Insomnia, Poor Sleep Quality and Sleep Duration and Risk for COVID-19 Infection and Hospitalization.

Quan, Stuart F; Weaver, Matthew D; Czeisler, Mark É; Barger, Laura K; Booker, Lauren A; Howard, Mark E; Jackson, Melinda L; Lane, Rashon I; McDonald, Christine F; Ridgers, Anna; Robbins, Rebecca; Varma, Prerna; Wiley, Joshua F; Rajaratnam, Shantha M W; Czeisler, Charles A

doi:10.1016/j.amjmed.2023.04.002

Title

Insomnia, Poor Sleep Quality and Sleep Duration and Risk for COVID-19 Infection and Hospitalization.

Publication Date

2023-08

Author(s)

Quan, Stuart F

Weaver, Matthew D

Czeisler, Mark É

Barger, Laura K

Booker, Lauren A

Howard, Mark E

Jackson, Melinda L

Lane, Rashon I

McDonald, Christine F

Ridgers, Anna

Robbins, Rebecca

Varma, Prerna

Wiley, Joshua F

Rajaratnam, Shantha M W

Czeisler, Charles A

Subject

COVID-19

Epidemiology

Hospitalization

Infection

Insomnia

Poor Sleep Quality

Sleep Duration

Type of document

Journal Article

OrcId

#PLACEHOLDER_PARENT_METADATA_VALUE#

DOI

10.1016/j.amjmed.2023.04.002

Abstract

Medical comorbidities increase the risk of severe acute COVID-19 illness. Although sleep problems are common after COVID-19 infection, it is unclear whether insomnia, poor sleep quality and extremely long or short sleep increase risk of developing COVID-19 infection or hospitalization. Cross-sectional survey of a diverse sample of 19,926 U.S. adults RESULTS: COVID-19 infection and hospitalization prevalence rates were 40.1% and 2.9% respectively. Insomnia and poor sleep quality were reported in 19.8% and 40.1% respectively. In logistic regression models adjusted for comorbid medical conditions and sleep duration but excluding participants who reported COVID-19 associated sleep problems, poor sleep quality but not insomnia was associated with COVID-19 infection (aOR: 1.16, 95%CI: 1.07-1.26) and COVID-19 hospitalization (aOR: 1.50, 95% CI: 1.18-1.91). In comparison to habitual sleep duration of 7-8 hours, sleep durations less than 7 hours (aOR: 1.14, 95% CI: 1.06-1.23) and sleep duration of 12 hours (aOR: 1.61, 95% CI: 1.12-2.31) were associated with increased odds of COVID-19 infection. Overall, the relationship between COVID-19 infection and hours of sleep followed a quadratic (U shaped) pattern. No association between sleep duration and COVID-19 hospitalization was observed. In a general population sample, poor sleep quality and extremes of sleep duration are associated with greater odds of having had a COVID-19 infection; poor sleep quality was associated with an increased requirement of hospitalization for severe COVID-19 illness. These observations suggest that inclusion of healthy sleep practices in public health messaging may reduce the impact of the COVID-19 pandemic.

Link

link

Citation

The American Journal of Medicine 2023-08; 136(8)

Jornal Title

The American Journal of Medicine

ISSN

1555-7162

Austin Health

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