Health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the COVID-19 pandemic : a focus on UK older adults deemed clinically extremely vulnerable

Background: Several studies have assessed the impact of COVID-19-related lockdowns on sleep quality across global populations. However, no study to date has specifically assessed at-risk populations, particularly those at highest risk of complications from coronavirus infection deemed "clinical...

Full description

Saved in:
Bibliographic Details
Main Authors: Udeh-Momoh, Chinedu T, Watermeyer, Tamlyn, Sindi, Shireen, Giannakopoulou, Parthenia, Robb, Catherine E., Ahmadi-Abhari, Sara, Zheng, Bang, Waheed, Amina, McKeand, James, Salman, David, Beaney, Thomas, de Jager Loots, Celeste A., Price, Geraint, Atchison, Christina, Car, Josip, Majeed, Azeem, McGregor, Alison H., Kivipelto, Miia, Ward, Helen, Middleton, Lefkos T.
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2021
Subjects:
Online Access:https://hdl.handle.net/10356/153982
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Nanyang Technological University
Language: English
id sg-ntu-dr.10356-153982
record_format dspace
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Science::Medicine
Sleep Quality
COVID-19 Lockdown
spellingShingle Science::Medicine
Sleep Quality
COVID-19 Lockdown
Udeh-Momoh, Chinedu T,
Watermeyer, Tamlyn
Sindi, Shireen
Giannakopoulou, Parthenia
Robb, Catherine E.
Ahmadi-Abhari, Sara
Zheng, Bang
Waheed, Amina
McKeand, James
Salman, David
Beaney, Thomas
de Jager Loots, Celeste A.
Price, Geraint
Atchison, Christina
Car, Josip
Majeed, Azeem
McGregor, Alison H.
Kivipelto, Miia
Ward, Helen
Middleton, Lefkos T.
Health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the COVID-19 pandemic : a focus on UK older adults deemed clinically extremely vulnerable
description Background: Several studies have assessed the impact of COVID-19-related lockdowns on sleep quality across global populations. However, no study to date has specifically assessed at-risk populations, particularly those at highest risk of complications from coronavirus infection deemed "clinically-extremely-vulnerable-(COVID-19CEV)" (as defined by Public Health England). Methods: In this cross-sectional study, we surveyed 5,558 adults aged ≥50 years (of whom 523 met criteria for COVID-19CEV) during the first pandemic wave that resulted in a nationwide-lockdown (April-June 2020) with assessments of sleep quality (an adapted sleep scale that captured multiple sleep indices before and during the lockdown), health/medical, lifestyle, psychosocial and socio-demographic factors. We examined associations between these variables and sleep quality; and explored interactions of COVID-19CEV status with significant predictors of poor sleep, to identify potential moderating factors. Results: Thirty-seven percent of participants reported poor sleep quality which was associated with younger age, female sex and multimorbidity. Significant associations with poor sleep included health/medical factors: COVID-19CEV status, higher BMI, arthritis, pulmonary disease, and mental health disorders; and the following lifestyle and psychosocial factors: living alone, higher alcohol consumption, an unhealthy diet and higher depressive and anxiety symptoms. Moderators of the negative relationship between COVID-19CEV status and good sleep quality were marital status, loneliness, anxiety and diet. Within this subgroup, less anxious and less lonely males, as well as females with healthier diets, reported better sleep. Conclusions: Sleep quality in older adults was compromised during the sudden unprecedented nation-wide lockdown due to distinct modifiable factors. An important contribution of our study is the assessment of a "clinically-extremely-vulnerable" population and the sex differences identified within this group. Male and female older adults deemed COVID-19CEV may benefit from targeted mental health and dietary interventions, respectively. This work extends the available evidence on the notable impact of lack of social interactions during the COVID-19 pandemic on sleep, and provides recommendations toward areas for future work, including research into vulnerability factors impacting sleep disruption and COVID-19-related complications. Study results may inform tailored interventions targeted at modifiable risk factors to promote optimal sleep; additionally, providing empirical data to support health policy development in this area.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Udeh-Momoh, Chinedu T,
Watermeyer, Tamlyn
Sindi, Shireen
Giannakopoulou, Parthenia
Robb, Catherine E.
Ahmadi-Abhari, Sara
Zheng, Bang
Waheed, Amina
McKeand, James
Salman, David
Beaney, Thomas
de Jager Loots, Celeste A.
Price, Geraint
Atchison, Christina
Car, Josip
Majeed, Azeem
McGregor, Alison H.
Kivipelto, Miia
Ward, Helen
Middleton, Lefkos T.
format Article
author Udeh-Momoh, Chinedu T,
Watermeyer, Tamlyn
Sindi, Shireen
Giannakopoulou, Parthenia
Robb, Catherine E.
Ahmadi-Abhari, Sara
Zheng, Bang
Waheed, Amina
McKeand, James
Salman, David
Beaney, Thomas
de Jager Loots, Celeste A.
Price, Geraint
Atchison, Christina
Car, Josip
Majeed, Azeem
McGregor, Alison H.
Kivipelto, Miia
Ward, Helen
Middleton, Lefkos T.
author_sort Udeh-Momoh, Chinedu T,
title Health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the COVID-19 pandemic : a focus on UK older adults deemed clinically extremely vulnerable
title_short Health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the COVID-19 pandemic : a focus on UK older adults deemed clinically extremely vulnerable
title_full Health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the COVID-19 pandemic : a focus on UK older adults deemed clinically extremely vulnerable
title_fullStr Health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the COVID-19 pandemic : a focus on UK older adults deemed clinically extremely vulnerable
title_full_unstemmed Health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the COVID-19 pandemic : a focus on UK older adults deemed clinically extremely vulnerable
title_sort health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the covid-19 pandemic : a focus on uk older adults deemed clinically extremely vulnerable
publishDate 2021
url https://hdl.handle.net/10356/153982
_version_ 1759854473936633856
spelling sg-ntu-dr.10356-1539822023-03-05T16:50:46Z Health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the COVID-19 pandemic : a focus on UK older adults deemed clinically extremely vulnerable Udeh-Momoh, Chinedu T, Watermeyer, Tamlyn Sindi, Shireen Giannakopoulou, Parthenia Robb, Catherine E. Ahmadi-Abhari, Sara Zheng, Bang Waheed, Amina McKeand, James Salman, David Beaney, Thomas de Jager Loots, Celeste A. Price, Geraint Atchison, Christina Car, Josip Majeed, Azeem McGregor, Alison H. Kivipelto, Miia Ward, Helen Middleton, Lefkos T. Lee Kong Chian School of Medicine (LKCMedicine) Centre for Population Health Sciences Science::Medicine Sleep Quality COVID-19 Lockdown Background: Several studies have assessed the impact of COVID-19-related lockdowns on sleep quality across global populations. However, no study to date has specifically assessed at-risk populations, particularly those at highest risk of complications from coronavirus infection deemed "clinically-extremely-vulnerable-(COVID-19CEV)" (as defined by Public Health England). Methods: In this cross-sectional study, we surveyed 5,558 adults aged ≥50 years (of whom 523 met criteria for COVID-19CEV) during the first pandemic wave that resulted in a nationwide-lockdown (April-June 2020) with assessments of sleep quality (an adapted sleep scale that captured multiple sleep indices before and during the lockdown), health/medical, lifestyle, psychosocial and socio-demographic factors. We examined associations between these variables and sleep quality; and explored interactions of COVID-19CEV status with significant predictors of poor sleep, to identify potential moderating factors. Results: Thirty-seven percent of participants reported poor sleep quality which was associated with younger age, female sex and multimorbidity. Significant associations with poor sleep included health/medical factors: COVID-19CEV status, higher BMI, arthritis, pulmonary disease, and mental health disorders; and the following lifestyle and psychosocial factors: living alone, higher alcohol consumption, an unhealthy diet and higher depressive and anxiety symptoms. Moderators of the negative relationship between COVID-19CEV status and good sleep quality were marital status, loneliness, anxiety and diet. Within this subgroup, less anxious and less lonely males, as well as females with healthier diets, reported better sleep. Conclusions: Sleep quality in older adults was compromised during the sudden unprecedented nation-wide lockdown due to distinct modifiable factors. An important contribution of our study is the assessment of a "clinically-extremely-vulnerable" population and the sex differences identified within this group. Male and female older adults deemed COVID-19CEV may benefit from targeted mental health and dietary interventions, respectively. This work extends the available evidence on the notable impact of lack of social interactions during the COVID-19 pandemic on sleep, and provides recommendations toward areas for future work, including research into vulnerability factors impacting sleep disruption and COVID-19-related complications. Study results may inform tailored interventions targeted at modifiable risk factors to promote optimal sleep; additionally, providing empirical data to support health policy development in this area. Published version This study was sponsored by Imperial College London and partly funded by the Imperial College Healthcare Trust, NIHR Biomedical Research Centre. 2021-12-19T06:37:56Z 2021-12-19T06:37:56Z 2021 Journal Article Udeh-Momoh, C. T., Watermeyer, T., Sindi, S., Giannakopoulou, P., Robb, C. E., Ahmadi-Abhari, S., Zheng, B., Waheed, A., McKeand, J., Salman, D., Beaney, T., de Jager Loots, C. A., Price, G., Atchison, C., Car, J., Majeed, A., McGregor, A. H., Kivipelto, M., Ward, H. & Middleton, L. T. (2021). Health, lifestyle, and psycho-social determinants of poor sleep quality during the early phase of the COVID-19 pandemic : a focus on UK older adults deemed clinically extremely vulnerable. Frontiers in Public Health, 9, 753964-. https://dx.doi.org/10.3389/fpubh.2021.753964 2296-2565 https://hdl.handle.net/10356/153982 10.3389/fpubh.2021.753964 34869170 2-s2.0-85118976233 9 753964 en Frontiers in Public Health © 2021 Udeh-Momoh, Watermeyer, Sindi, Giannakopoulou, Robb, Ahmadi-Abhari, Zheng, Waheed, McKeand, Salman, Beaney, de Jager Loots, Price, Atchison, Car, Majeed, McGregor, Kivipelto, Ward and Middleton. This is an openaccess 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. application/pdf