Erica I Lubetkin1, Haomiao Jia2. 1. Department of Community Health and Social Medicine, CUNY School of Medicine, 160 Convent Avenue, H313J, New York, NY, USA. Electronic address: lubetkin@med.cuny.edu. 2. Department of Biostatistics, Mailman School of Public Health and School of Nursing, Columbia University, 617 West 168th Street, New York, NY, 10032, USA.
Abstract
OBJECTIVES: The Centers for Disease Control and Prevention emphasizes conceptualizing sleep as a healthy behavior. Although a large literature exists documenting the morbidity or mortality of suboptimal sleep, fewer investigations have examined the burden of disease in a single number combining morbidity and mortality. This study examined the morbidity, as measured by health-related quality of life (HRQOL), mortality, and quality-adjusted life years (QALY) due to suboptimal (inadequate or excessive) sleep. DESIGN AND PARTICIPANTS: We ascertained respondents' HRQOL scores and mortality status from the 2005 to 2008 National Health and Nutrition Examination Survey (NHANES) with mortality follow-up data through December 31, 2011 for respondents aged 65 and older (n=2380). We estimated mean QALY according to duration of sleep, minutes to fall asleep, number of sleeping problems, and daytime impact. RESULTS: More than one third of participants reported a suboptimal sleep duration. Short sleep duration had a greater adverse impact on morbidity, with reductions in HRQOL, while long sleep duration had a greater adverse impact on mortality. Compared to participants who reported between 7 and 9 hours of sleep per night, mean QALYs were significantly lower among participants who slept 10 or more hours a night (7.8 QALY; decrease of 9.8 QALY). CONCLUSIONS: This study confirmed the association between suboptimal sleep and greater burden of disease among the elderly US population. Our findings provide support for treating sleep as a healthy (health risk) behavior, thereby having implications for primary care providers and public health surveillance.
OBJECTIVES: The Centers for Disease Control and Prevention emphasizes conceptualizing sleep as a healthy behavior. Although a large literature exists documenting the morbidity or mortality of suboptimal sleep, fewer investigations have examined the burden of disease in a single number combining morbidity and mortality. This study examined the morbidity, as measured by health-related quality of life (HRQOL), mortality, and quality-adjusted life years (QALY) due to suboptimal (inadequate or excessive) sleep. DESIGN AND PARTICIPANTS: We ascertained respondents' HRQOL scores and mortality status from the 2005 to 2008 National Health and Nutrition Examination Survey (NHANES) with mortality follow-up data through December 31, 2011 for respondents aged 65 and older (n=2380). We estimated mean QALY according to duration of sleep, minutes to fall asleep, number of sleeping problems, and daytime impact. RESULTS: More than one third of participants reported a suboptimal sleep duration. Short sleep duration had a greater adverse impact on morbidity, with reductions in HRQOL, while long sleep duration had a greater adverse impact on mortality. Compared to participants who reported between 7 and 9 hours of sleep per night, mean QALYs were significantly lower among participants who slept 10 or more hours a night (7.8 QALY; decrease of 9.8 QALY). CONCLUSIONS: This study confirmed the association between suboptimal sleep and greater burden of disease among the elderly US population. Our findings provide support for treating sleep as a healthy (health risk) behavior, thereby having implications for primary care providers and public health surveillance.
Authors: Noor Adra; Haoqi Sun; Wolfgang Ganglberger; Elissa M Ye; Lisa W Dümmer; Ryan A Tesh; Mike Westmeijer; Madalena Da Silva Cardoso; Erin Kitchener; An Ouyang; Joel Salinas; Jonathan Rosand; Sydney S Cash; Robert J Thomas; M Brandon Westover Journal: Sleep Date: 2022-04-11 Impact factor: 6.313
Authors: Giuseppe Didato; Roberta Di Giacomo; Giuseppa Jolanda Rosa; Ambra Dominese; Marco de Curtis; Paola Lanteri Journal: Int J Environ Res Public Health Date: 2020-05-22 Impact factor: 3.390
Authors: Alexandra P Metse; Caitlin Fehily; Tara Clinton-McHarg; Olivia Wynne; Sharon Lawn; John Wiggers; Jenny A Bowman Journal: BMC Public Health Date: 2021-03-06 Impact factor: 3.295