Advertisement

Sleep and Biological Rhythms

, Volume 17, Issue 2, pp 251–258 | Cite as

A preliminary study of fluid intake before bedtime and insomnia symptoms

  • Chung-Huang Tsai
  • Shao-Jen WengEmail author
  • Shih-Chia Liu
  • Donald F. Gotcher
  • Hsin-Hung Wu
  • Chun-An Chou
  • Seung-Hwan Kim
Original Article
  • 59 Downloads

Abstract

The aim of this study is to determine whether there is a significant relationship between certain insomnia symptoms and drinking water shortly before bedtime as seen anecdotally in a clinical setting. A survey was done of 1223 patients receiving standard physical exams at a large hospital in Taiwan. Every patient was asked whether they were willing to answer a series of questions; if they agreed, they were given the questionnaire. Information in questionnaire form was gathered concerning demographic information and about pre-bedtime lifestyle habits of the respondents, including whether they drank specified beverages. Analysis of the data revealed three discrete classes based on the degree of their insomnia symptoms: Group 1, Group 2, and Group 3. From the multivariate logistic regression mode, Group 2 and Group 3 show a higher proportion of beverage-drinking behavior of study participants before going to bed than Group 1. Group 3 and Group 2 have ORs of 1.59 (P < 0.05) and 1.78 (P < 0.01), respectively. Further, females have higher rates of Group 2 at 1.49 times those of Group 1 (P < 0.05). In terms of age, younger participants have higher degrees of being in Group 3, compared to Group 1; the age groups of 45–64 and above 65 show ORs of 0.45 (P < 0.001) and 0.11 (P < 0.001). Most participants in Group 2 are in the 45–64 and above 65 age cohorts (OR 1.69, P < 0.05). Finally, most participants without regular exercise are in Group 3 (OR 1.53, P < 0.05). Scant research has been done in the area of insomnia and ingestion of fluids shortly before bed. The findings in this study offer some of the first evidence revealing a significant relationship between sleep disorder symptoms and beverage drinking before bedtime; consequently, it can be the impetus for further research in this field as an aid to personal and public health.

Keywords

Insomnia Latent class analysis Multivariate logistic regression 

Notes

Acknowledgements

This study was supported in part by Cheng Ching General Hospital–Chung Kang Branch, Taichung City, Taiwan with Grant Number of CH10300172.

Compliance with ethical standards

Conflict of interest

No potential conflict of interest was reported by the authors.

References

  1. 1.
    Ford ES, Wheaton AG, Cunningham TJ, Giles WH, Chapman DP, Croft JB. Trends in outpatient clinic visits for insomnia, sleep apnea, and prescriptions for sleep medications among US adults: findings from the National Ambulatory Medical Care Survey 1999–2010. Sleep. 2014;37(8):1283–93.CrossRefGoogle Scholar
  2. 2.
    AASM. International classification of sleep disorders, 3rd edn. Darien: American Academy of Sleep Medicine; 2014.Google Scholar
  3. 3.
    Grandner MA, Petrov ME, Rattanaumpawan P, Jackson N, Platt A, Patel NP. Sleep symptoms, race/ethnicity, and socioeconomic position. J Clin Sleep Med. 2013;9:897–905 (905A–905D).Google Scholar
  4. 4.
    Roth T, Zammit G, Lankford A, et al. Nonrestorative sleep as a distinct component of insomnia. Sleep. 2010;33:449–58.CrossRefGoogle Scholar
  5. 5.
    Ford ES, Wheaton AG, Cunningham TJ, et al. Trends in outpatient visits for insomnia, sleep apnea, and prescriptions for sleep medications among US adults: findings from the National Ambulatory Medical Care survey 1999–2010. Sleep. 2014;37:1283.CrossRefGoogle Scholar
  6. 6.
    Bergman AM, Sih AM, Weiss JP. Nocturia: an overview of evaluation and treatment. Bladder. 2015;2(2):e13.CrossRefGoogle Scholar
  7. 7.
    Tyagi S, Resnick NM, Perera S, Monk TH, Hall MH, Daniel J. Buysse; behavioral treatment of chronic insomnia in older adults: does nocturia matter? Sleep. 2014;37(4):681–687.CrossRefGoogle Scholar
  8. 8.
    Ancoli-Israel S, Roth T. Characteristics of insomnia in the United States: results of the 1991 National Sleep Foundation Survey. I Sleep. 1999;22(Suppl 2):347-53.Google Scholar
  9. 9.
    Morin CM, LeBlanc M, Daley M, Gregoire JP, Merette C. Epidemiology of insomnia: prevalence, self-help treatments, consultations, and determinants of help-seeking behaviors. Sleep Med. 2006;7:123–30.CrossRefGoogle Scholar
  10. 10.
    Ohayon MM. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev. 2002;6:97–111.CrossRefGoogle Scholar
  11. 11.
    Shochat T, Umphress J, Israel AG, Ancoli-Israel S. Insomnia in primary care patients. Sleep 1999;22 Suppl 2:359-65.Google Scholar
  12. 12.
    Gallup Organization. Sleep in America. Princeton: Gallup Organization; 1991.Google Scholar
  13. 13.
    Liang J, Shaw BA, Krause N, Bennett JM, Kobayashi E, Fukaya T, Sugihara Y. How does self-assessed health change with age? A study of older adults in Japan. J Gerontol B Psychol Sci Soc Sci. 2005;60:224–32.CrossRefGoogle Scholar
  14. 14.
    Collins LM, Lanza ST. Latent class and latent transition analysis: with applications in the social, behavioral, and health sciences. Hoboken: John Wiley & Sons, Inc.; 2010.Google Scholar
  15. 15.
    Healey ES, Kales A, Monroe LJ, Bixler EO, Chamberlin K, Soldatos CR. Onset of insomnia: role of life-stress events. Psychosom Med. 1981;43:439–51.CrossRefGoogle Scholar
  16. 16.
    Mellinger GD, Balter MB, Uhlenhuth EH. Insomnia and its treatment. Prevalence and correlates. Arch Gen Psychiatry. 1985;42:225–32.CrossRefGoogle Scholar
  17. 17.
    Kim WH, Kim BS, Kim SK, Chang SM, Lee DW, Cho MJ, Bae JN. Prevalence of insomnia and associated factors in a community sample of elderly individuals in South Korea. Int Psychogeriatr. 2013;25:1729–37.CrossRefGoogle Scholar
  18. 18.
    Foley DJ, Monjan AA, Izmirlian G, Hays JC, Blazer DG. Incidence and remission of insomnia among elderly adults in a biracial cohort. Sleep. 1999;22(Suppl 2):373–8.Google Scholar
  19. 19.
    Weiss JP, Blaivas JG. Nocturia. J Urol. 2000;163:5–12.CrossRefGoogle Scholar
  20. 20.
    Ohayon MM, Hong SC. Prevalence of insomnia and associated factors in South Korea. J Psychosom Res. 2002;53:593–600.CrossRefGoogle Scholar
  21. 21.
    Ford DE, Kamerow DB. Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?. JAMA. 1989;262:1479–84.CrossRefGoogle Scholar
  22. 22.
    Breslau N, Roth T, Rosenthal L, Andreski P. Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biol Psychiatry. 1996;39:411–8.CrossRefGoogle Scholar
  23. 23.
    Hsu YW, Ho CH, Wang JJ, Hsieh KY, Weng SF, Wu MP. Longitudinal trends of the healthcare-seeking prevalence and incidence of insomnia in Taiwan: an 8-year nationally representative study. Sleep Med. 2013;14:843–9.CrossRefGoogle Scholar
  24. 24.
    Dawson A, Bigby BG, Poceta JS, Mitler MM. Effect of bedtime alcohol on inspiratory resistance and respiratory drive in snoring and nonsnoring men. Alcohol Clin Exp Res. 1997;21:183–90.CrossRefGoogle Scholar
  25. 25.
    Peppard PE, Austin D, Brown RL. Association of alcohol consumption and sleep disordered breathing in men and women. J Clin Sleep Med. 2007;3:265–70.Google Scholar
  26. 26.
    Roehrs T, Roth T. Sleep, sleepiness, sleep disorders and alcohol use and abuse. Sleep Med Rev. 2001;5:287–97.CrossRefGoogle Scholar
  27. 27.
    Brower KJ. Alcohol’s effects on sleep in alcoholics. Alcohol Res Health. 2001;25:110–25.Google Scholar

Copyright information

© Japanese Society of Sleep Research 2019

Authors and Affiliations

  • Chung-Huang Tsai
    • 1
    • 8
  • Shao-Jen Weng
    • 2
    Email author
  • Shih-Chia Liu
    • 2
  • Donald F. Gotcher
    • 3
  • Hsin-Hung Wu
    • 4
    • 5
  • Chun-An Chou
    • 6
  • Seung-Hwan Kim
    • 7
  1. 1.Department of Family Medicine, Chung-Kang BranchCheng Ching General HospitalTaichungTaiwan
  2. 2.Department of Industrial Engineering and Enterprise InformationTunghai UniversityTaichungTaiwan
  3. 3.Department of International BusinessTunghai UniversityTaichungTaiwan
  4. 4.Department of Business AdministrationNational Changhua University of EducationChanghuaTaiwan
  5. 5.Department of M-Commerce and Multimedia ApplicationsAsia UniversityTaichungTaiwan
  6. 6.Department of Mechanical and Industrial EngineeringNortheastern UniversityBostonUSA
  7. 7.Department of Business AdministrationAjou UniversitySuwonSouth Korea
  8. 8.Sports Recreation and Health Management Continuing Studies-Bachelor’s Degree Completion ProgramTunghai UniversityTaichungTaiwan

Personalised recommendations