From the Journals

Americans are getting more sleep

David Schulman, MD, FCCP, comments: For more than fifteen years, we have had evidence that sleep deprivation is not only associated with increased accident risk, but also other common causes of mortality, including cardiovascular disease and cancer. Despite this knowledge, decades of trending in sleep patterns of the United States population have continued to show declines in total sleep time, which have been attributed to multiple factors, including longer work hours and the pervasive use of electronics, which can serve both as a distraction from sleep and a contributor to circadian dysrhythmia.

Dr. David Schulman, FCCP
The recent article by Basner and Dinges suggests, for the first time, that this trend may be reversing. Although the data suggest a minimal bump in sleep time (of approximately 1 minute per night, slightly more during weeknights than weekend nights), it is at least a move in the right direction. In a related editorial in the same issue of SLEEP, Ogilvie and Patel identify some possible problems with the paper; these include a non-validated tool for data collection, and the possible conflation of time in bed and sleep time. Even if the data are accurate, it is difficult to imagine that such a modest improvement in sleep duration would yield meaningful benefits in terms of daytime function and sleep-related morbidity.

While our work in improving public awareness of sleep deprivation is far from done, perhaps this study is the first sign that a new day is dawning on improved sleep health for the country.


 

FROM SLEEP


The researchers also observed that the percentage of respondents in short sleep duration categories decreased significantly, and the percentage of respondents in long sleep duration categories increased significantly across survey years. One of the “most pronounced changes” occurred in the size of the group of patients receiving 6-7 hours of sleep. This group decreased by 0.23% per year. The biggest change was seen in the category of patients receiving 9-10 hours of sleep, which increased by 0.24% per year.

“[The] change in sleep duration across survey years on weekdays can mostly be explained by respondents going to bed earlier at night and, to a lesser degree, by getting up later in the morning,” the researchers said. “On weekends/holidays, ‘time to bed’ shifted significantly to earlier bed times by 1.1 min/year across survey years, which was comparable to the shift observed on weekdays.”

Study participants aged 18-24 slept the most, with hours slept having “decreased with increasing age.” On weekdays, adults aged 45-54 years slept the least, and on weekends, adults aged 55-64 years got the least shuteye. Hispanic, Asian, and black respondents slept more than white and “other race/ethnicity” survey participants. The researchers also found that women overall got more sleep than men.

Dr. Basner and Dr. Dinges expressed optimism about Americans’ ongoing battle against chronic sleep deficiency. “These findings presented here suggest that we are on the right track ... even if there is still a long way to go,” they said.

The authors reported no conflicts of interest.

SOURCE: Basner M et al. Sleep. 2018 Apr 1;41[4]:1-16.

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