COVID-19 大流行对中东和北非（MENA）人群睡眠健康的影响：文献系统综述。

Effects of the COVID-19 pandemic on sleep health among Middle Eastern and North African (MENA) populations: a systematic review of the literature.

机构信息

Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA

University of Pittsburgh Medical Center Health System, Pittsburgh, Pennsylvania, USA.

出版信息

BMJ Open. 2022 Dec 7;12(12):e066964. doi: 10.1136/bmjopen-2022-066964.

DOI:10.1136/bmjopen-2022-066964

PMID:36600378

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9729847/

Abstract

OBJECTIVES

This study sought to conduct a systematic review of the literature on the impact of the COVID-19 pandemic on sleep health among Middle Eastern and North African (MENA) populations, understudied geographic regions including with regards to sleep health.

SETTING

A systematic literature search of studies published from inception to 27 March 2022 was conducted on multiple databases using developed keywords.

PARTICIPANTS

Studies were included if they (1) investigated one or more aspects/dimensions of sleep health as an outcome (eg, sleep duration, sleep quality, sleep problems); (2) measured the impact of a COVID-19 pandemic-related domain (eg, impact of quarantine, work from home, lifestyle changes); (3) focused on at least one MENA region population; (4) were peer-reviewed; (5) included ≥100 participants; (6) were written in English and (7) had full-text article publicly available.

PRIMARY AND SECONDARY OUTCOMES MEASURED

Primary outcomes were sleep duration, sleep quality and sleep problems.

RESULTS

In line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 164 studies were included for data extraction. The Newcastle-Ottawa scale for cross-sectional studies was used to assess the quality of the studies. Overall, the COVID-19 pandemic significantly impacted sleep duration, sleep quality and presence and severity of sleep disorders in MENA populations, including adults, children, students, healthcare workers and people with chronic illnesses. The directionality and strength of associations, as well as the determinants of sleep health, varied by subpopulations.

CONCLUSIONS

Longitudinal studies are needed to understand the longer-term impact of the COVID-19 pandemic on the sleep health of MENA populations. Sleep health interventions and policy measures should be tailored to the need of each subpopulation.

PROSPERO REGISTRATION NUMBER

CRD42022321128.

摘要

目的

本研究旨在对 COVID-19 大流行对中东和北非（MENA）人群睡眠健康影响的文献进行系统综述，这些地区是睡眠健康研究相对较少的地理区域。

背景

对从创建到 2022 年 3 月 27 日发表的多个数据库中的研究使用制定的关键词进行了系统文献检索。

参与者

如果研究（1）调查了睡眠健康的一个或多个方面/维度作为结果（例如，睡眠时间、睡眠质量、睡眠问题）；（2）测量了与 COVID-19 大流行相关的领域的影响（例如，隔离、在家工作、生活方式改变）；（3）关注至少一个 MENA 地区的人群；（4）经过同行评审；（5）纳入≥100 名参与者；（6）用英语书写；（7）有全文文章可供公开，则纳入研究。

主要和次要结局测量

主要结局是睡眠时间、睡眠质量和睡眠问题。

结果

根据系统评价和荟萃分析报告的首选项目，纳入了 164 项研究进行数据提取。使用横断面研究的纽卡斯尔-渥太华量表评估研究质量。总体而言，COVID-19 大流行对 MENA 人群的睡眠时间、睡眠质量以及睡眠障碍的发生和严重程度产生了重大影响，包括成年人、儿童、学生、医护人员和患有慢性疾病的人。亚人群的睡眠健康的关联方向和强度以及决定因素各不相同。