Comprehensive assessment of the impact of life habits on sleep disturbance, chronotype, and daytime sleepiness among high-school students

Comprehensive assessment of the impact of life habits on sleep disturbance, chronotype, and daytime sleepiness among high-school students
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DOI:
10.1016/j.sleep.2017.10.011
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发表时间:
2018-04-01
期刊:
影响因子:
4.8
通讯作者:
Inoue, Takeshi
Inoue, Takeshi
中科院分区:
医学2区
文献类型:
--
作者:
Shimura, Akiyoshi;Hideo, Sakai;Inoue, Takeshi

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目的:睡眠对青少年的影响是多方面的。然而,多种因素对睡眠卫生的影响仍不清楚。方法:于2015年在日本东京对344名高中生(年龄15-17岁,男生171人,女生173人)进行了横断面调查。294名学生提供了完整的回复。结果:平均得分分别为:匹兹堡睡眠质量指数5.9(+/-2.3)、日间类型量表19.0(+/-5.8)、日间类型量表:16.7(+/-3.4)。在床上使用电子显示屏(OR=3.01;(95%CI)1.24~7.30)、夜间经常摄入咖啡因(OR=2.22;1.01~4.90)和黎明前醒来(OR=3.25;1.34~7.88)与睡眠障碍显著相关。就餐时间不规律(OR=2.06;1.10~3.84)、睡前2 h内看电视(OR=2.50;1.01~6.18)或卧床(OR=3.60;1.41~9.21)与白天过度嗜睡显著相关。睡前2小时内(OR=2.64;1.10~6.38)、床上使用电子显示器(OR=3.50;1.40~8.76)和夜间明亮的客厅(OR=1.89;1.06~3.36)与夜间睡眠质量显著相关。结论:每种类型的睡眠相关问题都有其相关的生活习惯因素。(三)2017年提交人(S)。爱思唯尔出版公司(Elsevier B.V.)
Objective: Sleep affects adolescents in various ways. However, the effects of multiple factors on sleep hygiene remain unclear. A comprehensive assessment of the effects of life habits on sleep in high-school students was conducted.Methods: A cross-sectional survey of 344 high school students (age range 15-17; 171 boys, 173 girls) in Tokyo, Japan was conducted in 2015. Complete responses were provided by 294 students. Demographic variables, Pittsburgh Sleep Quality Index (PSQI), diurnal type scale, Pediatric Daytime Sleepiness Scale (PDSS), and life habits such as dinnertime, viewing electronic displays, caffeine intake, sunlight in the morning, and the brightness of the room in the night were asked.Results: The mean scores were PSQI: 5.9 (+/- 2.3), PDSS: 19.0 (+/- 5.8), and the diurnal type scale: 16.7(+/- 3.4). Using an electronic display in bed (OR = 3.01; (95%CI) 1.24-7.30), caffeine intake at night always (OR = 2.22; 1.01-4.90), and waking up before dawn (OR = 3.25; 1.34-7.88) were significantly associated with sleep disturbance. Irregular timing of the evening meal (OR = 2.06; 1.10-3.84) and display viewing within 2 h before bedtime (OR = 2.50; 1.01-6.18) or in bed (OR = 3.60; 1.41-9.21) were significantly associated with excessive daytime sleepiness. Using an electronic display within 2 h before bedtime (OR = 2.64; 1.10-6.38) or in bed (OR = 3.50; 1.40-8.76) and a living room which is bright at night (OR = 1.89; 1.06-3.36) were significantly associated with eveningness.Conclusion: Each type of sleep-related problem had its own associated life habit factors. (C) 2017 The Author(s). Published by Elsevier B.V.