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The Association between Short or Long Sleep Times and Quality of Life (QOL): Results of the Korea National Health and Nutrition Examination Survey (KNHANES IV-V)

 Jae-Hyun Kim  ;  Eun-Cheol Park  ;  Ki-Bong Yoo  ;  Sohee Park 
 JOURNAL OF CLINICAL SLEEP MEDICINE, Vol.11(6) : 625-634, 2015 
Journal Title
Issue Date
Adult ; Aged ; Cross-Sectional Studies ; Female ; Health Status* ; Health Surveys/statistics & numerical data* ; Humans ; Male ; Middle Aged ; Nutrition Surveys ; Quality of Life* ; Republic of Korea ; Sleep/physiology* ; Surveys and Questionnaires ; Time Factors
EQ-5D ; KNHANES ; VAS ; perceived health status ; quality of life (QOL) ; sleep time
STUDY OBJECTIVES: Sleep can affect quality of life (QOL). We examined the association between self-reported sleep time and QOL independent of perceived health status and depressive disorder using the EuroQol-5 Dimension (EQ-5D) and a visual analog scale (VAS). METHODS: We used the nationwide cross-sectional survey data of 28,178 subjects from the Korea National Health and Nutrition Examination Survey (KNHANES) IV-V. Self-reported sleep time was assessed by average hours of sleep per day. QOL was measured using the EQ-5D and VAS. A generalized additive model and multiple linear regression analysis were used to estimate the effect of sleep time on the QOL while adjusting for potential confounding variables. RESULTS: We found a significant inverted U-shaped relationship between sleep time and QOL using both the EQ-5D and VAS indices. Compared with subjects who slept 7 h/day, Korean men whose sleep time was very short (≤ 4 h/ day) or very long (≥ 10 h/day) had substantially worse QOL (-3.125 in EQ-5D, p < 0.001 and -4.387 on the VAS, p = 0.000 for ≤ 4 h/day; -1.763 in EQ-5D, p = 0.001 and -1.944 on the VAS for ≥ 10 h/day, all p = 0.038). A similar inverted U-shape was observed between sleep time and QOL in Korean women. CONCLUSIONS: Inappropriate sleep time (either short or long) in both men and women was significantly associated with lower QOL. In particular, such an association was more apparent among persons whose perceived health status was poor.
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1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Jae-Hyun(김재현)
Park, So Hee(박소희) ORCID logo https://orcid.org/0000-0001-8513-5163
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
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