Kageyama Makoto, Odagiri Keiichi, Mizuta Isagi, Yamamoto Makoto, Yamaga Keiko, Hirano Takako, Onoue Kazue, Uehara Akihiko
Yamaha Health Care Center.
J Occup Health. 2017 Mar 28;59(2):139-146. doi: 10.1539/joh.16-0038-OA. Epub 2017 Jan 28.
Sleep disturbances are related to somatic and mental disorders, industrial accidents, absenteeism, and retirement because of disability. We aimed to identify health-related behaviors associated with subjective sleep insufficiency in Japanese workers.
This cross-sectional study included 5,297 employees (mean age: 43.6±11.3 years; 4,039 men). Multiple logistic regression analysis was used to identify health-related behaviors associated with subjective sleep insufficiency.
Overall, 28.2% of participants experienced subjective sleep insufficiency. There was a significant difference between the genders in the proportion of participants with subjective sleep insufficiency (male: 26.4%; female: 34.3%; p<0.001). Multiple logistic regression analysis revealed that being a female or ≥40 years, experiencing a weight change of ≥3 kg during the preceding year, not exercising regularly, not walking quickly, and eating a late-evening or fourth meal were associated with subjective sleep insufficiency. After stratifying by gender, age ≥40 years, not exercising regularly, and eating a late-evening or fourth meal were significantly associated with subjective sleep insufficiency in both genders. Not walking quickly, experiencing a weight change, and eating quickly were positively associated with subjective sleep insufficiency only for males. Females who did not engage in physical activity were more likely to have experienced subjective sleep insufficiency, but this relationship was not observed in males.
The results indicated that certain health-related behaviors, specifically not exercising regularly and nocturnal eating habits, were associated with subjective sleep insufficiency in a group of Japanese workers.
睡眠障碍与躯体和精神疾病、工业事故、旷工以及因残疾退休有关。我们旨在确定日本工人中与主观睡眠不足相关的健康相关行为。
这项横断面研究纳入了5297名员工（平均年龄：43.6±11.3岁；男性4039名）。采用多元逻辑回归分析来确定与主观睡眠不足相关的健康相关行为。
总体而言，28.2%的参与者经历了主观睡眠不足。主观睡眠不足参与者的比例在性别上存在显著差异（男性：26.4%；女性：34.3%；p<0.001）。多元逻辑回归分析显示，女性或年龄≥40岁、上一年体重变化≥3千克、不定期锻炼、不走快以及吃夜宵或第四餐与主观睡眠不足有关。按性别分层后，年龄≥40岁、不定期锻炼以及吃夜宵或第四餐在两性中均与主观睡眠不足显著相关。不走快、体重变化以及吃饭快仅在男性中与主观睡眠不足呈正相关。不进行体育活动的女性更有可能经历主观睡眠不足，但在男性中未观察到这种关系。
结果表明，某些健康相关行为，特别是不定期锻炼和夜间饮食习惯，与一组日本工人的主观睡眠不足有关。
