Cited by 47Sleep and related disordersObstructive Sleep Apnea ResearchSleep and Work-Related Fatigue

Association between Sleep Quality and C-Reactive Protein: Results from National Health and Nutrition Examination Survey, 2005-2008

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Liu, Rong, Liu, Xin, Zee, Phyllis C., Hou, Lifang, Zheng, Zheng, Wei, Yongxiang, Du, Jie·2014·PLoS ONE

Abstract

OBJECTIVE: Our objective was to explore the association between poor sleep quality and hs_CRP in an adult U.S. population. METHODS: This study focused on 9,317 participants in the National Health and Nutrition Examination Survey (NHANES) from 2005-2008 who were aged 20-85 years, completed a sleep disorder questionnaire, and had available information on serum hs_CRP. Sleep quality was classified into three categories (good, moderate, poor) based on the responses of participants to the NHANES sleep disorder questionnaire. High CRP was defined as hs-CRP >1 md/dL. Linear regression model was applied to investigate the association between poor sleep quality and log-transformed hs_CRP. And logistic regression model was fitted to evaluate the association between sleep quality and the risk of high CRP. RESULTS: Females were more likely to report poor sleep quality than males (26% vs. 19%, p<0.0001). Each sleep disorder was significantly associated with increased hs_CRP and correlative to other sleep disorders. In fully-adjusted linear regression model, poor sleep quality was significantly associated with elevated hs_CRP (log transformed) among the overall sample and in females only (β = 0.10, se = 0.03, p<0.01 and β = 0.13, se = 0.04, p<0.01, respectively). In fully-adjusted logistics regression model, poor sleep quality was linked with risk of high CRP(OR: 1.42, 95%CI: 1.15-1.76 in overall sample and OR: 1.59, 95%CI: 1.18-2.14 in females, respectively). CONCLUSION: We found that poor sleep quality was independently associated with elevated hs_CRP in females but not in males in a U.S. adult population.

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  • Other studies reported an association between self-reported indices of sleep disturbances and higher CRP levels in women only.

    “Other studies reported such an association in women only”

    From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [339]

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Authors
Liu, R., Liu, X., Zee, P. C., Hou, L., Zheng, Z., Wei, Y., & Du, J.
Affiliations
  • Northwestern University (US)
  • Capital Medical University (CN)
Corresponding author
  • Liu, Rong
  • Du, Jie
Venue
PLoS ONE
Published
2014-03-24
Volume
9
Issue
3
Pages
e92607
ISSN
1932-6203 (ISSN-L)
OpenAlex
W1963858931
Cited by
47
References
40
Citations by year
2025: 2 · 2024: 4 · 2023: 2 · 2022: 7 · 2021: 1 · 2020: 6 · 2019: 5 · 2018: 4 · 2017: 6 · 2016: 2 · 2015: 7 · 2014: 1
FWCI
7.40
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords
sleep quality, C-reactive protein, high-sensitivity C-reactive protein, sleep disorders, inflammation, sex differences, adults, NHANES
MeSH terms
Adult, C-Reactive Protein, Data Collection, Female, Health, Humans, Male, Middle Aged, Nutrition Surveys, Sleep, United States

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