Trends in sleep problems and patterns among Japanese adolescents: 2004 to 2017.
Trends in sleep problems and patterns among Japanese adolescents: 2004 to 2017.
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日本青少年的睡眠问题和模式的趋势：2004年至2017年。
DOI：
10.1016/j.lanwpc.2021.100107
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发表时间：
2021-04
期刊：
影响因子：
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通讯作者：
Osaki Y
中科院分区：
文献类型：
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作者：
Otsuka Y;Kaneita Y;Spira AP;Mojtabai R;Itani O;Jike M;Higuchi S;Kanda H;Kuwabara Y;Kinjo A;Osaki Y
青春期的睡眠问题，如失眠和睡眠时间短，与身心健康问题有关。然而，人们对青少年睡眠问题的最新趋势知之甚少。因此，本研究调查了日本青少年睡眠问题的趋势。使用2004年青少年生活方式调查收集的数据（n = 102 451），2008年（n = 95，680），2010年（n = 98，867），2012年（n = 101，134），2014年（n = 85，931）和2017年（n = 64，417），我们计算了失眠，睡眠时间缩短，就寝时间晚和睡眠质量差的趋势。多变量逻辑回归分析模型被用来检查每个睡眠问题和调查年的关联。我们分析了545，285名日本青少年的数据。结果表明，自2004年以来，失眠的比值比下降（校正比值比[AOR] 0.85，95%CI 0.82 - 0.87），睡眠质量差的比值比也下降（AOR 0.92，95%CI 0.88 - 0.95）。然而，在此期间，睡眠时间较短（AOR 1.13，95% CI 1.10 - 1.17）和就寝时间较晚（AOR 1.06，95% CI 1.03 - 1.08）的比值比趋于增加。从2004年到2017年，青少年失眠症状和睡眠质量差的患病率有所下降。然而，睡眠时间缩短和晚睡的趋势越来越明显。这些变化既令人宽慰，又令人担忧。教师、家长和卫生专业人员应考虑对青少年进行睡眠卫生教育，调整课外活动时间表，加强时间管理，以改善他们的睡眠质量。这项研究得到了日本厚生劳动省的资助。
Sleep problems in adolescence, such as insomnia and short sleep duration, are associated with physical and mental health problems. However, little is known about the recent trends in sleep problems among adolescents. Therefore, this study examined trends in sleep problems among Japanese adolescents. Using data from the Lifestyle Survey of Adolescents collected in 2004 (n = 102,451), 2008 (n = 95,680), 2010 (n = 98,867), 2012 (n = 101,134), 2014 (n = 85,931), and 2017 (n = 64,417), we calculated the trends of insomnia, shorter sleep duration, late bedtimes, and poor sleep quality. Multivariable logistic regression analysis models were used to examine the association of each sleep problem and survey years. We analyzed data from 545,285 Japanese adolescents. Results indicated that, since 2004, the odds ratio for insomnia have decreased (Adjusted odds ratio [AOR] 0•85, 95% CI 0•82–0•87), as have the odds ratio for poor sleep quality (AOR 0•92, 95% CI 0•88–0•95). However, the odds ratio for shorter sleep duration (AOR 1•13, 95% CI 1•10–1•17) and late bedtimes tended to increase (AOR 1•06, 95% CI 1•03–1•08) during this period. The prevalence of insomnia symptoms and poor sleep quality among adolescents decreased from 2004 to 2017. However, there were increasing trends toward shorter sleep duration and late bedtimes. These changes are both relieving and concerning. Teachers, parents, and health professionals should consider educating adolescents regarding sleep hygiene, adjusting schedules of extracurricular activities, and enhancing time management to improve their sleep quantity. This study received funding from Japan's Ministry of Health, Labour and Welfare.