Citation: | GONG Heyangzi, XING Lifei, KANG Yimin, WANG Fan. Relationship between serum vitamin D metabolites and sleep duration among adult women[J]. Journal of Clinical Medicine in Practice, 2022, 26(14): 26-30,45. DOI: 10.7619/jcmp.20221610 |
To explore the association between serum vitamin D metabolites and sleep duration in adult women.
Women aged 20 to 65 in the National Health and Nutrition Examination Survey (NHANES) database were selected as research objects. Serum vitamin D metabolites including 25-hydroxyvitamin D[25(OH)D], 25-hydroxyvitamin D2[25(OH)D2] and 25-hydroxyvitamin D3[25(OH)D3] were measured using ultra performance liquid chromatography-tandem mass spectrometry. The study objects were divided into sleep deficiency group and non-sleep deficiency group according to varied sleep duration. Logistic regression model and restrictive cubic spline model were used to analyze the relationship between serum vitamin D concentration and sleep condition after adjusting age, race, education level, marital status, economic status, body mass index(BMI), chronic disease status and depression score.
Among 9 353 females, 3 189 (34.1%) had insufficient sleep, including 1 627 (51.0%) aged 20 to 44 years and 1 562 (49.0%) aged 45 to 65 years. With an increase of 10 nmol/L of serum 25(OH)D3 and 25(OH)D, the incidence of sleep insufficiency decreased by 5.5% and 5.7%, respectively[OR=1.005 5, 95%CI, 1.003 6 to 1.007 3; OR=1.005 7, 95%CI, 1.003 9 to 1.007 6]. The restrictive cubic spline model showed that when serum 25(OH)D3 is ≤ 70 nmol/L, a strong positive correlation was observed between sleep duration and serum 25(OH)D3 concentration. However, this positive correlation becomes weaker when serum 25(OH)D3 was >70 nmol/L.
There is an association between the sleep status and the time of serum concentration of vitamin D metabolites in adult women. The sleep duration varies at different vitamin D concentration levels. When the concentration of serum vitamin D metabolites is low, improvement of level of vitamin D metabolites is more conducive to prolongation of sleep time.
[1] |
PANEL C C, WATSON N F, BADR M S, et al. Joint consensus statement of the American academy of sleep medicine and sleep research society on the recommended amount of sleep for a healthy adult: methodology and discussion[J]. J Clin Sleep Med, 2015, 11(8): 931-952. doi: 10.5664/jcsm.4950
|
[2] |
FORD E S, CUNNINGHAM T J, CROFT J B. Trends in self-reported sleep duration among US adults from 1985 to 2012[J]. Sleep, 2015, 38(5): 829-832. doi: 10.5665/sleep.4684
|
[3] |
国务院关于实施健康中国行动的意见[EB/OL]. (2018-06-27)[2020-03-06]. http://www.gov.cn/xinwen/2021-07/15/content_5409694.htm.
|
[4] |
袁帆, 丁彩翠, 宫伟彦, 等. 我国职业人群睡眠状况及其影响因素分析[J]. 中国公共卫生, 2018, 34(6): 791-794. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201806003.htm
|
[5] |
PENGO M F, WON C H, BOURJEILY G. Sleep in women across the life span[J]. Chest, 2018, 154(1): 196-206. doi: 10.1016/j.chest.2018.04.005
|
[6] |
TAMANNA S, GERACI S A. Major sleep disorders among women: (women's health series)[J]. South Med J, 2013, 106(8): 470-478. doi: 10.1097/SMJ.0b013e3182a15af5
|
[7] |
ZERWEKH J E. Blood biomarkers of vitamin D status[J]. Am J Clin Nutr, 2008, 87(4): 1087S-1091S. doi: 10.1093/ajcn/87.4.1087S
|
[8] |
李健, 白文佩, 江波, 等. 生酮饮食对超重/肥胖多囊卵巢综合征患者维生素D及糖脂代谢的影响[J]. 实用临床医药杂志, 2022, 26(4): 14-17, 32. doi: 10.7619/jcmp.20220496
|
[9] |
GONG Q H, LI S X, LI H, et al. 25-Hydroxyvitamin D Status and Its Association with Sleep Duration in Chinese Schoolchildren[J]. Nutrients, 2018, 10(8): 1013. doi: 10.3390/nu10081013
|
[10] |
KIM J H, CHANG J H, KIM D Y, et al. Association between self-reported sleep duration and serum vitamin D level in elderly Korean adults[J]. J Am Geriatr Soc, 2014, 62(12): 2327-2332. doi: 10.1111/jgs.13148
|
[11] |
PATEL J S, OH Y, RAND K L, et al. Measurement invariance of the patient health questionnaire-9(PHQ-9) depression screener in U. S. adults across sex, race/ethnicity, and education level: NHANES 2005-2016[J]. Depress Anxiety, 2019, 36(9): 813-823. doi: 10.1002/da.22940
|
[12] |
MANEA L, GILBODY S, MCMILLAN D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a meta-analysis[J]. CMAJ, 2012, 184(3): E191-E196. doi: 10.1503/cmaj.110829
|
[13] |
HIRSHKOWITZ M, WHITON K, ALBERT S M, et al. National Sleep Foundation's sleep time duration recommendations: methodology and results summary[J]. Sleep Heal, 2015, 1(1): 40-43. doi: 10.1016/j.sleh.2014.12.010
|
[14] |
STUMPF W E, SAR M, CLARK S A, et al. Brain target sites for 1, 25-dihydroxyvitamin D3[J]. Science, 1982, 215(4538): 1403-1405. doi: 10.1126/science.6977846
|
[15] |
MUSIOL I M, STUMPF W E, BIDMON H J, et al. Vitamin D nuclear binding to neurons of the septal, substriatal and amygdaloid area in the Siberian hamster (Phodopus sungorus) brain[J]. Neuroscience, 1992, 48(4): 841-848. doi: 10.1016/0306-4522(92)90272-4
|
[16] |
DE OLIVEIRA D L, HIROTSU C, TUFIK S, et al. The interfaces between vitamin D, sleep and pain[J]. J Endocrinol, 2017, 234(1): R23-R36. doi: 10.1530/JOE-16-0514
|
[17] |
MUSCOGIURI G, BARREA L, SCANNAPIECO M, et al. The lullaby of the sun: the role of vitamin D in sleep disturbance[J]. Sleep Med, 2019, 54: 262-265. doi: 10.1016/j.sleep.2018.10.033
|
[18] |
HOLICK M F, BINKLEY N C, BISCHOFF-FERRARI H A, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an endocrine society clinical practice guideline[J]. J Clin Endocrinol Metab, 2011, 96(7): 1911-1930. doi: 10.1210/jc.2011-0385
|
[19] |
WILSON L R, TRIPKOVIC L, HART K H, et al. Vitamin D deficiency as a public health issue: using vitamin D2 or vitamin D3 in future fortification strategies[J]. Proc Nutr Soc, 2017, 76(3): 392-399. doi: 10.1017/S0029665117000349
|
[20] |
GUTIERREZ-MONREAL M A, CUEVAS-DIAZ DURAN R, MORENO-CUEVAS J E, et al. A role for 1α, 25-dihydroxyvitamin d3 in the expression of circadian genes[J]. J Biol Rhythms, 2014, 29(5): 384-388. doi: 10.1177/0748730414549239
|
[21] |
HÉNIQUE C, MANSOURI A, VAVROVA E, et al. Increasing mitochondrial muscle fatty acid oxidation induces skeletal muscle remodeling toward an oxidative phenotype[J]. FASEB J, 2015, 29(6): 2473-2483. doi: 10.1096/fj.14-257717
|
[22] |
SRINIVASAN V, PANDI-PERUMAL S R, TRAHKT I, et al. Melatonin and melatonergic drugs on sleep: possible mechanisms of action[J]. Int J Neurosci, 2009, 119(6): 821-846. doi: 10.1080/00207450802328607
|
[23] |
IKONTE C J, MUN J G, REIDER C A, et al. Micronutrient Inadequacy in Short Sleep: Analysis of the NHANES 2005-2016[J]. Nutrients, 2019, 11(10). 2335. doi: 10.3390/nu11102335
|
[24] |
GOMINAK S C, STUMPF W E. The world epidemic of sleep disorders is linked to vitamin D deficiency[J]. Med Hypotheses, 2012, 79(2): 132-135. doi: 10.1016/j.mehy.2012.03.031
|
[25] |
KILEY J P, TWERY M J, GIBBONS G H. The national center on sleep disorders research-progress and promise[J]. Sleep, 2019, 42(6): zsz105. doi: 10.1093/sleep/zsz105
|
[26] |
HAFNER M, STEPANEK M, TAYLOR J, et al. Why sleep matters-the economic costs of insufficient sleep: a cross-country comparative analysis[J]. Rand Heal Q, 2017, 6(4): 11.
|
[27] |
KHUBCHANDANI J, PRICE J H. Short sleep duration in working American adults, 2010-2018[J]. J Community Heal, 2020, 45(2): 219-227. doi: 10.1007/s10900-019-00731-9
|
[28] |
LI R X, MA M, XIAO X R, et al. Perimenopausal syndrome and mood disorders in perimenopause: prevalence, severity, relationships, and risk factors[J]. Medicine, 2016, 95(32): e4466. doi: 10.1097/MD.0000000000004466
|
[29] |
KLINEDINST B S, MEIER N F, LARSEN B, et al. Walking in the light: how history of physical activity, sunlight, and vitamin D account for body fat-A UK biobank study[J]. Obes Silver Spring Md, 2020, 28(8): 1428-1437. doi: 10.1002/oby.22852
|
[30] |
HUIBERTS L M, SMOLDERS K. Effects of vitamin D on mood and sleep in the healthy population: Interpretations from the serotonergic pathway[J]. Sleep Med Rev, 2021, 55: 101379. doi: 10.1016/j.smrv.2020.101379
|
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