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08.11.2021 | Epidemiology • Original Article

Self-reported versus actigraphy-assessed sleep duration in the ELSA-Brasil study: analysis of the short/long sleep duration reclassification

verfasst von: Ronaldo B. Santos, Soraya Giatti, Aline N. Aielo, Wagner A. Silva, Barbara K. Parise, Lorenna F. Cunha, Silvana P. Souza, Airlane P. Alencar, Paulo A. Lotufo, Isabela M. Bensenor, Luciano F. Drager

Erschienen in: Sleep and Breathing | Ausgabe 3/2022

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Abstract

Purpose

This study was aimed to determine the magnitude and predictors of self-reported short/long sleep duration (SDUR) reclassifications using objective measurements.

Methods

Adult participants from the ELSA-Brasil study performed self-reported SDUR, 7-day wrist actigraphy, and a portable sleep study. We explored two strategies of defining self-reported SDUR reclassification: (1) short and long SDUR defined by <6 and ≥8h, respectively; (2) reclassification using a large spectrum of SDUR categories (<5, 5–6, 7–8, 8–9, and >9 h).

Results

Data from 2036 participants were used in the final analysis (43% males; age: 49±8 years). Self-reported SDUR were poorly correlated (r=0.263) and presented a low agreement with actigraphy-based total sleep time. 58% of participants who self-reported short SDUR were reclassified into the reference (6–7.99 h) or long SDUR groups using actigraphy data. 88% of participants that self-reported long SDUR were reclassified into the reference and short SDUR. The variables independently associated with higher likelihood of self-reported short SDUR reclassification included insomnia (3.5-fold), female (2.5-fold), higher sleep efficiency (1.35-fold), lowest O₂ saturation (1.07-fold), higher wake after sleep onset (1.08-fold), and the higher number of awakening (1.05-fold). The presence of hypertension was associated with a 3.4-fold higher chance of self-reported long SDUR reclassification. Analysis of five self-reported SDUR categories revealed that the more extreme is the SDUR, the greater the self-reported SDUR reclassification.

Conclusion

In adults, we observed a significant rate of short/long SDUR reclassifications when comparing self-reported with objective data. These results underscore the need to reappraise subjective data use for future investigations addressing SDUR.

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Titel: Self-reported versus actigraphy-assessed sleep duration in the ELSA-Brasil study: analysis of the short/long sleep duration reclassification
verfasst von: Ronaldo B. Santos
Soraya Giatti
Aline N. Aielo
Wagner A. Silva
Barbara K. Parise
Lorenna F. Cunha
Silvana P. Souza
Airlane P. Alencar
Paulo A. Lotufo
Isabela M. Bensenor
Luciano F. Drager
Publikationsdatum: 08.11.2021
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 3/2022
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-021-02489-8

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Self-reported versus actigraphy-assessed sleep duration in the ELSA-Brasil study: analysis of the short/long sleep duration reclassification