Clinical and polysomnographic predictors of the Natural History of poor sleep in the general population
Study Objectives: Approximately 8-10% of the general population suffers from chronic insomnia, whereas another 20-30% of the population has insomnia symptoms at any given time (i.e., poor sleep). However, few longitudinal studies have examined risk factors of the natural history of poor sleep, and n...
| Autores: | , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2012 |
| País: | España |
| Institución: | Universidad Autónoma de Madrid |
| Repositorio: | Biblos-e Archivo. Repositorio Institucional de la UAM |
| Idioma: | inglés |
| OAI Identifier: | oai:repositorio.uam.es:10486/668643 |
| Acceso en línea: | http://hdl.handle.net/10486/668643 https://dx.doi.org/10.5665/sleep.1832 |
| Access Level: | acceso abierto |
| Palabra clave: | Incidence Persistence Poor sleep Chronic insomnia Polysomnography Medicina |
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Clinical and polysomnographic predictors of the Natural History of poor sleep in the general populationFernandez-Mendoza, JulioVgontzas, Alexandros N.Bixler, Edward O.Singareddy, RaviShaffer, Michele L.Calhoun, Susan L.Karataraki, MariaVela Bueno, AntonioLiao, DuanpingIncidencePersistencePoor sleepChronic insomniaPolysomnographyMedicinaStudy Objectives: Approximately 8-10% of the general population suffers from chronic insomnia, whereas another 20-30% of the population has insomnia symptoms at any given time (i.e., poor sleep). However, few longitudinal studies have examined risk factors of the natural history of poor sleep, and none have examined the role of polysomnographic (PSG) variables. Design: Representative longitudinal study. Setting: Sleep laboratory. Participants: From a random, general population sample of 1,741 individuals of the adult Penn State Cohort, 1,395 were followed up after 7.5 yr. Measurements: Full medical evaluation and 1-night PSG at baseline and telephone interview at follow-up. Results: The rate of incident poor sleep was 18.4%. Physical (e.g., obesity, sleep apnea, and ulcer) and mental (e.g., depression) health conditions and behavioral factors (e.g., smoking and alcohol consumption) increased the odds of incident poor sleep as compared to normal sleep. The rates of persistent, remitted, and poor sleepers who developed chronic insomnia were 39%, 44%, and 17%, respectively. Risk factors for persistent poor sleep were physical health conditions combined with psychologic distress. Shorter objective sleep duration and a family history of sleep problems were risk factors for poor sleep evolving into chronic insomnia. Conclusions: Poor sleep appears to be primarily a symptom of physical and mental health conditions, whereas the persistence of poor sleep is associated with psychologic distress. Importantly, sleep apnea appears to be associated with incident poor sleep but not with chronic insomnia. Finally, this study suggests that objective short sleep duration in poor sleepers is a biologic marker of genetic predisposition to chronic insomniaThis research was funded in part by the National Institutes of Health grants RO1 51931, RO1 40916 (to Dr. Bixler), and RO1 64415 (to Dr. Vgontzas).American Academy of Sleep MedicineDepartamento de PsiquiatríaFacultad de Medicina20122012-01-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/668643https://dx.doi.org/10.5665/sleep.1832reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/6686432026-06-23T12:46:27Z |
| dc.title.none.fl_str_mv |
Clinical and polysomnographic predictors of the Natural History of poor sleep in the general population |
| title |
Clinical and polysomnographic predictors of the Natural History of poor sleep in the general population |
| spellingShingle |
Clinical and polysomnographic predictors of the Natural History of poor sleep in the general population Fernandez-Mendoza, Julio Incidence Persistence Poor sleep Chronic insomnia Polysomnography Medicina |
| title_short |
Clinical and polysomnographic predictors of the Natural History of poor sleep in the general population |
| title_full |
Clinical and polysomnographic predictors of the Natural History of poor sleep in the general population |
| title_fullStr |
Clinical and polysomnographic predictors of the Natural History of poor sleep in the general population |
| title_full_unstemmed |
Clinical and polysomnographic predictors of the Natural History of poor sleep in the general population |
| title_sort |
Clinical and polysomnographic predictors of the Natural History of poor sleep in the general population |
| dc.creator.none.fl_str_mv |
Fernandez-Mendoza, Julio Vgontzas, Alexandros N. Bixler, Edward O. Singareddy, Ravi Shaffer, Michele L. Calhoun, Susan L. Karataraki, Maria Vela Bueno, Antonio Liao, Duanping |
| author |
Fernandez-Mendoza, Julio |
| author_facet |
Fernandez-Mendoza, Julio Vgontzas, Alexandros N. Bixler, Edward O. Singareddy, Ravi Shaffer, Michele L. Calhoun, Susan L. Karataraki, Maria Vela Bueno, Antonio Liao, Duanping |
| author_role |
author |
| author2 |
Vgontzas, Alexandros N. Bixler, Edward O. Singareddy, Ravi Shaffer, Michele L. Calhoun, Susan L. Karataraki, Maria Vela Bueno, Antonio Liao, Duanping |
| author2_role |
author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Departamento de Psiquiatría Facultad de Medicina |
| dc.subject.none.fl_str_mv |
Incidence Persistence Poor sleep Chronic insomnia Polysomnography Medicina |
| topic |
Incidence Persistence Poor sleep Chronic insomnia Polysomnography Medicina |
| description |
Study Objectives: Approximately 8-10% of the general population suffers from chronic insomnia, whereas another 20-30% of the population has insomnia symptoms at any given time (i.e., poor sleep). However, few longitudinal studies have examined risk factors of the natural history of poor sleep, and none have examined the role of polysomnographic (PSG) variables. Design: Representative longitudinal study. Setting: Sleep laboratory. Participants: From a random, general population sample of 1,741 individuals of the adult Penn State Cohort, 1,395 were followed up after 7.5 yr. Measurements: Full medical evaluation and 1-night PSG at baseline and telephone interview at follow-up. Results: The rate of incident poor sleep was 18.4%. Physical (e.g., obesity, sleep apnea, and ulcer) and mental (e.g., depression) health conditions and behavioral factors (e.g., smoking and alcohol consumption) increased the odds of incident poor sleep as compared to normal sleep. The rates of persistent, remitted, and poor sleepers who developed chronic insomnia were 39%, 44%, and 17%, respectively. Risk factors for persistent poor sleep were physical health conditions combined with psychologic distress. Shorter objective sleep duration and a family history of sleep problems were risk factors for poor sleep evolving into chronic insomnia. Conclusions: Poor sleep appears to be primarily a symptom of physical and mental health conditions, whereas the persistence of poor sleep is associated with psychologic distress. Importantly, sleep apnea appears to be associated with incident poor sleep but not with chronic insomnia. Finally, this study suggests that objective short sleep duration in poor sleepers is a biologic marker of genetic predisposition to chronic insomnia |
| publishDate |
2012 |
| dc.date.none.fl_str_mv |
2012 2012-01-01 |
| dc.type.none.fl_str_mv |
research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10486/668643 https://dx.doi.org/10.5665/sleep.1832 |
| url |
http://hdl.handle.net/10486/668643 https://dx.doi.org/10.5665/sleep.1832 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
| dc.publisher.none.fl_str_mv |
American Academy of Sleep Medicine |
| publisher.none.fl_str_mv |
American Academy of Sleep Medicine |
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reponame:Biblos-e Archivo. Repositorio Institucional de la UAM instname:Universidad Autónoma de Madrid |
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Universidad Autónoma de Madrid |
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Biblos-e Archivo. Repositorio Institucional de la UAM |
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Biblos-e Archivo. Repositorio Institucional de la UAM |
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