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Information on Bedtimes and Wake Times Improves the Relation Between Self-Reported and Objective Assessments of Sleep in Adults.


ABSTRACT:

Study objectives

To investigate the correlation between self-reported and objective measures of total sleep time (TST) in adults and examine whether sex, race/ethnicity, and weight status influence this association.

Methods

Participants were individuals who screened for sleep intervention studies, providing > 7 days of wrist actigraphy sleep data (TSTobj) and reporting sleep duration (TSTPSQI) using the Pittsburgh Sleep Quality Index (PSQI) questionnaire (n = 53 men, 60 women; 59% minority/Hispanics; age 30.9 ± 9.7 years; body mass index 26.2 ± 3.2 kg/m2). In addition, TSTbed/wake was calculated as the difference between bedtime and waketime, minus the time to fall asleep, from the PSQI. Univariate regression analyses were performed to assess the relation between TSTobj and TSTPSQI and TSTbed/wake and compare the relation by sex, race, and ethnicity. Bland-Altman tests were done to assess bias by sex, race/ethnicity, weight status, and sleep quality.

Results

TSTbed/wake correlated with TSTobj (r = .57, P < .0001). TSTPSQI and TSTbed/wake were greater than TSTobj (0.63 ± 0.99 hours and 0.79 ± 0.76 hours, respectively, both P < .0001). The difference between TSTPSQI and TSTobj did not vary by sex (β = .12, P = .52), race/ethnicity (β = .15, P = .48), age (β = -.01, P = .27), or body mass index (β = .04, P = .13) whereas that between TSTbed/wake and TSTobj varied by age (β = -.020, P = .0051), BMI (β = .054, P = .0021), race/ethnicity (β = .36, P = .021), and sleep efficiency (β = -.089, P < .0001).

Conclusions

Calculating TST using self-reported bedtimes and wake times provided TST estimate that correlated with TSTobj but greater over-reporting occurred in younger and heavier individuals, non-whites or Hispanics, and those with low sleep efficiency. In clinical and research settings, asking individuals to report bedtimes, wake times, and length of time to fall asleep may more accurately estimate TST than asking about sleep duration alone.

SUBMITTER: St-Onge MP 

PROVIDER: S-EPMC6622506 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Information on Bedtimes and Wake Times Improves the Relation Between Self-Reported and Objective Assessments of Sleep in Adults.

St-Onge Marie-Pierre MP   Campbell Ayanna A   Salazar Ismel I   Pizinger Theresa T   Liao Ming M   Aggarwal Brooke B  

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine 20190715 7


<h4>Study objectives</h4>To investigate the correlation between self-reported and objective measures of total sleep time (TST) in adults and examine whether sex, race/ethnicity, and weight status influence this association.<h4>Methods</h4>Participants were individuals who screened for sleep intervention studies, providing > 7 days of wrist actigraphy sleep data (TSTobj) and reporting sleep duration (TSTPSQI) using the Pittsburgh Sleep Quality Index (PSQI) questionnaire (n = 53 men, 60 women; 59%  ...[more]

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