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      Association of sleep duration with chronic constipation among adult men and women: Findings from the National Health and Nutrition Examination Survey (2005–2010)

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          Abstract

          Background

          Previous studies suggested that unhealthy sleep patterns were closely associated with gastrointestinal diseases, but the impact of unhealthy sleep duration on chronic constipation has not been well studied until now. In this study, we aim to explore the association between sleep duration and constipation among males and females.

          Methods

          We utilized the US National Health and Nutrition Examination Surveys data from 2005 to 2010, and adults (≥20 years old) who completed the sleep and bowel health questionnaires were enrolled in this observational study. Sleep duration was categorized into four groups: very short sleep (<5 h/night), short sleep (5–6 h/night), normal sleep (7–8 h/night), and long sleep (≥9 h/night). Chronic constipation was defined as Bristol Stool Scale Type 1(separate hard lumps, like nuts) or Type 2(sausage-like but lumpy). Controlling demographic, lifestyle, and dietary factors, the logistic regression model in Generalized Linear Model (GLM) function was used to estimate the correlation of sleep duration with constipation among men and women.

          Results

          Of the 11,785 individuals (51.2% males and 48.8% females), 4.3% of men and 10.2% of women had constipation, respectively. More than half of patients with constipation did not adopt the recommended sleep duration. Compared with normal individuals, male participants with constipation had a higher proportion of shorter sleep duration (41.0 vs. 32.3% in the short sleep group and 6.3 vs. 4.7% in the very short sleep group), and female individuals with constipation had a higher proportion of long sleep duration (12.7 vs. 8.2%). After covariates adjustment, men with short sleep duration (5–6 h/night) correlated with increased odds for constipation (OR:1.54, 95%CI:1.05–2.25), and women with long sleep duration (≥9 h/night) linked to the higher constipation risk (OR:1.58, 95%CI:1.10–2.29). Excessive sleep duration in males or insufficient sleep duration in females was neither linked to increased nor decreased constipation risk.

          Conclusions

          In this observational study of a nationally representative sample of adults, we demonstrate a differential impact of unhealthy sleep duration on constipation among men and women. Short sleep duration poses a higher risk of constipation in men, and excessive sleep duration correlates with higher constipation risk in women.

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          National Sleep Foundation’s updated sleep duration recommendations: final report

          Max Hirshkowitz, Kaitlyn Whiton, Steven M. Albert … (2015)
          To make scientifically sound and practical recommendations for daily sleep duration across the life span.
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            SLEEP DURATION AND DEPRESSION AMONG ADULTS: A META-ANALYSIS OF PROSPECTIVE STUDIES.

            Long Zhai, Hua Zhang, Dongfeng Zhang (2015)
            Results from longitudinal studies on sleep duration and incidence of depression remain controversial.
            Article 0 comments Cited 277 times – based on 0 reviews     Review now
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              Global prevalence of functional constipation according to the Rome criteria: a systematic review and meta-analysis.

              Brigida Barberio, Ciaran Judge, Edoardo V Savarino … (2021)
              Functional constipation is a common functional bowel disorder in the community, which has a varying prevalence across cross-sectional surveys. We did a contemporaneous systematic review and meta-analysis of studies using comparable methodology and all iterations of the Rome criteria to estimate the global prevalence of functional constipation.
              Article 0 comments Cited 106 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Journal
                Journal ID (nlm-ta): Front Neurol
                Journal ID (iso-abbrev): Front Neurol
                Journal ID (publisher-id): Front. Neurol.
                Title: Frontiers in Neurology
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 1664-2295
                Publication date (Electronic): 10 August 2022
                Publication date Collection: 2022
                Volume: 13
                Electronic Location Identifier: 903273
                Affiliations
                [1] 1Department of Ultrasound, The First Hospital of Jilin University , Changchun, China
                [2] 2Department of Colorectal and Anal Surgery, The First Hospital of Jilin University , Changchun, China
                Author notes

                Edited by: Lei Shi, Southern Medical University, China

                Reviewed by: Ji-Hong Chen, McMaster University, Canada; Yuxi Liu, Guangdong Medical University, China; Liu Di, Harbin Medical University, China

                *Correspondence: Xiao-Feng Sun sxf@ 123456jlu.edu.cn

                This article was submitted to Sleep Disorders, a section of the journal Frontiers in Neurology

                †These authors have contributed equally to this work

                Article
                DOI: 10.3389/fneur.2022.903273
                PMC ID: 9399653
                PubMed ID: 36034289
                SO-VID: d8c70aa4-7c8f-4795-a38a-32a53af33795
                Copyright © Copyright © 2022 Yang, Li, Guo, Zhou, Sun and Tai.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 24 March 2022
                Date accepted : 20 July 2022
                Page count
                Figures: 2, Tables: 2, Equations: 0, References: 37, Pages: 09, Words: 5101
                Categories
                Subject: Neurology
                Subject: Original Research

                ScienceOpen disciplines: Neurology
                Keywords: sleep duration,constipation,cross-sectional study,stool consistency,nhanes
                Data availability:
                ScienceOpen disciplines: Neurology
                Keywords: sleep duration, constipation, cross-sectional study, stool consistency, nhanes

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