621 Association of E-cigarette and Tobacco Use with Adolescent Sleep Quality

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A244-A244
Author(s):  
Clare Malhotra ◽  
Deepti Gunge ◽  
Ira Advani ◽  
Shreyes Boddu ◽  
Sedtavut Nilaad ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Sleep Latency ◽  
Depression Scale ◽  
Mean Difference ◽  
Dual Use ◽  
Safe Alternative ◽  
Wake Time ◽  
Patient Health ◽  
Targeted Marketing

Abstract Introduction Recently, targeted marketing has encouraged teen e-cigarette vaping. Although e-cigarettes are often presented as a safe alternative to conventional tobacco, their toxicity is unclear. In adults, we have previously observed a link between dual usage of e-cigarettes and tobacco with increased sleep latency. We hypothesized an association between dual usage and increased sleep latency. Methods Participants were recruited to complete social media surveys. We performed three surveys: Survey 1 (n=47) in 2018, Survey 2 (n=1198) in 2019, and Survey 3 (n=564) in 2020. Surveys 1 and 2 had three sections: past and current inhalant use, the Pittsburgh Sleep Quality Index (PSQI), and the Leicester Cough Questionnaire (LCQ). Survey 3 did not include the LCQ, instead including the Hospital Anxiety and Depression Scale (HADS) and Patient Health Questionnaire (PHQ9). The adolescent data (aged 13–20 years; n=609) were isolated. Results Adolescents reported an increase in sleep duration with increasing age by one-way ANOVA. Males reported no change with increasing age, while, by Tukey’s multiple comparisons test, females got significantly more sleep at ages 19 and 20 than at age 14(p<0.01). There was no significant correlation between inhalant use and sleep duration. When broken down by gender, female dual users slept more than female nonsmokers,(p=0.01; mean difference=43.8 minutes; CI=0.11 to 1.36), while there was no difference in males. We observed a significant association between inhalant use and sleep(p=0.0008), with dual use correlated with a longer sleep latency than nonsmokers (mean difference=6.27 minutes; CI=1.40 to 11.13. We saw no correlation between inhalant use and anxiety or depression, nor between inhalant use and cough severity and prevalence. Conclusion In female adolescents, we observed a peak in sleep hours at age 19 but significantly less sleep in fourteen-year olds. College-aged females may have a later wake time relative to middle-school and high-school aged females. Dual inhalant use in females was associated with a long sleep duration, raising concern for sleep disruption caused by dual use. Dual use’s association with increased sleep latency raises concern for nicotine-induced wakefulness. Further data are required in order to define public health strategies. Support (if any) LCA is supported by NIH.

142 Prenatal Sleep Quality and Infant Sleep: A Longitudinal Study

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A58-A59
Author(s):  
Rebecca Burdayron ◽  
Marie-Helene Pennestri ◽  
Elizabeth Keys ◽  
Lianne Tomfohr-Madsen ◽  
Gerald Giesbrecht
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Gestational Age ◽  
Sleep Onset ◽  
Depression Scale ◽  
Future Research ◽  
Poor Sleep ◽  
Infant Sleep ◽  
Maternal Sleep ◽  
Sleep Parameters

Abstract Introduction Poor sleep quality is common during pregnancy and can increase the risk of adverse obstetric and fetal outcomes. Existing research on the association between prenatal sleep and infant sleep is scarce and has focused on other aspects of prenatal sleep such as sleep duration, chronotype, and insomnia symptoms. To our knowledge, no studies have examined the association between prenatal sleep quality and infant sleep outcomes. Thus, this study aimed to investigate whether maternal sleep quality during pregnancy was prospectively associated with infant sleep dimensions, independent of relevant covariates. Methods Participants were a subset of 272 mother-infant dyads enrolled in an ongoing cohort study. Maternal prenatal sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI) in early to mid- (M gestational age = 15.12 ± 3.56 weeks) and late- (M gestational age = 32.44 ± 0.99 weeks) pregnancy. Mothers completed the Brief Infant Sleep Questionnaire (BISQ) at 3, 6, and 12 months postpartum. The following infant sleep parameters were assessed: sleep duration (day, night, 24-hour), number of night awakenings, and wake after sleep onset. Prenatal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS) at both pregnancy time points. Other covariates included maternal age at enrollment, infant age, parity, and co-sleeping status. Results Generalized estimating equations (GEE) models revealed that poorer maternal sleep quality during early-to-mid pregnancy did not significantly predict infant sleep parameters after adjustment for covariates (p > .05). However, in late pregnancy, poorer maternal sleep quality significantly predicted shorter 24-hour sleep duration and longer wake after sleep onset, but not daytime sleep duration, nighttime sleep duration, and number of night awakenings (p < .05). Conclusion Study findings advance our understanding of the prospective link between maternal prenatal sleep quality and infant sleep. Results indicate that maternal sleep quality during late gestation may play a role in the development of infant sleep patterns. These findings have important implications for intervention efforts targeting maternal sleep quality during pregnancy. Future research should use objective measures of sleep, such as actigraphy, to better elucidate the effects of prenatal sleep quality on infant sleep outcomes. Support (if any) The Canadian Institutes of Health Research (CIHR)

scholarly journals Association between sleep quality and obesity in adolescents

2017 ◽  
Vol 57 (1) ◽  
pp. 41 ◽  
Author(s):  
Nova juliana Sagala ◽  
Sri Sofyani ◽  
Supriatmo Supriatmo
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Sleep Latency ◽  
Caloric Intake ◽  
Study Data ◽  
Obese Group ◽  
Control Group ◽  
Case Group ◽  
Poor Sleep ◽  
Obese Adolescents

Background Sleep quality can be measured by the Pittsburgh Sleep Quality Index (PSQI). One component of the PSQI is duration of sleep, which is often highly inadequate in adolescents. Inadequate sleep may lead to obesity in adolescents.Objective To assess for an association between sleep quality and incidence of obesity in adolescents.Methods This case–control study was conducted at Santo Thomas I Senior High School, Medan, North Sumatera,  from July to August 2015. A total of 227 adolescents were divided into two groups: the case group consisting of 101 obese adolescents and the control group consisting of 126 non-obese adolescents. Study data was collected by questionnaires and PSQI. We interviewed subjects on their food consumption for the three days prior and calculated their average caloric intake. The data were analyzed by non-paired T-test, Chi-square, Mann-Whitney, and multivariate analyses.Results There was a significant association between sleep quality and obesity [OR 3.87 (95%CI 1.920 to 7.829)]. Median PSQI (range) score in the obese group was significantly higher than in the non-obese group [6.00 (2-16) vs. 5.00 (2-12), respectively (P=0.0001)]. In addition, sleep latency (P=0.002) and sleep duration (P=0.0001) were significantly different between groups. Multivariate analysis revealed a significant association between poor sleep quality and high caloric intake.Conclusion Sleep duration in obese adolescents is significantly shorter than that in non-obese adolescents. In addition, sleep latency in obese adolescents was significantly longer than that in non-obese adolescents.

scholarly journals Intermittent Fasting and Sleep: A Review of Human Trials

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3489
Author(s):  
Mara McStay ◽  
Kelsey Gabel ◽  
Sofia Cienfuegos ◽  
Mark Ezpeleta ◽  
Shuhao Lin ◽  
...  
Keyword(s):  
Weight Loss ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Sleep Latency ◽  
Sleep Efficiency ◽  
Intermittent Fasting ◽  
Obstructive Sleep ◽  
Insomnia Severity

This review examines the effects of two popular intermittent fasting regimens on sleep in adults with overweight and obesity. Specifically, the effects of time restricted eating (TRE; eating all food within a 4–10 h window) and alternate day fasting (ADF; 600 kcal fast day alternated with ad libitum feast day) on sleep quality, sleep duration, sleep latency, sleep efficiency, insomnia severity, and risk of obstructive sleep apnea, will be summarized. The role of weight loss will also be discussed. Results from our review reveal that the majority of these trials produced weight loss in the range of 1–6% from baseline. Sleep quality and sleep duration remained unaltered with TRE and ADF, as assessed by the Pittsburgh Sleep Quality Index (PSQI). The effects of intermittent fasting on sleep latency and sleep efficiency are mixed, with one study showing worsening of these parameters, and others showing no effect. Insomnia severity and the risk of obstructive sleep apnea remained unchanged in the trials assessing these metrics. Taken together, these preliminary findings suggest that TRE and ADF produce mild to moderate weight loss (1–6%) but their effects on sleep remain unclear. Solid conclusions are difficult to establish since participants in the studies had healthy sleep durations and no clinical insomnia at baseline, leaving little room for improvement in these metrics. Moreover, none of the trials were adequately powered to detect statistically significant changes in any measure of sleep. Future well-powered trials, conducted in individuals with diagnosed sleep disturbances, will be necessary to elucidate the effect of these popular diets on sleep.

scholarly journals Dual Use of E-Cigarettes with Conventional Tobacco is Associated with Increased Sleep Latency

2021 ◽  
Author(s):  
Laura Crotty Alexander ◽  
Ira Advani ◽  
Deepti Gunge ◽  
Shreyes Boddu ◽  
Sagar Mehta ◽  
...  
Keyword(s):  
Social Media ◽  
Pilot Study ◽  
Sleep Quality ◽  
Sleep Latency ◽  
Monetary Incentive ◽  
Dual Use ◽  
Online Surveys ◽  
Falling Asleep ◽  
Shared Component ◽  
The Impact

Abstract RationaleHealth effects of e-cigarettes remain relatively unknown, including impact on sleep quality. We previously showed in a pilot study that females who both smoke conventional tobacco and vape e-cigarettes (dual users) had decreased sleep quality and more difficulty falling asleep, suggesting an effect of gender. We undertook this study in a larger cohort to assess the impact of e-cigarette, conventional tobacco, and dual use on sleep quality, cough, and drug use.MethodsParticipants (n = 1198) were recruited through online surveys posted to social media sites with a monetary incentive. Participants were grouped by inhalant use, with 8% e-cigarette users, 12% conventional tobacco users, 30% dual users, and 51% non-smokers/non-vapers.ResultsDual use of e-cigarettes and conventional tobacco was associated with increased sleep latency relative to non-smokers/non-vapers (p = 0.012). Dual use was also associated with a higher reporting of cough (p = 0.034), as well as increased marijuana (p < 0.001) and cocaine usage (p < 0.001).DiscussionDual use is associated with longer sleep latency, suggesting that the shared component nicotine may be a driver. Because sleep broadly impacts multiple aspects of human health, defining the effects of e-cigarettes and vaping devices on sleep is critical to further our understanding of the effects of vaping on health.

scholarly journals A influência do exercício aeróbico de intensidade moderada na qualidade do sono: uma revisão narrativa

2020 ◽  
Vol 18 (3) ◽  
pp. 101-109
Author(s):  
Eric Lazai ◽  
Maicon José dos Santos Silva ◽  
Walter Augusto Felicio Viana ◽  
Vivian De Oliveira ◽  
Ivan Wallan Tertuliano
Keyword(s):  
Sleep Quality ◽  
Aerobic Exercise ◽  
Sleep Disorders ◽  
Sleep Duration ◽  
Sleep Latency ◽  
Physical Activities ◽  
Moderate Intensity ◽  
Online Databases ◽  
Review Study ◽  
The Individual

OBJETIVO: Organizar conteúdos acerca da influência do exercício aeróbico de intensidade moderada na qualidade do sono. MÉTODOS: Caracterizado como um estudo de revisão narrativa, foi realizada uma revisão bibliográfica, buscando artigos em bases de dados online (PUBMED, Scielo e Google Acadêmico) publicados acerca do tema.RESULTADOS: Os estudos encontrados mostraram que o exercício aeróbico de intensidade moderada proporcionou aos indivíduos uma melhora significativa na duração do sono, diminuiu os distúrbios do sono, melhorou a latência e a eficiência do sono.CONCLUSÃO: Diante de tais achados pode-se considerar que o exercício aeróbico de intensidade moderada pode fazer parte do tratamento dos distúrbios do sono e através de um programa adequado de atividades físicas, o indivíduo pode alcançar uma melhora significativa na qualidade do sono.ABSTRACT. The influence of moderate intensity aerobic exercise on sleep quality: a narrative review.OBJECTIVE: To organize content about the influence of moderate-intensity aerobic exercise on sleep quality.METHODS: Characterized as a narrative review study, a bibliographic review was carried out, looking for articles in online databases (PUBMED, Scielo and Google Scholar) published about the topic. RESULTS: The studies found showed that aerobic exercise of moderate intensity provided individuals with a significant improvement in sleep duration, decreased sleep disorders, improved sleep latency and efficiency.CONCLUSION: In view of these findings, it can be considered that aerobic exercise of moderate intensity can be part of the treatment of sleep disorders and through an adequate program of physical activities, the individual can achieve a significant improvement in sleep quality.

scholarly journals 242 Sufficient sleep attenuates the impact of COVID-19 pandemic on executive function decline in late adolescents and young adults

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A96-A98
Author(s):  
Xiaopeng Ji ◽  
Jennifer Saylor
Keyword(s):  
Young Adults ◽  
Executive Function ◽  
Young People ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Multilevel Models ◽  
Sleep Latency ◽  
Adolescents And Young Adults ◽  
Late Adolescents ◽  
The Impact

Abstract Introduction Executive function (EF), which shows continued development into early adulthood, is essential to build resilience to cope with COVID-19-related social and environmental changes. However, how sleep interacts with the pandemic on affecting EF remains unclear, particularly among late adolescents and young adults. This study examined (1) the impact of COVID-19 pandemic on sleep and EF and (2) whether sleep moderated pandemic-related changes in EF among young people aged 18-21 years old. Methods Between April and May 2020, university students with baseline data on sleep and EF (Spring and Fall semesters in 2019) available were invited to this follow-up study. Sleep duration, mid-sleep times, social jetlag (the difference between mid-sleep times on weekdays and weekends) and sleep latency were assessed using 7-day sleep diaries. Participants also completed the Pittsburgh Sleep Quality Index (PSQI), the Morningness/Eveningness Questionnaire, and the Behavior Rating Inventory of Executive function which yielded Global Executive Composite (GEC) scores. Paired t-test and multilevel random-effects models (STATA 16.0) estimated the associations. Covariates in multilevel models included age, sex, race, family income, parental education, COVID status, and health behaviors. Results Forty participants (19.25±1.12 years old) had paired data before and during COVID-19 pandemic. Participants slept 24 min longer (t= -2.07, p=0.03) but had increased sleep latency (t=-1.83, p=0.07) during the pandemic compared to pre-COVID baseline. Mid-sleep times shifted 40 min later (t= -3.22, p=0.003) during the pandemic. In multilevel models, GEC scores increased during pandemic (b=3.15, p=0.03) versus baseline, suggesting decreased executive function. Sleep duration (β=-4.72, p=0.03) significantly interacted with assessment time (before/during COVID-19), with increasing sleep duration attenuating the decline in EF during pandemic versus baseline. Although there was no interaction with COVID-19 pandemic, poor sleep quality (PSQI&gt;5) was independently associated with decreased EF (B=4.69, p=0.02). Other sleep variables were not associated with EF nor moderators. Conclusion Compared with pre-COVID-19 baseline, young people report longer sleep duration, later sleep phase, increased sleep latency, and worse executive function during the pandemic. Sufficient sleep represents a resilience factor against executive function decline during this unprecedented crisis. Support (if any) No

scholarly journals 0329 Poor Prenatal Sleep and Postpartum Depression are Associated with Infant Sleep Problems

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A125-A125
Author(s):  
I Y Chen ◽  
L M Glynn ◽  
R M Benca
Keyword(s):  
Postpartum Depression ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Sleep Problems ◽  
Depression Scale ◽  
Repeated Measure ◽  
Infant Sleep ◽  
Sleep Patterns ◽  
Maternal Sleep ◽  
Increased Risk

Abstract Introduction Childhood sleep problems are associated with increased risk of psychiatric conditions later in life. Sleep disturbances are prevalent during pregnancy and associated with postpartum depression and persistent sleep disturbance. Although maternal sleep and mood likely contribute to infant sleep problems, relationships between these factors are understudied. The present study examined associations of prenatal maternal sleep and postpartum depression with infant sleep patterns. Methods The sample included 235 women (29.2±5.8 years old), who were enrolled in a longitudinal study beginning in the first trimester of pregnancy. Maternal sleep and mood were assessed with the Pittsburgh Sleep Quality Index, the Center for Epidemiologic Studies Depression Scale, and the Edinburgh Postnatal Depression Scale during 3 prenatal and 2 postpartum visits. Infant sleep patterns were assessed with the Brief Infant Sleep Questionnaire at 2-, 6-, and 12-months. Mixed model repeated measure analyses were conducted to examine changes in maternal and infant sleep across time. Partial correlation adjusted for age, depression, and postpartum maternal sleep was performed to estimate the association between prenatal maternal sleep and infant sleep. ANCOVAs controlling for age were conducted to assess the effect of postpartum depression on infant sleep. Results Maternal sleep quality deteriorated during the third trimester and 2-months postpartum, and improved at 6-months postpartum (ps&lt; .001). Infant sleep became more consolidated with age, with decreased nocturnal awakenings (frequency and duration) and increased nighttime sleep duration (ps&lt; .001). Poorer prenatal maternal sleep was associated with shorter infant sleep duration at 6 months (r=-0.33, p&lt;.001). Mothers with persistent postpartum depression reported their child as having longer daytime sleep compared to their counterparts (F=3.55, p&lt;.05). Conclusion Prenatal sleep problems and persistent postpartum depression are associated with poorer infant sleep. Our findings suggest that screening and preventive interventions for sleep problems during pregnancy may have beneficial impact on infant sleep. Support Research supported by National Institutes of Health MH-96889.

scholarly journals Effect of 8-h time-restricted feeding on sleep quality and duration in adults with obesity

2019 ◽  
Vol 44 (8) ◽  
pp. 903-906 ◽  
Author(s):  
Kelsey Gabel ◽  
Kristin K. Hoddy ◽  
Helen J. Burgess ◽  
Krista A. Varady
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Secondary Analysis ◽  
Restricted Feeding ◽  
Subjective Measures ◽  
Obese Adults ◽  
Wake Time ◽  
Good Sleep

This study examined the effects of time-restricted feeding (TRF; 8-h feeding window/16-h fasting window daily) on sleep. Obese adults (n = 23) followed 8-h TRF for 12 weeks. Pittsburgh Sleep Quality Index (PSQI) total score was below 5 at week 1 (4.7 ± 0.5) and week 12 (4.8 ± 0.7), indicating good sleep quality throughout the trial. Subjective measures of wake time, bedtime, and sleep duration remained unchanged. Findings from this secondary analysis indicate that TRF does not alter sleep quality or duration in subjects with obesity. Novelty This study is the first to show that TRF (8-h feeding window/16-h fasting window daily) does not alter sleep quality or duration in subjects with obesity.

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