Tolerance of Chronic 90-Minute Time-In-Bed Restriction in Older Long Sleepers

作者：Youngstedt Shawn D^*; Kline Christopher E; Zielinski Mark R; Kripke Daniel F; Devlin Tina M; Bogan Richard K; Wilcox Sara; Hardin James W

来源：Sleep, 2009, 32(11): 1467-1479.

DOI：10.1093/sleep/32.11.1467

• Long sleep
• time-in-bed restriction
• randomized controlled trial

Study Objectives: To examine the influence of chronic time-in-bed (TIB) restriction on selected health-related outcome variables in older long sleepers.
Design: Randomized, controlled trial.
Setting: Home-based.
Participants: Forty-two older adults (aged 50-70 y) who reported sleeping at least 8.5 hours. Following extensive screening, participants were assessed for 10 weeks.
Intervention: During a two-week baseline, participants followed their usual sleep-wake habits. Participants were then randomized to one of two eight-week treatments: (1) TIB restriction, in which participants were asked to follow a fixed sleep schedule with a TIB of 90 minutes less than recorded during baseline or (2) a control treatment, which involved following a fixed sleep schedule (consistent with average baseline) but no TIB restriction.
Measurements and Results: Continuous wrist actigraphic sleep estimation indicated that TIB restriction elicited significant reductions in TIB and total sleep time compared with the control treatment and significant (albeit modest) improvements in sleep efficiency and sleep latency. However, compared with the control treatment, TIB restriction elicited no significant change in depression, sleepiness, health-related quality of life, or neuro-behavioral performance. Moreover, follow-up assessments for one year indicated that, after completing the experiment, the participants assigned to TIB restriction continued to restrict their TIB (at their own initiative) by an average of approximately one hour.
Conclusions: The results suggest good tolerance of chronic moderate TIB restriction, without detrimental effects, among older long sleepers.

• 出版日期2009-11-1