Abstract
Objectives
To provide evidence-based recommendations and guidance to the public regarding indicators
of good sleep quality across the life-span.
Methods
The National Sleep Foundation assembled a panel of experts from the sleep community
and representatives appointed by stakeholder organizations (Sleep Quality Consensus
Panel). A systematic literature review identified 277 studies meeting inclusion criteria. Abstracts and full-text articles were provided
to the panelists for review and discussion. A modified Delphi RAND/UCLA Appropriateness
Method with 3 rounds of voting was used to determine agreement.
Results
For most of the sleep continuity variables (sleep latency, number of awakenings >5 minutes, wake after sleep onset, and sleep efficiency), the panel members agreed that
these measures were appropriate indicators of good sleep quality across the life-span.
However, overall, there was less or no consensus regarding sleep architecture or nap-related
variables as elements of good sleep quality.
Conclusions
There is consensus among experts regarding some indicators of sleep quality among
otherwise healthy individuals. Education and public health initiatives regarding good
sleep quality will require sustained and collaborative efforts from multiple stakeholders.
Future research should explore how sleep architecture and naps relate to sleep quality.
Implications and limitations of the consensus recommendations are discussed.
Keywords
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References
- Webster M. Dictionary.2014
- National Sleep Foundation's sleep time duration recommendations: methodology and results summary.Sleep Health. 2015; 1: 40-43
- The RAND/UCLA Appropriateness Method User's Manual.2001
- Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan.Sleep. 2004; 27: 1255-1274
- Evidence based medicine: what it is and what it isn't.BMJ. 1996; 312: 71-72
Article info
Publication history
Published online: December 23, 2016
Footnotes
☆Endorsed by National Sleep Foundation, American Association of Anatomists, American Physiological Society, Gerontological Society of America, Human Anatomy and Physiology Society, Society for Research on Biological Rhythms, Society for Research of Human Development, and Society for Women's Health Research.
Identification
Copyright
© 2016 Published by Elsevier Inc. on behalf of National Sleep Foundation. All rights reserved.
