Zomers Margot L, Hulsegge Gerben, van Oostrom Sandra H, Proper Karin I, Verschuren W M Monique, Picavet H Susan J
Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands.
Sleep. 2017 Jul 1;40(7). doi: 10.1093/sleep/zsx085.
To describe sleep duration patterns of adults over a 20-year period; to compare sociodemographic, lifestyle, and health characteristics across these patterns; and to relate the patterns to sleep quality.
The study population consisted of 3695 adults aged 20 to 59 years at baseline. Five measurements of self-reported sleep duration were used to compose seven patterns from 1987 to 2012: persistent short (≤6 hours), moderate (7-8 hours), or long (≥9 hours) sleep duration and several changing patterns (varying and became short, moderate, or long sleepers). Multinomial logistic regression analyses were used to compare characteristics across sleep duration patterns.
About 56% of the adults had persistent moderate sleep duration over 20 years. This group had a better sleep quality than the other groups. Of the adults who changed in their sleep duration (40%), 43% became a short sleeper. Sleep duration patterns that deviate from persistent moderate sleep duration were associated with physical inactivity during leisure time (odds ratios [ORs] and 95% confidence intervals [95% CIs] varied between 1.26 [1.04-1.53] and 1.58 [1.06-2.37]) and with poor self-rated health (ORs [95% CIs] varied between 1.50 [1.20-1.87] and 2.15 [1.48-3.12]).
Nearly half of the adults did not have persistent moderate sleep duration over a 20-year period and more than one-sixth became short sleeper. This is reason for concern considering the adverse health status associated with short and long sleep duration. Leisure-time physical activity is a potential important target to prevent unfavorable changes in sleep duration over the life course.
描述成年人在20年期间的睡眠时间模式；比较这些模式下的社会人口统计学、生活方式和健康特征；并将这些模式与睡眠质量相关联。
研究人群包括3695名基线年龄在20至59岁之间的成年人。使用五次自我报告的睡眠时间测量数据，从1987年至2012年组成了七种模式：持续短睡眠（≤6小时）、适中睡眠（7 - 8小时）或长睡眠（≥9小时），以及几种变化模式（睡眠时长变化并变为短、适中或长睡眠者）。采用多项逻辑回归分析来比较不同睡眠时间模式的特征。
约56%的成年人在20年期间保持适中睡眠时间。该组的睡眠质量优于其他组。在睡眠时间发生变化的成年人中（40%），43%变成了短睡眠者。偏离持续适中睡眠时间的模式与休闲时间身体活动不足相关（优势比[ORs]和95%置信区间[95% CIs]在1.26[1.04 - 1.53]至1.58[1.06 - 2.37]之间），且与自我健康评价差相关（ORs[95% CIs]在1.50[1.20 - 1.87]至2.15[1.48 - 3.12]之间）。
近一半的成年人在20年期间没有持续适中的睡眠时间，超过六分之一变成了短睡眠者。考虑到与短睡眠和长睡眠相关的不良健康状况，这值得关注。休闲时间的身体活动是预防一生中睡眠时间出现不利变化的一个潜在重要目标。
