Table 6.
Association of sleep questionnaires and sleep difficulties with cardiovascular disease (CVD) using logistic regression models.
| Model 1 | Model 2 | |||||
|---|---|---|---|---|---|---|
|
CVD
n (%) |
p-value | cOR (95% CI) | p-value | aOR (95% CI) | p-value | |
| Sleep questionnaires | ||||||
| ESS | <0.001 | |||||
| Normal day sleepiness | 74 (8.5) | Ref. | Ref. | |||
| Excessive day sleepiness | 17 (20.5) | 2.79 (1.55-4.99) | <0.001 | 2.02 (1.09-3.74) | 0.026 | |
| AIS | <0.001 | |||||
| Non-insomniac | 60 (7.6) | Ref. | Ref. | |||
| Insomniac | 31 (18.0) | 2.66 (1.66-4.25) | <0.001 | 1.93 (1.17-3.18) | 0.010 | |
| PSQI | <0.001 | |||||
| Good quality | 40 (6.8) | Ref. | Ref. | |||
| Bad quality | 51 (13.9) | 2.21 (1.43-3.42) | <0.001 | 1.90 (1.20-3.00) | 0.006 | |
| BQ | <0.001 | |||||
| Low risk | 35 (5.7) | Ref. | Ref. | |||
| High risk | 56 (16.1) | 3.15 (2.02-4.91) | <0.001 | 2.08 (1.28-3.39) | 0.003 | |
| Sleep difficulties | ||||||
| Delay in falling asleep | 0.048 | |||||
| Less than once a week | 66 (10.9) | Ref. | Ref. | |||
| At least once a week | 25 (7.1) | 0.62 (0.38-0.99) | 0.938 | 0.77 (0.47-1.27) | 0.303 | |
| Inability to stay asleep | <0.001 | |||||
| Less than once a week | 7 (1.9) | Ref. | Ref. | |||
| At least once a week | 84 (14.1) | 8.34 (3.81-18.24) | <0.001 | 2.36 (1.25-4.47) | 0.008 | |
| Waking-up too early | 0.008 | |||||
| Less than once a week | 41 (7.4) | Ref. | Ref. | |||
| At least once a week | 50 (12.5) | 1.80 (1.16-2.78) | 0.008 | 1.64 (1.01-2.68) | 0.046 | |
Notes: ESS = Epworth sleepiness scale; AIS = Athens insomnia scale; PSQI = Pittsburgh sleep quality index; BQ = Berlin questionnaire; cOR = Crude Odds Ratio; aOR = Adjusted odds ratio; CI = Confidence interval; Model 1 = Crude, unadjusted; Model 2 = Adjusted for sociodemographic characteristics (gender, age, marital status, cultural status, place of residence, education level, working status, financial status), lifestyle habits (smoking status, alcohol consumption, daily coffee consumption, caffeine consumption in the evening, adherence to the Mediterranean diet, time watching TV or using a computer before bedtime, physical activity, nap during the day) and health related characteristics (subjective general health status, BMI, chronic disease morbidity, anxiety, depression and use of sleep medication).