Bidirectional associations between insomnia symptoms and unhealthy behaviours

Research output: Contribution to journalArticleScientificpeer-review

Abstract

It has been suggested that there are associations among insomnia symptoms and unhealthy behaviours. However, previous studies are sparse and mainly cross-sectional, and have not been focused on several key unhealthy behaviours. The aim of this study was to examine whether the associations are bidirectional, i.e. whether insomnia symptoms are associated with subsequent unhealthy behaviours, and whether unhealthy behaviours are associated with subsequent insomnia symptoms. The data were derived from the Helsinki Health Study prospective cohort study. The baseline data were collected in 2000-02 (n = 8960, response rate 67%) among 40-60-year-old employees of the City Helsinki, Finland. The follow-up data were collected in 2007 (n = 7332, response rate 83%). Logistic regression analysis was used to examine the associations among insomnia symptoms and unhealthy behaviours, including smoking, heavy and binge drinking, physical inactivity and unhealthy food habits. Frequent insomnia symptoms at baseline were associated with subsequent heavy drinking [odds ratio (OR): 1.34; 95% confidence interval (CI): 1.07-1.68] and physical inactivity (OR: 1.27; 95% CI: 1.08-1.48) after full adjustment for gender, age, corresponding unhealthy behaviour at baseline, marital status, occupational class, sleep duration and common mental disorders. Additionally, heavy drinking (OR: 1.48; 95% CI: 1.22-1.80) and binge drinking (OR: 1.26; 95% CI: 1.08-1.46) at baseline were associated with subsequent insomnia symptoms at follow-up after full adjustment. In conclusion, insomnia symptoms were associated with subsequent heavy drinking and physical inactivity, and heavy and binge drinking were also associated with subsequent insomnia symptoms.

Original languageEnglish
JournalJournal of Sleep Research
Volume22
Issue number1
Pages (from-to)89-95
Number of pages7
ISSN0962-1105
DOIs
Publication statusPublished - 2013
MoE publication typeA1 Journal article-refereed

Fields of Science

  • 3142 Public health care science, environmental and occupational health
  • insomnia symptoms
  • unhealthy behaviours
  • bidirectional associations

Cite this

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title = "Bidirectional associations between insomnia symptoms and unhealthy behaviours",
abstract = "It has been suggested that there are associations among insomnia symptoms and unhealthy behaviours. However, previous studies are sparse and mainly cross-sectional, and have not been focused on several key unhealthy behaviours. The aim of this study was to examine whether the associations are bidirectional, i.e. whether insomnia symptoms are associated with subsequent unhealthy behaviours, and whether unhealthy behaviours are associated with subsequent insomnia symptoms. The data were derived from the Helsinki Health Study prospective cohort study. The baseline data were collected in 2000-02 (n = 8960, response rate 67{\%}) among 40-60-year-old employees of the City Helsinki, Finland. The follow-up data were collected in 2007 (n = 7332, response rate 83{\%}). Logistic regression analysis was used to examine the associations among insomnia symptoms and unhealthy behaviours, including smoking, heavy and binge drinking, physical inactivity and unhealthy food habits. Frequent insomnia symptoms at baseline were associated with subsequent heavy drinking [odds ratio (OR): 1.34; 95{\%} confidence interval (CI): 1.07-1.68] and physical inactivity (OR: 1.27; 95{\%} CI: 1.08-1.48) after full adjustment for gender, age, corresponding unhealthy behaviour at baseline, marital status, occupational class, sleep duration and common mental disorders. Additionally, heavy drinking (OR: 1.48; 95{\%} CI: 1.22-1.80) and binge drinking (OR: 1.26; 95{\%} CI: 1.08-1.46) at baseline were associated with subsequent insomnia symptoms at follow-up after full adjustment. In conclusion, insomnia symptoms were associated with subsequent heavy drinking and physical inactivity, and heavy and binge drinking were also associated with subsequent insomnia symptoms.",
keywords = "3142 Public health care science, environmental and occupational health, insomnia symptoms, unhealthy behaviours, bidirectional associations",
author = "Peppi Haario and Ossi Rahkonen and Mikko Laaksonen and Eero Lahelma and Tea Lallukka",
year = "2013",
doi = "10.1111/j.1365-2869.2012.01043.x.",
language = "English",
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pages = "89--95",
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Bidirectional associations between insomnia symptoms and unhealthy behaviours. / Haario, Peppi; Rahkonen, Ossi; Laaksonen, Mikko; Lahelma, Eero; Lallukka, Tea.

In: Journal of Sleep Research, Vol. 22, No. 1, 2013, p. 89-95.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Bidirectional associations between insomnia symptoms and unhealthy behaviours

AU - Haario, Peppi

AU - Rahkonen, Ossi

AU - Laaksonen, Mikko

AU - Lahelma, Eero

AU - Lallukka, Tea

PY - 2013

Y1 - 2013

N2 - It has been suggested that there are associations among insomnia symptoms and unhealthy behaviours. However, previous studies are sparse and mainly cross-sectional, and have not been focused on several key unhealthy behaviours. The aim of this study was to examine whether the associations are bidirectional, i.e. whether insomnia symptoms are associated with subsequent unhealthy behaviours, and whether unhealthy behaviours are associated with subsequent insomnia symptoms. The data were derived from the Helsinki Health Study prospective cohort study. The baseline data were collected in 2000-02 (n = 8960, response rate 67%) among 40-60-year-old employees of the City Helsinki, Finland. The follow-up data were collected in 2007 (n = 7332, response rate 83%). Logistic regression analysis was used to examine the associations among insomnia symptoms and unhealthy behaviours, including smoking, heavy and binge drinking, physical inactivity and unhealthy food habits. Frequent insomnia symptoms at baseline were associated with subsequent heavy drinking [odds ratio (OR): 1.34; 95% confidence interval (CI): 1.07-1.68] and physical inactivity (OR: 1.27; 95% CI: 1.08-1.48) after full adjustment for gender, age, corresponding unhealthy behaviour at baseline, marital status, occupational class, sleep duration and common mental disorders. Additionally, heavy drinking (OR: 1.48; 95% CI: 1.22-1.80) and binge drinking (OR: 1.26; 95% CI: 1.08-1.46) at baseline were associated with subsequent insomnia symptoms at follow-up after full adjustment. In conclusion, insomnia symptoms were associated with subsequent heavy drinking and physical inactivity, and heavy and binge drinking were also associated with subsequent insomnia symptoms.

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KW - 3142 Public health care science, environmental and occupational health

KW - insomnia symptoms

KW - unhealthy behaviours

KW - bidirectional associations

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DO - 10.1111/j.1365-2869.2012.01043.x.

M3 - Article

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JO - Journal of Sleep Research

JF - Journal of Sleep Research

SN - 0962-1105

IS - 1

ER -