The association between cotinine-measured smoking intensity and sleep quality
Introduction Cigarette smoking is suggested to be associated with sleep problems. This study evaluated the quantitative association between urinary cotinine-verified smoking intensity and sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI). Methods This was a cross-sectional study o...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2022-09-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.tobaccoinduceddiseases.org/The-association-between-cotinine-measured-smoking-nintensity-and-sleep-quality,152221,0,2.html |
| _version_ | 1811181349532336128 |
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| author | Supa Oh Sinae Kim Eunju Sung Cheol-Hwan Kim Jae-Heon Kang Hocheol Shin In Young Cho |
| author_facet | Supa Oh Sinae Kim Eunju Sung Cheol-Hwan Kim Jae-Heon Kang Hocheol Shin In Young Cho |
| author_sort | Supa Oh |
| collection | DOAJ |
| description | Introduction
Cigarette smoking is suggested to be associated with sleep problems.
This study evaluated the quantitative association between urinary cotinine-verified
smoking intensity and sleep quality assessed by the Pittsburgh Sleep Quality Index
(PSQI).
Methods
This was a cross-sectional study of 189970 participants from the Kangbuk
Samsung Health Study recruited between 2016 and 2018. Logistic regression
analysis adjusted for covariates was performed to estimate the association between
urinary cotinine levels assessed by quartiles and poor sleep quality, defined as
global PSQI score >5.
Results
The odds ratios (OR) and 95% confidence intervals (CI) for poor sleep
quality comparing the highest urinary cotinine quartile to non-smokers were: 1.23
(95% CI: 1.16–1.30) for overall, 1.19 (95% CI: 1.12–1.26) for males, and 1.55
(95% CI: 1.29–1.87) for females. Among self-reported never smokers, cotinineverified
smokers had higher odds for decreased sleep quality compared to cotinineverified
never smokers with OR of 1.26 (95% CI: 1.08–1.46).
Conclusions
Elevated urinary cotinine levels were associated with poor sleep quality
in relatively young and middle-aged South Korean adults. Higher odds for poor
sleep quality among cotinine-verified smokers who self-reported as never smokers
also demonstrate the value of quantitative measurement of urinary cotinine.
Prospective studies are warranted to clarify the cause-effect relationship between
smoking and sleep quality. |
| first_indexed | 2024-04-11T09:16:17Z |
| format | Article |
| id | doaj.art-ad225688a40b43468ec173c1d346a9d8 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-04-11T09:16:17Z |
| publishDate | 2022-09-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-ad225688a40b43468ec173c1d346a9d82022-12-22T04:32:20ZengEuropean PublishingTobacco Induced Diseases1617-96252022-09-0120September11110.18332/tid/152221152221The association between cotinine-measured smoking intensity and sleep qualitySupa Oh0https://orcid.org/0000-0001-8292-1070Sinae Kim1https://orcid.org/0000-0002-9900-492XEunju Sung2https://orcid.org/0000-0002-6045-3154Cheol-Hwan Kim3https://orcid.org/0000-0002-0646-7176Jae-Heon Kang4https://orcid.org/0000-0002-5209-0824Hocheol Shin5https://orcid.org/0000-0003-0212-1917In Young Cho6https://orcid.org/0000-0002-6240-9026Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDivision of Biostatistics, Department of R&D Management, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaIntroduction Cigarette smoking is suggested to be associated with sleep problems. This study evaluated the quantitative association between urinary cotinine-verified smoking intensity and sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI). Methods This was a cross-sectional study of 189970 participants from the Kangbuk Samsung Health Study recruited between 2016 and 2018. Logistic regression analysis adjusted for covariates was performed to estimate the association between urinary cotinine levels assessed by quartiles and poor sleep quality, defined as global PSQI score >5. Results The odds ratios (OR) and 95% confidence intervals (CI) for poor sleep quality comparing the highest urinary cotinine quartile to non-smokers were: 1.23 (95% CI: 1.16–1.30) for overall, 1.19 (95% CI: 1.12–1.26) for males, and 1.55 (95% CI: 1.29–1.87) for females. Among self-reported never smokers, cotinineverified smokers had higher odds for decreased sleep quality compared to cotinineverified never smokers with OR of 1.26 (95% CI: 1.08–1.46). Conclusions Elevated urinary cotinine levels were associated with poor sleep quality in relatively young and middle-aged South Korean adults. Higher odds for poor sleep quality among cotinine-verified smokers who self-reported as never smokers also demonstrate the value of quantitative measurement of urinary cotinine. Prospective studies are warranted to clarify the cause-effect relationship between smoking and sleep quality.http://www.tobaccoinduceddiseases.org/The-association-between-cotinine-measured-smoking-nintensity-and-sleep-quality,152221,0,2.htmlcigarette smokingcotininesleep quality |
| spellingShingle | Supa Oh Sinae Kim Eunju Sung Cheol-Hwan Kim Jae-Heon Kang Hocheol Shin In Young Cho The association between cotinine-measured smoking intensity and sleep quality Tobacco Induced Diseases cigarette smoking cotinine sleep quality |
| title | The association between cotinine-measured smoking
intensity and sleep quality |
| title_full | The association between cotinine-measured smoking
intensity and sleep quality |
| title_fullStr | The association between cotinine-measured smoking
intensity and sleep quality |
| title_full_unstemmed | The association between cotinine-measured smoking
intensity and sleep quality |
| title_short | The association between cotinine-measured smoking
intensity and sleep quality |
| title_sort | association between cotinine measured smoking intensity and sleep quality |
| topic | cigarette smoking cotinine sleep quality |
| url | http://www.tobaccoinduceddiseases.org/The-association-between-cotinine-measured-smoking-nintensity-and-sleep-quality,152221,0,2.html |
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