Relationship between nonrestorative sleep and heartburn among a Japanese occupational population.
Asian
Esophageal dysesthesia
Gastric acid
Gastroesophageal reflux
Insomnia
Medical check-up
Office worker
Short sleep duration
Sleep restfulness
Stress
Unrefreshing sleep
Journal
Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology
ISSN: 0975-0711
Titre abrégé: Indian J Gastroenterol
Pays: India
ID NLM: 8409436
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
received:
15
11
2022
accepted:
04
03
2023
medline:
27
7
2023
pubmed:
25
6
2023
entrez:
24
6
2023
Statut:
ppublish
Résumé
Nonrestorative sleep (NRS) is a symptom of insomnia and is clearly more associated with objective indices than other insomnia symptoms. Gastroesophageal reflux disease (GERD) and insomnia are known to be strongly related. However, the link between NRS and heartburn, a main symptom of GERD, is poorly understood. Therefore, the relationships between them were investigated in addition to sleep duration. The results of a single year's medical examinations were investigated for 29,475 Japanese active office workers who were 20 to 59 years old. NRS and heartburn were investigated in a medical interview using a personal computer. The relationships between NRS and heartburn in addition to sleep duration were also analyzed. The subjects were 46.6 ± 8.7 years old (mean ± SD) and 27% and 13% of them had NRS and heartburn, respectively. The presence of NRS together with a sleep duration of ≤ 5, 6, 7 or ≥ 8 hours was an independent comorbid factor for heartburn compared with the absence of NRS together with a sleep duration of seven hours (reference; odds ratio [OR], 2.38; 95% confidence interval [CI], 2.11-2.69, OR, 2.44; 95% CI, 2.16-2.76, OR, 2.33; 95% CI, 1.94-2.79; and OR, 1.72; 95% CI, 1.14-2.52). The absence of NRS together with a sleep duration of ≤ 5 hours was also an independent comorbid factor for heartburn compared with the reference (OR, 1.20; 95% CI, 1.05-1.37). NRS in active workers may contribute to heartburn comorbidity despite the sleep duration as in other workers without NRS.
Sections du résumé
BACKGROUND
Nonrestorative sleep (NRS) is a symptom of insomnia and is clearly more associated with objective indices than other insomnia symptoms. Gastroesophageal reflux disease (GERD) and insomnia are known to be strongly related. However, the link between NRS and heartburn, a main symptom of GERD, is poorly understood. Therefore, the relationships between them were investigated in addition to sleep duration.
METHODS
The results of a single year's medical examinations were investigated for 29,475 Japanese active office workers who were 20 to 59 years old. NRS and heartburn were investigated in a medical interview using a personal computer. The relationships between NRS and heartburn in addition to sleep duration were also analyzed.
RESULTS
The subjects were 46.6 ± 8.7 years old (mean ± SD) and 27% and 13% of them had NRS and heartburn, respectively. The presence of NRS together with a sleep duration of ≤ 5, 6, 7 or ≥ 8 hours was an independent comorbid factor for heartburn compared with the absence of NRS together with a sleep duration of seven hours (reference; odds ratio [OR], 2.38; 95% confidence interval [CI], 2.11-2.69, OR, 2.44; 95% CI, 2.16-2.76, OR, 2.33; 95% CI, 1.94-2.79; and OR, 1.72; 95% CI, 1.14-2.52). The absence of NRS together with a sleep duration of ≤ 5 hours was also an independent comorbid factor for heartburn compared with the reference (OR, 1.20; 95% CI, 1.05-1.37).
CONCLUSIONS
NRS in active workers may contribute to heartburn comorbidity despite the sleep duration as in other workers without NRS.
Identifiants
pubmed: 37355485
doi: 10.1007/s12664-023-01366-4
pii: 10.1007/s12664-023-01366-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
542-548Informations de copyright
© 2023. Indian Society of Gastroenterology.
Références
American Academy of Sleep Medicine. International classification of sleep disorders diagnostic and coding manual. 3rd ed. Darien, IL: American Academy of Sleep Medicine; 2014.
Laffan A, Caffo B, Swihart BJ, Punjabi NM. Utility of sleep stage transitions in assessing sleep continuity. Sleep. 2010;33:1681–6.
doi: 10.1093/sleep/33.12.1681
pubmed: 21120130
pmcid: 2982738
Kaplan KA, Hirshman J, Hernandez B, et al. When a gold standard isn’t so golden: Lack of prediction of subjective sleep quality from sleep polysomnography. Biol Psychol. 2017;123:37–46.
Kaplan KA, Hardas PP, Redline S, Zeitzer JM; Sleep Heart Health Study Research Group. Correlates of sleep quality in midlife and beyond: a machine learning analysis. Sleep Med. 2017;34:162–7.
doi: 10.1016/j.sleep.2017.03.004
pubmed: 28522086
pmcid: 5456454
Zhang J, Lamers F, Hickie IB, He JP, Feig E, Merikangas KR. Differentiating nonrestorative sleep from nocturnal insomnia symptoms: demographic, clinical, inflammatory, and functional correlates. Sleep. 2013;36:671–9.
doi: 10.5665/sleep.2624
pubmed: 23633749
pmcid: 3624821
Iwakiri K, Kinoshita Y, Habu Y, et al. Evidence-based clinical practice guidelines for gastroesophageal reflux disease 2015. J Gastroenterol. 2016;51:751–67.
doi: 10.1007/s00535-016-1227-8
pubmed: 27325300
Raghunath A, Hungin AP, Wooff D, Childs S. Prevalence of Helicobacter pylori in patients with gastro-oesophageal reflux disease: systematic review. BMJ. 2003;326:737.
doi: 10.1136/bmj.326.7392.737
pubmed: 12676842
pmcid: 152634
Fujiwara Y, Arakawa T. Epidemiology and clinical characteristics of GERD in the Japanese population. J Gastroenterol. 2009;44:518–34.
doi: 10.1007/s00535-009-0047-5
pubmed: 19365600
Vakil N, van Zanten SV, Kahrilas P, Dent J, Jones R; Global Consensus Group. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol. 2006;101:1900–20.
doi: 10.1111/j.1572-0241.2006.00630.x
pubmed: 16928254
Mody R, Bolge SC, Kannan H, Fass R. Effects of gastroesophageal reflux disease on sleep and outcomes. Clin Gastroenterol Hepatol. 2009;7:953–9.
doi: 10.1016/j.cgh.2009.04.005
pubmed: 19375520
Fujiwara Y, Habu Y, Ashida K, Kusano M, Higuchi K, Arakawa T. Sleep disturbances and refractory gastroesophageal reflux disease symptoms in patients receiving once-daily proton pump inhibitors and efficacy of twice-daily rabeprazole treatment. Digestion. 2013;88:145–52.
doi: 10.1159/000354071
pubmed: 24008338
Fass R, Naliboff BD, Fass SS, et al. The effect of auditory stress on perception of intraesophageal acid in patients with gastroesophageal reflux disease. Gastroenterology. 2008;134:696–705.
doi: 10.1053/j.gastro.2007.12.010
pubmed: 18206149
Murase K, Tabara Y, Takahashi Y, et al. Gastroesophageal reflux disease symptoms and dietary behaviors are significant correlates of short sleep duration in the general population: the Nagahama Study. Sleep. 2014;37:1809–15.
doi: 10.5665/sleep.4176
pubmed: 25364076
pmcid: 4196064
Kusano M, Kouzu T, Kawano T, Ohara S. Nationwide epidemiological study on gastroesophageal reflux disease and sleep disorders in the Japanese population. J Gastroenterol. 2008;43:833–41.
doi: 10.1007/s00535-008-2235-0
pubmed: 19012036
Fujiwara Y, Machida A, Watanabe Y, et al. Association between dinner-to-bed time and gastro-esophageal reflux disease. Am J Gastroenterol. 2005;100:2633–6.
doi: 10.1111/j.1572-0241.2005.00354.x
pubmed: 16393212
Piesman M, Hwang I, Maydonovitch C, Wong RK. Nocturnal reflux episodes following the administration of a standardized meal. Does timing matter? Am J Gastroenterol. 2007;102:2128–34.
doi: 10.1111/j.1572-0241.2007.01348.x
pubmed: 17573791
Ghoshal UC, Singh R, Rai S. Prevalence and risk factors of gastroesophageal reflux disease in a rural Indian population. Indian J Gastroenterol. 2021;40:56–64.
doi: 10.1007/s12664-020-01135-7
pubmed: 33443640
Nilsson M, Johnsen R, Ye W, Hveem K, Lagergren J. Lifestyle related risk factors in the aetiology of gastro-oesophageal reflux. Gut. 2004;53:1730–5.
doi: 10.1136/gut.2004.043265
pubmed: 15542505
pmcid: 1774312
Franzi SJ, Martin CJ, Cox MR, et al. Response of canine lower esophageal sphincter to gastric distension. Am J Physiol. 1990;259 3 Pt 1 :G380–5.
Ohayon MM, Roth T. What are the contributing factors for insomnia in the general population? J Psychosom Res. 2001;51:745–55.
doi: 10.1016/S0022-3999(01)00285-9
pubmed: 11750297
Vernon MK, Dugar A, Revicki D, Treglia M, Buysse D. Measurement of non-restorative sleep in insomnia: a review of the literature. Sleep Med Rev. 2010;14:205–12.
doi: 10.1016/j.smrv.2009.10.002
pubmed: 20018533
Wilkinson K, Shapiro C. Nonrestorative sleep: symptom or unique diagnostic entity? Sleep Med. 2012;13:561–9.
doi: 10.1016/j.sleep.2012.02.002
pubmed: 22560828
Nisenbaum R, Reyes M, Unger ER, Reeves WC. Factor analysis of symptoms among subjects with unexplained chronic fatigue: what can we learn about chronic fatigue syndrome? J Psychosom Res. 2004;56:171–8.
doi: 10.1016/S0022-3999(03)00039-4
pubmed: 15016574
Matsumoto T, Tabara Y, Murase K, et al. Combined association of clinical and lifestyle factors with non-restorative sleep: The Nagahama Study. PLoS One. 2017;12:e0171849.
doi: 10.1371/journal.pone.0171849
pubmed: 28278155
pmcid: 5344328
Wilkinson K, Shapiro C. Development and validation of the Nonrestorative Sleep Scale (NRSS). J Clin Sleep Med. 2013;9:929–37.
doi: 10.5664/jcsm.2996
pubmed: 23997705
pmcid: 3746720
Sarsour K, Van Brunt DL, Johnston JA, Foley KA, Morin CM, Walsh JK. Associations of nonrestorative sleep with insomnia, depression, and daytime function. Sleep Med. 2010;11:965–72.
doi: 10.1016/j.sleep.2010.08.007
pubmed: 21093365
Zhang J, Lam SP, Li SX, Li AM, Wing YK. The longitudinal course and impact of non-restorative sleep: a five-year community-based follow-up study. Sleep Med. 2012;13:570–6.
doi: 10.1016/j.sleep.2011.12.012
pubmed: 22445230
Edd EM, Flores S. Sleepiness or excessive daytime somnolence. Geriatr Nurs. 2009;30:53–60.
doi: 10.1016/j.gerinurse.2008.11.004
pubmed: 19215814
Johnston BT. Stress and heartburn. J Psychosom Res. 2005;59:425–6.
doi: 10.1016/j.jpsychores.2005.05.011
pubmed: 16310025
Mizyed I, Fass SS, Fass R. Review article: gastro-oesophageal reflux disease and psychological comorbidity. Aliment Pharmacol Ther. 2009;29:351–8.
doi: 10.1111/j.1365-2036.2008.03883.x
pubmed: 19035971
Freidin N, Fisher MJ, Taylor W, et al. Sleep and nocturnal acid reflux in normal subjects and patients with reflux oesophagitis. Gut. 1991;32:1275–9.
doi: 10.1136/gut.32.11.1275
pubmed: 1752454
pmcid: 1379151
Shaker R, Castell DO, Schoenfeld PS, Spechler SJ.Nighttime heartburn is an under-appreciated clinical problem that impacts sleep and daytime function: the results of a Gallup survey conducted on behalf of the American Gastroenterological Association. Am J Gastroenterol. 2003;98:1487–93.
doi: 10.1111/j.1572-0241.2003.07531.x
pubmed: 12873567
Johnson LF, Demeester TR. Twenty-four-hour pH monitoring of the distal esophagus. A quantitative measure of gastroesophageal reflux. Am J Gastroenterol. 1974;62:325–32.
pubmed: 4432845
Regenbogen E, Helkin A, Georgopoulos R, Vasu T, Shroyer AL. Esophageal reflux disease proton pump inhibitor therapy impact on sleep disturbance: a systematic review. Otolaryngol Head Neck Surg. 2012;146:524–32.
doi: 10.1177/0194599812436933
pubmed: 22307577