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Ten-Year Stability of an Insomnia Sleeper Phenotype and Its Association With Chronic Conditions

S. Lee, CE. Smith, ML. Wallace, OM. Buxton, DM. Almeida, SR. Patel, R. Andel

. 2024 ; 86 (4) : 289-297. [pub] 20240216

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural

Perzistentní odkaz   https://www.medvik.cz/link/bmc24014135

Grantová podpora
U01 AG077928 NIA NIH HHS - United States
RF1 AG056331 NIA NIH HHS - United States
R43 AG056250 NIA NIH HHS - United States
R44 AG056250 NIA NIH HHS - United States
R56 AG065251 NIA NIH HHS - United States
R01 HL163226 NHLBI NIH HHS - United States
P01 AG020166 NIA NIH HHS - United States
U19 AG051426 NIA NIH HHS - United States

OBJECTIVE: To identify distinct sleep health phenotypes in adults, examine transitions in sleep health phenotypes over time, and subsequently relate these to the risk of chronic conditions. METHODS: A national sample of adults from the Midlife in the United States study ( N = 3683) provided longitudinal data with two time points (T1: 2004-2006, T2: 2013-2017). Participants self-reported on sleep health (regularity, satisfaction, alertness, efficiency, duration) and the number and type of chronic conditions. Covariates included age, sex, race, education, education, partnered status, number of children, work status, smoking, alcohol, and physical activity. RESULTS: Latent transition analysis identified four sleep health phenotypes across both time points: good sleepers, insomnia sleepers, weekend catch-up sleepers, and nappers. Between T1 and T2, the majority (77%) maintained their phenotype, with the nappers and insomnia sleepers being the most stable. In fully adjusted models with good sleepers at both time points as the reference, being an insomnia sleeper at either time point was related to having an increased number of total chronic conditions by 28%-81% at T2, adjusting for T1 conditions. Insomnia sleepers at both time points were at 72%-188% higher risk for cardiovascular disease, diabetes, depression, and frailty. Being a napper at any time point related to increased risks for diabetes, cancer, and frailty. Being a weekend catch-up sleeper was not associated with chronic conditions. Those with lower education and unemployed were more likely to be insomnia sleepers; older adults and retirees were more likely to be nappers. CONCLUSION: Findings indicate a heightened risk of chronic conditions involved in suboptimal sleep health phenotypes, mainly insomnia sleepers.

Citace poskytuje Crossref.org

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$a Lee, Soomi $u From the Department of Human Development and Family Studies (Lee, Almeida), Pennsylvania State University, State College, Pennsylvania; Department of Psychology (Smith), University of South Florida, Tampa, Florida; Department of Psychiatry (Wallace), University of Pittsburgh, Pittsburgh; Department of Biobehavioral Health (Buxton), The Pennsylvania State University, State College, Pennsylvania; Department of Medicine (Patel), University of Pittsburgh, Pittsburgh, Pennsylvania; Edson College of Nursing and Health Innovation (Andel), Arizona State University, Phoenix, Arizona; and Department of Neurology, Second Faculty of Medicine (Andel), Charles University and Motol University Hospital, Prague, Czech Republic
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$a OBJECTIVE: To identify distinct sleep health phenotypes in adults, examine transitions in sleep health phenotypes over time, and subsequently relate these to the risk of chronic conditions. METHODS: A national sample of adults from the Midlife in the United States study ( N = 3683) provided longitudinal data with two time points (T1: 2004-2006, T2: 2013-2017). Participants self-reported on sleep health (regularity, satisfaction, alertness, efficiency, duration) and the number and type of chronic conditions. Covariates included age, sex, race, education, education, partnered status, number of children, work status, smoking, alcohol, and physical activity. RESULTS: Latent transition analysis identified four sleep health phenotypes across both time points: good sleepers, insomnia sleepers, weekend catch-up sleepers, and nappers. Between T1 and T2, the majority (77%) maintained their phenotype, with the nappers and insomnia sleepers being the most stable. In fully adjusted models with good sleepers at both time points as the reference, being an insomnia sleeper at either time point was related to having an increased number of total chronic conditions by 28%-81% at T2, adjusting for T1 conditions. Insomnia sleepers at both time points were at 72%-188% higher risk for cardiovascular disease, diabetes, depression, and frailty. Being a napper at any time point related to increased risks for diabetes, cancer, and frailty. Being a weekend catch-up sleeper was not associated with chronic conditions. Those with lower education and unemployed were more likely to be insomnia sleepers; older adults and retirees were more likely to be nappers. CONCLUSION: Findings indicate a heightened risk of chronic conditions involved in suboptimal sleep health phenotypes, mainly insomnia sleepers.
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