Factors Influencing Sleep Duration and Sleep Difficulty in People with Chronic Obstructive Pulmonary Disease
Abstract
Background: Although sleep problems are prevalent among people with chronic obstructive pulmonary disease (COPD), many research gaps exist in this area. The aims of this study were to identify sleep duration and sleep difficulty in people with COPD and to determine factors influencing these sleep variables.
Methods: This cross-sectional study employed data from the 8th Korea National Health and Nutrition Examination Survey (KNHANES) performed in 2019. A total of 408 people with COPD were included in the study. Individuals’ sociodemographic, COPD-related, and psychological characteristics were examined to determine factors affecting their sleep duration and sleep difficulty.
Results: Of 408 study subjects, almost 95% had mild or moderate COPD. The mean sleep duration of the subjects was 6.73 hours per day, indicating short sleep duration. Subjects with elementary school or no education, middle individual income, unmarried status, or depression were more likely to have shorter sleep duration than those with middle or high school education, low individual income, married status, or no depression. In addition, over 54% of subjects experienced mild to severe sleep difficulty. Female gender, low family income, and more perceived stress were significantly associated with greater sleep difficulty.
Conclusion: Among the study subjects, over 40% had short sleep duration or mild to severe sleep difficulty. Although COPD severity was not significantly associated with sleep duration or sleep difficulty, sociodemographic disparities in sleep health were observed.
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20. Ali Zohal M, Yazdi Z, Kazemifar AM (2013). Daytime sleepiness and quality of sleep in patients with COPD compared to con-trol group. Glob J Health Sci, 5 (3): 150-5.
21. Chang CH, Chuang LP, Lin SW, et al (2016). Factors responsible for poor sleep quality in patients with chronic obstructive pul-monary disease. BMC Pulm Med, 16 (1): 118.
22. Lee SH, Lee H, Kim YS, et al (2020). Factors associated with sleep disturbance in pa-tients with chronic obstructive pulmonary disease. Clin Respir J, 14 (11): 1018-24.
23. Lee SH, Kim KU, Lee H, et al (2019). Sleep disturbance in patients with mild‐moderate chronic obstructive pulmonary disease. Clin Respir J, 13 (12): 751–7.
24. Omachi TA, Blanc PD, Claman DM, et al (2012). Disturbed sleep among COPD patients is longitudinally associated with mortality and adverse COPD outcomes. Sleep Med, 13 (5): 476-83.
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26. Chen R, Tian JW, Zhou LQ, et al (2016). The relationship between sleep quality and functional exercise capacity in COPD. Clin Respir J, 10 (4): 477–85.
27. Zhang B, Wing YK (2006). Sex differences in insomnia: a meta-analysis. Sleep, 29 (1): 85-93.
28. Suh S, Cho N, Zhang J (2018). Sex Differ-ences in Insomnia: from Epidemiology and Etiology to Intervention. Curr Psychi-atry Rep, 20 (9): 69.
29. Espie CA (2002). Insomnia: conceptual is-sues in the development, persistence, and treatment of sleep disorder in adults. An-nu Rev Psychol, 53 (1): 215–43.
30. Grandner MA, Patel NP, Gehrman PR, et al (2010). Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints. Sleep Med, 11 (5): 470-8.
31. Grandner MA, Petrov ME, Ratta-naumpawan P, et al (2013). Sleep symp-toms, race/ethnicity, and socioeconomic position. J Clin Sleep Med, 9 (9): 897-905.
32. Wang S, Wu Y, Ungvari GS, et al (2017). Sleep duration and its association with demographics, lifestyle factors, poor mental health and chronic diseases in older Chinese adults. Psychiatry Res, 257: 212-8.
33. Kim SJ, Kwak N, Choi SM, et al (2021). Sleep duration and its associations with mortality and quality of life in chronic obstructive pulmonary disease: Results from the 2007-2015 KNAHNES. Respira-tion, 100 (11): 1-7.
34. Donner CF, Virchow JC, Lusuardi M (2011). Pharmacoeconomics in COPD and in-appropriateness of diagnostics, man-agement and treatment. Respir Med, 105 (6): 828-37.
2. Jen R, Li Y, Owens RL, et al (2016). Sleep in chronic obstructive pulmonary disease: Evidence gaps and challenges. Can Respir J, 2016: 7947198.
3. Shah NM, Murphy PB (2018). Chronic ob-structive pulmonary disease and sleep: an update on relevance, prevalence and management. Curr Opin Pulm Med, 24 (6): 561-8.
4. Akinci B, Aslan GK, Kiyan E (2018). Sleep quality and quality of life in patients with moderate to very severe chronic obstruc-tive pulmonary disease. Clin Respir J, 12 (4): 1739-46.
5. Mireku MO, Rodriguez A (2021). Sleep dura-tion and waking activities in relation to the National Sleep Foundation’s recom-mendations: An analysis of US popula-tion sleep patterns from 2015 to 2017. Int J Environ Res Public Health, 18 (11): 6154.
6. Lewthwaite H, Effing TW, Olds T, et al (2017). Physical activity, sedentary behav-iour and sleep in COPD guidelines: A systematic review. Chron Respir Dis, 14 (3): 231-44.
7. Kim I, Kapella MC, Collins EG, et al (2020). Sleep disturbance and next-day physical activity in COPD patients. Geriatr Nurs, 41 (6): 872-7.
8. Hunt T, Madigan S, Williams MT, et al (2014). Use of time in people with chronic ob-structive pulmonary disease: a systematic review. Int J Chron Obstruct Pulmon Dis, 9: 1377-88.
9. Budhiraja R, Siddiqi TA, Quan SF (2015). Sleep disorders in chronic obstructive pulmonary disease: etiology, impact, and management. J Clin Sleep Med, 11 (3): 259-70.
10. Budhiraja P, Budhiraja R, Goodwin JL, et al (2012). Incidence of restless legs syn-drome and its correlates. J Clin Sleep Med, 8 (2): 119-24.
11. Pleasants RA, Riley IL, Mannino DM (2016). Defining and targeting health disparities in chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis, 11: 2475-96.
12. Ma R-C, Yin Y-Y, Wang Y-Q, et al (2020). Effectiveness of cognitive behavioral therapy for chronic obstructive pulmo-nary disease patients: A systematic review and meta-analysis. Complement Ther Clin Pract, 38: 101071.
13. Global Initiative for Obstructive Lung Dis-ease (2021). Global Strategy for the Diagno-sis, Management, and Prevention of Chronic Obstructive Pulmonary Disease. https://goldcopd.org/
14. Lee H-J, Jo M-W, Choi S-H, et al (2016). Development and psychometric evalua-tion of measurement instrument for Ko-rean health-related quality of life. Public Health Weekly Report, 9 (24): 447-54.
15. Valipour A, Lavie P, Lothaller H, et al (2011). Sleep profile and symptoms of sleep disorders in patients with stable mild to moderate chronic obstructive pulmonary disease. Sleep Med, 12 (4): 367-72.
16. Wang C, Wang M, Chen J, et al (2021). As-sociation between sleep duration and hand grip strength among COPD pa-tients. West J Nurs Res, 1939459211028666:1-9.
17. Stamatakis KA, Kaplan GA, Roberts RE (2007). Short sleep duration across in-come, education, and race/ethnic groups: population prevalence and growing dis-parities during 34 years of follow-up. Ann Epidemiol, 17 (12): 948-55.
18. Van Manen JG, Bindels PJ, Dekker FW, et al (2002). Risk of depression in patients with chronic obstructive pulmonary dis-ease and its determinants. Thorax, 57 (5): 412-6.
19. Yohannes AM, Baldwin RC, Connolly MJ (2003). Prevalence of sub-threshold de-pression in elderly patients with chronic obstructive pulmonary disease. Int J Geri-atr Psychiatry, 18 (5), 412-6.
20. Ali Zohal M, Yazdi Z, Kazemifar AM (2013). Daytime sleepiness and quality of sleep in patients with COPD compared to con-trol group. Glob J Health Sci, 5 (3): 150-5.
21. Chang CH, Chuang LP, Lin SW, et al (2016). Factors responsible for poor sleep quality in patients with chronic obstructive pul-monary disease. BMC Pulm Med, 16 (1): 118.
22. Lee SH, Lee H, Kim YS, et al (2020). Factors associated with sleep disturbance in pa-tients with chronic obstructive pulmonary disease. Clin Respir J, 14 (11): 1018-24.
23. Lee SH, Kim KU, Lee H, et al (2019). Sleep disturbance in patients with mild‐moderate chronic obstructive pulmonary disease. Clin Respir J, 13 (12): 751–7.
24. Omachi TA, Blanc PD, Claman DM, et al (2012). Disturbed sleep among COPD patients is longitudinally associated with mortality and adverse COPD outcomes. Sleep Med, 13 (5): 476-83.
25. Kessler R, Partridge MR, Miravitlles M, et al (2011). Symptom variability in patients with severe COPD: a pan-European cross-sectional study. Eur Respir J, 37 (2): 264-72.
26. Chen R, Tian JW, Zhou LQ, et al (2016). The relationship between sleep quality and functional exercise capacity in COPD. Clin Respir J, 10 (4): 477–85.
27. Zhang B, Wing YK (2006). Sex differences in insomnia: a meta-analysis. Sleep, 29 (1): 85-93.
28. Suh S, Cho N, Zhang J (2018). Sex Differ-ences in Insomnia: from Epidemiology and Etiology to Intervention. Curr Psychi-atry Rep, 20 (9): 69.
29. Espie CA (2002). Insomnia: conceptual is-sues in the development, persistence, and treatment of sleep disorder in adults. An-nu Rev Psychol, 53 (1): 215–43.
30. Grandner MA, Patel NP, Gehrman PR, et al (2010). Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints. Sleep Med, 11 (5): 470-8.
31. Grandner MA, Petrov ME, Ratta-naumpawan P, et al (2013). Sleep symp-toms, race/ethnicity, and socioeconomic position. J Clin Sleep Med, 9 (9): 897-905.
32. Wang S, Wu Y, Ungvari GS, et al (2017). Sleep duration and its association with demographics, lifestyle factors, poor mental health and chronic diseases in older Chinese adults. Psychiatry Res, 257: 212-8.
33. Kim SJ, Kwak N, Choi SM, et al (2021). Sleep duration and its associations with mortality and quality of life in chronic obstructive pulmonary disease: Results from the 2007-2015 KNAHNES. Respira-tion, 100 (11): 1-7.
34. Donner CF, Virchow JC, Lusuardi M (2011). Pharmacoeconomics in COPD and in-appropriateness of diagnostics, man-agement and treatment. Respir Med, 105 (6): 828-37.
| Files | ||
| Issue | Vol 52 No 3 (2023) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v52i3.12138 | |
| Keywords | ||
| Chronic obstructive pulmonary disease Sleep difficulty Sleep duration | ||
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How to Cite
1.
Park D, Jun J. Factors Influencing Sleep Duration and Sleep Difficulty in People with Chronic Obstructive Pulmonary Disease. Iran J Public Health. 2023;52(3):553-562.
