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dc.rights.licenseopenen_US
hal.structure.identifierSommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY]
dc.contributor.authorCOELHO, Julien
hal.structure.identifierSommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY]
dc.contributor.authorMICOULAUD FRANCHI, Jean Arthur
IDREF: 199759170
dc.contributor.authorWIET, Anne-Sophie
dc.contributor.authorNGUYEN, Duc
hal.structure.identifierSommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY]
dc.contributor.authorTAILLARD, Jacques
ORCID: 0000-0001-9067-8189
IDREF: 229930786
hal.structure.identifierSommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY]
dc.contributor.authorPHILIP, Pierre
dc.date.accessioned2023-04-26T11:01:29Z
dc.date.available2023-04-26T11:01:29Z
dc.date.issued2022-05-01
dc.identifier.issn1878-5506en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/173210
dc.description.abstractEnCircadian system contributes to the regulation of inflammatory processes, but the role of circadian misalignment as a risk factor for contracting Covid-19 has up to now been poorly studied. The aim of this study was to explore the relationship between circadian misalignment (chronic disturbance of the circadian system) and the risk of Covid-19 infection in a population of subjects suspected of contact or infection with SARS-CoV-2. Cross-sectional single-center study conducted during a period without lockdown in winter 2021. Recruitment took place in a Covid-19 outpatient testing center. Subjects between 18 and 45 years old were included whether they were symptomatic or not, healthcare workers or not, in contact with a Covid-19 case or not. To determine social jetlag, a proxy of circadian misalignment, they were asked about their usual sleep-wake behaviors. Usual sleep duration and sleep-wake timing were explored on workdays and free days. Social jetlag was defined as at least 2 h shift of circadian alignment (defined as the difference between mid-sleep on workdays and mid-sleep on free days, mid-sleep as the median between bedtime and rise time). One thousand fourteen subjects were included (sampling rate: 10.8%, 39% men, mean age 28 ± 8) with 56 subjects positive for Covid-19 (positivity rate: 5.5%). Usual mean sleep duration was equivalent in both groups (7h47 versus 7h49, p = 0.733). Social jetlag greater than 2 h comprised 33.3% of subjects in the Covid-19 group versus 20.6% in the control group (p = 0.026). After adjustment on age, gender, BMI and work schedules, subjects presenting with social jetlag greater than 2 h had a 2.07-fold higher likelihood to test positive than subjects who had identical sleep-wake timing on workdays and free days (OR = 2.07, 95%CI = [1.12-3.80], p = 0.024). Circadian misalignment not only is present in subjects infected by Covid-19 but could also be responsible for a higher likelihood of being infected. The chronobiological impact on the immune system or a higher likelihood of being exposed to social contacts during nocturnal activities could explain our findings, which need to be confirmed in a future large cohort study. Regular sleep-wake timing could ultimately become a target for preventing Covid-19 infection.
dc.language.isoENen_US
dc.subject.enAdolescent
dc.subject.enAdult
dc.subject.enCOVID-19
dc.subject.enCircadian Rhythm
dc.subject.enCohort Studies
dc.subject.enCommunicable Disease Control
dc.subject.enCross-Sectional Studies
dc.subject.enFemale
dc.subject.enHumans
dc.subject.enJet Lag Syndrome
dc.subject.enMale
dc.subject.enMiddle Aged
dc.subject.enSARS-CoV-2
dc.subject.enSleep
dc.subject.enSurveys and Questionnaires
dc.subject.enYoung Adult
dc.title.enCircadian misalignment is associated with Covid-19 infection.
dc.title.alternativeSleep Meden_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.sleep.2022.03.015en_US
dc.identifier.pubmed35447468en_US
bordeaux.journalSleep Medicineen_US
bordeaux.page71-74en_US
bordeaux.volume93en_US
bordeaux.hal.laboratoriesSANPSY (Sommeil, Addiction, Neuropsychiatrie) - UMR 6033en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionCNRSen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
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dc.rights.ccCC BY-NC-NDen_US
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