Characteristics of sleep habits among adolescents living in the city of Ribeirão Preto (SP)

Autores

  • Luiz Antonio Del Ciampo Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
  • Adriana L Louro
  • Ieda R L Del Ciampo Medical School, Federal University of São Carlos
  • Ivan S Ferraz Departament of Puericulture and Pediatrics, Ribeirão Preto Medical School, University of São Paulo

DOI:

https://doi.org/10.7322/jhgd.107097

Palavras-chave:

adolescent, sleep, sleep hygiene, sleep stages

Resumo

Introduction: Adolescence is the period of transition between childhood and adult life, characterized by changes in physical, emotional, sexual and social development. Although during this phase most individuals are healthy, it is known that health status is related to behaviors and habits such as a healthy diet, the regular practice of physical activity and good sleep quality, which contribute to optimum physical and cognitive performance

Objective: To determine some sleep characteristics of adolescents living in the city of Ribeirão Preto (SP).

Methods: this was a cross-sectional descriptive study conducted at 14 schools in the city of Ribeirão Preto (SP) including adolescents aged 10 to 19 years who answered a questionnaire about sleep habits. The chi-square test was used to determine differences between genders with the aid of the EPI-INFO 7 software, with the level of significance set at p<0.05.

Results: A total of 535 adolescents (65% girls) were included in the study. Of these, 47.7% studied during the morning period and 10.3% had a job and studied in the evening period. Regarding sleep duration, 242 (45%) slept less than 9 hours per night during week days and 256 (48%) during the weekends (Saturday and Sunday), Of the total number of adolescents studied, 75.5% reported that they went to bed when they felt sleepy, 90% reported delay in falling asleep, 84.3% used some type of electronic equipment before going to sleep, and 44% reported that they woke up during the night. In the morning, 70.3% needed to be awakened, and 44.7% reported a delay in waking up. During the daytime, 70% felt somnolent and 34% reported that they slept during the day. Girls reported that they felt more daytime sleepiness (71.3%) and slept more during the day (62.1%) than boys (28.7% and 37.9%, respectively), with the difference being statistically significant (p < 0.05).

Conclusions: Almost half the adolescents investigated sleep less than the minimum time considered ideal. Furthermore, the most of adolescents went to the bed when they felt sleepy, used electronic devices before to sleep, had difficulties to fall asleep, need to be awake in the morning and felt sleepy during the day. A substantial proportion of adolescents studied awoke at night and slept during the day. Compared to boys, girls felt sleepy and slept during the day significantly.

 

Referências

Brand S, Kirov R. Sleep and its importance in adolescence and in common adolescent psychiatric conditions. Int J Gen Med. 2011;4:425-42. DOI: http://dx.doi.org/10.2147/IJGM.S11557

Owens J, Au R, Carskadon M, Millman R, Wolfson A, Braverman Pk, et al. Insufficient sleep in adolescents and young adults: an update on causes and consequences. Pediatrics. 2014;134(3):e921-32. DOI: http://dx.doi.org/10.1542/peds.2014-1696

Porkka-Heiskanen T, Zitting KM, Wigren HK. Sleep, its regulation and possible mechanisms of sleep disturbances. Acta Physiol. 2013;208(4):311-28. DOI: http://dx.doi.org/10.1111/apha.12134

Foti KE, Eaton DK, Lowry R, McKnight-Ely LR. Sufficient sleep, physical activity, and sedentary behaviors. Am J Prev Med. 2011;41(6):596-602. DOI: http://dx.doi.org/10.1016/j.amepre.2011.08.009

Grandner MA, Patel NP, Gehrman PR, Perlis ML, Pack AI. Problems associated with short sleep: bridging the gap between laboratory and epidemiological studies. Sleep Med Rev. 2010;14(4):239-47. DOI: http://dx.doi.org/10.1016/j.smrv.2009.08.001

Williams JA, Zimmerman FJ, Bell F. Norms and trends of sleep time among US children and adolescents. JAMA Pediatr 2013;167(1):55-60. DOI: http://dx.doi.org/10.1001/jamapediatrics.2013.423

Kurth S, Jenni OG, Riedner BA, Tononi G, Carskadon MA, Huber R. Characteristics of sleep slow waves in children and adolescents. Sleep. 2010; 33(4):475-80. DOI: https://dx.doi.org/10.1093/sleep/33.4.475

Bartel KA, Gradisar M, Williamson P. Protective and risk factors for adolescent sleep: a meta-analytic review. Sleep Med Rev. 2015;21:72-85. DOI: https://dx.doi.org/10.1016/j.smrv.2014.08.002

Paiva T, Gaspar T, Matos MG. Sleep deprivation in adolescents: correlations with health complaints and health-related quality of life. Sleep Med. 2015;16(4):521-7. DOI: https://dx.doi.org/10.1016/j.sleep.2014.10.010

Piazzetta E, Del Ciampo LA, Zeppone SC. Características de sono e atividade física entre adolescentes do município de São Carlos (SP). Rev Bras Pesq Saúde. 2014;16(4):113-9. DOI: https://doi.org/10.21722/rbps.v16i4.11191

Bat-Piatault F, Fonseca D. Réduction du temps de sommeil chez les adolescents: conséquences et prise en charge? Arch Ped. 2012;19(10):1095-9. DOI: https://doi.org/10.1016/j.arcped.2012.07.004

Gradisar M, Gardner G, Dohnt H. Recent worldwide sleep patterns and problems during adolescence: a review and meta-analysis of age, region, and sleep. Sleep Med. 2011;12(2):110-18. DOI: https://dx.doi.org/10.1016/j.sleep.2010.11.008

Short MA, Gradisar M, Lack L, Wright H, Dewald J, Wolfson A, et al. A Cross-cultural comparison of sleep duration between US and Australian adolescents: the effect of school start time, parent-set bedtimes, and extracurricular load. Health Educ Behav. 2013;40(3):323-30. DOI: https://dx.doi.org/10.1177/1090198112451266

Maume DJ. Social ties and adolescent sleep disruption. J Health Soc Behav. 2013;54(4):498-515. DOI: https://dx.doi.org/10.1177/0022146513498512

Kilani H, Al-Hazzaa H, Waly MI, Musaiger A. Lifestyle habits: Diet, physical activity and sleep duration among Omani adolescents. Sultan Qaboos Univ Med J. 2013;13(4):510-9.

Matthews KA, Hall M, Dahl RE. Sleep in healthy black and white adolescents. Pediatrics. 2014;133(5):e1189-96. DOI: https://dx.doi.org/10.1542/peds.2013-2399

Meldrum RC, Restivo E. The behavioral and health consequences of sleep deprivation among US high school students: relative deprivation matters. Prev Med. 2014;63:24-8. DOI: https://dx.doi.org/10.1016/j.ypmed.2014.03.006

Pabayo R, Molnar BE, Street N, Kawachi I. The relationship between social fragmentation and sleep among adolescents living in Boston, Massachussetts. J Public Health. 2014;36(4):587-98. DOI: https://doi.org/10.1093/pubmed/fdu001

Sarchiapone M, Mandelli L, Carli V, Iosue M, Wasserman C, Hadlaczky G, et al. Hours of sleep in adolescents and its association with anxiety, emotional concerns, and suicidal ideation. Sleep Med. 2014;15(2):248-54. DOI: https://dx.doi.org/10.1016/j.sleep.2013.11.780

Maslowsky J, Ozer EJ. Developmental trends in sleep duration in adolescence and young adulthood: Evidence from a national United States sample. J Adolesc Health. 2014;54(6):691-7. DOI: https://dx.doi.org/10.1016/j.jadohealth.2013.10.201

Barnes JC, Meldrun RC. The impact of sleep duration on adolescent development: a genetically informed analysis of identical twin pairs. J Youth Adolesc. 2014;44(2):1-18. DOI: https://dx.doi.org/10.1007/s10964-014-0137-4

Yen CF, King BH, Tang TC. The association between short and long nocturnal sleep durations and risky behaviours and the moderating factors in Taiwanese adolescents. Psychiatry Res. 2010;179(1):69-74. DOI: https://dx.doi.org/10.1016/j.psychres.2009.02.016

McKnight-Eily LR, Eaton DK, Lowry R, Croft JB, Presley-Cantrell L, Perry GS. Relationships between hours of sleep and health-risk behaviors in US adolescent students. Prev Med. 2011;53(4-5):271-3. DOI: https://dx.doi.org/10.1016/j.ypmed.2011.06.020

Short MA, Gradisar M, Gill J, Camfferman D. Identifying adolescent sleep problems. PloS One. 2013;8(9):e75301. DOI: https://doi.org/10.1371/journal.pone.0075301

Colrain IM, Baker FC. Changes in sleep as a function of adolescent development. Neurophysicol Rev. 2011;21(1):5-21. DOI: https://dx.doi.org/10.1007/s11065-010-9155-5

Weiss A, Xu F, Storfer-Isser A, Thomas A, Ievers-Landis CE, Redline S. The association of sleep duration with adolescents' fat and carbohydrate consumption. Sleep. 2010;33(9):1201-9. DOI: https://doi.org/10.1093/sleep/33.9.1201

Do YK, Shin E, Bautista MA, Foo K. The associations between self-reported sleep duration and adolescent health outcomes: What is the role of time spent on Internet use? Sleep Med. 2013;14(2):195-200. DOI: https://dx.doi.org/10.1016/j.sleep.2012.09.004

Bernardo MPSL, Pereira EF, Louzada FM, D’Almeida V. Sleep duration in adolescents of different socioeconomic status. J Bras Psiquiatr. 2009;58(4):231-7. DOI: http://dx.doi.org/10.1590/S0047-20852009000400003

Nuutinen T, Roos E, Ray C, Villberg J, Välimaa R, Rasmussen M, et al . Computer use, sleep duration and health symptoms: a cross-sectional study of 15-year olds in three countries. Int J Public Health. 2014;59(4):619-28. DOI: https://dx.doi.org/10.1007/s00038-014-0561-y

Ortega FB, Ruiz JR, Labayen I, Kwak L, Harro J, Oja L, et al. Sleep duration and activity levels in Estonian and Swedish children and adolescents. Eur J App Physiol. 2011;111(10):2615-23. DOI: https://dx.doi.org/10.1007/s00421-011-1883-6

Stea T, Knutsen T, Torstveit MK. Association between short time in bed, health-risk behaviors and poor academic achievement among Norwegian adolescents. Sleep Med. 2014;15(6):666-71. DOI: https://dx.doi.org/10.1016/j.sleep.2014.01.019

Garaulet M, Ortega FB, Ruiz JR, Rey-Lopes JP, Beghin L, Manyos Y, et al. Short sleep duration is associated with increased obesity markers in European adolescents: effect of physical activity and dietary habits. The HELENA study. Int J Obes. 2011;35(10):1308-17. DOI: https://dx.doi.org/10.1038/ijo.2011.149

Mitchell JA, Rodriguez D, Schmitz HK, Audrain-McGovern J. Sleep duration and adolescent obesity. Pediatrics. 2013;131:e1428-34. DOI: https://dx.doi.org/10.1542/peds.2012-2368

Eaton DK, McKnight-Eily LR, Lowry R, Perry GS, Presley-Cantrell L, Croft JB. Prevalence of insufficient, borderline and optimal hours of sleep among high school students-United States, 2007. J Adolesc Health. 2010;46(4):399-401. DOI: https://dx.doi.org/10.1016/j.jadohealth.2009.10.011

Olds T, Blunden S, Perkov J, Forchino F. The relationships between sex, age, geography and time in bed in adolescents: a meta-analysis of data from 23 countries. Sleep Med Rev. 2010;14(6):371-8. DOI: https://dx.doi.org/10.1016/j.smrv.2009.12.002

Knutson KL, van Cauter E, Rathouz PJ, DeLeire T, Lauderdale DS. Trends in the prevalence of short sleepers in the USA: 1975-2006. Sleep. 2010;33(1):37-45. DOI: https://doi.org/10.1093/sleep/33.1.37

Pereira EF, Bernardo MPSL, D’Almeida V, Louzada FM. Sono, trabalho e estudo: duração do sono em estudantes trabalhadores e não trabalhadores. Cad Saúde Pública. 2011;27(5):975-84. DOI: http://dx.doi.org/10.1590/S0102-311X2011000500015

Teixeira LR. Lowden A, Turte SL, Nagai R, Moreno CR, Latorre MR, et al. Sleep and sleepiness among working and non-working high school evening students. Chronobiol Int. 2007;24(1):99-113. DOI: http://dx.doi.org/10.1080/07420520601139763

Carskadon M, Acebo C, Jenni OG. Regulation of adolescent sleep: implications for behavior. Ann N Y Acad Sci. 2004;1021:276-91. DOI: http://dx.doi.org/10.1196/annals.1308.032

Hoefelmann L, Lopes AS, Silva KS, Moritz P, Nahas MV. Sociodemographic factors associated with sleep quality and sleep duration in adolescents from Santa Catarina, Brazil: what changed between 2001 and 2011? Sleep Med. 2013;14(10):1017-23. DOI: http://dx.doi.org/10.1016/j.sleep.2013.05.015

Noland H, Price JH, Dake J, Telljohann SK. Adolescents’ sleep behaviors and perceptions of sleep. J Sch Health. 2009;79(5):224-30. DOI: http://dx.doi.org/10.1111/j.1746-1561.2009.00402.x

Hallal PC, Wells JC, Reichert FF, Anselmi L, Victora CG. Early determinants of physical activity in adolescence: prospective birth cohort study. BMJ. 2006;332(7548):1002-7. DOI: http://dx.doi.org/10.1136/bmj.38776.434560.7C

Arora T, Broglia E, Thomas Neil, Taheri S. Associations between specific technologies and adolescent sleep quantity, sleep quality, and parasomnias. Sleep Med. 2014;15(2):240-7. DOI: http://dx.doi.org/10.1016/j.sleep.2013.08.799

Zhou HQ, Shi WB, Wanf XF, Yao M, Cheng GY, Chen PY, et al. An epidemiological study of sleep quality in adolescents in South China: a school‐based study. Child Care Health Dev. 2012;38(4):581-7. DOI: http://dx.doi.org/10.1111/j.1365-2214.2011.01300.x

Mesquita G, Reimão R. Nightly use of computer by adolescents: its effect on quality of sleep. Arq Neuro-Psiquiatr. 2007;65(2b):428-32. DOI: http://dx.doi.org/10.1590/S0004-282X2007000300012

Clinkinbeard SS, Simi P, Evans MK, Anderson AL. Sleep and delinquency: does the amount of sleep matter? J Youth Adolesc. 2011;40(7):916-30. DOI: http://dx.doi.org/10.1007/s10964-010-9594-6

Downloads

Publicado

2017-12-18

Edição

v. 27 n. 3 (2017)

Seção

Artigos Originais

Licença

CODE OF CONDUCT FOR JOURNAL  PUBLISHERS

 

Publishers who are Committee on Publication Ethics members and who support COPE membership for journal editors should:

 

Publishers should:

 

  • Define the relationship between publisher, editor and other parties in a contract
  • Respect privacy (for example, for research participants, for authors, for peer reviewers)
  • Protect intellectual property and copyright
  • Foster editorial independence

 

Publishers should work with journal editors to:

 

  • Set journal policies appropriately and aim to meet those policies, particularly with respect to:

–         Editorial  independence

–         Research ethics, including confidentiality, consent, and the special requirements for human and animal research

–         Authorship

–         Transparency and integrity (for example, conflicts of interest, research funding, reporting standards

–         Peer review and the role of the editorial team beyond that of the journal editor

–         Appeals and complaints

  • Communicate journal policies (for example, to authors, readers, peer reviewers)
  • Review journal policies periodically, particularly with respect to new recommendations from the COPE
  • Code of Conduct for Editors and the COPE Best Practice Guidelines
  • Maintain the integrity of the academic record
  • Assist the parties (for example, institutions, grant funders, governing bodies) responsible for the investigation of suspected research and publication misconduct and, where possible, facilitate in the resolution of these cases
  • Publish corrections, clarifications, and retractions
  • Publish content on a timely basis