Is Sleep Quality More Important than Sleep Duration for Public Health?

Bin, Yu Sun

doi:10.5665/sleep.6078

Cited by 107 publications

(85 citation statements)

References 21 publications

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“…The reason we used both sleep duration and sleep quality as predictors of PA was that both variables have been consistently associated with each other and it has been proposed that both sleep duration and sleep quality should be taken into account for public health [ 33 ]. Also, both variables have been consistently associated with similar negative health-related outcomes [ 9 , 11 , 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Sleep Duration and Sleep Quality Are Associated with Physical Activity in Elderly People Living in Nursing Homes

Štefan

Vrgoč

Rupčić

et al. 2018

IJERPH

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The main purpose of the study was to explore the associations of sleep duration and sleep quality with physical activity (PA). In this cross-sectional study, participants were 894 elderly individuals (mean age 80 ± 3 years; 56.0% women) living in nursing homes. PA, sleep duration, and sleep quality (based on the Pittsburgh Sleep Quality Index (PSQI)) were self-reported. The associations of sleep duration and sleep quality with PA at the nursing home level were analyzed using generalized estimating equations with clustering. Participants reporting short sleep duration (<6 h; OR = 0.45; 95% CI 0.25–0.80) were less likely to report sufficient PA, yet those reporting long sleep duration (>9 h; OR = 2.61; 95% CI 1.35–5.02) and good sleep quality (<5 points; OR = 1.59; 95% CI 1.19–2.12) were more likely to report sufficient PA. When sleep duration and sleep quality were entered into the same model, the same associations remained. This study shows that elderly individuals who report short sleep duration are less likely to meet PA guidelines, while those who report long sleep duration and good sleep quality are more likely to meet PA guidelines. Strategies aiming to improve sleep duration and sleep quality are warranted.

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Section: Discussionmentioning

confidence: 99%

Sleep Duration and Sleep Quality Are Associated with Physical Activity in Elderly People Living in Nursing Homes

Štefan

Vrgoč

Rupčić

et al. 2018

IJERPH

View full text Add to dashboard Cite

show abstract

“…studies that have provided support for the stronger role of sleep duration over sleep quality in its relation with physical health as Bin proposed [9]. In fact, in one study that examined how onset of impaired sleep affects the risk of established cardiovascular diseases, Clark et al [34] found the onset of sleep disturbances rather than short or long sleep to predict subsequent risk of hypertension and dyslipidaemia.…”

Section: Plos Onementioning

confidence: 99%

“…While many studies have since examined the link between sleep and chronic diseases, Bin [9] identified several limitations in this field of research. Firstly, it has been proposed by Bin that much of these evidence points to connecting sleep duration to physical health, and linking sleep quality to mental health.…”

Section: Introductionmentioning

confidence: 99%

Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study

et al. 2020

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Sleep duration and sleep quality are often linked to increased risk of mortality and morbidity. However, national representative data on both sleep duration and sleep quality and their relationship with chronic health problems are rarely available from the same source. This current study aimed to examine the independent and combined associations of sleep duration and sleep quality with physical and mental disorders, using data from the Singapore Mental Health Study 2016. 6,126 residents aged �18years participated in this epidemiological, cross-sectional survey. Sleep measures were assessed using the Pittsburg Sleep Quality Index while lifetime or 12-month medical and psychiatric diagnoses were established using the Composite International Diagnostic Interview 3.0. Both short sleep (<6hrs compared to 7-8hrs) and poor sleep were found to be independently associated with chronic pain, obsessive compulsive disorder and any mental disorder while poor sleep was additionally associated with major depressive disorder, bipolar disorder, generalized anxiety disorder and any physical disorder, when adjusted for confounders. Poor sleep combined with short sleep (�6hrs/day vs 7-8hrs/day) was associated with the highest number of comorbidities among other sleep combinations. Sleep duration and sleep quality, when adjusted for each other, remained independently associated with both physical and mental disorders. Affective disorders may be more closely related to poor sleep quality compared to abnormal sleep duration. Our findings suggest sleep quality to be a more important indicator for psychological and overall health compared to sleep duration.

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“…Given that sleep durations attained from single-phrased sleep questions have also been related to sleep quality, it is possible that such measures of sleep duration also include a subjective component of sleep quality. 67 Are declines in sleep quality responsible for the perceived decreases in sleep duration, even while objective diaries suggest the time-opportunity for sleep has not changed? Recent narrative review has shown that indicators of poor sleep quality such as insomnia symptoms, use of sleep medications, and ambulatory care visits involving complaints of sleep disturbances have increased in several countries since the 1990s.…”

Section: Trends In Adults' Sleep Durationmentioning

confidence: 99%

Past, present, and future: trends in sleep duration and implications for public health

et al. 2017

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Is Sleep Quality More Important than Sleep Duration for Public Health?

Cited by 107 publications

References 21 publications

Sleep Duration and Sleep Quality Are Associated with Physical Activity in Elderly People Living in Nursing Homes

Sleep Duration and Sleep Quality Are Associated with Physical Activity in Elderly People Living in Nursing Homes

Independent and combined associations of sleep duration and sleep quality with common physical and mental disorders: Results from a multi-ethnic population-based study

Past, present, and future: trends in sleep duration and implications for public health

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