Purpose This study investigated the optimal total sleep duration per day required by collegiate athletes to maintain the physical and mental health-related quality of life(HRQOL),compared with non-athlete students.Met...Purpose This study investigated the optimal total sleep duration per day required by collegiate athletes to maintain the physical and mental health-related quality of life(HRQOL),compared with non-athlete students.Methods In this cross-sectional study,a questionnaire survey was conducted to assess demographic variables,lifestyle and sleep habits,and HRQOL in 392 collegiate students(non-athletes,n=174;athletes,n=218).Physical component summary(PCS)and mental component summary(MCS)were assessed using the short-form-8 health survey.Participants with both good PCS and MCS were defined as having a good HRQOL.To confirm an association between the total sleep duration per day and good HRQOL,logistic regression analyses were conducted in non-athlete students and collegiate athletes separately.Subsequently,receiver-operating curve(ROC)analyses were performed for the detection of the cut-off point of total sleep duration per day sufficient to maintain a good HRQOL.Results The average total sleep duration per day was 7 h 19 min for collegiate athletes,and 78.9%of them had a worse PCS.The cut-off point of total sleep duration per day to maintain good HRQOL for collegiate athletes was 7.92 h(area under ROC,0.64;P=0.038;sensitivity,75.4%;specificity,57.9%),which was longer than 6.79 h for non-athlete students.Conclusion Collegiate athletes required longer nocturnal sleep than non-athlete students.Nevertheless,their habitual nocturnal sleep duration was shorter compared to their optimal duration;around 70%of them faced chronic insufficient sleep.Improving sleep habits and sleep education is important in maintaining their good health-related quality of life.展开更多
Background: Many adolescents have a sleep debt. Individuals sleeping for their optimal sleep duration are expected to experience no sleepiness. Then, it is important to recognize one’s optimal sleep duration to reduc...Background: Many adolescents have a sleep debt. Individuals sleeping for their optimal sleep duration are expected to experience no sleepiness. Then, it is important to recognize one’s optimal sleep duration to reduce sleep debt. However, there is no simple method to determine this value. Since body mass index and sleep duration exhibit a U-shaped association, it is expected that a person taking optimal sleep duration would show no marked deviation from the mean body mass index value for the population evaluated. By using self-reported sleepiness and standardized body mass index, this study aimed to estimate individual optimal sleep duration. Methods: Data from 2540 grade 5 - 11 students were used. Students who declared no sleepiness during class and also had a gender- and grade-standardized body mass index of ±1.5 were termed ideal students. The average sleep durations of ideal students were compared with those of non-ideal students. The differences of sleep duration between ideal and no-ideal students were added to habitual sleep duration of each non-ideal student to obtain assumed optimal sleep duration. A multiple regression line to predict assumed optimal sleep duration was calculated using the least squares method. Results: The mean sleep duration of 666 ideal students exceeded the lower limit of daily sleep duration proposed as “may be appropriate” for children aged 6 - 17 years by National Sleep Foundation of the USA, being longer than those of non-ideal students. Significant regression formula for assumed optimal sleep duration was obtained (adjusted R2 = 0.996, p Conclusions: No contradiction was identified in the sleep duration obtained from ideal students as with optimal sleep duration. Although further studies to confirm the current estimation are needed, a simple formula to estimate individual optimal sleep duration through easily obtainable parameters was proposed.展开更多
Mild thyroid stimulating hormone （TSH） elevations are highly prevalent whereas large proportion of individuals with TSH elevations is without chronic autoimmune thyroid diseases.TSH secretion exhibits a daily circad...Mild thyroid stimulating hormone （TSH） elevations are highly prevalent whereas large proportion of individuals with TSH elevations is without chronic autoimmune thyroid diseases.TSH secretion exhibits a daily circadian rhythm,and we previously reported that individuals with sleep disorders have significantly higher TSH levels than controls.展开更多
The purpose of this study was to assess factors associated with subjective sleep evaluation, chiefly excessive daytime sleepiness (EDS) in obstructive sleep apnea syndrome (OSAS) adult outpatients under continuous pos...The purpose of this study was to assess factors associated with subjective sleep evaluation, chiefly excessive daytime sleepiness (EDS) in obstructive sleep apnea syndrome (OSAS) adult outpatients under continuous positive airway pressure (CPAP) treatment. One thousand and forty-eight OSAS outpatients (mean age: 51.4% male: 90.5%) who were treated by CPAP were consecutively collected. Age, sex, CPAP compliance (CPAP usage as their device of nights with application-time of at least 4 hours per night objectively;%usage ≥ 4 h/d), and Japanese version of the Pittsburgh Sleep Quality Index (PSQI-J) of the patients showing EDS (Japanese version of the Epworth Sleepiness Scale;JESS ≥ 11) were compared cross-sectionally with those of the patients who did not show EDS (JESS < 11). Nineteen point two % of all patients showed EDS subjectively. Two hundred one patients were classified to an EDS(+) group and an 847 patients were classified to EDS(–) group. Age and global PSQI-J scores were significantly different between the two groups. Logistic regression showed that EDS was significantly associated with global PSQI-J scores, but not with age. Among PSQI-J components, overall sleep quality, duration of sleep, sleep disturbance, and day dysfunction due to sleepiness were significantly higher in the EDS(+) group. Especially, 19.4% of patient in the EDS(+) group reported actual sleep time during the past month to be less than 5 hours/day. Although functional relationship should be further evaluated, insufficient sleep is the main factor associated with EDS in the OSAS patients under CPAP treatment.展开更多
基金supported by a Ministry of Education,Culture,Sports,Science and Technology(MEXT)KAKENHI Grant-in-Aid for Young Scientists(B),No.16K16608.No industrial support is declared.
文摘Purpose This study investigated the optimal total sleep duration per day required by collegiate athletes to maintain the physical and mental health-related quality of life(HRQOL),compared with non-athlete students.Methods In this cross-sectional study,a questionnaire survey was conducted to assess demographic variables,lifestyle and sleep habits,and HRQOL in 392 collegiate students(non-athletes,n=174;athletes,n=218).Physical component summary(PCS)and mental component summary(MCS)were assessed using the short-form-8 health survey.Participants with both good PCS and MCS were defined as having a good HRQOL.To confirm an association between the total sleep duration per day and good HRQOL,logistic regression analyses were conducted in non-athlete students and collegiate athletes separately.Subsequently,receiver-operating curve(ROC)analyses were performed for the detection of the cut-off point of total sleep duration per day sufficient to maintain a good HRQOL.Results The average total sleep duration per day was 7 h 19 min for collegiate athletes,and 78.9%of them had a worse PCS.The cut-off point of total sleep duration per day to maintain good HRQOL for collegiate athletes was 7.92 h(area under ROC,0.64;P=0.038;sensitivity,75.4%;specificity,57.9%),which was longer than 6.79 h for non-athlete students.Conclusion Collegiate athletes required longer nocturnal sleep than non-athlete students.Nevertheless,their habitual nocturnal sleep duration was shorter compared to their optimal duration;around 70%of them faced chronic insufficient sleep.Improving sleep habits and sleep education is important in maintaining their good health-related quality of life.
文摘Background: Many adolescents have a sleep debt. Individuals sleeping for their optimal sleep duration are expected to experience no sleepiness. Then, it is important to recognize one’s optimal sleep duration to reduce sleep debt. However, there is no simple method to determine this value. Since body mass index and sleep duration exhibit a U-shaped association, it is expected that a person taking optimal sleep duration would show no marked deviation from the mean body mass index value for the population evaluated. By using self-reported sleepiness and standardized body mass index, this study aimed to estimate individual optimal sleep duration. Methods: Data from 2540 grade 5 - 11 students were used. Students who declared no sleepiness during class and also had a gender- and grade-standardized body mass index of ±1.5 were termed ideal students. The average sleep durations of ideal students were compared with those of non-ideal students. The differences of sleep duration between ideal and no-ideal students were added to habitual sleep duration of each non-ideal student to obtain assumed optimal sleep duration. A multiple regression line to predict assumed optimal sleep duration was calculated using the least squares method. Results: The mean sleep duration of 666 ideal students exceeded the lower limit of daily sleep duration proposed as “may be appropriate” for children aged 6 - 17 years by National Sleep Foundation of the USA, being longer than those of non-ideal students. Significant regression formula for assumed optimal sleep duration was obtained (adjusted R2 = 0.996, p Conclusions: No contradiction was identified in the sleep duration obtained from ideal students as with optimal sleep duration. Although further studies to confirm the current estimation are needed, a simple formula to estimate individual optimal sleep duration through easily obtainable parameters was proposed.
基金This study was supported by a grant from the National Natural Science Foundation of China （No. 81600603）.
文摘Mild thyroid stimulating hormone （TSH） elevations are highly prevalent whereas large proportion of individuals with TSH elevations is without chronic autoimmune thyroid diseases.TSH secretion exhibits a daily circadian rhythm,and we previously reported that individuals with sleep disorders have significantly higher TSH levels than controls.
文摘The purpose of this study was to assess factors associated with subjective sleep evaluation, chiefly excessive daytime sleepiness (EDS) in obstructive sleep apnea syndrome (OSAS) adult outpatients under continuous positive airway pressure (CPAP) treatment. One thousand and forty-eight OSAS outpatients (mean age: 51.4% male: 90.5%) who were treated by CPAP were consecutively collected. Age, sex, CPAP compliance (CPAP usage as their device of nights with application-time of at least 4 hours per night objectively;%usage ≥ 4 h/d), and Japanese version of the Pittsburgh Sleep Quality Index (PSQI-J) of the patients showing EDS (Japanese version of the Epworth Sleepiness Scale;JESS ≥ 11) were compared cross-sectionally with those of the patients who did not show EDS (JESS < 11). Nineteen point two % of all patients showed EDS subjectively. Two hundred one patients were classified to an EDS(+) group and an 847 patients were classified to EDS(–) group. Age and global PSQI-J scores were significantly different between the two groups. Logistic regression showed that EDS was significantly associated with global PSQI-J scores, but not with age. Among PSQI-J components, overall sleep quality, duration of sleep, sleep disturbance, and day dysfunction due to sleepiness were significantly higher in the EDS(+) group. Especially, 19.4% of patient in the EDS(+) group reported actual sleep time during the past month to be less than 5 hours/day. Although functional relationship should be further evaluated, insufficient sleep is the main factor associated with EDS in the OSAS patients under CPAP treatment.
