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Article
Changes in Sleep Duration, Quality, and Medication Use are Prospectively Associated with Health and Wellbeing: Analysis of the UK Household Longitudinal Study
Sleep (2017)
  • Nicole Tang, University of Warwick
  • Mark Fiecas, University of Minnesota
  • Esther Afolalu, University of Warwick
  • Dieter Wolke, University of Warwick
Abstract
Study Objectives: Sleep is a plausible target for public health promotion. We examined the association of changes in sleep with subsequent health and wellbeing in the general population.
Methods: We analysed data from the UK Household Longitudinal Survey, involving 30,594 people (aged >16) who provided data on sleep and health and wellbeing at both Wave 1 (2009-2011) and Wave 4 (2012-2014) assessments. Predicting variables were changes in sleep quantity, sleep quality, sleep medication use over the 4-year period. Outcome variables were the General Health Questionnaire (GHQ-12) and the 12-Item Short Form Health Survey (SF-12) mental (MCS) and physical (PCS) component scores at Wave 4. Linear regression on each outcome was fully adjusted for potential confounders and baseline values of the relevant predicting and outcome variables.

Results: Better outcomes were associated with an increase in sleep duration [GHQ: β= 1.031 (-1.328,-0.734) MCS: 1.531 (1.006,2.055); PCS: -0.071(-0.419,0.56)], sleep quality [GHQ: β= -2.031 (-2.218,-1.844); MCS: 3.027 (2.692,3.361); PCS: 0.924 (0.604,1.245)], and a reduction in sleep medication use [GHQ: β= -1.929 (-2.400,-1.459); MCS: 3.106 (2.279,3.933); PCS: 2.633 (1.860,3.406)]. Poorer outcomes were on the other hand associated with a reduction in sleep duration, a decrease in sleep quality, and an increase in sleep medication use. Changes in sleep quality yielded the largest effects on the health and wellbeing outcomes. 

Conclusions: Changes in sleep were temporally associated with subsequent health and wellbeing. Initiatives that aim to protect a critical amount of sleep, promote sleep quality, and reduce sleep medication use may have public health values.
Keywords
  • Sleep,
  • Health,
  • Wellbeing,
  • Psychological Functioning,
  • Prospective,
  • Longitudinal,
  • Public Health,
  • Prevention
Disciplines
Publication Date
2017
DOI
https://doi.org/10.1093/sleep/zsw079
Publisher Statement
This article has been accepted for publication in Sleep Published by Oxford University Press.
Citation Information
Nicole Tang, Mark Fiecas, Esther Afolalu and Dieter Wolke. "Changes in Sleep Duration, Quality, and Medication Use are Prospectively Associated with Health and Wellbeing: Analysis of the UK Household Longitudinal Study" Sleep (2017)
Available at: http://works.bepress.com/mfiecas/12/