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美国成年人睡眠时长与抑郁的关系:一项横断面研究。

Association between sleep duration and depression in US adults: A cross-sectional study.

机构信息

The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.

Guizhou Plastic and Oral Cosmetic Surgery Hospital, Guiyang, Guizhou, China.

出版信息

J Affect Disord. 2022 Jan 1;296:183-188. doi: 10.1016/j.jad.2021.09.075. Epub 2021 Sep 28.


DOI:10.1016/j.jad.2021.09.075
PMID:34607059
Abstract

BACKGROUND: Evidence of an association between sleep duration and depression was inconsistent. METHODS: Adults who participated in the National Health and Nutrition Examination Survey (NHANES) from 2009 to 2016 were included. Multivariable logistic regression was used to evaluate the association between sleep duration and depression. RESULTS: Among the 25,962 participants (mean age 48.1 years; 49.2% male) in this study, 23,636 had a depression score <10 and 2,326 had a depression score ≥ 10. After adjustment for gender, age, race/ethnicity, education, marital status, and annual family income, BMI, alcohol status, and smoking status, hypertension, diabetes, dyslipidemia, work activity, and physical activity risk factors, participants who had short sleep duration had odds ratios (OR) of 1.86 (95% confidence interval 1.59, 2.17) and participants who had long sleep duration had OR of 1.49 (95% confidence interval 1.22, 1.83) for incident depression. Further analysis revealed a U-shaped association between sleep duration and incident depression. When sleep duration < 8 hours, increased sleep duration is associated with a significantly lower risk of incident depression (OR = 0.68 [95% CI 0.64, 0.71], P < 0.001). When sleep duration ≥ 8 hours, the risk of depression increased significantly with an increase in sleep duration (OR = 1.32 [95%CI 1.23, 1.41], P < 0.001). CONCLUSIONS: Sleep duration were independently associated with a higher incident depression. Not only insufficient sleep but excessive sleep also increase the risk of depression.

摘要

背景:睡眠时长与抑郁之间的关联证据并不一致。

方法:纳入了参加 2009 年至 2016 年国家健康和营养检查调查(NHANES)的成年人。多变量逻辑回归用于评估睡眠时长与抑郁之间的关联。

结果:在这项研究的 25962 名参与者(平均年龄 48.1 岁;49.2%为男性)中,23636 人的抑郁评分<10,2326 人的抑郁评分≥10。在调整了性别、年龄、种族/民族、教育程度、婚姻状况和家庭年收入、BMI、酒精状态和吸烟状况、高血压、糖尿病、血脂异常、工作活动和体力活动风险因素后,睡眠时长较短的参与者发生抑郁的比值比(OR)为 1.86(95%置信区间 1.59,2.17),睡眠时长较长的参与者发生抑郁的 OR 为 1.49(95%置信区间 1.22,1.83)。进一步分析显示,睡眠时长与新发抑郁之间存在 U 形关联。当睡眠时长<8 小时时,增加睡眠时长与新发抑郁风险显著降低相关(OR=0.68[95%CI 0.64,0.71],P<0.001)。当睡眠时长≥8 小时时,随着睡眠时长的增加,抑郁的风险显著增加(OR=1.32[95%CI 1.23,1.41],P<0.001)。

结论:睡眠时长与更高的新发抑郁风险独立相关。不仅是睡眠不足,而且睡眠过多也会增加患抑郁的风险。

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引用本文的文献

[1]
Associations Between Sleep Duration, Sleep Quality, and Depressive Symptoms: Evidence from Medical Graduate Students in China.

Nat Sci Sleep. 2025-8-16

[2]
Machine learning models for predicting the risk of depressive symptoms in Chinese college students.

Front Psychiatry. 2025-8-5

[3]
The association between physical activity and depression in cancer patients: A cross-sectional study from NHANES 2007 to 2018.

Medicine (Baltimore). 2025-8-15

[4]
Nonlinear Association Between Weekday Sleep Duration and COPD Risk: Evidence From NHANES 2017-2023.

Int J Chron Obstruct Pulmon Dis. 2025-8-12

[5]
The prevalence and risk factors of sleep disturbances among mental health patients following hospital discharge.

Front Public Health. 2025-7-30

[6]
Sleep regularity and duration are associated with depression severity in a nationally representative United States sample.

Neurobiol Sleep Circadian Rhythms. 2025-7-17

[7]
Uncovering the link between cardiometabolic index and depression in diabetes: a large-scale population study.

Diabetol Metab Syndr. 2025-8-6

[8]
Nighttime sleep duration and dual management of blood pressure and glycemia in Chinese with comorbid hypertension and diabetes.

Sci Rep. 2025-7-25

[9]
Sleep health associations with serum metabolites in healthy adults.

Brain Behav Immun Health. 2025-7-4

[10]
Excessive or reduced rest-day sleep compensation linked to depression in Chinese adults.

Front Psychiatry. 2025-7-4

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