Secular trends in sleep and circadian problems among adolescents in Hong Kong : From 2011-2012 to 2017-2019

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OBJECTIVE: The study aimed to investigate secular trends in sleep and circadian problems in Hong Kong Chinese adolescents.

METHODS: This study analyzed cross-sectional data from two large-scale school-based sleep surveys conducted in 2011-2012 and 2017-2019. Sleep and circadian problems, including sleep-wake pattern, insomnia, chronotype, social jetlag, daytime sleepiness, and other sleep-related factors, were compared between two survey years.

RESULTS: A total of 8082 adolescents (5639 students in 2011-2012 [Mean age: 14.4 years, 50.9% boys] and 2443 students in 2017-2019 [Mean age: 14.7 years, 54.0% boys]) were included in this 7-year study. The average time in bed of Hong Kong adolescents decreased from 8.38 hours to 8.08 hours from 2011-2012 to 2017-2019. There was a 0.28-hour delay in weekday bedtime, 0.54-hour advance in weekend wake-up time, and a 0.36-hour decline in average time in bed, resulting in increased trends of sleep loss (Time in bed <8h: OR = 2.06, 95%CI: 1.44-2.93, p < 0.01; Time in bed <7h: OR = 2.73, 95%CI: 1.92-3.89, p < 0.01), daytime sleepiness (OR = 1.70, 95%CI: 1.34-2.16, p < 0.01), and evening chronotype (OR = 1.26, 95%CI: 1.08-1.48, p < 0.01). The increased trend in insomnia disorder, however, was insignificant when covariates were adjusted.

CONCLUSION: A secular trend of reduced time in bed, delay in weekday bedtime, advance in weekend wake-up time, increase in evening chronotype and daytime sleepiness from 2011-2012 to 2017-2019 were observed. There is a timely need for systematic intervention to promote sleep health in adolescents.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:117

Enthalten in:

Sleep medicine - 117(2024) vom: 11. Apr., Seite 62-70

Sprache:

Englisch

Beteiligte Personen:

Chen, Chris Xie [VerfasserIn]
Zhang, Ji-Hui [VerfasserIn]
Li, Shirley Xin [VerfasserIn]
Chan, Kate Ching Ching [VerfasserIn]
Li, Albert Martin [VerfasserIn]
Kong, Alice Pik Shan [VerfasserIn]
Chan, Joey Wing Yan [VerfasserIn]
Wing, Yun Kwok [VerfasserIn]
Chan, Ngan Yin [VerfasserIn]

Links:

Volltext

Themen:

Adolescent
Chronotype
Insomnia
Journal Article
Secular trend
Sleep duration
Social jetlag
Time in bed

Anmerkungen:

Date Completed 16.04.2024

Date Revised 16.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.sleep.2024.03.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370031105