Associations between changes in habitual sleep duration and lower self-rated health among COVID-19 survivors: findings from a survey across 16 countries/regions.

Autor: Matsui K; Department of Clinical Laboratory, National Center Hospital, National Center of Neurology and Psychiatry, Kodaira, Japan., Chung F; Department of Anesthesiology and Pain Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada., Bjelajac AK; Institute for Medical Research and Occupational Health, Zagreb, Croatia., Merikanto I; SleepWell Research Program, Faculty of Medicine, University of Helsinki, Helsinki, Finland.; Orton Orthopaedics Hospital, Helsinki, Finland., Korman M; Department of Occupational Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel., Mota-Rolim S; Brain Institute, Physiology and Behavior Department, and Onofre Lopes University Hospital, Federal University of Rio Grande do Norte, Natal, Brazil., Cunha AS; Medical College, Potiguar University, Natal, Brazil., Bjorvatn B; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.; Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway., Xue P; Department of Pharmaceutical Biosciences, Molecular Neuropharmacology, Uppsala University, Uppsala, Sweden., Benedict C; Department of Pharmaceutical Biosciences, Molecular Neuropharmacology, Uppsala University, Uppsala, Sweden., Morin CM; Centre de recherche CERVO/Brain Research Center, École de psychologie, Université Laval, Quebec City Quebec, Canada., Espie CA; Sir Jules Thorn Sleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK., Landtblom AM; Department of Medical Sciences, Neurology, Uppsala University, Uppsala, Sweden.; Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden., Penzel T; Sleep Medicine Center, Charite University Hospital Berlin, Berlin, Germany., De Gennaro L; Department of Psychology, Sapienza University of Rome, Roma, Lazio, Italy.; IRCCS Fondazione Santa Lucia, Roma, Italy., Holzinger B; Institute for Consciousness and Dream Research; Medical University of Vienna, Postgraduate Sleep Coaching, WienVienna, Austria., Hrubos-Strøm H; Department of Otorhinolaryngology, Akershus University Hospital, Lørenskog, Norway.; Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Leger D; VIFASOM (EA 7331 Vigilance Fatigue Sommeil et Santé Publique), Université Paris Cité, Paris, France.; APHP, Hôtel-Dieu, Centre du Sommeil et de la Vigilance, Paris, France., Bolstad CJ; Department of Psychology, Mississippi State University, Mississippi State, MS, USA.; South Texas Veterans Health Care System, San Antonio, Texas, USA., Nadorff MR; Department of Psychology, Mississippi State University, Mississippi State, MS, USA., Plazzi G; IRCCS Istituto Delle Scienze Neurologiche di Bologna, Bologna, Italy.; Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy., Reis C; Católica Research Centre for Psychological - Family and Social Wellbeing, Universidade Católica Portuguesa, Lisbon, Portugal.; Instituto de Medicina Molecular João Lobo Antunes, Faculdade de Medicina de Lisboa, Universidade de Lisboa, Lisboa, Portugal.; Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal., Chan NY; Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Wing YK; Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Yordanova J; Institute of Neurobiology, Bulgarian Academy of Sciences, Sofia, Bulgaria., Dauvilliers Y; Sleep-Wake Disorders Center, Department of Neurology, Gui-de-Chauliac Hospital, Institute for Neurosciences of Montpellier INM, INSERM, University of Montpellier, Montpellier, France., Partinen M; Department of Clinical Neurosciences, University of Helsinki Clinicum Unit, Helsinki, Finland.; Helsinki Sleep Clinic, Terveystalo Healthcare Services, Helsinki, Finland., Inoue Y; Japan Somnology Center, Institute of Neuropsychiatry, Tokyo, Japan. inoue@somnology.com.; Department of Somnology, Tokyo Medical University, Tokyo, Japan. inoue@somnology.com.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2023 Nov 28; Vol. 23 (1), pp. 2352. Date of Electronic Publication: 2023 Nov 28.
DOI: 10.1186/s12889-023-17258-3
Abstrakt: Background: Self-rated health (SRH) is widely recognized as a clinically significant predictor of subsequent mortality risk. Although COVID-19 may impair SRH, this relationship has not been extensively examined. The present study aimed to examine the correlation between habitual sleep duration, changes in sleep duration after infection, and SRH in subjects who have experienced SARS-CoV-2 infection.
Methods: Participants from 16 countries participated in the International COVID Sleep Study-II (ICOSS-II) online survey in 2021. A total of 10,794 of these participants were included in the analysis, including 1,509 COVID-19 individuals (who reported that they had tested positive for COVID-19). SRH was evaluated using a 0-100 linear visual analog scale. Habitual sleep durations of < 6 h and > 9 h were defined as short and long habitual sleep duration, respectively. Changes in habitual sleep duration after infection of ≤ -2 h and ≥ 1 h were defined as decreased or increased, respectively.
Results: Participants with COVID-19 had lower SRH scores than non-infected participants, and those with more severe COVID-19 had a tendency towards even lower SRH scores. In a multivariate regression analysis of participants who had experienced COVID-19, both decreased and increased habitual sleep duration after infection were significantly associated with lower SRH after controlling for sleep quality (β = -0.056 and -0.058, respectively, both p < 0.05); however, associations between current short or long habitual sleep duration and SRH were negligible. Multinomial logistic regression analysis showed that decreased habitual sleep duration was significantly related to increased fatigue (odds ratio [OR] = 1.824, p < 0.01), shortness of breath (OR = 1.725, p < 0.05), diarrhea/nausea/vomiting (OR = 2.636, p < 0.01), and hallucinations (OR = 5.091, p < 0.05), while increased habitual sleep duration was significantly related to increased fatigue (OR = 1.900, p < 0.01).
Conclusions: Changes in habitual sleep duration following SARS-CoV-2 infection were associated with lower SRH. Decreased or increased habitual sleep duration might have a bidirectional relation with post-COVID-19 symptoms. Further research is needed to better understand the mechanisms underlying these relationships for in order to improve SRH in individuals with COVID-19.
(© 2023. The Author(s).)
Databáze: MEDLINE
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