Juber Nirmin F, Abdulle Abdishakur, Ahmad Amar, Leinberger-Jabari Andrea, Dhaheri Ayesha S Al, Al-Maskari Fatma, AlAnouti Fatme, Al-Houqani Mohammad, Ali Mohammed Hag, El-Shahawy Omar, Sherman Scott, Shah Syed M, Loney Tom, Idaghdour Youssef, Ali Raghib
Public Health Research Center, New York University Abu Dhabi, Abu Dhabi P.O. Box 1291888, United Arab Emirates.
Department of Nutrition and Health, College of Medicine and Health Sciences, UAE University, Al-Ain P.O. Box 15551, United Arab Emirates.
J Clin Med. 2023 Aug 28;12(17):5618. doi: 10.3390/jcm12175618.
Abnormal birth weight, particularly low birth weight (LBW), is known to have long-term adverse health consequences in adulthood, with disrupted sleep being suggested as a mediator or modifier of this link. We thus aimed to assess the associations between birth weight and self-reported adult sleep characteristics: sleep duration, difficulty waking up in the morning, daily nap frequency, sleep problems at night, snoring, daytime tiredness or sleepiness, and ever-stop breathing during sleep. This cross-sectional analysis used the United Arab Emirates Healthy Future Study data collected from February 2016 to March 2023 involving 2124 Emiratis aged 18-61 years. We performed a Poisson regression under unadjusted and age-sex-and-BMI-adjusted models to obtain the risk ratio and its 95% confidence interval for our analysis of the association between birth weight and each adult sleep characteristics, compared to individuals with normal birth weight (≥2.5 kg). Those with LBW had significantly a 17% increased risk of difficulty waking up in the morning, compared to those with normal birth weight. In addition, females with LBW history were also at an increased risk of reporting difficulty waking up in the morning. Studies with objective sleep assessments that include measurements of more confounding factors are recommended to confirm these risks.
众所周知，出生体重异常，尤其是低出生体重（LBW），在成年后会产生长期的不良健康后果，睡眠紊乱被认为是这种关联的一个中介因素或调节因素。因此，我们旨在评估出生体重与自我报告的成人睡眠特征之间的关联：睡眠时间、早晨醒来困难、每日午睡频率、夜间睡眠问题、打鼾、白天疲劳或困倦以及睡眠期间是否曾停止呼吸。这项横断面分析使用了2016年2月至2023年3月收集的阿联酋健康未来研究数据，涉及2124名年龄在18 - 61岁的阿联酋人。我们在未调整以及年龄、性别和BMI调整的模型下进行了泊松回归，以获得风险比及其95%置信区间，用于分析出生体重与每种成人睡眠特征之间的关联，并与出生体重正常（≥2.5千克）的个体进行比较。与出生体重正常的人相比，低出生体重者早晨醒来困难的风险显著增加了17%。此外，有低出生体重史的女性早晨醒来困难的报告风险也有所增加。建议进行包括测量更多混杂因素的客观睡眠评估研究，以证实这些风险。
