全国健康与营养检查调查
萧条(经济学)
调解
逻辑回归
医学
维生素D与神经学
优势比
维生素
环境卫生
内科学
人口
政治学
法学
经济
宏观经济学
作者
Jingliang Shuai,Mengqi Gao,Qi Zou,Youming He
标识
DOI:10.1080/1028415x.2023.2279363
摘要
This study aimed to assess the association between vitamin D and sleep health and to investigate whether depression could mediate this relationship.A cross-sectional analysis was performed using the 2005-2014 US National Health and Nutrition Examination Survey (NHANES) data. The logistic regression models were conducted to evaluate association of serum vitamin D concentrations with sleep health and depression. Mediation analyses were conducted to investigate the mediated effects of depression on the association of vitamin D with sleep health.In multivariate logistic models, vitamin D was found to be negatively associated with an increased risk of poor sleep health, with an odds ratio (OR) of vitamin D deficiency versus sufficiency was 1.256 (95% CI = 1.084-1.455). Additionally, univariate logistic models showed that vitamin D was also negatively associated with depression risk (vitamin D deficiency vs. sufficiency: OR = 1.699, 95% CI = (1.373-2.103). Further mediation analyses showed that the association of vitamin D with sleep health was mediated by depression, with the mediating effects of depression accounted for 44.56% of the total effects.Vitamin D affects sleep health directly and indirectly through depression. The results suggest that interventions increasing intake of vitamin D should be prioritized to promote sleep health of persons with or at risk of depression.
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