Sleep characteristics across the lifespan in 1.1 million people from the Netherlands, United Kingdom and United States: a systematic review and meta-analysis

  • Desana Kocevska
  • , Thom S. Lysen
  • , Aafje Dotinga
  • , M. Elisabeth Koopman-Verhoeff
  • , Maartje P.C.M. Luijk
  • , Niki Antypa
  • , Nienke R. Biermasz
  • , Anneke Blokstra
  • , Johannes Brug
  • , Wiliam J. Burk
  • , Hannie C. Comijs
  • , Eva Corpeleijn
  • , Hassan S. Dashti
  • , Eduard J. de Bruin
  • , Ron de Graaf
  • , Ivonne P.M. Derks
  • , Julia F. Dewald-Kaufmann
  • , Petra J.M. Elders
  • , Reinoldus J.B.J. Gemke
  • , Linda Grievink
  • Lauren Hale, Catharina A. Hartman, Cobi J. Heijnen, Martijn Huisman, Anke Huss, M. Arfan Ikram, Samuel E. Jones, Mariska Klein Velderman, Maaike Koning, Anne Marie Meijer, Kim Meijer, Raymond Noordam, Albertine J. Oldehinkel, Joost Oude Groeniger, Brenda W.J.H. Penninx, H. Susan J. Picavet, Sara Pieters, Sijmen A. Reijneveld, Ellen Reitz, Carry M. Renders, Gerda Rodenburg, Femke Rutters, Matt C. Smith, Amika S. Singh, Marieke B. Snijder, Karien Stronks, Margreet ten Have, Jos W.R. Twisk, Dike Van de Mheen, Jan van der Ende, Kristiaan B. van der Heijden, Peter G. van der Velden, Frank J. van Lenthe, Raphaële R.L. van Litsenburg, Sandra H. van Oostrom, Frank J. van Schalkwijk, Connor M. Sheehan, Robert A. Verheij, Frank C. Verhulst, Marije C.M. Vermeulen, Roel C.H. Vermeulen, W. M.Monique Verschuren, Tanja G.M. Vrijkotte, Alet H. Wijga, Agnes M. Willemen, Maike ter Wolbeek, Andrew R. Wood, Yllza Xerxa, Wichor M. Bramer, Oscar H. Franco, Annemarie I. Luik, Eus J.W. Van Someren, Henning Tiemeier

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Abstract

We aimed to obtain reliable reference charts for sleep duration, estimate the prevalence of sleep complaints across the lifespan and identify risk indicators of poor sleep. Studies were identified through systematic literature search in Embase, Medline and Web of Science (9 August 2019) and through personal contacts. Eligible studies had to be published between 2000 and 2017 with data on sleep assessed with questionnaires including ≥100 participants from the general population. We assembled individual participant data from 200,358 people (aged 1–100 years, 55% female) from 36 studies from the Netherlands, 471,759 people (40–69 years, 55.5% female) from the United Kingdom and 409,617 people (≥18 years, 55.8% female) from the United States. One in four people slept less than age-specific recommendations, but only 5.8% slept outside of the ‘acceptable’ sleep duration. Among teenagers, 51.5% reported total sleep times (TST) of less than the recommended 8–10 h and 18% report daytime sleepiness. In adults (≥18 years), poor sleep quality (13.3%) and insomnia symptoms (9.6–19.4%) were more prevalent than short sleep duration (6.5% with TST <6 h). Insomnia symptoms were most frequent in people spending ≥9 h in bed, whereas poor sleep quality was more frequent in those spending
Original languageEnglish
Pages (from-to)113-122
Number of pages16
JournalNature Human Behaviour
Volume5
Issue number1
Early online date16 Nov 2020
DOIs
Publication statusPublished - Jan 2021

Funding

This research has been conducted using the UK Biobank Resource (UKBB application nos. 6818 and 9072). We would like to thank the participants and researchers from the UKBB who contributed or collected data. This work was supported by a grant financed by the Dutch Brain Foundation (Hersenstichting, grant no. GH2015.4.01). The work of D.K. was supported by an NWA Startimuls KNAW 2017 grant no. AZ/3137. E.J.W.V.S. was supported by European Research Council grant no. ERC-2014-AdG-671084 INSOMNIA. The work of H.T. was supported by a Netherlands Organization for Scientific Research grant no. 017.VICI.106.370. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.

FundersFunder number
Hersenstichting
Northwest Airlines
European Research Council
Horizon 2020 Framework Programme671084
Dutch Brain FoundationGH2015.4.01
Koninklijke Nederlandse Akademie van WetenschappenAZ/3137
Nederlandse Organisatie voor Wetenschappelijk Onderzoek017.VICI.106.370

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

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