Correlates of Short and Long Sleep Duration: A Cross-Cultural Comparison Between the United Kingdom and the United States The Whitehall II Study and the Western New York Health Study

被引：284

作者：

Stranges, Saverio ^{[1
,2
]}

Dorn, Joan M. ^{[2
]}

Shipley, Martin J. ^{[3
]}

Kandala, Ngianga-Bakwin ^{[1
]}

Trevisan, Maurizio ^{[2
]}

Miller, Michelle A. ^{[1
]}

Donahue, Richard P. ^{[2
]}

Hovey, Kathleen M. ^{[2
]}

Ferrie, Jane E. ^{[3
]}

Marmot, Michael G. ^{[3
]}

Cappuccio, Francesco P. ^{[1
]}

机构：

[1] Univ Warwick, Sch Med, Clin Sci Res Inst, Cardiovasc Med & Epidemiol Grp, Coventry CV2 2DX, W Midlands, England

[2] SUNY Buffalo, Sch Publ Hlth & Hlth Profess, Dept Social & Prevent Med, Buffalo, NY 14260 USA

[3] UCL, Sch Med, Int Ctr Hlth & Soc, London W1N 8AA, England

来源：

AMERICAN JOURNAL OF EPIDEMIOLOGY | 2008年 / 168卷 / 12期

基金：

英国医学研究理事会;

关键词：

comorbidity; confounding factors (epidemiology); cross-cultural comparison; life style; sleep;

D O I：

10.1093/aje/kwn337

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The authors examined sociodemographic, lifestyle, and comorbidity factors that could confound or mediate U-shaped associations between sleep duration and health in 6,472 United Kingdom adults from the Whitehall 11 Study (1997-1999) and 3,027 US adults from the Western New York Health Study (1996-2001). Cross-sectional associations between short (< 6 hours) and long (> 8 hours) durations of sleep across several correlates were calculated as multivariable odds ratios. For short sleep duration, there were significant, consistent associations in both samples for unmarried status (United Kingdom: adjusted odds ratio (AOR) = 1.49, 95% confidence interval (CI): 1.15,1.94; United States: AOR - 1.49, 95% CI: 1.10, 2.02), body mass index (AORs were 1.04 (95% CI: 1.01, 1.07) and 1.02 (95% CI: 1.00, 1.05)), and Short Form-36 physical (AORs were 0.96 (95% CI: 0.95, 0.98) and 0.97 (95% CI: 0.96, 0.98)) and mental (AORs were 0.95 (95% CI: 0.94, 0.96) and 0.98 (95% CI: 0.96, 0.99)) scores. For long sleep duration, there were fewer significant associations: age among men (AORs were 1.08 (95% CI: 1.01, 1.14) and 1.05 (95% CI: 1.02,1.08)), low physical activity (AORs were 1.75 (95% CI: 0.97, 3.14) and 1.60 (95% CI: 1.09, 2.34)), and Short Form-36 physical score (AORs were 0.96 (95% CI: 0.93, 0.99) and 0.97 (95% CI: 0.95, 0.99)). Being unmarried, being overweight, and having poor general health are associated with short sleep and may contribute to observed disease associations. Long sleep may represent an epiphenomenon of comorbidity.

引用

页码：1353 / 1364

页数：12

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