无国界的睡眠:低收入国家的成年人睡眠时间指南的文本化差距
Reut Gruber1,2, Jean-Philippe Chaput3,4, Oliviero Bruni5
1Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, QC, Canada.
Sleep medicine: X
|March 11, 2026
概括
高收入国家的成人睡眠健康指南对于低收入国家没有相关性. 目前的建议不符合世界卫生组织对全球健康公平的标准. 未来的指导方针需要更广泛的证据和当地投入.
科学领域:
- 全球健康 全球健康
- 睡眠医学 睡眠医学
- 卫生政策 卫生政策
背景情况:
- 在低收入国家,关于成人睡眠健康的实证数据有限.
- 在全球范围内,睡眠不足给健康带来了重大风险.
- 世界睡眠协会建议将高收入国家的证据适应低收入环境.
研究的目的:
- 评估适应现有的低收入国家睡眠时间建议的适当性.
- 使用世界卫生组织 (WHO) 的上下文化基准评估建议.
- 确定当前的指导方针是否符合世卫组织全球适用标准.
主要方法:
- 美国睡眠医学院/睡眠研究学会 (AASM/SRS) 和国家睡眠基金会 (NSF) 的方法.
- 评估了世卫组织制定指南的四个基准.
- 按国家收入水平分类引用的经验研究 (世界银行分类).
主要成果:
- 在AASM/SRS和NSF的共识过程中,低收入国家缺乏优先事项,证据和代表性.
- 96%的实证研究来自高收入国家;没有来自中低收入国家.
- 低收入国家的利益相关者或专家没有参与指南制定.
结论:
- 目前关于睡眠时间的建议并未适用于低收入环境,并未达到世卫组织的标准.
- 未来的指南制定必须包括多样化的证据来源和当地利益相关者的参与.
- 参与性框架对于文化相关,公平和可实施的睡眠健康政策至关重要.
相关概念视频
Insufficient Sleep and Sleep Deprivation
1.2K
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
1.2K
Understanding Sleep
1.8K
Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
1.8K
Substance Use Disorders Affecting Sleep
507
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
507
Stages of Sleep
1.6K
Sleep progresses through distinct stages, each characterized by specific brain wave patterns and physiological responses ranging from wakefulness to stages of non-rapid eye movement, known as non-REM, to rapid eye movement, referred to as REM. Understanding these stages helps in recognizing how sleep supports various bodily and cognitive functions.
Before sleep begins, in wakefulness, the brain exhibits primarily beta waves, which are high in frequency and low in amplitude, indicating alertness...
Before sleep begins, in wakefulness, the brain exhibits primarily beta waves, which are high in frequency and low in amplitude, indicating alertness...
1.6K
Management of Insomnia
749
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
749
Sleep-Wake Cycles
3.1K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
3.1K


