Evening intake of alcohol, caffeine, and nicotine: night-to-night associations with sleep duration and continuity among African Americans in the Jackson Heart Sleep Study

被引:27
|
作者
Spadola, Christine E. [1 ]
Guo, Na [2 ,3 ]
Johnson, Dayna A. [4 ]
Sofer, Tamar [2 ,3 ]
Bertisch, Suzanne M. [2 ,3 ]
Jackson, Chandra L. [5 ,6 ]
Rueschman, Michael [2 ]
Mittleman, Murray A. [7 ]
Wilson, James G. [2 ,8 ,9 ]
Redline, Susan [2 ,3 ]
机构
[1] Florida Atlantic Univ, Phyllis & Harvey Sandler Sch Social Work, 777 Glades Rd SO303, Boca Raton, FL 33431 USA
[2] Brigham & Womens Hosp, Div Sleep & Circadian Disorders, 75 Francis St, Boston, MA 02115 USA
[3] Harvard Med Sch, Div Sleep Med, Boston, MA 02115 USA
[4] Emory Univ, Dept Epidemiol, Atlanta, GA 30322 USA
[5] NIEHS, Epidemiol Branch, Dept Hlth & Human Serv, NIH, POB 12233, Res Triangle Pk, NC 27709 USA
[6] Natl Inst Minor Hlth & Hlth Dispar, Intramural Program, Dept Hlth & Human Serv, NIH, Bethesda, MD USA
[7] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
[8] Univ Mississippi, Med Ctr, Mississippi Ctr Clin & Translat Res, Jackson, MS 39216 USA
[9] Harvard Med Sch, Boston, MA 02115 USA
基金
美国国家卫生研究院;
关键词
African Americans; Jackson Heart Study; sleep; sleep hygiene; sleep health; alcohol; caffeine; nicotine; actigraphy; wake after sleep onset; sleep efficiency; total sleep time; NOCTURNAL SLEEP; HEALTH; EEG; ETHANOL; SMOKING;
D O I
10.1093/sleep/zsz136
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Objectives: We examined the night-to-night associations of evening use of alcohol, caffeine, and nicotine with actigraphically estimated sleep duration, sleep efficiency, and wake after sleep onset (WASO) among a large cohort of African American adults. Methods: Participants in the Jackson Heart Sleep Study underwent wrist actigraphy for an average of 6.7 nights and completed concurrent daily sleep diary assessments to record any consumption of alcohol, caffeine, and nicotine within 4 hours of bedtime. Linear mixed-effect models were fit and adjusted for age, sex, educational attainment, body mass index, depression, anxiety, stress, and having work/school the next day. Results: Eligible participants (n = 785) were an average of 63.7 years (SD: 10.6), and were predominantly female (67.9%). There were 5164 days of concurrent actigraphy and sleep diary data. Evening alcohol use was associated with that night's lower sleep efficiency (-0.98% [95% CI: -1.67% to -0.29%], p = 0.005), but not with WASO or sleep duration. Evening nicotine use was associated with that night's lower sleep efficiency [1.74% (95% CI: -2.79 to -0.68), p = 0.001] and 6.09 minutes higher WASO ([95% CI: 0.82 to 11.35], p = 0.02), but was not associated with sleep duration. Evening caffeine use was not associated with any of the sleep parameters. Conclusion: Nicotine and alcohol use within 4 hours of bedtime were associated with increased sleep fragmentation in the associated night, even after controlling for multiple potential confounders. These findings support the importance of sleep health recommendations that promote the restriction of evening alcohol and nicotine use to improve sleep continuity.
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页数:7
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