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| Association between napping status and depressive symptoms in urban residents during the COVID-19 epidemic |
LIN Wenhui1,BAI Guannan2,HE Wei1,YANG Fei1,LI Wei1,MIN Yan3,LU Ying4,HSING Ann3,ZHU Shankuan1,*( ) |
1. School of Public Health, Zhejiang University, Hangzhou 310058, China;
2. Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children’s Regional Medical Center, Hangzhou 310052, China;
3. Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford 94305, USA;
4. Department of Biomedical Data Science, Stanford University School of Medicine, Stanford 94305, USA |
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Abstract Objective: To explore the association between napping status and depressive symptoms in urban residents during the coronavirus disease 2019 (COVID-19) epidemic. Methods: The survey was embedded in the Wellness Living Laboratory-China (WELL China) cohort study. Health and lifestyle information during the COVID-19 epidemic were obtained via the telephone interview from April 8, 2020 to May 29, 2020. A total of 3075 residents aged 18 to 80?years from Gongshu district of Hangzhou city with complete data were included in the analyses. The World Health Organization-Five Well-being Index (WHO-5) was used to measure depressive symptoms. Multiple logistic regression model was used to assess the association between napping status and depressive symptoms in the participants. Results: The prevalence of depressive symptoms was 20.6% in the participants during the COVID-19 epidemic. Daytime napping behavior, especially napping time ≤30?min, was associated with a lower risk of prevalent depressive symptoms (OR=0.61, 95%CI: 0.47–0.79, P<0.01) and incident depressive symptoms in the population (OR=0.66, 95%CI: 0.50–0.88, P<0.01). Among those with depressive symptoms at baseline, napping time ≤ 30?min was beneficial for the outcome of depressive symptoms (OR=0.42, 95%CI: 0.21–0.82, P<0.05).Conclusion: One in five urban residents have depressive symptoms during the COVID-19 epidemic, and a short nap during the day may be a protective factor against depressive symptoms.
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Received: 27 September 2021
Published: 22 March 2022
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Corresponding Authors:
ZHU Shankuan
E-mail: zsk@zju.edu.cn
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Cite this article:
LIN Wenhui,BAI Guannan,HE Wei,YANG Fei,LI Wei,MIN Yan,LU Ying,HSING Ann,ZHU Shankuan. Association between napping status and depressive symptoms in urban residents during the COVID-19 epidemic. J Zhejiang Univ (Med Sci), 2021, 50(6): 741-747.
URL:
https://www.zjujournals.com/med/10.3724/zdxbyxb-2021-0296 OR https://www.zjujournals.com/med/Y2021/V50/I6/741
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2019冠状病毒病爆发期间城市居民午睡与抑郁情绪的关系研究
目的：探索2019冠状病毒病（COVID-19）爆发期间城市居民午睡与抑郁情绪的关系，为突发公共卫生事件期间城市居民抑郁情绪的预防提供科学依据。方法：基于WELL中国队列人群，于2020年4月8日至2020年5月29日通过电话访谈获取COVID-19爆发期间被调查者的健康与生活方式信息，最终纳入3075名18~80岁杭州市拱墅区城市居民的调查资料。采用世界卫生组织五项身心健康指标测量抑郁情绪，多元logistic回归模型分析调查对象午睡状况与抑郁情绪的关系。结果：COVID-19爆发期间约有20.6%的城市居民出现抑郁情绪；在一般人群中，有午睡行为尤其是午睡时长不超过30?min与抑郁情绪发生风险（OR=0.61，95%CI：0.47~0.79，P<0.01）、新发抑郁情绪风险（OR=0.66，95%CI：0.50~0.88，P<0.01）较低相关；在有抑郁情绪的城市居民中，仅午睡时长不超过30?min有利于抑郁情绪改善（OR=0.42，95%CI：0.21~0.82，P<0.05）。结论：2019冠状病毒病爆发期间，约有1/5的城市居民存在抑郁情绪，短时间的午睡可能是抑郁情绪的保护因素。
关键词：
2019冠状病毒病,
抑郁情绪,
午睡,
城市居民,
队列研究
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