CC BY-NC-ND 4.0 · Sleep Sci 2023; 16(02): 165-173
DOI: 10.1055/s-0043-1770804
Original Article

Comparisons of Sleep, Demographics, and Health-Related Variables in Older Long and Average Duration Sleepers

1   Division of Pulmonary, Allergy, Critical Care Medicine and Sleep Medicine, University of Arizona, UAHS Center for Sleep and Circadian Sciences, Tucson, Arizona, United States
,
Michael R. Erwin
2   Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, California, United States
,
Richard Olmstead
2   Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, and Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, California, United States
,
Girardin Jean-Louis
3   Department of Psychiatry, NYU Grossman School of Medicine, New York, New York, United States
,
Sairam Parthasarathy
1   Division of Pulmonary, Allergy, Critical Care Medicine and Sleep Medicine, University of Arizona, UAHS Center for Sleep and Circadian Sciences, Tucson, Arizona, United States
,
Shawn D. Youngstedt
4   Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, United States
› Institutsangaben

Abstract

Introduction Long sleep duration is associated with many health risks, particularly in older adults, but little is known about other characteristics associated with long sleep duration.

Methods Across 5 sites, adults aged 60-80 years who reported sleeping 8-9 h (“long sleepers”, n = 95) or 6-7.25 h (“average sleepers”, n = 103) were assessed for two weeks using actigraphy and sleep diary. Demographic and clinical characteristics, objective sleep apnea screening, self-reported sleep outcomes, and markers of inflammation and glucose regulation were measured.

Results Compared to average sleepers, long sleepers had a greater likelihood of being White and unemployed and/or retired. Long sleepers also reported longer time in bed, total sleep time and wake after sleep onset by sleep diary and by actigraphy. Other measures including medical co-morbidity, apnea/hypopnea index, sleep related outcomes such as sleepiness, fatigue, depressed mood, or markers of inflammation and glucose metabolism did not differ between long and average sleepers.

Conclusion Older adults with long sleep duration were more likely to be White, report unemployment and retirement suggesting the social factors or related sleep opportunity contributed to long sleep duration in the sample. Despite known health risks of long sleep duration, neither co-morbidity nor markers of inflammation or metabolism differed in older adults with long sleep duration compared with those with average sleep duration.



Publikationsverlauf

Artikel online veröffentlicht:
06. Juli 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Amagai Y, Ishikawa S, Gotoh T. et al. Sleep duration and mortality in Japan: the Jichi Medical School Cohort Study. J Epidemiol 2004; 14 (04) 124-128
  • 2 Hublin C, Partinen M, Koskenvuo M, Kaprio J. Sleep and mortality: a population-based 22-year follow-up study. Sleep 2007; 30 (10) 1245-1253
  • 3 Kripke DF, Garfinkel L, Wingard DL, Klauber MR, Marler MR. Mortality associated with sleep duration and insomnia. Arch Gen Psychiatry 2002; 59 (02) 131-136
  • 4 Lan TY, Lan TH, Wen CP, Lin YH, Chuang YL. Nighttime sleep, Chinese afternoon nap, and mortality in the elderly. Sleep 2007; 30 (09) 1105-1110
  • 5 Patel SR, Ayas NT, Malhotra MR. et al. A prospective study of sleep duration and mortality risk in women. Sleep 2004; 27 (03) 440-444
  • 6 Åkerstedt T, Narusyte J, Svedberg P. Sleep duration and mortality - Influence of age and occupational group in retired individuals. Sleep Med 2021; 80: 199-203
  • 7 Gallicchio L, Kalesan B. Sleep duration and mortality: a systematic review and meta-analysis. J Sleep Res 2009; 18 (02) 148-158
  • 8 Kabat GC, Xue X, Kamensky V. et al. The association of sleep duration and quality with all-cause and cause-specific mortality in the Women's Health Initiative. Sleep Med 2018; 50: 48-54
  • 9 Pienaar PR, Kolbe-Alexander TL, van Mechelen W. et al. Associations Between Self-Reported Sleep Duration and Mortality in Employed Individuals: Systematic Review and Meta-Analysis. Am J Health Promot 2021; 35 (06) 853-865
  • 10 Youngstedt SD, Kripke DF. Long sleep and mortality: rationale for sleep restriction. Sleep Med Rev 2004; 8 (03) 159-174
  • 11 Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep 2010; 33 (05) 585-592
  • 12 Wang H, Sun J, Sun M, Liu N, Wang M. Relationship of Sleep Duration With The Risk of Stroke Incidence and Stroke Mortality: An updated Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies. Sleep Med 2022; 90: 267-278
  • 13 Grandner M, Mullington JM, Hashmi SD, Redeker NS, Watson NF, Morgenthaler TI. Sleep Duration and Hypertension: Analysis of > 700,000 Adults by Age and Sex. J Clin Sleep Med 2018; 14 (06) 1031-1039
  • 14 Yadav D, Cho KH. Total Sleep Duration and Risk of Type 2 Diabetes: Evidence-Based On Clinical and Epidemiological Studies. Curr Drug Metab 2018; 19 (12) 979-985
  • 15 Zhai L, Zhang H, Zhang D. Sleep Duration and Depression among Adults: A Meta-Analysis of Prospective Studies. Depress Anxiety 2015; 32 (09) 664-670
  • 16 Zhou Q, Zhang M, Hu D. Dose-response association between sleep duration and obesity risk: a systematic review and meta-analysis of prospective cohort studies. Sleep Breath 2019; 23 (04) 1035-1045
  • 17 Ju SY, Choi WS. Sleep duration and metabolic syndrome in adult populations: a meta-analysis of observational studies. Nutr Diabetes 2013; 3 (05) e65
  • 18 Kaneita Y, Uchiyama M, Yoshiike N, Ohida T. Associations of usual sleep duration with serum lipid and lipoprotein levels. Sleep 2008; 31 (05) 645-652
  • 19 Bakour C, Schwartz S, O'Rourke K. et al. Sleep Duration Trajectories and Systemic Inflammation in Young Adults: Results From the National Longitudinal Study of Adolescent to Adult Health (Add Health). Sleep 2017; 40 (11) 40
  • 20 Di Napoli M, Schwaninger M, Cappelli R. et al. Evaluation of C-reactive protein measurement for assessing the risk and prognosis in ischemic stroke: a statement for health care professionals from the CRP Pooling Project members. Stroke 2005; 36 (06) 1316-1329
  • 21 Sabatine MS, Morrow DA, Jablonski KA. et al; PEACE Investigators. Prognostic significance of the Centers for Disease Control/American Heart Association high-sensitivity C-reactive protein cut points for cardiovascular and other outcomes in patients with stable coronary artery disease. Circulation 2007; 115 (12) 1528-1536
  • 22 Watson NF, Badr MS, Belenky G. et al. Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep 2015; 38 (06) 843-844
  • 23 Hirshkowitz M, Whiton K, Albert SM. et al. National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health 2015; 1 (01) 40-43
  • 24 Patel SR, Blackwell T, Ancoli-Israel S, Stone KL. Osteoporotic Fractures in Men-Mr OSRG. Sleep characteristics of self-reported long sleepers. Sleep (Basel) 2012; 35: 641-648
  • 25 Kline CE, Zielinski MR, Devlin TM, Kripke DF, Bogan RK, Youngstedt SD. Self-reported long sleep in older adults is closely related to objective time in bed. Sleep Biol Rhythms 2010; 8 (01) 42-51
  • 26 Lauderdale DS, Knutson KL, Yan LL, Liu K, Rathouz PJ. Self-reported and measured sleep duration: how similar are they?. Epidemiology 2008; 19 (06) 838-845
  • 27 Silva GE, Goodwin JL, Sherrill DL. et al. Relationship between reported and measured sleep times: the sleep heart health study (SHHS). J Clin Sleep Med 2007; 3 (06) 622-630
  • 28 Roepke SE, Duffy JF. Differential impact of chronotype on weekday and weekend sleep timing and duration. Nat Sci Sleep 2010; 2010 (02) 213-220
  • 29 Hicks RA, Youmans K. The sleep-promoting behaviors of habitual short- and longer-sleeping adults. Percept Mot Skills 1989; 69 (01) 145-146
  • 30 Youngstedt SD, Kline CE, Zielinski MR. et al. Tolerance of chronic 90-minute time-in-bed restriction in older long sleepers. Sleep 2009; 32 (11) 1467-1479
  • 31 Youngstedt SD, Goff EE, Reynolds AM. et al. Has adult sleep duration declined over the last 50+ years?. Sleep Med Rev 2016; 28: 69-85
  • 32 Bin YS, Marshall NS, Glozier N. Sleeping at the limits: the changing prevalence of short and long sleep durations in 10 countries. Am J Epidemiol 2013; 177 (08) 826-833
  • 33 da Silva AA, de Mello RG, Schaan CW, Fuchs FD, Redline S, Fuchs SC. Sleep duration and mortality in the elderly: a systematic review with meta-analysis. BMJ Open 2016; 6 (02) e008119
  • 34 Youngstedt SD, Jean-Louis G, Bootzin RR. et al. Chronic moderate sleep restriction in older long sleepers and older average duration sleepers: a randomized controlled trial. Contemp Clin Trials 2013; 36 (01) 175-186
  • 35 Roffman CE, Buchanan J, Allison GT. Charlson Comorbidities Index. J Physiother 2016; 62 (03) 171
  • 36 Yesavage JA, Brink TL, Rose TL. et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982; -1983 17 (01) 37-49
  • 37 Gottlieb DJ, Punjabi NM, Newman AB. et al. Association of sleep time with diabetes mellitus and impaired glucose tolerance. Arch Intern Med 2005; 165 (08) 863-867
  • 38 Zavada A, Gordijn MC, Beersma DG, Daan S, Roenneberg T. Comparison of the Munich Chronotype Questionnaire with the Horne-Ostberg's Morningness-Eveningness Score. Chronobiol Int 2005; 22 (02) 267-278
  • 39 Stein KD, Martin SC, Hann DM, Jacobsen PB. A multidimensional measure of fatigue for use with cancer patients. Cancer Pract 1998; 6 (03) 143-152
  • 40 Ware Jr JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30 (06) 473-483
  • 41 Weaver TE, Laizner AM, Evans LK. et al. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep 1997; 20 (10) 835-843
  • 42 Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28 (02) 193-213
  • 43 Cole RJ, Kripke DF, Gruen W, Mullaney DJ, Gillin JC. Automatic sleep/wake identification from wrist activity. Sleep 1992; 15 (05) 461-469
  • 44 Jean-Louis G, Kripke DF, Mason WJ, Elliott JA, Youngstedt SD. Sleep estimation from wrist movement quantified by different actigraphic modalities. J Neurosci Methods 2001; 105 (02) 185-191
  • 45 Trout KK, Homko C, Tkacs NC. Methods of measuring insulin sensitivity. Biol Res Nurs 2007; 8 (04) 305-318
  • 46 Guedes LG, Abreu GdeA, Rodrigues DF, Teixeira LR, Luiz RR, Bloch KV. Comparison between self-reported sleep duration and actigraphy among adolescents: gender differences. Rev Bras Epidemiol 2016; 19 (02) 339-347
  • 47 Hagen EW, Barnet JH, Hale L, Peppard PE. Changes in Sleep Duration and Sleep Timing Associated with Retirement Transitions. Sleep 2016; 39 (03) 665-673
  • 48 Antillón M, Lauderdale DS, Mullahy J. Sleep behavior and unemployment conditions. Econ Hum Biol 2014; 14: 22-32
  • 49 Adenekan B, Pandey A, McKenzie S, Zizi F, Casimir GJ, Jean-Louis G. Sleep in America: role of racial/ethnic differences. Sleep Med Rev 2013; 17 (04) 255-262
  • 50 Lucassen EA, Zhao X, Rother KI. et al; Sleep Extension Study Group. Evening chronotype is associated with changes in eating behavior, more sleep apnea, and increased stress hormones in short sleeping obese individuals. PLoS One 2013; 8 (03) e56519
  • 51 Fischer D, Lombardi DA, Marucci-Wellman H, Roenneberg T. Chronotypes in the US - Influence of age and sex. PLoS One 2017; 12 (06) e0178782
  • 52 Roenneberg T, Kuehnle T, Juda M. et al. Epidemiology of the human circadian clock. Sleep Med Rev 2007; 11 (06) 429-438
  • 53 Hayashino Y, Yamazaki S, Takegami M, Nakayama T, Sokejima S, Fukuhara S. Association between number of comorbid conditions, depression, and sleep quality using the Pittsburgh Sleep Quality Index: results from a population-based survey. Sleep Med 2010; 11 (04) 366-371
  • 54 Patel SR, Zhu X, Storfer-Isser A. et al. Sleep duration and biomarkers of inflammation. Sleep 2009; 32 (02) 200-204