{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:38:53Z","timestamp":1790825933546,"version":"4.1.0"},"reference-count":75,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T00:00:00Z","timestamp":1725408000000},"content-version":"unspecified","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004339","name":"Sanofi","doi-asserted-by":"publisher","award":["Not Applicable"],"award-info":[{"award-number":["Not Applicable"]}],"id":[{"id":"10.13039\/100004339","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2024,8,6]]},"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>\n                    A high percentage of people worldwide complain of sleep disturbances; however, the vast majority do not meet the diagnostic criteria for insomnia or other classic sleep disorders. Therefore, the \u2018classical\u2019 concept of\n                    <jats:italic>poor sleep<\/jats:italic>\n                    remains undetected, and patients stay ignored and unidentified. Also,\n                    <jats:italic>poor sleep<\/jats:italic>\n                    has been strongly associated with increased daytime function impairment, morbidity and mortality and is considered a risk factor for developing mental disorders.\n                    <jats:italic>Poor sleep<\/jats:italic>\n                    is the individual experience of insufficient restorative sleep and\/or sleep satisfaction in adults who do not fulfil the criteria for sleep disorders. This article provides a review on the impact of\n                    <jats:italic>poor sleep<\/jats:italic>\n                    on a healthy life within the multidimensional concept of sleep health, including the COVID-19-affected period. We propose a wide definition of\n                    <jats:italic>poor sleep<\/jats:italic>\n                    and the key characteristics of\n                    <jats:italic>poor sleepers<\/jats:italic>\n                    and tools for (self) detection. We discuss sleep assessment methods that combine the ability to capture the subjective perception of the sleep experience and measure objective sleep parameters. We then report selected strategies to improve sleep health, focusing on healthy sleep habits, cognitive behavioural therapy, diet, exercise, food supplements and other sleep aids. Considering the current megalopolis way of life, young people are following a 24\/24\u2009hours 7 days\/week rhythm of life, with increased exposure to noise and light pollution, night-shift work, higher commute time, increased global temperature and overuse of smartphones and screens. Therefore, there is an urgent need for increasing awareness of\n                    <jats:italic>poor sleep<\/jats:italic>\n                    and stimulating educational efforts targeted at\n                    <jats:italic>poor sleepers<\/jats:italic>\n                    and primary care specialists.\n                  <\/jats:p>","DOI":"10.1136\/bmjph-2024-000952","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T03:18:27Z","timestamp":1725506307000},"page":"e000952","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":29,"title":["Novel perspective of \u2018poor sleep\u2019 in public health: a narrative review"],"prefix":"10.1136","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1168-480X","authenticated-orcid":false,"given":"Damien","family":"Leger","sequence":"first","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, VIFASOM ERC 7330, Paris, France"},{"name":"APHP, H\u00f4tel-Dieu, Centre du Sommeil et de la Vigilance, DMU THOROS, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Ferini-Strambi","sequence":"additional","affiliation":[{"name":"Department of Neurology, Vita-Salute San Raffaele University, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Han","sequence":"additional","affiliation":[{"name":"The Sleep Center, Peking University People\u2019s Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalva","family":"Poyares","sequence":"additional","affiliation":[{"name":"Department of Psychobiology, Universidade Federal de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Uchiyama","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Nihon University School of Medicine, Tokyo, Japan"},{"name":"Tokyo Adachi Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phyllis C","family":"Zee","sequence":"additional","affiliation":[{"name":"Department of Neurology and Center for Circadian and Sleep Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,9,4]]},"reference":[{"key":"2025083109384908000_2.2.e000952.1","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/j.puhe.2023.10.004","article-title":"Temporal trends in sleep pattern among Chinese adults between 2010 and 2018: findings from five consecutive nationally representative surveys","volume":"225","author":"Chu","year":"2023","journal-title":"Pub Health (Fairfax)"},{"key":"2025083109384908000_2.2.e000952.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2020.05.030"},{"key":"2025083109384908000_2.2.e000952.3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1004109","article-title":"Association of sleep duration at age 50, 60, and 70 years with risk of multimorbidity in the UK: 25-year follow-up of the Whitehall II cohort study","volume":"19","author":"Sabia","year":"2022","journal-title":"PLoS Med"},{"key":"2025083109384908000_2.2.e000952.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2009.08.001"},{"key":"2025083109384908000_2.2.e000952.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2016.08.006"},{"key":"2025083109384908000_2.2.e000952.6","doi-asserted-by":"publisher","DOI":"10.1185\/030079907X253771"},{"key":"2025083109384908000_2.2.e000952.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2009.07.008"},{"key":"2025083109384908000_2.2.e000952.8","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1007\/s11325-019-01871-x","article-title":"Prevalence of poor sleep quality in the Ethiopian population: a systematic review and meta-analysis","volume":"24","author":"Manzar","year":"2020","journal-title":"Sleep Breath"},{"key":"2025083109384908000_2.2.e000952.9","unstructured":"American Academy of Sleep Medicine . 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