Table 3.
Circadian rhythm timing parameters by demographic and clinical characteristics
| Bed time | Wake Time | Statistics (when p<.10) | ||||
|---|---|---|---|---|---|---|
|
|
||||||
| Acrophase rho or mean ± SD n=278 | Actigraphy rho or mean ± SD n=289 | PSQI rho or mean ± SD n=284 | Actigraphy rho or mean ± SD n=289 | PSQI rho or mean ± SD n=277 | ||
| Age (years) | rho = −.082 | rho = .022 | rho = .016 | rho = −.024 | rho = −.017 | |
| Gender | ACRO: F(2,275) = 2.99, p = .052 | |||||
| Male | 15:02 ± 1:34 | 23:05 ± 1:30 | 22:42 ± 1:34 | 7:11 ± 1:35 | 7:01 ± 1:41 | |
| Female | 14:30 ± 1:16 | 22:45 ± 1:26 | 22:16 ± 1:30 | 6:58 ± 1:08 | 6:56 ± 1:40 | |
| Transgender | 14:53 ± 1:47 | 23:06 ± 1:34 | 22:40 ± 2:22 | 7:13 ± 1:23 | 7:26 ± 2:05 | |
| Race | ACRO: F(2,275)=5.09, p=.007a | |||||
| Caucasian | 15:13 ± 1:43 | 23:09 ± 1:36 | 22:52 ± 1:41 | 7:31 ± 1:42 | 7:26 ± 1:48 | BED-P: F(2,281)=4.86, p=.008a |
| African American | 14:33 ± 1.15 | 22:49 ± 1:14 | 22:13 ± 1:21 | 6:41 ± 1:05 | 6:32 ± 1:29 | WAKE-A: F(2,286)=8.11, p<.001a |
| Other | 14:51 ± 1:25 | 23:02 ± 1:39 | 22:43 ± 1:51 | 7:09 ± 1:22 | 7:05 ± 1:43 | WAKE-P: F(2,274)=7.75, p<.001a |
| Employment | ACRO: t(276) = 1.80, p = .073 | |||||
| Employed or in school | 15:16 ± 1:36 | 23:27 ± 1:30 | 22:57 ± 1:24 | 7:34 ± 1:34 | 7:30 ± 1:58 | BED-A: t(287) = 2.26, p = .024 |
| Unemployed/ disabled | 14:49 ± 1:30 | 22:55 ± 1:28 | 22:31 ±1:40 | 7:03 ± 1:26 | 6:56 ± 1:39 | BED-P: t(282) = 1.73, p = .084 |
| WAKE-A: t(287) = 2.15, p =.032 | ||||||
| WAKE-P: t(275) = 1.97, p =.050 | ||||||
| CD4+ T-cell count (cells/mm3) | (n=265) | |||||
| rho = −.065 | rho = −.075 | rho = −.041 | rho = −.022 | rho = .000 | ||
| < 200 | 14:57 ± 1:01 | 23:05 ± 1:29 | 22:30 ± 1:34 | 7:01 ± 1:06 | 6:57 ± 1:28 | |
| ≥200 | 14:49 ± 1:35 | 22:58 ± 1:28 | 22:36 ± 1:38 | 7:06 ± 1:30 | 7:01 ± 1:45 | |
| Viral load (log10copies/mL) | (n=259) | |||||
| rho = −.004 | rho = −.013 | rho = .037 | rho = −.015 | rho = −.053 | ||
| Undetectable | 14:57 ± 1:39 | 23:03 ± 1:34 | 22:34 ± 1:38 | 7:11 ± 1:36 | 7:08 ± 1:47 | |
| Detectable | 14:47 ± 1:19 | 22:57 ± 1:22 | 22:39 ± 1:36 | 7:03 ± 1:16 | 6:55 ± 1:36 | |
| AIDS diagnosis | ACRO: t(276) = 1.72, p = .087 | |||||
| No | 14:44 ± 1:26 | 22:45 ± 1:20 | 22:23 ± 1:28 | 7:00 ± 1:20 | 6:54 ± 1:30 | BED-A: t(287) = 2.76, p = .006 |
| Yes | 15:03 ± 1:35 | 23:14 ± 1:36 | 22:47 ± 1:45 | 7:15 ± 1:35 | 7:09 ± 1:53 | BED-P: t(282) = 1.99, p = .048 |
| Antiretroviral therapy | ACRO: t(276) = 2.12, p = .035 | |||||
| Not on treatment | 14:36 ± 1:29 | 22:45 ± 1:23 | 22:30 ± 1:24 | 6:59 ± 1:22 | 6:55 ± 1:41 | BED-A: t(287) = 1.78, p = .076 |
| On treatment | 15:01 ± 1:32 | 23:06 ± 1:31 | 22:38 ± 1:43 | 7:11 ± 1:30 | 7:04 ± 1:43 | |
| Depression | WAKE-A: t(285) = 2.07, p =.040 | |||||
| No (CESD<16) | 14:50 ± 1:37 | 23:02 ± 1:28 | 22:35 ± 1:31 | 6:58 ± 1:33 | 6:58 ± 1:38 | |
| Yes (CESD≥16) | 14:57 ± 1:25 | 22:56 ± 1:29 | 22:35 ± 1:44 | 7:17 ± 1:21 | 7:06 ± 1:48 | |
| Opiate medication | ACRO: t(276) = 1.73, p = .085 | |||||
| No | 14:59 ± 1:30 | 23:06 ±1:22 | 22:39 ± 1:31 | 7:07 ± 1:28 | 7:03 ± 1:36 | BED-A: t(286) = 2.27, p = .024 |
| Yes | 14:39 ± 1:35 | 22:41 ± 1:45 | 22:26 ± 1:55 | 7:09 ± 1:27 | 6:57 ± 2:00 | |
| Smoker? | ACRO: t(276) = 2.92, p = .004 | |||||
| No | 15:12 ± 1:34 | 23:12 ± 1:30 | 22:52 ± 1:36 | 7:28 ± 1:30 | 7:24 ± 1:45 | BED-A: t(286) = 1.92, p = .056 |
| Yes | 14:40 ± 1:27 | 22:51 ± 1:29 | 22:22 ± 1:37 | 6:51 ± 1:23 | 6:44 ± 1:38 | BED-P: t(282) = 2.64, p = .008 |
| WAKE-A: t(282)=2.64, p <.001 | ||||||
| WAKE-P: t(275)=3.22, p<.001 | ||||||
| Alcohol consumption | ACRO: t(276) = 2.00, p = .047 | |||||
| None in last 3 days | 14:49 ± 1:30 | 22:56 ± 1:28 | 22:36 ± 1:36 | 7:04 ± 1:26 | 6:58 ± 1:38 | BED-A: t(286) = 1.85, p = .065 |
| Any in last 3 days | 15:23 ± 1:38 | 23:26 ± 1:33 | 22:32 ± 1:49 | 7:29 ± 1:39 | 7:24 ± 2:11 | |
| Body mass index | ||||||
| Male | rho = −.133 | rho = −.049 | rho = −.008 | rho = −.225 | rho = −.178 | Males: ACRO: p = .070; |
| Female | rho = −.044 | rho = −.180 | rho = .127 | rho = −.147 | rho = −.192 | WAKE-A: p =.002; |
| Transgender | rho = .026 | rho = −.294 | rho = −.148 | rho = −.166 | rho = .002 | WAKE-P: p = .014 |
| Waist circumference (cm) | Males: ACRO: p =.022; | |||||
| Male | rho = −.167 | rho = −.070 | rho = .001 | rho = −.208 | rho = .171 | WAKE-A: p =.004; |
| Female | rho = −.068 | rho = −.119 | rho = .100 | rho = −.163 | rho = −.210 | WAKE-P: p = .018 |
| Transgender | rho = .255 | rho = −.106 | rho = .047 | rho = .059 | rho = .192 | Females: WAKE-P: p = .091 |
Analyses were based on log-transformed acrophase, bedtime (actigraphy and PSQI), and wake time (actigraphy) values and square root-transformed wake time (PSQI) and CD4+ T-cell count values. None of the five circadian timing parameters were associated with use of sleep medications, antidepressants, anxiolytics, neuroleptics, opiates, or anti-emetics (data not shown). ACRO, acrophase; BED-A, bedtime based on actigraphy; BED-P, habitual bedtime based on self-report PSQI; CESD, Center for Epidemiological Studies – Depression Scale; PSQI, Pittsburgh Sleep Quality Index; SD, standard deviation. WAKE-A, wake time based on actigraphy; WAKE-P, habitual waketime based on self-report PSQI. Bolded statistics are significant (p<.05).
Post-hoc analyses of race indicated that Caucasians had significantly later circadian timing than African-Americans.