scholarly journals P10‐12: Risk factors for poor sleep quality and excessive daytime sleepiness in late pregnancy: A preliminary analysis of a cross‐sectional survey

Respirology ◽  
2021 ◽  
Vol 26 (S3) ◽  
pp. 401-402
Author(s):  
Mayonara Fabíola Silva Araújo ◽  
Xaíze de Fátima de Medeiros Lopes ◽  
Carolina Virginia Macedo de Azevedo ◽  
Diego de Sousa Dantas ◽  
Jane Carla de Souza

Abstract: Introduction: Changes in the Sleep/Wake Cycle (SWC) of university students can have consequences on physical, mental and social health. In addition, some behaviors adopted at this stage may be associated with SWC impairment. Objective: Therefore, this study aims to identify which factors of social determinants of health (SDH) are associated with poor sleep quality and excessive daytime sleepiness (EDS) in university students. Method: This is a cross-sectional study that included 298 university students, aged between 18 and 35 years; 73.2% of the students were females and from the countryside of the state of Rio Grande do Norte, Brazil. Data were collected from the following questionnaires: Health and Sleep, Munich Chronotype Questionnaire, Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale. To assess the association of SDH with poor sleep quality and excessive daytime sleepiness, Poisson Regression with robust variance was performed. Result: The prevalence of poor sleep quality and excessive daytime sleepiness among the university students was 79.2% and 51.3%, respectively. Between the intermediate determinants of health, a higher prevalence rate of poor sleep quality was observed in students who reported health problems in the previous month (18.4%), smoked (23.5%), drank stimulating beverages close to bedtime (25.8%) and those who used electronic devices before bedtime during the week (18.4%) when compared to those who did not have these behaviors. Regarding excessive daytime sleepiness, students who justified bedtime during the week and wake-up time at the weekend because of the academic demand showed, respectively, 27% and 34% lower prevalence of EDS than the group that did not have these behaviors. Conclusions: The high prevalence of poor sleep quality and EDS observed among university students was associated to biological factors and most of them, behavioral factors.


2021 ◽  
Vol 16 (1) ◽  
pp. 163-176
Author(s):  
Suzaily Wahab ◽  

Obstructive sleep apnoea (OSA) has multiple physical and psychosocial effects on individuals. Therefore, this study aims to determine the sleep quality, daytime sleepiness, depression and attention span in patients with OSA. This was a cross-sectional study among patients who were recently diagnosed with OSA in a Malaysian hospital. The socio-demographic and clinical data, Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, Patients Health Questionnaire and Comprehensive Trail Making Test were used as instruments. Findings were analysed and presented using Chi-Square, One-Way ANOVA and Independent- Sample T-test statistical analyses. Most of the respondents presented with poor sleep quality and impaired attention span. Approximately, half of the respondents had excessive daytime sleepiness. There were significant associations between sleep quality and daytime sleepiness (p-value=0.051), daytime sleepiness with depression (p-value=0.049) and severity of OSA with depression (p-value=0.026). Daytime sleepiness was significantly associated with working status (p-value=0.009) and driving status (p-value=0.033). In conclusion, most patients with OSA had poor sleep quality, excessive daytime sleepiness, and impaired attention span. Hence, OSA should be diagnosed and treated early, particularly in patients who are still working and actively driving.


Author(s):  
Mayonara Fabíola Silva Araújo ◽  
Xaíze de Fátima de Medeiros Lopes ◽  
Carolina Virginia Macedo de Azevedo ◽  
Diego de Sousa Dantas ◽  
Jane Carla de Souza

Abstract: Introduction: Changes in the Sleep/Wake Cycle (SWC) of university students can have consequences on physical, mental and social health. In addition, some behaviors adopted at this stage may be associated with SWC impairment. Objective: Therefore, this study aims to identify which factors of social determinants of health (SDH) are associated with poor sleep quality and excessive daytime sleepiness (EDS) in university students. Method: This is a cross-sectional study that included 298 university students, aged between 18 and 35 years; 73.2% of the students were females and from the countryside of the state of Rio Grande do Norte, Brazil. Data were collected from the following questionnaires: Health and Sleep, Munich Chronotype Questionnaire, Pittsburgh Sleep Quality Index and Epworth Sleepiness Scale. To assess the association of SDH with poor sleep quality and excessive daytime sleepiness, Poisson Regression with robust variance was performed. Result: The prevalence of poor sleep quality and excessive daytime sleepiness among the university students was 79.2% and 51.3%, respectively. Between the intermediate determinants of health, a higher prevalence rate of poor sleep quality was observed in students who reported health problems in the previous month (18.4%), smoked (23.5%), drank stimulating beverages close to bedtime (25.8%) and those who used electronic devices before bedtime during the week (18.4%) when compared to those who did not have these behaviors. Regarding excessive daytime sleepiness, students who justified bedtime during the week and wake-up time at the weekend because of the academic demand showed, respectively, 27% and 34% lower prevalence of EDS than the group that did not have these behaviors. Conclusions: The high prevalence of poor sleep quality and EDS observed among university students was associated to biological factors and most of them, behavioral factors.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongyan Wang ◽  
Xiaoling Dai ◽  
Zichuan Yao ◽  
Xianqing Zhu ◽  
Yunzhong Jiang ◽  
...  

Abstract Introduction To explore the prevalence of depressive symptoms and the associated risk factors in frontline nurses under COVID-19 pandemic. Methods This cross-sectional study was conducted from February 20, 2020 to March 20, 2020 and involved 562 frontline nurses. The effective response rate was 87.68%. After propensity score matched, there were 498 participants left. Extensive characteristics, including demographics, dietary habits, life-related factors, work-related factors, and psychological factors were collected based on a self-reported questionnaire. Specific scales measured the levels of sleep quality, physical activity, depressive symptoms, perceived organization support and psychological capital. Adjusted odds ratios and 95% confidence intervals were determined by binary paired logistic regression. Results Of the nurses enrolled in the study, 50.90% had depressive symptoms. Three independent risk factors were identified: poor sleep quality (OR = 1.608, 95% CI: 1.384–1.896), lower optimism of psychological capital (OR = 0.879, 95% CI: 0.805–0.960) and no visiting friend constantly (OR = 0.513, 95% CI: 0.286–0.920). Conclusions This study revealed a considerable high prevalence of depressive symptoms in frontline nurses during the COVID-19 outbreak, and identified three risk factors, which were poor sleep quality, lower optimism of psychological capital, and no visiting friend constantly. Protecting mental health of nurses is important for COVID-19 pandemic control and their wellbeing. These findings enrich the existing theoretical model of depression and demonstrated a critical need for additional strategies that could address the mental health in frontline nurses for policymakers.


2021 ◽  
Vol 74 (7-8) ◽  
pp. 266-272
Author(s):  
Ramazan Erdem ◽  
Nazan Şimşek Erdem ◽  
Erdal Kurtoğlu

To investigate the quality of sleep and the presence of Restless Legs Syndrome (RLS) in the Turkish population with β-thalassemia major (TM). The second aim was to assess the risk factors of RLS in TM adults. The study sample comprised of 121 patients at least 18 years old with TM. The patients’ socio-demographic information, body mass indexes (BMI), current medications, laboratory data were recorded. The patients were asked if they had a history of chronic kidney disease, diabetes mellitus (DM), and polyneuropathy. Restless legs syndrome was diagnosed according to the International Restless Legs Syndrome Study Group criteria. The sleep quality of the patients was assessed using the Pittsburgh Sleep Quality Index (PSQI) scale. The Epworth Sleepiness Scale (ESS) was used to assess excessive daytime sleepiness in the patients. The median age of the patients was 25 years (range 18-52). The mean BMI was 21.49±2.5 (R 14-26.5) for all patients. The prevalence of RLS was 5% in TM adult patients. The TM patients with RLS had no major complications of TM. The median PSQI global score of all patients was 3. Twenty-two (18.1%) patients had poor sleep quality. The reason for poor sleep quality was RLS symptoms in four patients (18%). There was no significant association between PSQI total score and blood parameters of the patients. Twelve (9.9%) patients had ESS scores greater than 10, which indicates excessive daytime sleepiness. The prevalence of RLS in TM patients was similar to that of the general Turkish adult population. These results indicate that RLS may occur in patients with TM, although they had a high level of serum ferritin.


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