Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University, Beijing, China.
Peking-Tsinghua Centre for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing, China.
Transl Psychiatry. 2024 Aug 4;14(1):320. doi: 10.1038/s41398-024-03002-x.
The concept of a healthy lifestyle is receiving increasing attention. This study sought to identify an optimal healthy lifestyle profile associated with sleep health in general population of China. An online cross-sectional survey was conducted from June to July 2022. Six healthy lifestyle factors were assessed: healthy diet, regular physical exercise, never smoking, never drinking alcohol, low sedentary behavior, and normal weight. Participants were categorized into the healthy lifestyle (5-6 factors), average (3-4 factors), and unhealthy lifestyle groups (0-2 factors). The study's primary outcome was sleep health, which included sleep quality, duration, pattern, and the presence of any sleep disorder or disturbance, including insomnia, excessive daytime sleepiness, obstructive apnea syndrome, and narcolepsy. Multivariable logistic regression analysis was applied to explore lifestyles associated with the selected sleep health outcomes. 41,061 individuals were included, forming 18.8% healthy, 63.8% average, and 17.4% unhealthy lifestyle groups. After adjusting for covariates, participants with healthy lifestyle were associated with a higher likelihood of good sleep quality (OR = 1.56, 95% CI = 1.46-1.68), normal sleep duration (OR = 1.60, 95% CI = 1.49-1.72), healthy sleep pattern (OR = 2.15, 95% CI = 2.00-2.31), and lower risks of insomnia (OR = 0.66, 95% CI = 0.61-0.71), excessive daytime sleepiness (OR = 0.66, 95% CI = 0.60-0.73), and obstructive apnea syndrome (OR = 0.40, 95% CI = 0.37-0.43), but not narcolepsy (OR = 0.92, 95% CI = 0.83-1.03), compared to those with unhealthy lifestyle. This large cross-sectional study is the first to our knowledge to quantify the associations of a healthy lifestyle with specific aspects of sleep health. The findings offer support for efforts to improve sleep health by modulating lifestyle.
健康生活方式的概念越来越受到关注。本研究旨在确定与中国一般人群睡眠健康相关的最佳健康生活方式特征。2022 年 6 月至 7 月期间进行了一项在线横断面调查。评估了六个健康生活方式因素:健康饮食、有规律的体育锻炼、不吸烟、不饮酒、低久坐行为和正常体重。参与者分为健康生活方式组(5-6 个因素)、一般生活方式组(3-4 个因素)和不健康生活方式组(0-2 个因素)。研究的主要结果是睡眠健康,包括睡眠质量、持续时间、模式以及任何睡眠障碍或干扰,包括失眠、白天过度嗜睡、阻塞性睡眠呼吸暂停综合征和发作性睡病。应用多变量逻辑回归分析探讨与所选睡眠健康结果相关的生活方式。共纳入 41061 人,分为 18.8%的健康生活方式组、63.8%的一般生活方式组和 17.4%的不健康生活方式组。在调整协变量后,健康生活方式组参与者具有更高的睡眠质量良好(OR=1.56,95%CI=1.46-1.68)、睡眠持续时间正常(OR=1.60,95%CI=1.49-1.72)、睡眠模式健康(OR=2.15,95%CI=2.00-2.31)的可能性,以及失眠(OR=0.66,95%CI=0.61-0.71)、白天过度嗜睡(OR=0.66,95%CI=0.60-0.73)和阻塞性睡眠呼吸暂停综合征(OR=0.40,95%CI=0.37-0.43)风险降低,而发作性睡病(OR=0.92,95%CI=0.83-1.03)风险无差异,与不健康生活方式组相比。这是我们所知的第一项大规模横断面研究,旨在量化健康生活方式与睡眠健康特定方面的关联。研究结果为通过调节生活方式改善睡眠健康提供了支持。