Objective In developed countries,midday napping and nighttime sleep duration have been linked to long-term survival;however,little is known about such effects in less developed regions.Therefore,this study aimed to as...Objective In developed countries,midday napping and nighttime sleep duration have been linked to long-term survival;however,little is known about such effects in less developed regions.Therefore,this study aimed to assess the associations of midday napping and nocturnal sleep with mortality in middle-aged and older Chinese adults.Methods A nationwide cohort of 15,524 adults aged≥45 years was enrolled from 28 provincial regions across China's Mainland and followed up from 2011 to 2018,using data from the Chinese Health and Retirement Longitudinal Study.Midday napping and nighttime sleep duration were assessed using standardized questionnaires.Cox proportional hazards models with random intercepts for the surveyed provinces were used to estimate hazard ratios(HRs)of all-cause mortality,adjusting for sociodemographic characteristics,behavioral factors,and health status.Results A total of 1,745 deaths occurred during a median follow-up of 7.1 years,and the mean(standard deviation)age was 59(10.1)years at baseline.Compared with non-nappers,over 60 min nappers had a higher risk of all-cause mortality[HR:1.35,95%confidence interval(CI):1.17–1.56],while no significant associations were observed among<30 min nappers.Compared with sleep duration of 6–8 h/night,both short(<6 h)and long(≥8 h)sleep duration were significantly associated with increased mortality,with corresponding HR(95%CI)estimates of 1.21(1.05–1.38)and 1.26(1.10–1.44),respectively.We observed significant patterns for greater risks associated with longer nap duration,with a Ptrend value<0.001 for all-cause mortality.No significant evidence of an additive interaction was identified between midday napping and nighttime sleep.Conclusion Long midday napping and inappropriate nighttime sleep were independently associated with an increased risk of all-cause mortality in middle-aged and older Chinese populations.Biological studies are needed to validate our findings and clarify the mechanisms underlying this association.展开更多
Snoozing;dozing;getting some shut-eye;catching 40 winks. The English language may have more words for an afternoon nap,but it’s the Chinese who have the habit of drifting off during midday siestas-often in the most u...Snoozing;dozing;getting some shut-eye;catching 40 winks. The English language may have more words for an afternoon nap,but it’s the Chinese who have the habit of drifting off during midday siestas-often in the most unexpected places.展开更多
基金supported by Key Research Center for Humanities and Social Sciences in Hubei Province(Hubei University of Medicine)[Grant No.2022ZD001].
文摘Objective In developed countries,midday napping and nighttime sleep duration have been linked to long-term survival;however,little is known about such effects in less developed regions.Therefore,this study aimed to assess the associations of midday napping and nocturnal sleep with mortality in middle-aged and older Chinese adults.Methods A nationwide cohort of 15,524 adults aged≥45 years was enrolled from 28 provincial regions across China's Mainland and followed up from 2011 to 2018,using data from the Chinese Health and Retirement Longitudinal Study.Midday napping and nighttime sleep duration were assessed using standardized questionnaires.Cox proportional hazards models with random intercepts for the surveyed provinces were used to estimate hazard ratios(HRs)of all-cause mortality,adjusting for sociodemographic characteristics,behavioral factors,and health status.Results A total of 1,745 deaths occurred during a median follow-up of 7.1 years,and the mean(standard deviation)age was 59(10.1)years at baseline.Compared with non-nappers,over 60 min nappers had a higher risk of all-cause mortality[HR:1.35,95%confidence interval(CI):1.17–1.56],while no significant associations were observed among<30 min nappers.Compared with sleep duration of 6–8 h/night,both short(<6 h)and long(≥8 h)sleep duration were significantly associated with increased mortality,with corresponding HR(95%CI)estimates of 1.21(1.05–1.38)and 1.26(1.10–1.44),respectively.We observed significant patterns for greater risks associated with longer nap duration,with a Ptrend value<0.001 for all-cause mortality.No significant evidence of an additive interaction was identified between midday napping and nighttime sleep.Conclusion Long midday napping and inappropriate nighttime sleep were independently associated with an increased risk of all-cause mortality in middle-aged and older Chinese populations.Biological studies are needed to validate our findings and clarify the mechanisms underlying this association.
文摘Snoozing;dozing;getting some shut-eye;catching 40 winks. The English language may have more words for an afternoon nap,but it’s the Chinese who have the habit of drifting off during midday siestas-often in the most unexpected places.
