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Schilling, Claudia [VerfasserIn]; Nieters, Alexandra [VerfasserIn]; Schredl, Michael [VerfasserIn]; Peter, Raphael S. [VerfasserIn]; Rothenbacher, Dietrich [VerfasserIn]; Brockmann, Stefan O. [VerfasserIn]; Göpel, Siri [VerfasserIn]; Kindle, Gerhard [VerfasserIn]; Merle, Uta [VerfasserIn]; Steinacker, Jürgen M. [VerfasserIn]; Kern, Winfried V. [VerfasserIn]

Pre-existing sleep problems as a predictor of post-acute sequelae of COVID-19

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  • Medientyp: E-Artikel
  • Titel: Pre-existing sleep problems as a predictor of post-acute sequelae of COVID-19
  • Beteiligte: Schilling, Claudia [VerfasserIn]; Nieters, Alexandra [VerfasserIn]; Schredl, Michael [VerfasserIn]; Peter, Raphael S. [VerfasserIn]; Rothenbacher, Dietrich [VerfasserIn]; Brockmann, Stefan O. [VerfasserIn]; Göpel, Siri [VerfasserIn]; Kindle, Gerhard [VerfasserIn]; Merle, Uta [VerfasserIn]; Steinacker, Jürgen M. [VerfasserIn]; Kern, Winfried V. [VerfasserIn]
  • Erschienen: 25 May 2023
  • Erschienen in: Journal of sleep research ; (2023), early view, Seite 1-9
  • Sprache: Englisch
  • DOI: 10.1111/jsr.13949
  • ISSN: 1365-2869
  • Identifikator:
  • Schlagwörter: post-COVID-19 syndrome ; risk factor ; sleep disturbance
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: Several months after COVID-19 many individuals still report persisting symptoms, the so-called ‘post-COVID-19 syndrome’. An immunological dysfunction is one of the main pathophysiological hypotheses. As sleep is central to the functioning of the immune system, we investigated whether self-reported pre-existing sleep disturbance might be an independent risk factor for the development of post-COVID-19 syndrome. A total of 11,710 participants of a cross-sectional survey (all tested positive for severe acute respiratory syndrome coronavirus-2) were classified into probable post-COVID-19 syndrome, an intermediate group, and unaffected participants at an average of 8.5 months after infection. The case definition was based on newly occurring symptoms of at least moderate severity and ≥20% reduction in health status and/or working capacity. Unadjusted and adjusted odds ratios were calculated to investigate the association between pre-existing sleep disturbances and subsequent development of post-COVID-19 syndrome while controlling for a variety of demographic, lifestyle, and health factors. Pre-existing sleep disturbances were found to be an independent predictor of subsequent probable post-COVID-19 syndrome (adjusted odds ratio 2.7, 95% confidence interval 2.27-3.24). Sleep disturbances as part of the post-COVID-19 syndrome were reported by more than half of the participants and appeared to be a new symptom and to occur independent of a mood disorder in most cases. Recognition of disturbed sleep as an important risk factor for post-COVID-19 syndrome should promote improved clinical management of sleep disorders in the context of COVID-19. Further, it may stimulate further research on the effect of improving sleep on the prognosis of COVID-19 long-term sequelae and other post-viral conditions.
  • Zugangsstatus: Freier Zugang