Volume 33, Issue 2 e14043
RESEARCH ARTICLE

The effects of social jetlag and sleep variability on sleepiness in a population-based study: The mediating role of sleep debt

Guilherme Luiz Fernandes

Guilherme Luiz Fernandes

Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil

Contribution: Conceptualization, Formal analysis, ​Investigation, Methodology, Software, Visualization, Writing - original draft, Writing - review & editing

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Julia Ribeiro da Silva Vallim

Julia Ribeiro da Silva Vallim

Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil

Contribution: Conceptualization, Formal analysis, ​Investigation, Methodology, Software, Visualization, Writing - original draft, Writing - review & editing

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Vânia D'Almeida

Vânia D'Almeida

Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil

Contribution: Conceptualization, Supervision, Writing - original draft, Writing - review & editing

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Sergio Tufik

Sergio Tufik

Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil

Contribution: Conceptualization, Funding acquisition, Project administration, Resources, Supervision

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Monica Levy Andersen

Corresponding Author

Monica Levy Andersen

Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil

Correspondence

Monica Levy Andersen, Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, 04024-002, Brazil.

Email: [email protected]

Contribution: Conceptualization, Supervision, Writing - original draft, Writing - review & editing

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First published: 10 September 2023
Citations: 1

Summary

Sleepiness is a multicausal condition, and previous research has highlighted associations between this symptom and the circadian timing system, specifically concerning social jetlag and sleep variability. Recent inquiries have shown that the effects of social jetlag on sleepiness can be confounded with the consequences of sleep debt. In light of the current evidence, we aimed to assess the effects of social jetlag and sleep variability on sleepiness and the potential mediating role of sleep debt. We used data from the EPISONO study, a cross-sectional population-based study with a sample size of 1042 participants, representative of the city of Sao Paulo, Brazil. Participants completed the UNIFESP Sleep Questionnaire (self-reported bedtime and get-up time) and the Epworth Sleepiness Scale (subjective daytime sleepiness). Subsequently, sleep-corrected mid-sleep time (chronotype), total sleep time, social jetlag (absolute difference between the mid-sleep time on workdays and mid-sleep time on free days), sleep variability (standard deviation of mid-sleep time), and sleep debt (difference between total sleep time on workdays and free days) were calculated. Generalised linear models were used to test whether social jetlag and sleep variability affected sleepiness. Mediation models were used to determine if any observed significant effects were mediated by sleep debt. The prevalence of social jetlag was 23% for >1 h and 12% for >2 h. The mean sleep variability was 41 ± 30 min. Social jetlag had a significant effect on the Epworth Sleepiness Scale scores. This association was no longer statistically significant after controlling for age, sex, body mass index, work schedule, and chronotype. A significant indirect effect of social jetlag on sleep debt and subsequently on the Epworth Sleepiness Scale scores was found. No effect of sleep variability on sleepiness could be identified. In conclusion, the association between social jetlag and sleepiness was mediated by sleep debt but was not independent of demographic, work, and chronotype variables. This study provides new evidence on the importance of circadian misalignment and sleep debt for sleep health on a population level.

CONFLICT OF INTEREST STATEMENT

The authors declare no conflicts of interest.

DATA AVAILABILITY STATEMENT

Research data are not shared.

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