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Cigarette smoking and nocturnal sleep architecture.
Tuesday,2012-11-06 12:07 America/Los_Angeles — eenright
| Title | Cigarette smoking and nocturnal sleep architecture. |
| Publication Type | Journal Article |
| Year of Publication | 2006 |
| Authors | Zhang, L, Samet, J, Caffo, B, Punjabi, NM |
| Journal | Am J Epidemiol |
| Volume | 164 |
| Issue | 6 |
| Pagination | 529-37 |
| Date Published | 2006 Sep 15 |
| ISSN | 0002-9262 |
| Keywords | Aged, Arousal, Chi-Square Distribution, Female, Humans, Male, Middle Aged, Polysomnography, Prevalence, Regression Analysis, Risk Factors, Sleep Stages, Sleep Wake Disorders, Smoking, United States |
| Abstract | <p>Cigarette smoking has been associated with a high prevalence of sleep-related complaints. However, its effects on sleep architecture have not been fully examined. The primary objective of this investigation was to assess the impact of cigarette smoking on sleep architecture. Polysomnography was used to characterize sleep architecture among 6,400 participants of the Sleep Heart Health Study (United States, 1994-1999). Sleep parameters included total sleep time, latency to sleep onset, sleep efficiency, and percentage of time in each sleep stage. The study sample consisted of 2,916 never smokers, 2,705 former smokers, and 779 current smokers. Compared with never smokers, current smokers had a longer initial sleep latency (5.4 minutes, 95% confidence interval (CI): 2.9, 7.9) and less total sleep time (14.0 minutes, 95% CI: 6.4, 21.7). Furthermore, relative to never smokers, current smokers also had more stage 1 sleep (relative proportion = 1.24, 95% CI: 1.14, 1.33) and less slow wave sleep (relative proportion = 0.86, 95% CI: 0.78, 0.95). Finally, no differences in sleep architecture were noted between former and never smokers. The results of this study show that cigarette smoking is independently associated with disturbances in sleep architecture, including a longer latency to sleep onset and a shift toward lighter stages of sleep. Nicotine in cigarette smoke and acute withdrawal from it may contribute to disturbances in sleep architecture.</p> |
| DOI | 10.1093/aje/kwj231 |
| Alternate Journal | Am J Epidemiol |
| PubMed ID | 16829553 |
| Grant List | AG025553 / AG / NIA NIH HHS / United States HL7578 / HL / NHLBI NIH HHS / United States U01HL53916 / HL / NHLBI NIH HHS / United States U01HL53931 / HL / NHLBI NIH HHS / United States U01HL53934 / HL / NHLBI NIH HHS / United States U01HL53937 / HL / NHLBI NIH HHS / United States U01HL53938 / HL / NHLBI NIH HHS / United States U01HL53940 / HL / NHLBI NIH HHS / United States U01HL53941 / HL / NHLBI NIH HHS / United States U01HL63429 / HL / NHLBI NIH HHS / United States U01HL63463 / HL / NHLBI NIH HHS / United States |