Sleep interrupted: What’s keeping us up at night?
FAU, collaborators conduct one of the largest longitudinal sleep studies on evening use of alcohol, caffeine and nicotine in an African-American cohort
Credit: Florida Atlantic University
Between 50 to 70 million Americans have a sleep disorder. Sleepless nights are associated with a number of adverse health outcomes including heart disease, high blood pressure, diabetes, and certain cancers. Evening use of alcohol, caffeine and nicotine are believed to sabotage sleep. Yet, studies examining their effects on sleep are limited by small sample sizes that don’t represent racial and ethnic diversity or objective measures of sleep. Furthermore, these investigations have been conducted in laboratory or observatory settings.
Considering the public health importance of getting a good night’s sleep and the widespread use of these substances, relatively few studies have thoroughly investigated the association between evening use of alcohol, caffeine and nicotine and sleep parameters.
A study led by a researcher at Florida Atlantic University with collaborators from Brigham and Women’s Hospital, Harvard T. H Chan School of Public Health, Harvard Medical School, Emory University the National Institutes of Health, and the University of Mississippi Medical Center, is one of the largest longitudinal investigations to date to examine evening consumption of alcohol, caffeine and nicotine among an African-American cohort with objectively measured sleep outcomes in their natural environments.
Using actigraphy (wrist-watch-like sensor) and concurrent daily sleep diaries, the researchers examined the night-to-night associations of evening use of alcohol, caffeine and nicotine on sleep duration, sleep efficiency and wake after sleep onset. The study involved 785 participants and totaled 5,164 days of concurrent actigraphy and daily sleep diaries that recorded how much alcohol, caffeine or nicotine they consumed within four hours of bedtime.
Results of the study, published in the journal Sleep, may be good news for coffee lovers. The researchers did not find an association between consumption of caffeine within four hours of bedtime with any of the sleep parameters. However, the researchers warn that caffeine dosing, and individual variations in caffeine sensitivity and tolerance, were not able to be measured and can play an important role in the association between caffeine use and sleep.
For smokers and those who enjoy “Happy Hour” or an alcoholic beverage with dinner, the study shows that a night with use of nicotine and/or alcohol within four hours of bedtime demonstrated worse sleep continuity than a night without these substances, even after controlling for age, gender, obesity, level of education, having work/school the next day, and depressive symptoms, anxiety, and stress.
Nicotine was the substance most strongly associated with sleep disruption and yet another reason to quit smoking. There was a statistically significant interaction between evening nicotine use and insomnia in relation to sleep duration. Among participants with insomnia, nightly nicotine use was associated with an average 42.47-minute reduction in sleep duration. The effects of nicotine may be particularly significant among individuals with insomnia.
The results from this study are especially meaningful as they were observed in individuals unselected for sleep problems and who generally had high sleep efficiency. Moreover, they were based on longitudinal data so that the associations can take account of not only between-person differences but also within-person variations in exposures and covariates such as age, obesity, educational attainment, having work/school the next day, and mental health symptomatology.
“African Americans have been underrepresented in studies examining the associations of nicotine, alcohol, and caffeine use on sleep,” said Christine E. Spadola, Ph.D., lead author and an assistant professor in FAU’s Phyllis and Harvey Sandler School of Social Work within the College for Design and Social Inquiry. “This is especially significant because African Americans are more likely to experience short sleep duration and fragmented sleep compared to non-Hispanic Whites, as well as more deleterious health consequences associated with inadequate sleep than other racial or ethnic groups.”
These findings support the importance of sleep health recommendations that promote the restriction of evening alcohol and nicotine use to improve sleep continuity.
The study was conducted in the Division of Sleep and Circadian Disorders, Brigham and Women’s Hospital and Harvard Medical School with participants from the Jackson Heart Sleep Study. This research is funded by the National Institutes of Health and from Harvard University and its affiliated academic centers.
About Florida Atlantic University:
Florida Atlantic University, established in 1961, officially opened its doors in 1964 as the fifth public university in Florida. Today, the University, with an annual economic impact of $6.3 billion, serves more than 30,000 undergraduate and graduate students at sites throughout its six-county service region in southeast Florida. FAU’s world-class teaching and research faculty serves students through 10 colleges: the Dorothy F. Schmidt College of Arts and Letters, the College of Business, the College for Design and Social Inquiry, the College of Education, the College of Engineering and Computer Science, the Graduate College, the Harriet L. Wilkes Honors College, the Charles E. Schmidt College of Medicine, the Christine E. Lynn College of Nursing and the Charles E. Schmidt College of Science. FAU is ranked as a High Research Activity institution by the Carnegie Foundation for the Advancement of Teaching. The University is placing special focus on the rapid development of critical areas that form the basis of its strategic plan: Healthy aging, biotech, coastal and marine issues, neuroscience, regenerative medicine, informatics, lifespan and the environment. These areas provide opportunities for faculty and students to build upon FAU’s existing strengths in research and scholarship. For more information, visit fau.edu.