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CC BY-NC-ND 4.0 · Sleep Sci 2023; 16(01): 068-074
DOI: 10.1055/s-0043-1767757
Original Article

Association of Sleep Duration and Use of Sleeping Medication with Multimorbidity in Adults: Results from the PAMPA (Brazil) Cohort Study

Felipe Mendes Delpino 
1   Federal University of Pelotas, Postgraduate Program in Nursing, Pelotas, Rio Grande do Sul, Brazil
2   University of São Paulo, Postgraduate Program in Nursing in Public Health, São Paulo, São Paulo, Brazil
,
Eduardo L. Caputo 
3   Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
,
Ricardo Alexandre Arcêncio 
2   University of São Paulo, Postgraduate Program in Nursing in Public Health, São Paulo, São Paulo, Brazil
,
Júlia Cassuriaga 
3   Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
,
Caroline Malue Huckembeck 
3   Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
,
Bruno Pereira Nunes 
1   Federal University of Pelotas, Postgraduate Program in Nursing, Pelotas, Rio Grande do Sul, Brazil
,
Airton José Rombaldi 
3   Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
,
Felipe Fossati Reichert 
3   Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
,
Marcelo Cozzensa da Silva 
3   Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
,
Natan Feter 
3   Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
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Abstract

Objective To analyze the association of sleep duration and use of sleeping medication with multimorbidity.

Materials and Methods We conducted a cross-sectional study using data from the Prospective Study about Mental and Physical Health (PAMPA) cohort. Multimorbidity was defined as the presence of two or more conditions from a list of twelve health problems. Descriptive analyses were performed considering proportion and its 95% confidence interval (95%CI). We performed logistic regression (to obtain odds ratios, ORs) to estimate the associations, including models adjusted for confounding factors.

Results In total, 2,936 participants were included, 79,1% of them women, 54.2% aged between 18 and 39 years, and 88.9% with white skin color. Compared with regular sleep (seven to eight hours a day), five hours or less of sleep increased the odds of multimorbidity by 145% (95%CI: 1.90–3.14), and 9 hours or more of sleep increased the odds by 49% (95%CI: 1.14–1.95) for the crude model; the results remained significant even in the adjusted models.

Discussion Consumption of sleeping medication was associated with multimorbidity. Short and prolonged sleep duration increased the odds of multimorbidity, regardless of the sociodemographic and behavior characteristics. The regular use of sleeping medication was also associated with multimorbidity. The results of the present study are important but require caution due to reverse causality, and longitudinal studies are needed to confirm the findings.

Keywords

diseases - multimorbidity - sleep - sleep deprivation


Publication History

Received: 12 February 2022

Accepted: 14 July 2022

Article published online:
19 April 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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