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    Translational psychiatry. 2023 Feb 1. doi: 10.1038/s41398-023-02334-4. pii: 10.1038/s41398-023-02334-4
    Persistent short nighttime sleep duration is associated with a greater post-COVID risk in fully mRNA-vaccinated individuals.
    Xue P1,  Merikanto I2,  Chung F3,  Morin CM4,  Espie C5,  Bjorvatn B6,  Cedernaes J7,  Landtblom AM8,  Penzel T9,  De Gennaro L10,  Holzinger B11,  Matsui K12,  Hrubos-Strøm H13,  Korman M14,  Leger D15,  Mota-Rolim S16,  Bolstad CJ17,  Nadorff M18,  Plazzi G19,  Reis C20,  Chan RNY21,  Wing YK22,  Yordanova J23,  Bjelajac AK24,  Inoue Y25,  Partinen M26,  Dauvilliers Y27,  Benedict C28
    Author information
    1Department of Pharmaceutical Biosciences, Molecular Neuropharmacology, Uppsala University, Uppsala, Sweden.
    2Research Programs Unit, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
    3Department of Anesthesiology and Pain Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada.
    4Centre de recherche CERVO/Brain Research Center, École de psychologie, Université Laval, Quebec City, Quebec, Canada.
    5Sleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
    6Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
    7Department of Medical Sciences, Transplantation and regenerative medicine, Uppsala University, Uppsala, Sweden.
    8Department of Medical Sciences, Neurology, Uppsala University, Uppsala, Sweden.
    9Sleep Medicine Center, Charite University Hospital Berlin, Berlin, Germany.
    10Department of Psychology, Sapienza University of Rome, Roma, Lazio, Italy.
    11Institute for Consciousness and Dream Research; Medical University of Vienna, Wien, Postgraduate Sleep Coaching, Vienna, Austria.
    12Department of Clinical Laboratory, National Center Hospital, National Center of Neurology and Psychiatry, Kodaira, Japan.
    13Department of Otorhinolaryngology, Akershus University Hospital, Lørenskog, Norway.
    14Department of Occupational Therapy, Faculty of Health Sciences, Ariel University, Ariel, Israel.
    15Sleep and Vigilance Center, Hopital Hotel-Dieu de Paris, Paris, France.
    16Brain Institute, Onofre Lopes University Hospital, and Physiology and Behavior Department, Federal University of Rio Grande do Norte, Natal, Brazil.
    17Department of Psychology, Mississippi State University, Mississippi State, Mississippi, USA.
    18Department of Psychology, Mississippi State University, Mississippi State, Mississippi, USA.
    19IRCCS Istituto Delle Scienze Neurologiche di Bologna, Bologna, Italy.
    20Universidade Católica Portuguesa, Católica Research Centre for Psychological - Family and Social Wellbeing, Lisbon, Portugal.
    21Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
    22Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
    23Institute of Neurobiology, Bulgarian Academy of Sciences, Sofia, Bulgaria.
    24Institute for Medical Research and Occupational Health, Zagreb, Croatia.
    25Department of Somnology, Tokyo Medical University, Tokyo, Japan.
    26Department of Clinical Neurosciences, University of Helsinki Clinicum Unit, Helsinki, Finland.
    27Sleep-Wake Disorders Center, Department of Neurology, Gui-de-Chauliac Hospital, Institute for Neurosciences of Montpellier INM, INSERM, University of Montpellier, Montpellier, France.
    28Department of Pharmaceutical Biosciences, Molecular Neuropharmacology, Uppsala University, Uppsala, Sweden. christian.benedict@farmbio.uu.se.
    Abstract

    Short nighttime sleep duration impairs the immune response to virus vaccination, and long nighttime sleep duration is associated with poor health status. Thus, we hypothesized that short (<6 h) and long (>9 h) nighttime sleepers have a higher post-COVID risk than normal nighttime sleepers, despite two doses of mRNA vaccine (which has previously been linked to lower odds of long-lasting COVID-19 symptoms). Post-COVID was defined as experiencing at least one core COVID-19 symptom for at least three months (e.g., shortness of breath). Multivariate logistic regression adjusting for age, sex, BMI, and other factors showed in 9717 respondents (age span 18-99) that two mRNA vaccinations lowered the risk of suffering from post-COVID by about 21% (p < 0.001). When restricting the analysis to double-vaccinated respondents (n = 5918), short and long sleepers exhibited a greater post-COVID risk than normal sleepers (adjusted OR [95%-CI], 1.56 [1.29, 1.88] and 1.87 [1.32, 2.66], respectively). Among respondents with persistent sleep duration patterns during the pandemic compared to before the pandemic, short but not long sleep duration was significantly associated with the post-COVID risk (adjusted OR [95%-CI], 1.59 [1.24, 2.03] and 1.18 [0.70, 1.97], respectively). No significant association between sleep duration and post-COVID symptoms was observed in those reporting positive SARS-CoV-2 test results (n = 538). Our findings suggest that two mRNA vaccinations against SARS-CoV-2 are associated with a lower post-COVID risk. However, this protection may be less pronounced among those sleeping less than 6 h per night. Our findings warrant replication in cohorts with individuals with confirmed SARS-CoV-2 infection.


    © 2023. The Author(s).

    Publikations ID: 36726008
    Quelle: öffnen
     
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