1053 Sleep Duration And Timing Associated With History Of Breast Prostate And Skin Cancer: Data From A Nationally-representative Sample

Introduction

Sleep disturbances are a common problem among cancer survivors. Also, cancer patients can have altered circadian rhythms and these changes can continue to affect the patient long after the conclusion of their treatment. This analysis aims to investigate how the sleep and wake times of cancer survivors differ from the rest of the population, depending on the type of cancer.

Methods

Data from the 2015-2016 National Health and Nutrition Examination Survey were used. Population-weighted data on N=5,581 individuals provided complete data. History of breast, prostate, and skin cancer (melanoma or other) was self-reported. Sleep duration was self-reported in half-hour increments, and typical bedtime and waketime was self-reported. Covariates included age, sex, and race/ethnicity. Weighted linear regressions with sleep duration, bedtime and waketime were examined, with each cancer type as predictor.

Results

Prevalence was 1.7% for prostate cancer, 1.5% for breast cancer, 2.3% for non-melanoma skin cancer, and 0.8% for melanoma. In adjusted analyses, prostate cancer was associated with an additional 26.5 minutes of average total sleep (95%CI 2.2,50.9, p=0.03), a 23.1 bedtime minutes earlier (95%CI -40.4,-5.8, p=0.009), and no difference in waketime. Breast cancer was associated with a bedtime that was 41.1 minutes later (95%CI 10.3,72.0, p=0.009) and a waketime that was 48.7 minutes later (95%CI 12.5,84.9, p=0.008), but no difference in sleep duration. No statistically significant effects were seen for either type of skin cancer, melanoma or non-melanoma.

Conclusion

Prostate cancer was associated with an earlier bedtime and associated increased sleep time. Breast cancer, on the other hand, was associated with a phase delay of the sleep period but no change in sleep duration. Skin cancer was not associated with differences in sleep duration or timing. These findings may have implications for not only treatment of sleep problems in different types of cancer, but also possible circadian mechanisms.

Support

Dr. Grandner is supported by R01MD011600

Monitoring photosynthetic microorganism activity with an electrolyte-gated organic field effect transistor

Among organic thin film transistors (OTFTs), Organic Electrochemical Transistors (OECTs) have been extensively used for cell monitoring while Electrolyte-Gated Organic Field-Effect Transistors (EGOFETs) have never been described for that kind of application. However, EGOFETs are well adapted for this use because, as well as OECTs, they can operate directly in aqueous solutions such as cells culture media, but they offer much a higher on/off ratio which could lead to better sensitivity. As a proof of concept, we propose herein to monitor the photosynthetic activity of a cyanobacterium (Anabaena flos-aquae) contained within an EGOFET's electrolyte.

The need for better access to pain treatment: learning from drug consumption trends in the USA

The Authors of this letter look at consumption of opioids and a2- ligands, also known as "gabapentinoids", in Italy, and specifically in the Provincial Health District of Cosenza, as compared with USA trends of recent decades. Access to analgesic drugs since the introduction of Italian law 38/2010 is also evaluated and possible future measures for better management of chronic pain are proposed.

Grafting of a peptide probe for Prostate-Specific Antigen detection using diazonium electroreduction and click chemistry

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Label-free electrochemical detection of prostate-specific antigen based on nucleic acid aptamer

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An electrochemical ELISA-like immunosensor for miRNAs detection based on screen-printed gold electrodes modified with reduced graphene oxide and carbon nanotubes

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Direct, reagentless electrochemical detection of the BIR3 domain of X-linked inhibitor of apoptosis protein using a peptide-based conducting polymer sensor

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An innovative strategy for direct electrochemical detection of microRNA biomarkers

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Label-free and reagentless electrochemical detection of PCR fragments using self-assembled quinone derivative monolayer: application to Mycobacterium tuberculosis

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Label-free DNA electrochemical sensor based on a PNA-functionalized conductive polymer

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New frequency/voltage converters for ac-electrogravimetric measurements based on fast quartz crystal microbalance

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Investigations of the steric effect on electrochemical transduction in a quinone-based DNA sensor

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The development of a reagentless lactate biosensor based on a novel conducting polymer

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Direct electrochemical detection of oligonucleotide hybridization on poly(5-hydroxy-1,4-naphthoquinone- co-5-hydroxy-3-thioacetic acid-1,4-naphthoquinone) film

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Reagentless amperometric detection of l-lactate on an enzyme-modified conducting copolymer poly(5-hydroxy-1,4-naphthoquinone-co-5-hydroxy-3-thioacetic acid-1,4-naphthoquinone)

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Electrochemical method for entrapment of oligonucleotides in polymer-coated electrodes

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