National Sleep Foundation’s sleep time duration recommendations: methodology and results summary
Baylor College of Medicine1, Stanford University2, University of Pittsburgh3, University of California, Los Angeles4, Sapienza University of Rome5, Loyola University Chicago6, University of Texas at Austin7, University of Texas Southwestern Medical Center8, Boston Children's Hospital9, University of Chicago10, Johns Hopkins University School of Medicine11, Georgetown University12, University of Toronto13, Gannon University14, American Academy of Pediatrics15, University of Louisville16, University of Washington17, Eastern Virginia Medical School18
TL;DR: A scientifically rigorous update to the National Sleep Foundation's sleep duration recommendations, determined expert recommendations for sufficient sleep durations across the lifespan using the RAND/UCLA Appropriateness Method.
About: This article is published in Sleep Health.The article was published on 2015-03-01. It has received 2568 citations till now. The article focuses on the topics: Sleep disorder & Sleep medicine.
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Stanford University1, Baylor College of Medicine2, University of Pittsburgh3, University of California, Los Angeles4, Sapienza University of Rome5, Loyola University Chicago6, University of Texas at Austin7, University of Texas Southwestern Medical Center8, Boston Children's Hospital9, University of Chicago10, Johns Hopkins University School of Medicine11, Georgetown University12, University of Toronto13, Gannon University14, American Academy of Pediatrics15, University of Louisville16, University of Washington17, Eastern Virginia Medical School18
TL;DR: Consensus using a multidisciplinary expert Panel lends robust credibility to the results and the self-designated basis for duration selection and critical discussions are provided.
1,210 citations
Children's Hospital of Eastern Ontario1, University of Ottawa2, University of Alberta3, Public Health Agency of Canada4, Conference Board of Canada5, University of British Columbia6, Douglas Mental Health University Institute7, Queen's University8, Pennington Biomedical Research Center9, McMaster University10, McGill University11, University of Wollongong12, University of South Australia13, University of South Carolina14, University of Prince Edward Island15, University of Calgary16, Swansea University17, University of Toronto18, Camosun College19
TL;DR: The Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep provide evidence-informed recommendations for a healthy day (24 h), comprising a combination of sleep, sedentary behaviours, light-, moderate-, and vigorous-intensity physical activity.
Abstract: Leaders from the Canadian Society for Exercise Physiology convened representatives of national organizations, content experts, methodologists, stakeholders, and end-users who followed rigorous and transparent guideline development procedures to create the Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. These novel guidelines for children and youth aged 5-17 years respect the natural and intuitive integration of movement behaviours across the whole day (24-h period). The development process was guided by the Appraisal of Guidelines for Research Evaluation (AGREE) II instrument and systematic reviews of evidence informing the guidelines were assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Four systematic reviews (physical activity, sedentary behaviour, sleep, integrated behaviours) examining the relationships between and among movement behaviours and several health indicators were completed and interpreted by expert consensus. Complementary compositional analyses were performed using Canadian Health Measures Survey data to examine the relationships between movement behaviours and health indicators. A stakeholder survey was employed (n = 590) and 28 focus groups/stakeholder interviews (n = 104) were completed to gather feedback on draft guidelines. Following an introductory preamble, the guidelines provide evidence-informed recommendations for a healthy day (24 h), comprising a combination of sleep, sedentary behaviours, light-, moderate-, and vigorous-intensity physical activity. Proactive dissemination, promotion, implementation, and evaluation plans have been prepared in an effort to optimize uptake and activation of the new guidelines. Future research should consider the integrated relationships among movement behaviours, and similar integrated guidelines for other age groups should be developed.
1,114 citations
Cites background from "National Sleep Foundation’s sleep t..."
...While CSEP and PHAC have not formerly developed guidelines for sleep, guidelines from the National Sleep Foundation (USA) have been available to Canadians (Hirshkowitz et al., 2015)....
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...While CSEP has not formerly developed guidelines for sleep, guidelines from the National Sleep Foundation (USA) were available to Canadians (Hirshkowitz et al., 2015)....
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Stanford University1, University of Maryland, Baltimore2, Baylor College of Medicine3, University of Pittsburgh4, University of California, Los Angeles5, College of Osteopathic Medicine of the Pacific6, University of Chicago7, University of Texas at Austin8, Durham University9, University of Alabama10, Society for Women's Health Research11, University of Bologna12, Gannon University13, Brigham and Women's Hospital14, Mayo Clinic15, University of Washington16
TL;DR: There is consensus among experts regarding some indicators of sleep quality among otherwise healthy individuals, but overall, there was less or no consensus regarding sleep architecture or nap‐related variables as elements of good sleep quality.
688 citations
Cites methods from "National Sleep Foundation’s sleep t..."
...The current project used age cutoffs to parallel those used in defining optimal sleep duration across the life-span.(2) 3....
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...Sleep quantity recommendations were previously addressed by a National Sleep Foundation (NSF) Sleep Duration Recommendation consensus panel.(2) Continuing this process, the NSF assembled a panel of experts to answer the question, “What is good sleep quality?” The overall objectives of this Sleep Quality Consensus Panel (SQCP) were to provide scientifically sound recommendations regarding indicators of good sleep quality at different ages across the life-span....
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University of Wisconsin-Madison1, Philippines National Collegiate Athletic Association2, Western University of Health Sciences3, George Washington University4, International Olympic Committee5, University of São Paulo6, McGill University7, Stanford University8, University of Portsmouth9, University of Amsterdam10, University of Arizona11, Chung-Ang University12, University of Maryland, Baltimore13, McMaster University14, Kocaeli University15, Rutgers University16, Princeton University17, Vanderbilt University Medical Center18, University of Nebraska–Lincoln19, Stellenbosch University20
TL;DR: To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.
Abstract: Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.
513 citations
TL;DR: Overall, longer sleep duration was associated with lower adiposity indicators, better emotional regulation, better academic achievement, and better quality of life/well-being and there is a need for sleep restriction/extension interventions that examine the changes in different outcome measures against various amounts of objectively measured sleep to have a better sense of dose-response relationships.
Abstract: The objective of this systematic review was to examine the relationships between objectively and subjectively measured sleep duration and various health indicators in children and youth aged 5–17 y...
503 citations
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TL;DR: Evidence Based Medicine (IBM) as discussed by the authors is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients, which is a hot topic for clinicians, public health practitioners, purchasers, planners and the public.
Abstract: It's about integrating individual clinical expertise and the best external evidence
Evidence based medicine, whose philosophical origins extend back to mid-19th century Paris and earlier, remains a hot topic for clinicians, public health practitioners, purchasers, planners, and the public. There are now frequent workshops in how to practice and teach it (one sponsored by the BMJ will be held in London on 24 April); undergraduate1 and postgraduate2 training programmes are incorporating it3 (or pondering how to do so); British centres for evidence based practice have been established or planned in adult medicine, child health, surgery, pathology, pharmacotherapy, nursing, general practice, and dentistry; the Cochrane Collaboration and Britain's Centre for Review and Dissemination in York are providing systematic reviews of the effects of health care; new evidence based practice journals are being launched; and it has become a common topic in the lay media. But enthusiasm has been mixed with some negative reaction.4 5 6 Criticism has ranged from evidence based medicine being old hat to it being a dangerous innovation, perpetrated by the arrogant to serve cost cutters and suppress clinical freedom. As evidence based medicine continues to evolve and adapt, now is a useful time to refine the discussion of what it is and what it is not.
Evidence based medicine is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The …
12,134 citations
4,454 citations
01 Jan 2001
TL;DR: The "RAND/UCLA Appropriateness Method" was developed by RAND and UCLA in the 198Os and has been further developed and refined in North America and, increasingly, in Europe.
Abstract: : The concepts of appropriate and necessary care are fundamental to the creation of an efficient and equitable health-care delivery system Evidence of inappropriate overuse and underuse of procedures has been documented even in health systems characterised by the absence of global budgets, capitation, utilisation review or the pressure of requiring a second opinion Health systems should function in such a way that inappropriate care is progressively reduced, while appropriate and especially necessary care are maintained or increased The ability to determine and identify which care is overused and which is underused is essential to this functioning To this end, the "RAND/UCLA Appropriateness Method" (here given the acronym RAM) was developed by RAND and UCLA in the 198Os It has been further developed and refined in North America and, increasingly, in Europe
1,855 citations
"National Sleep Foundation’s sleep t..." refers background in this paper
...ing (1) sleep duration data, (2) effects of reduced or prolonged sleep duration, and (3) health consequences of toomuch or too little sleep....
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