Documenting the optimal model fit among eleven different categorizations of self-reported sleep duration and mortality in a large population-based sample

Past researchers have used various categorizations of sleep duration to analyze how sleep duration is associated with mortality. Here we analyze eleven categorizations of sleep duration to analyze the best model fit in relation to mortality for the U.S. population and by gender. Data from the 2004–2...

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Main Authors: Connor M. Sheehan, Richard G. Rogers, Timara D. Crichlow
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Sleep Epidemiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266734362300015X
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author Connor M. Sheehan
Richard G. Rogers
Timara D. Crichlow
author_facet Connor M. Sheehan
Richard G. Rogers
Timara D. Crichlow
author_sort Connor M. Sheehan
collection DOAJ
description Past researchers have used various categorizations of sleep duration to analyze how sleep duration is associated with mortality. Here we analyze eleven categorizations of sleep duration to analyze the best model fit in relation to mortality for the U.S. population and by gender. Data from the 2004–2018 National Health Interview Survey (n = 420,037) was linked to the National Death Index through 2019 (36,574 deaths). We fit Cox Proportional Hazard models with and without covariates and used Bayesian Information Criterion (BIC) to determine the optimal model for self-reported sleep duration. Different categorizations produced vastly different substantive results. Categorizations A (≤ 4, 5, 6, 7 [ref], 8, 9, or ≥10 h) and E (≤ 5, 6, 7 [ref], 8, 9, or ≥10 h) provided the best model fit. Both of these categorizations were “J-shaped” and there was no difference between 6 and 7 h, but other reported durations were associated with higher hazards of mortality. Overall, we document how different specifications of sleep duration within the same sample may lead to different conclusions regarding the risk of mortality and that the most optimal specification tends to include more hours of sleep and have a “J-shape.” The findings of this study can help researchers, clinicians, and policymakers better understand the relationship between sleep and mortality and clarify the optimal sleep duration(s).
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spelling doaj.art-3ebce1a8e04943e9a223803b94a5f5e22023-11-18T04:30:02ZengElsevierSleep Epidemiology2667-34362023-12-013100070Documenting the optimal model fit among eleven different categorizations of self-reported sleep duration and mortality in a large population-based sampleConnor M. Sheehan0Richard G. Rogers1Timara D. Crichlow2Arizona State University, United States; Corresponding author.University of Colorado, Boulder, United StatesArizona State University, United StatesPast researchers have used various categorizations of sleep duration to analyze how sleep duration is associated with mortality. Here we analyze eleven categorizations of sleep duration to analyze the best model fit in relation to mortality for the U.S. population and by gender. Data from the 2004–2018 National Health Interview Survey (n = 420,037) was linked to the National Death Index through 2019 (36,574 deaths). We fit Cox Proportional Hazard models with and without covariates and used Bayesian Information Criterion (BIC) to determine the optimal model for self-reported sleep duration. Different categorizations produced vastly different substantive results. Categorizations A (≤ 4, 5, 6, 7 [ref], 8, 9, or ≥10 h) and E (≤ 5, 6, 7 [ref], 8, 9, or ≥10 h) provided the best model fit. Both of these categorizations were “J-shaped” and there was no difference between 6 and 7 h, but other reported durations were associated with higher hazards of mortality. Overall, we document how different specifications of sleep duration within the same sample may lead to different conclusions regarding the risk of mortality and that the most optimal specification tends to include more hours of sleep and have a “J-shape.” The findings of this study can help researchers, clinicians, and policymakers better understand the relationship between sleep and mortality and clarify the optimal sleep duration(s).http://www.sciencedirect.com/science/article/pii/S266734362300015XSleep durationMortalityLongevitySleep measurementGenderNHIS-LMFs
spellingShingle Connor M. Sheehan
Richard G. Rogers
Timara D. Crichlow
Documenting the optimal model fit among eleven different categorizations of self-reported sleep duration and mortality in a large population-based sample
Sleep Epidemiology
Sleep duration
Mortality
Longevity
Sleep measurement
Gender
NHIS-LMFs
title Documenting the optimal model fit among eleven different categorizations of self-reported sleep duration and mortality in a large population-based sample
title_full Documenting the optimal model fit among eleven different categorizations of self-reported sleep duration and mortality in a large population-based sample
title_fullStr Documenting the optimal model fit among eleven different categorizations of self-reported sleep duration and mortality in a large population-based sample
title_full_unstemmed Documenting the optimal model fit among eleven different categorizations of self-reported sleep duration and mortality in a large population-based sample
title_short Documenting the optimal model fit among eleven different categorizations of self-reported sleep duration and mortality in a large population-based sample
title_sort documenting the optimal model fit among eleven different categorizations of self reported sleep duration and mortality in a large population based sample
topic Sleep duration
Mortality
Longevity
Sleep measurement
Gender
NHIS-LMFs
url http://www.sciencedirect.com/science/article/pii/S266734362300015X
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