0000000000076358
AUTHOR
Timo Partonen
Development and implementation of guidelines for the management of depression: a systematic review
To evaluate the development and implementation of clinical practice guidelines for the management of depression globally.We conducted a systematic review of existing guidelines for the management of depression in adults with major depressive or bipolar disorder. For each identified guideline, we assessed compliance with measures of guideline development quality (such as transparency in guideline development processes and funding, multidisciplinary author group composition, systematic review of comparative efficacy research) and implementation (such as quality indicators). We compared guidelines from low- and middle-income countries with those from high-income countries.We identified 82 nati…
TRIB1 constitutes a molecular link between regulation of sleep and lipid metabolism in humans.
Epidemiological studies show association between sleep duration and lipid metabolism. In addition, inactivation of circadian genes induces insulin resistance and hyperlipidemia. We hypothesized that sleep length and lipid metabolism are partially controlled by the same genes. We studied the association of total sleep time (TST) with 60 genetic variants that had previously been associated with lipids. The analyses were performed in a Finnish population-based sample (N = 6334) and replicated in 2189 twins. Finally, RNA expression from mononuclear leucocytes was measured in 10 healthy volunteers before and after sleep restriction. The genetic analysis identified two variants near TRIB1 gene th…
Physical activity and sleep profiles in Finnish men and women
Background. Physical activity (PA) and sleep are related to cardiovascular diseases (CVD) and their risk factors. The interrelationship between these behaviors has been studied, but there remain questions regarding the association of different types of PA, such as occupational, commuting, and leisure time to sleep, including quality, duration and sufficiency. It is also unclear to what extent sleep affects peoples’ PA levels and patterns. Our aim is to investigate the interrelationship between PA and sleep behaviors in the Finnish population, including employment status and gender. Methods. The study comprised population based data from the FINRISK 2012 Study. A stratified, random sample of…
Sleep-Related Factors and Mobility in Older Men and Women
SHORT and long sleep duration, sleep-related disturbances, and their daytime consequences are common in older adults, and they are associated with decreased health and increased mortality (1–4). Because aging is associated with decline in physical performance often leading to physical disability and loss of independence, concomitant sleep problems may exacerbate the age-related decline in physical function. Previous studies suggest that self-reported and measured insomnia and sleep-related problems are associated with decline in psychomotor performance (5) as well as with poor balance and increased risk of falls (6–8). In addition, Goldman and coworkers (2007) (9) reported that short (<6 ho…
Self-reported sleep duration and cognitive functioning in the general population
This study investigated the relationship between self-reported sleep factors (sleep duration, insomnia, use of sleeping medicine, probable sleep apnoea and feelings of fatigue and tiredness) with cognitive functioning in 5177 people aged 30 years or older from a cross-sectional representative sample of the adult population in Finland (The Finnish Health 2000 Survey). Previous studies have indicated a U-shaped association between increased health risks and sleep duration; we hypothesized a U-shaped association between sleep duration and cognitive functioning. Objective cognitive functioning was assessed with tasks derived from the Consortium to Establish a Registry for Alzheimer's Disease te…
Psychomotor slowness is associated with self-reported sleep duration among the general population
Short and long self‐reported sleep durations have been found to be associated with several seemingly disparate health risks and impaired functional abilities, including cognitive functioning. The role of long sleep is especially poorly understood in this context. Psychomotor slowness, shown to have analogous associations with cognitive performance and health risks as self‐reported long sleep duration, has not been studied together with sleep duration in epidemiological settings. We hypothesized that self‐reported habitual sleep duration, especially long sleep, is associated with slow psychomotor reaction time, and that this association is independent of vigilance‐related factors. The hypoth…
Leisure Time Physical Activity and Sleep Predict Mortality in Men Irrespective of Background in Competitive Sports
Introduction: Physical activity and sleep are closely related behaviors with suggested synergistic influence on cardiovascular health. Physical activity potentially modifies associations between sleep and mortality. Our aim was to study the interrelationships between sleep, leisure-time physical activity (LTPA), a history of sports, and mortality. Methods: A prospective cohort of former elite male athletes (n = 1,028), and age- and region-matched nonathlete men (n = 610) completed a health questionnaire in 1985. Their mortality was followed up until December 31, 2011. Analyses included Cox proportional hazards models with sleep duration and sleep quality as main predictors of all-cause and …