Associations between Japanese calligraphy practice and sleep quality in community-dwelling older adults: A cross-sectional Study

Background: Sleep disturbances, such as insomnia, are common among the elderly population and have been associated with negative health outcomes. Japanese calligraphy is a traditional art practice previously associated with various health benefits, such as stress reduction and improved cognitive fun...

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Main Authors: Georg von Fingerhut, Keitaro Makino, Osamu Katayama, Ryo Yamaguchi, Daiki Yamagiwa, Jessica K. Bone, Hiroyuki Shimada
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Sleep Medicine: X
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590142724000223
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author Georg von Fingerhut
Keitaro Makino
Osamu Katayama
Ryo Yamaguchi
Daiki Yamagiwa
Jessica K. Bone
Hiroyuki Shimada
author_facet Georg von Fingerhut
Keitaro Makino
Osamu Katayama
Ryo Yamaguchi
Daiki Yamagiwa
Jessica K. Bone
Hiroyuki Shimada
author_sort Georg von Fingerhut
collection DOAJ
description Background: Sleep disturbances, such as insomnia, are common among the elderly population and have been associated with negative health outcomes. Japanese calligraphy is a traditional art practice previously associated with various health benefits, such as stress reduction and improved cognitive function; however, its association with sleep quality has not been fully explored. Methods: This cross-sectional study included 21,207 subjects with basic attributes, health status, depressive symptoms, artistic practices, and sleep habits. Individuals who satisfied the chronic insomnia criteria were categorized into the following subtypes: sleep onset latency (SOL) insomnia, early morning awakening (EMA) insomnia, and wake after sleep offset (WASF) insomnia. The t-test, chi-square test, and logistic regression analysis were used to determine the association between Japanese calligraphy practice and sleep quality. Results: In this study, 17,597 elderly Japanese individuals were included, among whom 13.7 % practiced Japanese calligraphy. Regarding sleep characteristics, 32.0 % had chronic insomnia, 13.1 % had SOL insomnia, 9.1 % had EMA insomnia, and 14.2 % had WASF insomnia. Japanese calligraphy practice was associated with lower rates of chronic insomnia (odds ratio [OR] = 0.85, 95 % confidence interval (CI) = 0.76–0.95), including SOL insomnia (OR = 0.84, 95 % CI = 0.71–0.98), and EMA insomnia (OR = 0.80, 95 % CI = 0.66–0.97) but had no significant association with WASF insomnia. Conclusions: This study suggests that Japanese calligraphy practice is associated with lower odds of insomnia, particularly SOL and EMA insomnia. Calligraphy may be an effective nonpharmacological intervention for insomnia and poor sleep quality among elderly Japanese individuals.
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spelling doaj-art-c712ffea112d42f2ad8db8451e61ff8c2024-12-13T11:00:56ZengElsevierSleep Medicine: X2590-14272024-12-018100124Associations between Japanese calligraphy practice and sleep quality in community-dwelling older adults: A cross-sectional StudyGeorg von Fingerhut0Keitaro Makino1Osamu Katayama2Ryo Yamaguchi3Daiki Yamagiwa4Jessica K. Bone5Hiroyuki Shimada6Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi, 474-8511, Japan; International Antique Institute, 1-8-39, Edogawa, Edogawa-ku, Tokyo, 132-0013, Japan; Corresponding author. Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi, 474-8511, Japan.Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi, 474-8511, JapanDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi, 474-8511, Japan; Japan Society for the Promotion of Science, 5-3-1 Kojimachi, Chiyoda-ku, Tokyo, 102-0083, Japan; Cognitive Neuroscience Division, Department of Neurology, Columbia University Irving Medical Center, 710 West 168th Street, New York, 10032, United StatesDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi, 474-8511, JapanDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi, 474-8511, JapanResearch Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, 1-19 Torrington Place, London, WC1E 7HB, United KingdomDepartment of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu City, Aichi, 474-8511, JapanBackground: Sleep disturbances, such as insomnia, are common among the elderly population and have been associated with negative health outcomes. Japanese calligraphy is a traditional art practice previously associated with various health benefits, such as stress reduction and improved cognitive function; however, its association with sleep quality has not been fully explored. Methods: This cross-sectional study included 21,207 subjects with basic attributes, health status, depressive symptoms, artistic practices, and sleep habits. Individuals who satisfied the chronic insomnia criteria were categorized into the following subtypes: sleep onset latency (SOL) insomnia, early morning awakening (EMA) insomnia, and wake after sleep offset (WASF) insomnia. The t-test, chi-square test, and logistic regression analysis were used to determine the association between Japanese calligraphy practice and sleep quality. Results: In this study, 17,597 elderly Japanese individuals were included, among whom 13.7 % practiced Japanese calligraphy. Regarding sleep characteristics, 32.0 % had chronic insomnia, 13.1 % had SOL insomnia, 9.1 % had EMA insomnia, and 14.2 % had WASF insomnia. Japanese calligraphy practice was associated with lower rates of chronic insomnia (odds ratio [OR] = 0.85, 95 % confidence interval (CI) = 0.76–0.95), including SOL insomnia (OR = 0.84, 95 % CI = 0.71–0.98), and EMA insomnia (OR = 0.80, 95 % CI = 0.66–0.97) but had no significant association with WASF insomnia. Conclusions: This study suggests that Japanese calligraphy practice is associated with lower odds of insomnia, particularly SOL and EMA insomnia. Calligraphy may be an effective nonpharmacological intervention for insomnia and poor sleep quality among elderly Japanese individuals.http://www.sciencedirect.com/science/article/pii/S2590142724000223SleepCalligraphyInsomniaOlder adultsArtCulture
spellingShingle Georg von Fingerhut
Keitaro Makino
Osamu Katayama
Ryo Yamaguchi
Daiki Yamagiwa
Jessica K. Bone
Hiroyuki Shimada
Associations between Japanese calligraphy practice and sleep quality in community-dwelling older adults: A cross-sectional Study
Sleep Medicine: X
Sleep
Calligraphy
Insomnia
Older adults
Art
Culture
title Associations between Japanese calligraphy practice and sleep quality in community-dwelling older adults: A cross-sectional Study
title_full Associations between Japanese calligraphy practice and sleep quality in community-dwelling older adults: A cross-sectional Study
title_fullStr Associations between Japanese calligraphy practice and sleep quality in community-dwelling older adults: A cross-sectional Study
title_full_unstemmed Associations between Japanese calligraphy practice and sleep quality in community-dwelling older adults: A cross-sectional Study
title_short Associations between Japanese calligraphy practice and sleep quality in community-dwelling older adults: A cross-sectional Study
title_sort associations between japanese calligraphy practice and sleep quality in community dwelling older adults a cross sectional study
topic Sleep
Calligraphy
Insomnia
Older adults
Art
Culture
url http://www.sciencedirect.com/science/article/pii/S2590142724000223
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