TBD Meeting (3028-14)

MINNEAPOLIS – College students who do not get enough sleep experience an impact on their academic performance that is on par with binge drinking or regular marijuana use, two researchers say.

"The cultural assumption is that college is a time of bad sleep, and that all-nighters fueled by energy drinks and cheap pizza are just an inherent part of what it means to be a student," investigators J. Roxanne Prichard, Ph.D., and Monica Hartmann, Ph.D., reported at the annual meeting of the Associated Professional Sleep Societies.

But they say that assumption is shortsighted and wrong. "Well-rested students perform better academically and are healthier physically and psychologically," the researchers said.

Dr. Prichard of the department of neuroscience at the University of St. Thomas, St. Paul, Minn., and Dr. Hartmann,professor of economics at the university analyzed data from the Spring 2009 NCHA (the American College Health Association National College Health Assessment), which included survey information from 72, 966 students, 63% of whom were female and 75% of whom were white.

Students who participated in the survey were asked about their physical and mental health, sexual activity, and substance use, among other issues. They also were asked whether they’ve had sleep problems or had been diagnosed with a sleep disorder or insomnia.

Using data from more than 43,000 respondents, the researchers attempted to evaluate factors that predicted academic problems, including dropping a course, earning a lower course grade, and having a lower cumulative grade point average. The researchers examined those impacts for all students but focused on freshmen, because first-year performance "has such a large effect on retention rates and thus the economic stability for the institution of higher education," the researchers said. They found that sleep timing and sleep-related problems in college students were a strong predictor of academic problems, even after they controlled for other factors that might have had an impact, including clinical depression, feeling isolated, and a diagnosis of a learning disability or chronic health issue.

Students who earned "A" grades reported experiencing fewer of the following sleep issues: early awakenings, feeling sleepy during the day, going to bed early because they could not stay awake, or having trouble falling asleep. Students with worse grades tended to report more sleep issues.

Sleep problems had about the same impact on GPA as did binge drinking and marijuana use, the authors reported. In freshmen, poor sleep was an independent predictor of whether a student would drop or withdraw from a course. The authors adjusted their analysis to account for race, gender, work hours, chronic illness, and psychiatric problems such as anxiety.

Reducing sleep problems might have had a greater impact than reducing binge drinking or marijuana use, they said. For instance, improving sleep on just 1 night a week reduced the probability that a freshman drops a course by about 15%, the authors found.

Dr. Prichard and Dr. Hartmann also tried to gauge the effect that sleep disturbances in college eventually might have on the university’s ability to keep the student and the student’s future earnings potential. They determined that a sleep screening program that identified students at risk and led to treatment would be cost effective, even for the smallest universities. "Identifying and treating students with undiagnosed sleep problems early on in a student’s career economically benefits the university through increased retention and increases the students’ lifetime earning potential," they said.

But they noted that most institutions of higher learning do not pay much attention to students’ sleep habits. Rarely is there any time or money devoted to improving sleep, and if there is, it’s much less than the amount spent to address learning disabilities, substance abuse, and contagious illness, the researchers said. They encouraged a reexamination of the resources directed toward sleep quality in this population.

Dr. Prichard and Dr. Hartmann reported no conflicts. They received no outside funding for the study.

aault@frontlinemedcom.com

On Twitter @aliciaault

MINNEAPOLIS – College students who do not get enough sleep experience an impact on their academic performance that is on par with binge drinking or regular marijuana use, two researchers say.

"The cultural assumption is that college is a time of bad sleep, and that all-nighters fueled by energy drinks and cheap pizza are just an inherent part of what it means to be a student," investigators J. Roxanne Prichard, Ph.D., and Monica Hartmann, Ph.D., reported at the annual meeting of the Associated Professional Sleep Societies.

But they say that assumption is shortsighted and wrong. "Well-rested students perform better academically and are healthier physically and psychologically," the researchers said.

Dr. Prichard of the department of neuroscience at the University of St. Thomas, St. Paul, Minn., and Dr. Hartmann,professor of economics at the university analyzed data from the Spring 2009 NCHA (the American College Health Association National College Health Assessment), which included survey information from 72, 966 students, 63% of whom were female and 75% of whom were white.

Students who participated in the survey were asked about their physical and mental health, sexual activity, and substance use, among other issues. They also were asked whether they’ve had sleep problems or had been diagnosed with a sleep disorder or insomnia.

Using data from more than 43,000 respondents, the researchers attempted to evaluate factors that predicted academic problems, including dropping a course, earning a lower course grade, and having a lower cumulative grade point average. The researchers examined those impacts for all students but focused on freshmen, because first-year performance "has such a large effect on retention rates and thus the economic stability for the institution of higher education," the researchers said. They found that sleep timing and sleep-related problems in college students were a strong predictor of academic problems, even after they controlled for other factors that might have had an impact, including clinical depression, feeling isolated, and a diagnosis of a learning disability or chronic health issue.

Students who earned "A" grades reported experiencing fewer of the following sleep issues: early awakenings, feeling sleepy during the day, going to bed early because they could not stay awake, or having trouble falling asleep. Students with worse grades tended to report more sleep issues.

Sleep problems had about the same impact on GPA as did binge drinking and marijuana use, the authors reported. In freshmen, poor sleep was an independent predictor of whether a student would drop or withdraw from a course. The authors adjusted their analysis to account for race, gender, work hours, chronic illness, and psychiatric problems such as anxiety.

Reducing sleep problems might have had a greater impact than reducing binge drinking or marijuana use, they said. For instance, improving sleep on just 1 night a week reduced the probability that a freshman drops a course by about 15%, the authors found.

Dr. Prichard and Dr. Hartmann also tried to gauge the effect that sleep disturbances in college eventually might have on the university’s ability to keep the student and the student’s future earnings potential. They determined that a sleep screening program that identified students at risk and led to treatment would be cost effective, even for the smallest universities. "Identifying and treating students with undiagnosed sleep problems early on in a student’s career economically benefits the university through increased retention and increases the students’ lifetime earning potential," they said.

But they noted that most institutions of higher learning do not pay much attention to students’ sleep habits. Rarely is there any time or money devoted to improving sleep, and if there is, it’s much less than the amount spent to address learning disabilities, substance abuse, and contagious illness, the researchers said. They encouraged a reexamination of the resources directed toward sleep quality in this population.

Dr. Prichard and Dr. Hartmann reported no conflicts. They received no outside funding for the study.

aault@frontlinemedcom.com

On Twitter @aliciaault

MINNEAPOLIS – College students who do not get enough sleep experience an impact on their academic performance that is on par with binge drinking or regular marijuana use, two researchers say.

"The cultural assumption is that college is a time of bad sleep, and that all-nighters fueled by energy drinks and cheap pizza are just an inherent part of what it means to be a student," investigators J. Roxanne Prichard, Ph.D., and Monica Hartmann, Ph.D., reported at the annual meeting of the Associated Professional Sleep Societies.

But they say that assumption is shortsighted and wrong. "Well-rested students perform better academically and are healthier physically and psychologically," the researchers said.

Dr. Prichard of the department of neuroscience at the University of St. Thomas, St. Paul, Minn., and Dr. Hartmann,professor of economics at the university analyzed data from the Spring 2009 NCHA (the American College Health Association National College Health Assessment), which included survey information from 72, 966 students, 63% of whom were female and 75% of whom were white.

Students who participated in the survey were asked about their physical and mental health, sexual activity, and substance use, among other issues. They also were asked whether they’ve had sleep problems or had been diagnosed with a sleep disorder or insomnia.

Using data from more than 43,000 respondents, the researchers attempted to evaluate factors that predicted academic problems, including dropping a course, earning a lower course grade, and having a lower cumulative grade point average. The researchers examined those impacts for all students but focused on freshmen, because first-year performance "has such a large effect on retention rates and thus the economic stability for the institution of higher education," the researchers said. They found that sleep timing and sleep-related problems in college students were a strong predictor of academic problems, even after they controlled for other factors that might have had an impact, including clinical depression, feeling isolated, and a diagnosis of a learning disability or chronic health issue.

Students who earned "A" grades reported experiencing fewer of the following sleep issues: early awakenings, feeling sleepy during the day, going to bed early because they could not stay awake, or having trouble falling asleep. Students with worse grades tended to report more sleep issues.

Sleep problems had about the same impact on GPA as did binge drinking and marijuana use, the authors reported. In freshmen, poor sleep was an independent predictor of whether a student would drop or withdraw from a course. The authors adjusted their analysis to account for race, gender, work hours, chronic illness, and psychiatric problems such as anxiety.

Reducing sleep problems might have had a greater impact than reducing binge drinking or marijuana use, they said. For instance, improving sleep on just 1 night a week reduced the probability that a freshman drops a course by about 15%, the authors found.

Dr. Prichard and Dr. Hartmann also tried to gauge the effect that sleep disturbances in college eventually might have on the university’s ability to keep the student and the student’s future earnings potential. They determined that a sleep screening program that identified students at risk and led to treatment would be cost effective, even for the smallest universities. "Identifying and treating students with undiagnosed sleep problems early on in a student’s career economically benefits the university through increased retention and increases the students’ lifetime earning potential," they said.

But they noted that most institutions of higher learning do not pay much attention to students’ sleep habits. Rarely is there any time or money devoted to improving sleep, and if there is, it’s much less than the amount spent to address learning disabilities, substance abuse, and contagious illness, the researchers said. They encouraged a reexamination of the resources directed toward sleep quality in this population.

Dr. Prichard and Dr. Hartmann reported no conflicts. They received no outside funding for the study.

aault@frontlinemedcom.com

On Twitter @aliciaault

MINNEAPOLIS – Midlife insomnia increases the likelihood of retiring because of poor health or disability, a longitudinal cohort study among 1,590 Wisconsin state employees showed.

Previous research has established that insomniacs retire earlier than peers without this sleep disorder, according to lead researcher Lauren Hale, Ph.D., of the public health program, Stony Brook (N.Y.) University. But the reasons for retiring are unclear.

She and her colleagues analyzed data from the REST (Retirement and Sleep Trajectories Study) cohort, a mixed group of blue- and white-collar Wisconsin state employees who were followed from midlife onward and completed questionnaires probing their reasons for retiring.

Overall, 41% of the participants had insomnia at approximately 50 years of age based on their report of often or almost always experiencing at least one of four symptoms of the disorder, Dr. Hale reported at the annual meeting of the Associated Professional Sleep Societies.

As of 2013, two-thirds of the entire cohort had retired, most commonly citing reasons of wanting to do other things, being financially secure, and wanting more time to spend with family and friends.

But after the data were adjusted for covariates, insomnia was most strongly and significantly associated with retiring because of poor health or disability (P less than .001). And the more insomnia symptoms a participant reported, the higher his or her risk of retiring for this reason; those reporting three or four symptoms had approximately twice the risk of peers without insomnia.

Surprisingly, insomnia did not increase the risk of retirement because of being laid off (as might be expected if employees were frequently late to work because of sleep loss) or retirement because of needing to care for a family member (a stressor that might be expected to lead to insomnia), according to Dr. Hale.

"We confirmed our hypothesis that the leading reason that people who have insomnia symptoms in early life are retiring earlier is due to poor health or disability as they are getting older," she commented.

"Now, there is still work to be done; the temporal sequencing is not 100% clear," said Dr. Hale.

Although it appears that the insomnia is preceding poor health, which then triggers early retirement, it is also possible that the poor health comes first and gives rise to insomnia, ultimately leading to the decision to retire, she explained. And there is a third possibility. "There are of course many unmeasured health variables that we didn’t include in the models that might be preceding the insomnia at age 50 and then leading to early retirement. And of course there are a range of unmeasured factors – social, psychosocial, cultural – that could be leading to both concurrent insomnia and poor health, that lead to early retirement," she explained. "So we hope to probe into that in the future."

In an interview, session chair Dr. Nalaka S. Gooneratne of the department of medicine atthe Hospital of the University of Pennsylvania and the Presbyterian Medical Center of Philadelphia, said: "I think these findings have very important public health ramifications. It’s very important for the field of sleep to not just look at the effects of sleep on immediate disease outcomes, but also on public health factors such as retirement and quality of life for retirees, and maximizing functional status and independence for older adults.

"Some of this data is really quite intriguing, suggesting there are hitherto unappreciated links between sleep and the decisions people make later on in their life about how they want to manage their retirement and finances," he added. "I think it’s very important to fund and explore research on the links between aging and sleep, especially with the growing numbers of older adults in the population."

Dr. Hale disclosed no relevant conflicts of interest.

MINNEAPOLIS – Midlife insomnia increases the likelihood of retiring because of poor health or disability, a longitudinal cohort study among 1,590 Wisconsin state employees showed.

Previous research has established that insomniacs retire earlier than peers without this sleep disorder, according to lead researcher Lauren Hale, Ph.D., of the public health program, Stony Brook (N.Y.) University. But the reasons for retiring are unclear.

She and her colleagues analyzed data from the REST (Retirement and Sleep Trajectories Study) cohort, a mixed group of blue- and white-collar Wisconsin state employees who were followed from midlife onward and completed questionnaires probing their reasons for retiring.

Overall, 41% of the participants had insomnia at approximately 50 years of age based on their report of often or almost always experiencing at least one of four symptoms of the disorder, Dr. Hale reported at the annual meeting of the Associated Professional Sleep Societies.

As of 2013, two-thirds of the entire cohort had retired, most commonly citing reasons of wanting to do other things, being financially secure, and wanting more time to spend with family and friends.

But after the data were adjusted for covariates, insomnia was most strongly and significantly associated with retiring because of poor health or disability (P less than .001). And the more insomnia symptoms a participant reported, the higher his or her risk of retiring for this reason; those reporting three or four symptoms had approximately twice the risk of peers without insomnia.

Surprisingly, insomnia did not increase the risk of retirement because of being laid off (as might be expected if employees were frequently late to work because of sleep loss) or retirement because of needing to care for a family member (a stressor that might be expected to lead to insomnia), according to Dr. Hale.

"We confirmed our hypothesis that the leading reason that people who have insomnia symptoms in early life are retiring earlier is due to poor health or disability as they are getting older," she commented.

"Now, there is still work to be done; the temporal sequencing is not 100% clear," said Dr. Hale.

Although it appears that the insomnia is preceding poor health, which then triggers early retirement, it is also possible that the poor health comes first and gives rise to insomnia, ultimately leading to the decision to retire, she explained. And there is a third possibility. "There are of course many unmeasured health variables that we didn’t include in the models that might be preceding the insomnia at age 50 and then leading to early retirement. And of course there are a range of unmeasured factors – social, psychosocial, cultural – that could be leading to both concurrent insomnia and poor health, that lead to early retirement," she explained. "So we hope to probe into that in the future."

In an interview, session chair Dr. Nalaka S. Gooneratne of the department of medicine atthe Hospital of the University of Pennsylvania and the Presbyterian Medical Center of Philadelphia, said: "I think these findings have very important public health ramifications. It’s very important for the field of sleep to not just look at the effects of sleep on immediate disease outcomes, but also on public health factors such as retirement and quality of life for retirees, and maximizing functional status and independence for older adults.

"Some of this data is really quite intriguing, suggesting there are hitherto unappreciated links between sleep and the decisions people make later on in their life about how they want to manage their retirement and finances," he added. "I think it’s very important to fund and explore research on the links between aging and sleep, especially with the growing numbers of older adults in the population."

Dr. Hale disclosed no relevant conflicts of interest.

MINNEAPOLIS – Midlife insomnia increases the likelihood of retiring because of poor health or disability, a longitudinal cohort study among 1,590 Wisconsin state employees showed.

Previous research has established that insomniacs retire earlier than peers without this sleep disorder, according to lead researcher Lauren Hale, Ph.D., of the public health program, Stony Brook (N.Y.) University. But the reasons for retiring are unclear.

She and her colleagues analyzed data from the REST (Retirement and Sleep Trajectories Study) cohort, a mixed group of blue- and white-collar Wisconsin state employees who were followed from midlife onward and completed questionnaires probing their reasons for retiring.

Overall, 41% of the participants had insomnia at approximately 50 years of age based on their report of often or almost always experiencing at least one of four symptoms of the disorder, Dr. Hale reported at the annual meeting of the Associated Professional Sleep Societies.

As of 2013, two-thirds of the entire cohort had retired, most commonly citing reasons of wanting to do other things, being financially secure, and wanting more time to spend with family and friends.

But after the data were adjusted for covariates, insomnia was most strongly and significantly associated with retiring because of poor health or disability (P less than .001). And the more insomnia symptoms a participant reported, the higher his or her risk of retiring for this reason; those reporting three or four symptoms had approximately twice the risk of peers without insomnia.

Surprisingly, insomnia did not increase the risk of retirement because of being laid off (as might be expected if employees were frequently late to work because of sleep loss) or retirement because of needing to care for a family member (a stressor that might be expected to lead to insomnia), according to Dr. Hale.

"We confirmed our hypothesis that the leading reason that people who have insomnia symptoms in early life are retiring earlier is due to poor health or disability as they are getting older," she commented.

"Now, there is still work to be done; the temporal sequencing is not 100% clear," said Dr. Hale.

Although it appears that the insomnia is preceding poor health, which then triggers early retirement, it is also possible that the poor health comes first and gives rise to insomnia, ultimately leading to the decision to retire, she explained. And there is a third possibility. "There are of course many unmeasured health variables that we didn’t include in the models that might be preceding the insomnia at age 50 and then leading to early retirement. And of course there are a range of unmeasured factors – social, psychosocial, cultural – that could be leading to both concurrent insomnia and poor health, that lead to early retirement," she explained. "So we hope to probe into that in the future."

In an interview, session chair Dr. Nalaka S. Gooneratne of the department of medicine atthe Hospital of the University of Pennsylvania and the Presbyterian Medical Center of Philadelphia, said: "I think these findings have very important public health ramifications. It’s very important for the field of sleep to not just look at the effects of sleep on immediate disease outcomes, but also on public health factors such as retirement and quality of life for retirees, and maximizing functional status and independence for older adults.

"Some of this data is really quite intriguing, suggesting there are hitherto unappreciated links between sleep and the decisions people make later on in their life about how they want to manage their retirement and finances," he added. "I think it’s very important to fund and explore research on the links between aging and sleep, especially with the growing numbers of older adults in the population."

Dr. Hale disclosed no relevant conflicts of interest.