Are adolescents sleeping less and worse than before?

Are adolescents sleeping less and worse than before?
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青少年的睡眠是否比以前更少、更差?

DOI:
10.1016/j.lanwpc.2021.100167
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发表时间:
2021-06
期刊:
The Lancet regional health. Western Pacific
影响因子:
--
通讯作者:
Wing YK
Wing YK
中科院分区:
其他
文献类型:
--
作者:
Chan NY;Li SX;Wing YK

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青少年的睡眠一直受到越来越多的关注,因为它对情绪、日间功能、学习成绩、整体健康和发育具有重要作用。睡眠结构和昼夜节律因素的内在变化,以及心理社会方面的其他发展变化以及外部因素(例如,学校工作量增加、过度使用媒体)可能会增加青少年睡眠问题的易感性,特别是睡眠剥夺和失眠[1,2]。来自不同国家的大量证据一直表明,青少年睡眠问题普遍存在[3,4]。事实上,在过去的几十年里,青少年的睡眠问题不仅普遍存在,而且呈现出增加的趋势,尽管现有的数据有限且相互矛盾,特别是在亚洲国家[2]。金田佳隆和他的同事调查了2004至2017年间日本青少年睡眠模式和问题的长期趋势,包括失眠、晚睡和睡眠时间短(<7)。通过对6次调查中的545 285名日本青少年的分析,他们注意到在这13年的研究期间,失眠的患病率有所下降(调整后的优势比[AOR]0·85,95%CI 0·82-0·87),但晚睡的患病率(AOR 1.17,95%CI 1·12-1·23)、睡眠时间短(AOR 1.13,95%CI 1·10-1·17)和精神健康问题的患病率呈上升趋势。
Sleep in adolescents has been receiving increased attention, because of its vital role on mood, daytime functioning, academic performance, overall health and development. The intrinsic changes in sleep architecture and circadian factors, together with other developmental changes in psychosocial aspects as well as the external factors (eg, increased school workload, excessive media usage) may increase the vulnerability for sleep problems, especially sleep deprivation and insomnia, in adolescents [1, 2]. A large body of evidence across different countries consistently demonstrates the pervasiveness of sleep problems in adolescents [3, 4]. Indeed, sleep problems in adolescents are not only found to be prevalent but also showing an increasing trend in the past decades, albeit that the existing data is limited and conflicting, particularly among Asian countries [2].Yoshitaka Kaneita and colleagues investigated the secular trend of sleep patterns and problems including insomnia, late bedtime, and short sleep duration (< 7) in Japanese adolescents from 2004 to 2017 [5]. By analyzing a total of 545 285 Japanese adolescents across 6 waves of survey, they noted a decrease in the prevalence of insomnia (Adjusted odds ratio [AOR] 0• 85, 95% CI 0• 82-0• 87), but a reverse trend of increasing prevalence for late bedtime (AOR 1• 17, 95% CI 1• 12-1• 23), shorter sleep duration (AOR 1• 13, 95% CI 1• 10-1• 17) and poor mental health problems during this 13-year study period.
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