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 l...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2018-12-01
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| Series: | Sleep Science |
| Subjects: | |
| Online Access: | http://sleepscience.org.br/export-pdf/519/ssci-11-04-0217.pdf |
| _version_ | 1797369589693153280 |
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| author | Cátia Reis Sara Dias Ana Maria Rodrigues Rute Dinis Sousa Maria João Gregório Jaime Branco Helena Canhão Teresa Paiva |
| author_facet | Cátia Reis Sara Dias Ana Maria Rodrigues Rute Dinis Sousa Maria João Gregório Jaime Branco Helena Canhão Teresa Paiva |
| author_sort | Cátia Reis |
| collection | DOAJ |
| 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 populationbased
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. |
| first_indexed | 2024-03-08T17:49:04Z |
| format | Article |
| id | doaj.art-5de60c6c696c4e5eb4cc75c162f2c4bb |
| institution | Directory Open Access Journal |
| issn | 1984-0659 1984-0063 |
| language | English |
| last_indexed | 2024-03-08T17:49:04Z |
| publishDate | 2018-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Sleep Science |
| spelling | doaj.art-5de60c6c696c4e5eb4cc75c162f2c4bb2024-01-02T09:18:43ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-00632018-12-0111421723010.5935/1984-0063.20180036Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based studyCátia Reis0Sara Dias1Ana Maria Rodrigues2Rute Dinis Sousa3Maria João Gregório4Jaime Branco5Helena Canhão6Teresa Paiva7 Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal, Instituto de Saúde Ambiental (ISAMB) - Lisboa - Lisboa - Portugal. EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Centro de Estudos de Doenças Crónicas (CEDOC) - Lisboa - Lisboa - Portugal. EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Centro de Estudos de Doenças Crónicas (CEDOC) - Lisboa - Lisboa - Portugal. EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Centro de Estudos de Doenças Crónicas (CEDOC) - Lisboa - Lisboa - Portugal. EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Centro de Estudos de Doenças Crónicas (CEDOC) - Lisboa - Lisboa - Portugal. EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Centro de Estudos de Doenças Crónicas (CEDOC) - Lisboa - Lisboa - Portugal. EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Centro de Estudos de Doenças Crónicas (CEDOC) - Lisboa - Lisboa - Portugal. CENC - Sleep Medicine Center, Sleep and circadian rhythms - Lisboa - Lisboa - Portugal.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 populationbased 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.http://sleepscience.org.br/export-pdf/519/ssci-11-04-0217.pdfSleepLife StyleQuality of LifeCross-Sectional StudiesChronic DiseasePortugal |
| spellingShingle | Cátia Reis Sara Dias Ana Maria Rodrigues Rute Dinis Sousa Maria João Gregório Jaime Branco Helena Canhão Teresa Paiva Sleep duration, lifestyles and chronic diseases: a cross-sectional population-based study Sleep Science Sleep Life Style Quality of Life Cross-Sectional Studies Chronic Disease Portugal |
| 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 | Sleep Life Style Quality of Life Cross-Sectional Studies Chronic Disease Portugal |
| url | http://sleepscience.org.br/export-pdf/519/ssci-11-04-0217.pdf |
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