Smoking and risk of sleep-related issues: a systematic review and meta-analysis of prospective studies

Amiri, Sohrab; Behnezhad, Sepideh

doi:10.17269/s41997-020-00308-3

Systematic Review
Published: 17 March 2020

Smoking and risk of sleep-related issues: a systematic review and meta-analysis of prospective studies

Canadian Journal of Public Health volume 111, pages 775–786 (2020)Cite this article

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Abstract

Objectives

Smoking has many deleterious consequences on health, one of which can be sleep-related issues. Therefore, a meta-analysis was performed with the aim of pooling results from studies on the relationship between smoking and sleep-related issues.

Methods

The present study follows PRISMA guidelines. Databases were searched by both researchers to find the articles. The review was done up to December 2018. In order to analyze the results of the screened articles, statistical indexes were converted to logarithms and the studies were combined with each other. Finally, several analyses were conducted with respect to various subgroups. In the subgroup analysis, the pool index of the studies was determined and the degree of heterogeneity in each subgroup was presented. Meta-regression was also used.

Results

Smoking is associated with a risk of developing sleep-related issues. Risk ratio (1.47; 1.20–1.79) for smokers was higher than for non-smokers. Egger’s test and Begg’s test indicated publication bias.

Conclusions

Smoking is associated with sleep-related issues. Informing smokers about the effects of smoking on sleep issues can be effective in reducing and preventing its consequences.

Résumé

Objectifs

Le tabagisme a de nombreuses conséquences délétères sur la santé, et les problèmes liés au sommeil peuvent en faire partie. Nous avons effectué une méta-analyse en vue de regrouper les résultats d’études sur la relation entre le tabagisme et les problèmes liés au sommeil.

Méthode

Notre étude suit les lignes directrices PRISMA. Les deux chercheurs ont interrogé des bases de données pour trouver les articles. La revue a été menée jusqu’en décembre 2018. Pour analyser les résultats des articles filtrés, des indices statistiques ont été convertis en logarithmes, et les études ont été combinées entre elles. Enfin, plusieurs analyses ont été effectuées pour divers sous-groupes. Dans les analyses des sous-groupes, nous avons déterminé l’indice des études regroupées et présenté le degré d’hétérogénéité dans chaque sous-groupe. Nous avons aussi utilisé la méta-régression.

Résultats

Le tabagisme est associé à un risque de contracter des problèmes liés au sommeil. Le risque relatif (1,47; 1,20-1,79) des fumeurs était supérieur à celui des non-fumeurs. Le test d’Egger et le test de Begg ont montré un biais de publication.

Conclusions

Le tabagisme est associé à des problèmes liés au sommeil. Informer les fumeurs des effets du tabagisme sur les problèmes de sommeil peut être un moyen efficace d’en réduire et d’en prévenir les conséquences.

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Behavioral Sciences Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
Sohrab Amiri
Kharazmi University, Tehran, Iran
Sepideh Behnezhad

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Amiri, S., Behnezhad, S. Smoking and risk of sleep-related issues: a systematic review and meta-analysis of prospective studies. Can J Public Health 111, 775–786 (2020). https://doi.org/10.17269/s41997-020-00308-3

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Received: 11 July 2019
Accepted: 17 February 2020
Published: 17 March 2020
Issue Date: October 2020
DOI: https://doi.org/10.17269/s41997-020-00308-3

Keywords

Smoking
Sleep
Sleep-related issues
Sleep disturbances
Systematic review
Meta-analysis

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Sommeil
Problèmes liés au sommeil
Perturbations du sommeil
Revue systématique
Méta-analyse

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