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 “clinically-ex...

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Autores principales:	Chinedu T. Udeh-Momoh, Tamlyn Watermeyer, Shireen Sindi, Parthenia Giannakopoulou, Catherine E. Robb, Sara Ahmadi-Abhari, Bang Zheng, Amina Waheed, James McKeand, David Salman, Thomas Beaney, Celeste A. de Jager Loots, Geraint Price, Christina Atchison, Josip Car, Azeem Majeed, Alison. H. McGregor, Miia Kivipelto, Helen Ward, Lefkos T. Middleton
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	sleep quality COVID-19 lockdown clinically extremely vulnerable older adults modifiable factors sex differences Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/b10c893727ea43bca421ed9c025aef61
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spelling	oai:doaj.org-article:b10c893727ea43bca421ed9c025aef612021-11-16T17:00:59ZHealth, 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 Vulnerable2296-256510.3389/fpubh.2021.753964https://doaj.org/article/b10c893727ea43bca421ed9c025aef612021-10-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.753964/fullhttps://doaj.org/toc/2296-2565Background: 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.Chinedu T. Udeh-MomohTamlyn WatermeyerTamlyn WatermeyerShireen SindiShireen SindiParthenia GiannakopoulouCatherine E. RobbSara Ahmadi-AbhariBang ZhengAmina WaheedJames McKeandDavid SalmanDavid SalmanThomas BeaneyCeleste A. de Jager LootsGeraint PriceChristina AtchisonChristina AtchisonJosip CarJosip CarJosip CarAzeem MajeedAzeem MajeedAlison. H. McGregorMiia KivipeltoMiia KivipeltoMiia KivipeltoMiia KivipeltoHelen WardHelen WardLefkos T. MiddletonLefkos T. MiddletonFrontiers Media S.A.articlesleep qualityCOVID-19 lockdownclinically extremely vulnerable older adultsmodifiable factorssex differencesPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep quality COVID-19 lockdown clinically extremely vulnerable older adults modifiable factors sex differences Public aspects of medicine RA1-1270
spellingShingle	sleep quality COVID-19 lockdown clinically extremely vulnerable older adults modifiable factors sex differences Public aspects of medicine RA1-1270 Chinedu T. Udeh-Momoh Tamlyn Watermeyer Tamlyn Watermeyer Shireen Sindi Shireen Sindi Parthenia Giannakopoulou Catherine E. Robb Sara Ahmadi-Abhari Bang Zheng Amina Waheed James McKeand David Salman David Salman Thomas Beaney Celeste A. de Jager Loots Geraint Price Christina Atchison Christina Atchison Josip Car Josip Car Josip Car Azeem Majeed Azeem Majeed Alison. H. McGregor Miia Kivipelto Miia Kivipelto Miia Kivipelto Miia Kivipelto Helen Ward Helen Ward Lefkos T. Middleton Lefkos T. Middleton 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.
format	article
author	Chinedu T. Udeh-Momoh Tamlyn Watermeyer Tamlyn Watermeyer Shireen Sindi Shireen Sindi Parthenia Giannakopoulou Catherine E. Robb Sara Ahmadi-Abhari Bang Zheng Amina Waheed James McKeand David Salman David Salman Thomas Beaney Celeste A. de Jager Loots Geraint Price Christina Atchison Christina Atchison Josip Car Josip Car Josip Car Azeem Majeed Azeem Majeed Alison. H. McGregor Miia Kivipelto Miia Kivipelto Miia Kivipelto Miia Kivipelto Helen Ward Helen Ward Lefkos T. Middleton Lefkos T. Middleton
author_facet	Chinedu T. Udeh-Momoh Tamlyn Watermeyer Tamlyn Watermeyer Shireen Sindi Shireen Sindi Parthenia Giannakopoulou Catherine E. Robb Sara Ahmadi-Abhari Bang Zheng Amina Waheed James McKeand David Salman David Salman Thomas Beaney Celeste A. de Jager Loots Geraint Price Christina Atchison Christina Atchison Josip Car Josip Car Josip Car Azeem Majeed Azeem Majeed Alison. H. McGregor Miia Kivipelto Miia Kivipelto Miia Kivipelto Miia Kivipelto Helen Ward Helen Ward Lefkos T. Middleton Lefkos T. Middleton
author_sort	Chinedu T. Udeh-Momoh
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
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/b10c893727ea43bca421ed9c025aef61
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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

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