Associations between Sleep Duration and Smoked Cigarettes per Day, Heavy Smoking in Smokers

Article information

Korean J Health Promot. 2018;18(1):1-6
Publication date (electronic) : 2018 March 31
doi : https://doi.org/10.15384/kjhp.2018.18.1.1
Department of Family Medicine, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea.
Corresponding author: Seung-Pil Jung, MD, PhD. Department of of Family Medicine, Yeungnam University Medical Center, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea. Tel: +82-53-620-3182, Fax: +82-53-623-8050, rokanten@outlook.kr
Received 2018 January 08; Accepted 2018 March 12.

Abstract

Background

This study was performed to evaluate the associations between sleep duration and smoked cigarettes per day, prevalence of heavy smoking.

Methods

This study was based on the data of 9,893 subjects who are currently smoking, from the 4th to 6th Korea National Health and Nutrition Examination Survey. Based on appropriate sleep duration from National Sleep Foundation, study subjects were categorized into short, appropriate and over sleep group. Multiple regression analysis was performed to evaluate the association between sleep duration and smoked cigarettes per day, prevalence of heavy smoking. Age, gender, household income, education, marital status, occupation, alcohol use, body weight, hypertension, diabetes mellitus, depression, and level of stress were controlled.

Results

Compared with appropriate sleep group, smoked cigarettes per day and prevalence of heavy smoking were higher in short sleep group, and lower in over sleep group.

Conclusions

There is association between sleep duration and smoked cigarettes per day, prevalence of heavy smoking.

References

1. OECD. Daily smokers 2017 [Internet] Paris: OECD; 2017. Accessed Jan 2, 2018. Available from: https://data.oecd.org/healthrisk/daily-smokers.htm#indicator-chart.
2. Kim DH, Suh YS. Smoking as a disease. Korean J Fam Med 2009;30(7):494–502.
3. Lim MT, Sung HN, Seo HJ, Kim SG, Chang DM, Pack HJ, et al. Smoking and health-related quality of life among Korean adults. Korean J Fam Pract 2015;5(2):135–142.
4. Wetter DW, Young TB. The relation between cigarette smoking and sleep disturbance. Prev Med 1994;23(3):328–334.
5. Phillips BA, Danner FJ. Cigarette smoking and sleep disturbance. Arch Intern Med 1995;155(7):734–737.
6. McNamara JP, Wang J, Holiday DB, Warren JY, Paradoa M, Balkhi AM, et al. Sleep disturbances associated with cigarette smoking. Psychol Health Med 2014;19(4):410–419.
7. Cohrs S, Rodenbeck A, Riemann D, Szagun B, Jaehne A, Brinkmeyer J, et al. Impaired sleep quality and sleep duration in smokers-results from the German Multicenter Study on Nicotine Dependence. Addict Biol 2014;19(3):486–496.
8. Sabanayagam C, Shankar A. The association between active smoking, smokeless tobacco, second-hand smoke exposure and insufficient sleep. Sleep Med 2011;12(1):7–11.
9. Palmer CD, Harrison GA, Hiorns RW. Association between smoking and drinking and sleep duration. Ann Hum Biol 1980;7(2):103–107.
10. Riedel BW, Durrence HH, Lichstein KL, Taylor DJ, Bush AJ. The relation between smoking and sleep: the influence of smoking level, health, and psychological variables. Behav Sleep Med 2004;2(1):63–78.
11. Suratt P, Enfield K, Brown CD. Cigarette smoking is associated with short sleep duration in healthy adults. Am J Respir Crit Care Med 2014;189:A4091.
12. Mehari A, Weir NA, Gillum RF. Gender and the association of smoking with sleep quantity and quality in American adults. Women Health 2014;54(1):1–14.
13. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health 2015;1(1):40–43.
14. Wilson D, Wakefield M, Owen N, Roberts L. Characteristics of heavy smokers. Prev Med 1992;21(3):311–319.
15. Centers for Disease Control and Prevention (CDC). Decrease in smoking prevalence-Minnesota, 1999–2010. MMWR Morb Mortal Wkly Rep 2011;60(5):138–141.
16. Rosenberg L, Palmer JR, Rao RS, Shapiro S. Low-dose oral contraceptive use and the risk of myocardial infarction. Arch Intern Med 2001;161(8):1065–1070.
17. Pack HJ, Kim JS, Kim KM, Kim SM, Lee DH, Kim SS, et al. Nicotine dependence and internal response to stress in male smokers. J Korean Acad Fam Med 2007;28(8):604–609.
18. Bae JM, Ahn YO, Park BJ. Association of stress level with smoking amounts among university students. Korean J Prev Med 1994;27(1):1–10.
19. Lee KH, Chung WJ, Lee SM. Association of stress level with smoking. J Korean Acad Fam Med 2006;27(1):42–48.
20. Kim HS, Bae SS. Factors associated with relapse to smoking behavior using health belief model. J Agric Med Community Health 2011;36(2):87–100.
21. Carey MP, Kalra DL, Carey KB, Halperin S, Richards CS. Stress and unaided smoking cessation: a prospective investigation. J Consult Clin Psychol 1993;61(5):831–838.
22. Hamidovic A, de Wit H. Sleep deprivation increases cigarette smoking. Pharmacol Biochem Behav 2009;93(3):263–269.
23. Lockley SW, Skene DJ, Arendt J. Comparison between subjective and actigraphic measurement of sleep and sleep rhythms. J Sleep Res 1999;8(3):175–183.
24. Lindenberg A, Brinkmeyer J, Dahmen N, Gallinat J, de Millas W, Mobascher A, et al. The German multi-centre study on smoking-related behavior-description of a population-based case-control study. Addict Biol 2011;16(4):638–653.

Article information Continued

Table 1

General characteristics of study subjects according to sleep duration

Table 1

Values are presented as mean±standard deviation or number (%).

aCalculated by chi-square test except Age by ANOVA.

Table 2

Smoking characteristics of study subjects according to sleep duration

Table 2

Values are presented as mean±standard deviation or number (%).

aCalculated by ANOVA.

bCalculated by chi-square test.

Table 3

Results of multiple logistic regression of heavy smoking according to sleep duration

Table 3

Abbreviations: OR, odds ratio; CI, confidence interval.

aAdjusted for gender, age, household income, education, marital status, occupation, alcohol use, body weight, hypertension, diabetes mellitus, depression, and level of stress.

bOR and 95% CI were calculated with multiple logistic regression.