Objectively Measured Sleep Duration and Health-Related Quality of Life in Older Adults with Metabolic Syndrome: A One-Year Longitudinal Analysis of the PREDIMED-Plus Cohort

Author:

Marcos-Delgado Alba123ORCID,Martín-Sánchez Vicente123ORCID,Martínez-González Miguel Ángel456ORCID,Corella Dolores37ORCID,Salas-Salvadó Jordi489ORCID,Schröder Helmut410ORCID,Martínez Alfredo41112ORCID,Alonso-Gómez Ángel M.413ORCID,Wärnberg Julia414ORCID,Vioque Jesús315ORCID,Romaguera Dora416ORCID,López-Miranda José417,Estruch Ramon418ORCID,Tinahones Francisco J.419,Santos-Lozano José M.420,Álvarez-Pérez Jacqueline421ORCID,Bueno-Cavanillas Aurora32223ORCID,Cano-Ibáñez Naomi32223ORCID,Amezcua-Prieto Carmen322ORCID,Hernández-Segura Natalia12ORCID,Tur Josep A.324ORCID,Pintó Xavier425ORCID,Delgado-Rodríguez Miguel1226,Matía-Martín Pilar27,Vidal Josep2829,Vázquez Clotilde430,Daimiel Lidia43132ORCID,Ros Emili433ORCID,Toledo Estefanía45ORCID,Garcidueñas-Fimbres Tany E.489ORCID,Viaplana Judith2829,Asensio Eva M.37ORCID,Zomeño María D.410,Garcia-Rios Antonio417,Oncina-Cánovas Alejandro1415ORCID,Barón-López Francisco Javier14ORCID,Pérez-Farinos Napoleón14ORCID,Sayon-Orea Carmen45ORCID,Galmés-Panadés Aina M.41634ORCID,Casas Rosa418ORCID,Tojal-Sierra Lucas413ORCID,Gómez-Pérez Ana M.419ORCID,Buil-Corsiales Pilar5ORCID,García-Gavilán Jesús F.489ORCID,Ortega-Azorín Carolina37ORCID,Castañer Olga10ORCID,Peña-Orihuela Patricia J.417,González-Palacios Sandra1415ORCID,Babio Nancy489ORCID,Fitó Montse10,Nieto Javier35

Affiliation:

1. Faculty of Health Sciences, Department of Biomedical Sciences, Area of Preventive Medicine and Public Health, Universidad de León, 24007 León, Spain

2. The Research Group in Gene-Environment and Health Interactions, Institute of Biomedicine (IBIOMED), Universidad de León, 24007 León, Spain

3. CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, 28222 Madrid, Spain

4. Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28222 Madrid, Spain

5. Department of Preventive Medicine and Public Health, Navarra Institute for Health Research (IdiSNA), University of Navarra, 31009 Pamplona, Spain

6. Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02124, USA

7. Department of Preventive Medicine, University of Valencia, 46008 Valencia, Spain

8. Unitat de Nutrició, Departament de Bioquímica i Biotecnologia, Universitat Rovira i Virgili, 43206 Reus, Spain

9. Institut d’Investigació Sanitària Pere Virgili (IISPV), 43204 Reus, Spain

10. Unit of Cardiovascular Risk and Nutrition, Institut Hospital del Mar de Investigaciones Médicas Municipal d’Investigació Médica (IMIM), 08003 Barcelona, Spain

11. Department of Nutrition, Food Sciences, and Physiology, Center for Nutrition Research, University of Navarra, 31009 Pamplona, Spain

12. Precision Nutrition and Cardiometabolic Health Program, IMDEA Food, CEI UAM + CSIC, 28222 Madrid, Spain

13. Bioaraba Health Research Institute, Cardiovascular, Respiratory and Metabolic Area, Osakidetza Basque Health Service, Araba University Hospital, University of the Basque Country UPV/EHU, 01004 Vitoria-Gasteiz, Spain

14. EpiPHAAN Research Group, School of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Málaga, 29010 Málaga, Spain

15. Instituto de Investigación Sanitaria y Biomédica de Alicante, Universidad Miguel Hernández (ISABIAL-UMH), 03202 Alicante, Spain

16. Health Research Institute of the Balearic Islands (IdISBa), 07012 Palma de Mallorca, Spain

17. Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, 30110 Cordoba, Spain

18. Department of Internal Medicine, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clinic, Institut de Recerca en Nutrició y Seguretat Alimentaria (INSA-UB), University of Barcelona, 08001 Barcelona, Spain

19. Virgen de la Victoria Hospital, Department of Endocrinology, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Málaga, 29010 Málaga, Spain

20. Research Unit, Department of Family Medicine, Distrito Sanitario Atención Primaria Sevilla, 41006 Sevilla, Spain

21. Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, 35010 Las Palmas de Gran Canaria, Spain

22. Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain

23. Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA), 18071 Granada, Spain

24. Research Group on Community Nutrition & Oxidative Stress, University of Balearic Islands, 07012 Palma de Mallorca, Spain

25. Lipids and Vascular Risk Unit, Internal Medicine, Hospital Universitario de Bellvitge-IDIBELL, Hospitalet de Llobregat, 08901 Barcelona, Spain

26. Division of Preventive Medicine, Faculty of Medicine, University of Jaén, 23003 Jaén, Spain

27. Department of Endocrinology and Nutrition, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain

28. CIBER Diabetes y Enfermedades Metabólicas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), 28222 Madrid, Spain

29. Department of Endocrinology, Institut d’Investigacions Biomédiques August Pi Sunyer (IDIBAPS), Hospital Clinic, University of Barcelona, 08001 Barcelona, Spain

30. Department of Endocrinology and Nutrition, Hospital Fundación Jimenez Díaz, Instituto de Investigaciones Biomédicas IISFJD, University Autonoma, 28049 Madrid, Spain

31. Nutritional Control of the Epigenome Group, Precision Nutrition and Obesity Program, IMDEA Food, CEI UAM + CSIC, 28222 Madrid, Spain

32. Departamento de Ciencias Farmacéuticas y de la Salud, Facultad de Farmacia, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28660 Boadilla del Monte, Spain

33. Lipid Clinic, Department of Endocrinology and Nutrition, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Hospital Clínic, 08001 Barcelona, Spain

34. Physical Activity and Sport Sciences Research Group (GICAFE), Institute for Educational Research and Innovation (IRIE), University of the Balearic Island, 07122 Palma, Spain

35. College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97330, USA

Abstract

The aim of our cross-sectional and longitudinal study is to assess the relationship between daytime and night-time sleep duration and health-related quality of life (HRQoL) in adults with metabolic syndrome after a 1-year healthy lifestyle intervention. Analysis of the data from 2119 Spanish adults aged 55–75 years from the PREDIMED-Plus study was performed. Sleep duration was assessed using a wrist-worn accelerometer. HRQoL was measured using the SF-36 questionnaire. Linear regression models adjusted for socioeconomic and lifestyle factors and morbidity were developed. In cross-sectional analyses, participants with extreme night-time sleep duration categories showed lower physical component summary scores in Models 1 and 2 [β-coefficient (95% confidence interval) <6 h vs. 7–9 h: −2, 3 (−3.8 to −0.8); p = 0.002. >9 h vs. 7–9 h: −1.1 (−2.0 to −0.3); p = 0.01]. Participants who sleep less than 7 h a night and take a nap are associated with higher mental component summary scores [β-coefficient (95% confidence interval) 6.3 (1.3 to 11.3); p = 0.01]. No differences between night-time sleep categories and 12-month changes in HRQoL were observed. In conclusion, in cross-sectional analyses, extremes in nocturnal sleep duration are related to lower physical component summary scores and napping is associated with higher mental component summary scores in older adults who sleep less than 7 h a night.

Funder

European Research Council

Fondo de Investigación para la Salud

Especial Action Project titled Implementación y evaluación de una intervención intensiva sobre la actividad física

Recercaixa

CICYT

Generalitat Valenciana

Generalitat de Catalunya

Consejería de Salud de la Junta de Andalucía

SEMERGEN

EU-COST (European Cooperation in Science and Technology) Action CA16112

Balearic Islands Government

IDISBA

European Regional Development Fund

European Commission

Universidad de León

Publisher

MDPI AG

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