Secular trends in sleep and circadian problems among adolescents in Hong Kong : From 2011-2012 to 2017-2019
Copyright © 2024 Elsevier B.V. All rights reserved..
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 |
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Erscheinungsjahr: |
2024 |
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Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:117 |
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Enthalten in: |
Sleep medicine - 117(2024) vom: 11. Apr., Seite 62-70 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Chen, Chris Xie [VerfasserIn] |
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Links: |
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Themen: |
Adolescent |
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Anmerkungen: |
Date Completed 16.04.2024 Date Revised 16.04.2024 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.sleep.2024.03.003 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM370031105 |
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520 | |a Copyright © 2024 Elsevier B.V. All rights reserved. | ||
520 | |a OBJECTIVE: The study aimed to investigate secular trends in sleep and circadian problems in Hong Kong Chinese adolescents | ||
520 | |a 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 | ||
520 | |a 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 | ||
520 | |a 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 | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Adolescent | |
650 | 4 | |a Chronotype | |
650 | 4 | |a Insomnia | |
650 | 4 | |a Secular trend | |
650 | 4 | |a Sleep duration | |
650 | 4 | |a Social jetlag | |
650 | 4 | |a Time in bed | |
700 | 1 | |a Zhang, Ji-Hui |e verfasserin |4 aut | |
700 | 1 | |a Li, Shirley Xin |e verfasserin |4 aut | |
700 | 1 | |a Chan, Kate Ching Ching |e verfasserin |4 aut | |
700 | 1 | |a Li, Albert Martin |e verfasserin |4 aut | |
700 | 1 | |a Kong, Alice Pik Shan |e verfasserin |4 aut | |
700 | 1 | |a Chan, Joey Wing Yan |e verfasserin |4 aut | |
700 | 1 | |a Wing, Yun Kwok |e verfasserin |4 aut | |
700 | 1 | |a Chan, Ngan Yin |e verfasserin |4 aut | |
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