The association between subjective–objective discrepancies in sleep duration and mortality in older men

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作者
Tomohiro Utsumi
Takuya Yoshiike
Yoshitaka Kaneita
Sayaka Aritake-Okada
Kentaro Matsui
Kentaro Nagao
Kaori Saitoh
Rei Otsuki
Masahiro Shigeta
Masahiro Suzuki
Kenichi Kuriyama
机构
[1] National Institute of Mental Health,Department of Sleep
[2] National Center of Neurology and Psychiatry,Wake Disorders
[3] The Jikei University School of Medicine,Department of Psychiatry
[4] Nihon University School of Medicine,Division of Public Health, Department of Social Medicine
[5] Saitama Prefectural University,Department of Health Sciences
[6] National Center Hospital,Department of Clinical Laboratory
[7] National Center of Neurology and Psychiatry,Department of Psychiatry
[8] National Center Hospital,Department of Psychiatry
[9] National Center of Neurology and Psychiatry,undefined
[10] Nihon University School of Medicine,undefined
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摘要
A discrepancy in subjective and objective estimations of sleep duration, which often diverge, could have long-term adverse effects on health outcomes in older adults. Using data from 2674 older adult men (≥ 65 years of age) of the Osteoporotic Fractures in Men Sleep Study, we assessed the longitudinal association between misperception index (MI), calculated as MI = (objective sleep duration – subjective sleep duration)/objective sleep duration, and all-cause mortality. During the follow-up with a mean (standard deviation) of 10.8 (4.2) years, 1596 deaths were observed. As a continuous variable, MI showed a linear relationship with all-cause mortality after adjusting for multiple covariates, including polysomnography-measured objective sleep duration [fully adjusted hazard ratio (HR), 0.69; 95% confidence interval [CI], 0.56–0.84]. As a categorical variable, the lowest MI quartile (vs. the interquartile MI range) was associated with increased mortality (fully adjusted HR, 1.28; 95% CI, 1.12–1.46), whereas the highest MI quartile was not associated with mortality (fully adjusted HR, 0.97; 95% CI, 0.85–1.11). The subjective overestimation of sleep duration may be a risk factor for all-cause mortality in older men. Future studies should examine why subjective overestimation of sleep duration is associated with all-cause mortality from a physiological perspective.
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