%, 17.3%, and 14.4%, respectively. Finally, there was also an increase in turning over or awakening during sleep, indicating that sleep quality was reduced under higher CO2 concentrations.

Experimental Study on Sleep Quality in Naturally Ventilated Rooms under Moderate Climate Conditions

Optimizing the thermal environment of a bedroom is desirable for good sleep. In moderate climatic conditions, natural ventilation is a viable method for enhancing the quality of sleep by improving indoor air conditions. This study examined the effects of air temperature and wind speed on sleep quality in naturally ventilated rooms with windows open and closed, during autumn. Thirteen young males in healthy conditions participated in this study. Two adjacent test rooms (for opened and closed conditions) were selected on a university campus, with standardized indoor conditions. Air temperature and wind speed were measured near the height of the participants’ heads. Sleep efficiency and wake after sleep onset (WASO) were calculated using physiological wearable sensors based on heart rate and body movement. The participants completed questionnaires on thermal sensation and comfort before and after sleep. The results showed that the lowest percentage of WASO was observed when the nocturnal mean temperature was 23–24°C with a quadratic regression curve regardless of the window opening conditions. Conversely, subjective sleep satisfaction and WASO did not show any significant differences between the conditions. The results revealed no significant impact of varying thermal and airflow conditions during autumn on thermal/airflow comfort, although significant differences were observed in the thermal/airflow sensation before and after sleep. Thus, these results suggest that natural ventilation through the opening of windows might not affect thermal/airflow comfort, while a nocturnal indoor air temperature of 23–24°C is recommended for good sleep and thermal comfort, regardless of window opening conditions under moderate climate conditions.

Interaction between functional capability and sleep quality at midterm after total knee arthroplasty: a Japanese retrospective cohort study

No report has clarified the frequency and interacting factors affecting sleep disturbance among Asian patients at midterm after total knee arthroplasty (TKA). This study aimed to evaluate the frequency of sleep disturbance at midterm after TKA in a Japanese cohort and to identify intervening factors for sleep. We hypothesized that residual knee pain and decreased functional capability negatively interact with sleep quality after TKA. A total of 209 Japanese participants (average age: 77.1 ± 8.3 years; postoperative follow-up period: 4.5 ± 1.9 years) who underwent primary TKA for knee osteoarthritis were included in this study. Sleep quality, satisfaction, pain, functional capability, joint awareness, and mental condition were evaluated using the Pittsburgh Sleep Quality Index (PSQI), Knee Society Score (KSS) 2011, Forgotten Joint Score (FJS)-12, and 12-Item Short-Form Health Survey (SF-12) Mental Component Summary (MCS). Multivariable analysis was performed to determine the influencing factors on PSQI. The scores for the PSQI, satisfaction with pain level while lying in bed, pain during level walking, functional activity category in the KSS 2011, awareness of the artificial joint in bed at night in the FJS-12, and SF-12 MCS were 6.7 ± 3.0, 5.8 ± 1.8, 1.6 ± 2.3, 62 ± 22, 1.5 ± 1.4, and 56 ± 9.3 on average, respectively. Sleep disturbance (PSQI ≥ 5.5) occurred in 54% of the Japanese participants. Multivariable analysis revealed that high functional capability was a significant factor associated with sleep quality improvement (p < 0.05). Decreased functional capability, not residual knee pain, negatively interacted with sleep quality. The sleep disturbance rate was high during the middle postoperative period after TKA in the Japanese cohort.

P079 Shifting the Paradigm: Implementation Science in Enhancing Sleep Health among Shiftworkers

Abstract Introduction Addressing the urgent public health concern of sleep health among shiftworkers, our study examined the application and effectiveness of a tailored sleep intervention, the Sleepfit app. We assessed reach, effectiveness, adoption, and maintenance, while identifying potential implementation barriers across diverse shiftwork industries. Methods The two-phase study commenced with the Sleepfit app's optimisation, originally developed for day workers, by integrating sleep improvement strategies specifically for shiftworkers. The feasibility of large-scale implementation was then evaluated based on the RE-AIM framework, considering reach, effectiveness, adoption, implementation, and maintenance. The study involved existing shiftworkers (current sample, n=29; anticipated final sample n=90). Validated sleep health measures and RE-AIM metrics were used, with data analysed through a mixed-methods approach. Results Preliminary results indicate significant improvement in sleep satisfaction and reduction in insomnia severity, indicating the potential of the intervention in enhancing sleep outcomes. We also observed increased engagement with healthy sleep practices, demonstrated by a significant decrease in poor sleep behaviours. Interestingly, our preliminary findings propose specific benefits for younger shiftworkers who typically engage in problematic sleep practices. Preliminary data suggests 71% of shiftworkers engaged with the app at 2-weeks post intervention, with 23% continuing to use the app during long-term maintenance evaluation. As data collection is ongoing, a detailed analysis incorporating feasibility and all RE-AIM dimensions will be subsequently presented. Conclusion Preliminary findings suggest the Sleepfit app may serve as an effective sleep health intervention among shiftworkers, with further analyses needed to fully understand its feasibility and long-term adoption.

O075 Improving Sleep Health in Paramedics through an App-based Intervention: A Randomised Waitlist Control Trial

Abstract Introduction Paramedics engaging in shiftwork arrangements face unique challenges that impact their sleep health, potentially compromising performance and wellbeing. This study investigated whether tailored sleep health advice delivered through the Sleepfit mobile application improved sleep health in paramedics. Methods We conducted a two-group randomised waitlist-controlled trial. Fifty-eight paramedics were randomised to the intervention group (n = 29) or the waitlist group (n = 29). Intervention group participants trialled Sleepfit for 14 days, during which waitlist control participants continued as usual, before being provided with Sleepfit for 14 days. During the 14-day intervention period, Sleepfit provided tailored sleep health education for shift workers, relaxation exercises, and a sleep diary to track sleep quantity and quality. Measures of sleep health (e.g., ISI, FSS, ESS, SHI) were completed at baseline, 14 days following, and 3-month follow-up. Multiple linear regression models were conducted to test the impact of the intervention on sleep health outcomes. Results Participants reported an average two-point reduction in both ISI (p = 0.01) and SHI (p = 0.01) scores, as well as a significant improvement in sleep satisfaction (p = 0.01) at post-intervention measurement. All other measures remained unchanged. This may be due to limited intervention impact, insufficient participant numbers, a short intervention period, or a ceiling effect. Conclusion This study provides preliminary evidence supporting the use of Sleepfit as an intervention in improving measures of sleep health in some shiftworkers. Further investigations, including objective assessments of sleep, are needed to validate these self-report measures in larger cohorts of shiftworkers.

P056 Improvements in Daytime Function Items of the Insomnia Severity Index Are Correlated with a Positive Impact of Treatment on the Patient Global Impression Insomnia Scale

Abstract Introduction Items 4-7 (daytime function [DF]) of the 7-item Insomnia Severity Index (ISI) can assess daytime impairment. In Study E2006-G000-303 (Study 303; NCT02952820), lemborexant (LEM), a dual-orexin receptor antagonist, was associated at 6 months (6mo) with both significant improvement in ISI-DF items and significantly more subjects reporting positive effects on sleep, as assessed by the Patient Global Impression–Insomnia version (PGI-I), versus placebo (PBO). This analysis looked at the correlation between ISI-DF improvement and patient ratings on the PGI-I. Methods Study 303 was a 12-month, randomized, double-blind PBO-controlled (first 6mo) phase-3 study in adults with insomnia disorder. Subjects were randomized to PBO, LEM 5mg or 10mg for 6mo (2nd 6mo not reported here). ISI items are rated from 0 (no problem) to 4 (very severe problem). ISI-DF includes sleep satisfaction, extent symptoms are noticeable to others, cause worry/distress, and interfere with daily function. On the PGI-I, subjects assess positive, neutral or negative treatment impact on falling asleep, overall benefit on sleep, and total sleep time. Results A total of 739 subjects completed the ISI and PGI-I and were included in these analyses. At 6mo in all treatment groups, there were significant correlations (all P&amp;lt;0.001) between improvement in both ISI-DF items and PGI-I ratings regarding falling asleep, overall benefit on sleep, and total sleep time. Discussion These data suggest that the PGI-I may be a useful, quick tool to use in clinical practice, since an improvement in its score reflects improvements in daytime function. Sponsor Funded by Eisai Inc.

Pengaruh Zikir Terhadap Kualitas Tidur Berdasarkan Sufi Healing

Sleep is a basic need for everyone. The demands of work, college, and school make many people have poor sleep quality. According to the World Economic Forum, around 62% of adults around the world feel sleep-deprived. Lack of sleep can affect sleep quality. This can cause many problems in terms of health and academics for students. Sufi healing, or Sufi therapy, is spiritual therapy that includes dhikr. Dhikr itself is the repeated pronunciation of the words of Allah. In Islam, Sufi healing is in accordance with Islamic teachings. Many studies show that Sufi healing is good for patient therapy because dhikr can add positive value and relax the body. This research is quantitative, using a questionnaire. The questions are modified using the Pittsburgh Sleep Quality Index (PSQI). The respondents are medical students. Questions include feelings after and before sleeping after reading dhikr, feelings when sleeping, and level of sleep satisfaction. By comparing the quality of sleep before and after doing dhikr before bed, the results showed that there was a difference in sleep quality between after and before doing dhikr before bed. Most respondents felt that their sleep satisfaction was better if they did dhikr before going to bed.

Non-opioid versus Opioid Peri-operative Analgesia In Neurosurgery (NOPAIN): Study protocol for a multi-centric randomised controlled trial.

Many patients suffer from post-operative pain after neurosurgery despite using intra-operative opioids. Opioid side effects are problematic in neurosurgical patients. Hence, non-opioid alternatives for the management of nociception and pain are needed. Previous studies comparing opioids with non-opioids in the neurosurgical population were few, from single centres, of small sample sizes and were equivocal in findings, which prevented change in clinical practice. To overcome these limitations, we are conducting a multi-centre trial with objectives to compare intra-operative rescue opioid requirements and post-operative pain scores (primary objectives), adverse events, quality of recovery from anaesthesia, quality of sleep and patient satisfaction during hospital stay, and persistent post-surgical pain and quality of life at 3 and 6 months (secondary objectives) in patients receiving opioid and non-opioid analgesia for brain tumour surgeries. This study protocol describes the methodology of a multi-centre randomised controlled trial. Ethics committee approval has been obtained from all five centres, the trial has been registered with the Clinical Trial Registry- India, and insurance has been obtained for this investigator-initiated funded study. In patients undergoing supra-tentorial brain tumour surgery (population), we will compare fentanyl (intervention) 1 µg/kg/h with dexmedetomidine (comparator) 0.5 µg/kg/h administered during surgery with regards to intra-operative rescue opioid requirement and post-operative pain (primary outcomes). We describe the study protocol of the multi-centre trial (protocol version 2, dated 29/01/2022). The first patient was recruited on 19/10/2022, and we will complete recruitment before March 2024. We expect our study to establish dexmedetomidine as an effective non-opioid analgesic vis-à-vis opioids in the neurosurgical population.

Sleep Health, Individual Characteristics, Lifestyle Factors, and Marathon Completion Time in Marathon Runners: A Retrospective Investigation of the 2016 London Marathon.

Despite sleep health being critically important for athlete performance and well-being, sleep health in marathoners is understudied. This foundational study explored relations between sleep health, individual characteristics, lifestyle factors, and marathon completion time. Data were obtained from the 2016 London Marathon participants. Participants completed the Athlete Sleep Screening Questionnaire (ASSQ) along with a brief survey capturing individual characteristics and lifestyle factors. Sleep health focused on the ASSQ sleep difficulty score (SDS) and its components. Linear regression computed relations among sleep, individual, lifestyle, and marathon variables. The analytic sample (N = 943) was mostly male (64.5%) and young adults (66.5%). A total of 23.5% of the sample reported sleep difficulties (SDS ≥ 8) at a severity warranting follow-up with a trained sleep provider. Middle-aged adults generally reported significantly worse sleep health characteristics, relative to young adults, except young adults reported significantly longer sleep onset latency (SOL). Sleep tracker users reported worse sleep satisfaction. Pre-bedtime electronic device use was associated with longer SOL and longer marathon completion time, while increasing SOL was also associated with longer marathon completion. Our results suggest a deleterious influence of pre-bedtime electronic device use and sleep tracker use on sleep health in marathoners. Orthosomnia may be a relevant factor in the relationship between sleep tracking and sleep health for marathoners.

The thief of (bed)time: Examination of the daily associations between bedtime procrastination and multidimensional sleep health

ObjectivesSleep insufficiency is associated with increased risk of morbidity and mortality. Bedtime procrastination, or the needless and voluntary delay in sleep, is a sleep-related behavior which may interfere with sleep health. The objective of this study is to comprehensively examine the daily associations among bedtime procrastination and measures of sleep regularity, satisfaction, timing, efficiency, and duration. MethodsTwo hundred and eighty young adult participants (79% female; Mage=24.4) completed daily sleep diaries and measures of bedtime procrastination and sleep restoration over 14days, in addition to measures of chronotype. Multilevel models were constructed to examine the associations between bedtime procrastination and sleep health. ResultsGreater bedtime procrastination was associated with poorer sleep health, including poorer self-reported sleep restoration, later sleep timing, less efficient sleep, and shorter sleep duration. These associations were significant at both within- and between-person levels, and persisted after statistically adjusting for individuals’ chronotypes. ConclusionsThis study offers bedtime procrastination as a putative mechanism for poor sleep health and finds that the associated risk of poor sleep from bedtime procrastination is independent of chronotype. Results presented here suggest that bedtime procrastination may be a relevant behavior in the development or maintenance of sleep and sleep-related disorders.

Do “your angels” weep? Level up of job satisfaction among nurses

Background: Nurses play a pivotal role in our healthcare. It is therefore crucial to assess the job satisfaction levels of nurses for the proper functioning of the healthcare system. The present study was to assess the job satisfaction levels among nurses in Alappuzha district. Assessment of Job satisfaction levels will help to implement ergonomically beneficial policies in the healthcare system. Methods: A hospital based cross sectional study was conducted among the nurses during the months of October- November, 2022. Convenient sampling was done and persons who were willing to take part in the study were distributed with a pretested questionnaire. Job satisfaction was analysed using the Minnesota job satisfaction scale. Data was collected and entered in Microsoft Excel. It was analysed using SPSS version 26. Chi square test was used to find out the association between variables. Results: Totally 63 nurses responded to the questionnaire. Of the total study participants, 73% were satisfied with their job and 23% were having neutral level of job satisfaction. Level of job satisfaction was associated with sleep satisfaction, met financial needs, assault or abuse faced at work and perceived workload. The results also showed that there is no association between the level of job satisfaction and demographic factors. Conclusions: From this study, three-fourth of the participants were satisfied with their job. Only small portion of participants were satisfied with responsibility, advancement, moral values, working conditions, institutional policies and practices. They were dissatisfied with independence and compensation provided at job.