scholarly journals To bed or not to bed: the sleep question?

2019 ◽  
Vol 96 (1139) ◽  
pp. 520-524 ◽  
Author(s):  
Chris Brown ◽  
Tarig Abdelrahman ◽  
Wyn Lewis ◽  
John Pollitt ◽  
Richard Egan,
Keyword(s):  
Sleep Quality ◽  
Median Time ◽  
Rem Sleep ◽  
Well Being ◽  
Sleep Efficiency ◽  
Sleep Diary ◽  
Surgical Trainees ◽  
European Working ◽  
Light Sleep

BackgroundSleep deprivation and fatigue from long-shift work impacts doctors’ personal safety, inhibits cognitive performance and risks clinical error. The aim of this study was to assess the sleep quality of surgical trainees participating in European Working Time Directive-compliant training rotations within a UK deanery.MethodsA trainee cohort numbering 38 (21 core, 17 higher surgical trainees, 29 men and 9 women, median age 31 (25–44 years)) completed a sleep diary over 30 days using the Sleep Time (Azumio) smartphone application and triangulated with on-call rosters to identify shift patterns. The primary outcome measure was sleep quality related to rostered clinical duties.ResultsConsecutive 1152 individual sleep episodes were recorded. The median time asleep (hours:min) was 6:29 (5:27–7:19); the median sleep efficiency was 86% (80%–93%); the median light sleep (hours:min) was 2:50 (1:50–3:49); and the median rapid eye movement (REM) sleep (hours:min) was 3:20 (2:37–4:07). Significant adverse sleep profiles were observed in trainees undertaking emergency on-call duty when compared with elective (non-on-call) duty; the median time asleep (hours:min) 5:49 vs 6:43 (p<0.001); the median sleep efficiency was 85% vs 87% (p<0.001); the median light sleep (hours:min) was 2:16 vs 2:58 (p<0.001); and REM sleep (hours:min) was 2:57 vs 3:27 (p<0.001). Recovery of sleep duration, efficiency and quality necessitated five full days of time.ConclusionSurgical emergency on-call duty adversely influences sleep quality. Proper consideration of fail-safe rota design, prioritising sleep hygiene, recovery and well-being, allied to robust patient safety and quality of care should be made a priority.

scholarly journals Influence of Exercise Prescription on Subjective Well-being and Sleep Quality of Trailing Elderly Females

2020 ◽  
Vol 185 ◽  
pp. 03033
Author(s):  
Zhang Wei-wei ◽  
Xia Jun-mei ◽  
Yu Ling
Keyword(s):  
Sleep Quality ◽  
Positive Emotion ◽  
Exercise Prescription ◽  
Well Being ◽  
Sleep Efficiency ◽  
Subjective Well Being ◽  
Traditional Sports

The influence of exercise prescription of different sports on the subjective well-being level and sleep quality of elderly females was studied. The results show that the exercise prescription can all improve the subjective well-being and sleep quality of the trailing elderly females. The traditional sports on the improvement of positive emotion and experience are obviously superior to aerobic sports. The exercise prescription of traditional sports and aerobic sports is significantly higher than fitness-walking sports on promotion of sleep quality and sleep efficiency.

Sleep of Wheelchair Rugby Athletes: Training, Rest and Competition

2020 ◽  
Author(s):  
Victor Sanz-Milone ◽  
Fernanda V. Narciso ◽  
Andressa da Silva ◽  
Milton Misuta ◽  
Marco Túlio de Mello ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Onset ◽  
Sleep Efficiency ◽  
Sleep Diary ◽  
Poor Sleep ◽  
Subjective Sleep Quality ◽  
Wheelchair Rugby ◽  
Rest Periods ◽  
Rugby Players

AbstractThe aim of this study was to evaluate the sleep-wake cycle of wheelchair rugby athletes during the pre-season compared to in-season. Wheelchair Rugby athletes wore an actigraph monitor during two respective 10-day periods: 1) pre-season and 2) in-season, each of which comprised three training days, three rest days, and four competition days, respectively. In addition, the players completed questionnaires regarding sleepiness, subjective quality of sleep, and chronotype, as well as the use of the sleep diary along with the actigraph measurements (20 days). The wheelchair rugby athletes had poor subjective sleep quality in both stages observed by sleep efficiency below 85% (ES 0.31) and high score in the Pittsburgh questionnaire (effect size-ES 0.55), the actigraphy results presented an increase of sleep latency (ES 0.47), and wake after sleep onset (ES 0.42). When comparing the athlete’s routine, the competition days, demonstrated a reduction in the total time of sleep and the sleep efficiency, in addition to an increase in wakefulness after sleep onset when compared with the training and rest periods. As a result, the wheelchair rugby players did not describe a pattern of sleep-wake cycle during different training phases, as well as poor sleep quality.

scholarly journals Physical Activity as a Predictor of the Level of Stress and Quality of Sleep during COVID-19 Lockdown

2021 ◽  
Vol 18 (11) ◽  
pp. 5811
Author(s):  
Anna Lipert ◽  
Remigiusz Kozłowski ◽  
Dariusz Timler ◽  
Michał Marczak ◽  
Kamila Musiał ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Online Survey ◽  
Short Form ◽  
Well Being ◽  
Poor Quality ◽  
Quality Of Sleep ◽  
Low Level ◽  
The Government

Background: The coronavirus pandemic and the government restrictions significantly disturbed the daily functioning of people, thereby influencing healthy behaviors, such as physical activity—the core indicator of well-being. This study evaluates the associations between physical activity (PA), the level of stress and quality of sleep during the COVID-19 pandemic lockdown. Methods: An online survey was distributed during the governmental lockdown in April 2020 and included measures for assessing physical activity, stress and sleep. The surveyed participants included all adults aged 18 years and over. The final data were collected from the 1959 respondents using: International Physical Activity Questionnaire-Short Form (IPAQ-SF), Perceived Stress Scale (PSS) and Pittsburgh Sleep Quality Index (PSQI). Findings: Almost half of the respondents indicated a low level of PA, performing only 60 min of PA daily. Most of the participants reported a moderate or high level of stress (57% and 29%, respectively) and 64% of them reported poor quality of sleep. People with low levels of stress performed on average 85.1 min/day of walking (WPA), 40.9 min/day of moderate PA (MPA) or 52.6 min/day of vigorous PA (VPA). People with good quality of sleep performed 82.9 min/day of WPA, 43.6 min/day MPA and 40.5 min/day VPA. Interpretation: The results from the study indicate that the volume of daily PA may be a predictor of the level of stress and sleep quality in adults during the COVID-19 pandemic lockdown. To retain a low level of stress and good quality of sleep, a lifestyle that allows to achieve a moderate level of physical activity should be maintained. The optimal daily dose of PA is at least 70 min per day, involving different intensities.

601 Comparison of Sleep Parameters in Children with Achondroplasia and Trisomy 21

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A236-A237
Author(s):  
Jodi Gustave ◽  
Kaelyn Gaza ◽  
Jennifer Marriner ◽  
Seema Rani ◽  
Abigail Strang ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Rem Sleep ◽  
Trisomy 21 ◽  
Sleep Disturbances ◽  
Sleep Latency ◽  
Sleep Efficiency ◽  
Sleep Architecture ◽  
Poor Sleep ◽  
Arousal Index ◽  
Sleep Parameters

Abstract Introduction Children with achondroplasia and Trisomy 21 (T21) have increased incidence of sleep disturbances including sleep disordered breathing. Abnormal sleep architecture has been documented in children with T21. It is important to continue to analyze sleep parameters in both groups since poor sleep quality is associated with neurocognitive impairment. Methods Following IRB approval, we performed a retrospective chart review of patients at Nemours/A.I. duPont Hospital for Children in Wilmington, DE with achondroplasia and T21 who underwent an initial polysomnogram (PSG) between 2015 and 2020. We compared sleep architecture parameters between the groups including sleep efficiency, total sleep time (TST), sleep latency, arousal index and concentration of N3 and REM sleep. Results In patients with achondroplasia (n=49, mean age 5.8 months and 63.3% male), 12% reported restless sleep. PSG data revealed TST of 392 minutes, mean sleep efficiency of 82%, mean sleep latency of 9.4 min, mean arousal index of 40, 22% REM sleep and 32% N3 sleep. In the patients with T21 (n=32, mean age 17.8 months and 50% male), 59% reported restless sleep. PSG data revealed TST of 393 minutes, mean sleep efficiency of 82%, mean sleep latency of 14 minutes, arousal index of 35, 15% REM sleep and 40% N3 sleep. The differences in REM and N3 sleep between the two groups were statistically significant (p-values of 0.001 and 0.04, respectively), but the differences in arousal index, TST and sleep efficiency were not. Conclusion Our study showed that children with T21 subjectively noted more restless sleep compared to patients with achondroplasia although TST and sleep efficiency were similar. Patients with achondroplasia had a higher arousal index that was not statistically significant. Children with achondroplasia had a shorter sleep latency and more robust REM concentration, likely due to their younger age. There was a higher concentration of N3 sleep in patients with T21. This is likely due to the decrease in REM concentration. In conclusion, it is important to establish expected sleep parameters in patients with achondroplasia and T21 to maximize sleep quality and mitigate negative neurocognitive effects of poor sleep. Support (if any):

scholarly journals Passion for an activity: a new predictor of sleep quality

SLEEP ◽  
2020 ◽  
Vol 43 (12) ◽  
Author(s):  
Jocelyn J Bélanger ◽  
Karima A Raafat ◽  
Claudia F Nisa ◽  
Birga M Schumpe
Keyword(s):  
Sleep Quality ◽  
Well Being ◽  
Depressive Mood ◽  
Future Research ◽  
Sleep Habits ◽  
Harmonious Passion ◽  
Obsessive Passion ◽  
Mood Symptoms ◽  
The Relationship

Abstract Study Objectives The present research examines the relationship between people’s frequent involvement in an activity they like and find important (i.e., a passion) and the quality of their sleep. Research on the dualistic model of passion has widely documented the relationship between individuals’ type of passion—harmonious versus obsessive—and the quality of their mental and physical health. However, research has yet to examine the relationship between passion and sleep quality. Building on prior research has shown that obsessive (vs harmonious) passion is related to depressive mood symptoms—an important factor associated with sleep problems—we hypothesized that obsessive passion would be associated with overall worse sleep quality, whereas harmonious passion would predict better sleep quality. Methods A sample of 1,506 Americans filled out an online questionnaire on sleep habits and passion. Sleep quality was measured using the Pittsburgh Sleep Quality Index. Hierarchical linear regressions and mediation analyses were carried out with results confirming our hypotheses. Results Obsessive passion for an activity was associated with worse sleep quality, whereas harmonious passion was associated with better sleep quality, adjusting for demographics, the type of passionate activity and its self-reported importance, alcohol and tobacco consumption, BMI, self-reported health, and diagnosed health conditions. The relationship between both types of passion and sleep quality was mediated by depressive mood symptoms. Conclusions Our study presents evidence of a strong relationship between sleep quality and passion, opening the door for future research to create new interventions to improve people’s sleep and, consequently, their well-being.

scholarly journals A Cross-Sectional Questionnaire Based Study to Evaluate Subjective Sleep Quality among Undergraduate Students in India

2013 ◽  
Author(s):  
Nirmegh Basu ◽  
Akansha Saxena ◽  
Ayushi Sarraf ◽  
Anoop Singh ◽  
Akshanshi Gulani ◽  
...  
Keyword(s):  
Academic Performance ◽  
Sleep Quality ◽  
Undergraduate Students ◽  
Negative Impact ◽  
Well Being ◽  
Common Belief ◽  
Survey Analysis ◽  
Subjective Sleep Quality ◽  
Subjective Sleep

Irregular sleep patterns are often a major hindrance in the life of undergraduate students, fueled by the undulating lifestyle anomalies and new vulnerabilities that come with college life. Insomnia, slapdash sleep cycles, and daytime dysfunction may affect both physical as well as mental well-being of individuals. India has the largest share of young adults in the world, which also makes it a likely epicenter for increasing sleep disorders. Students are often exposed to a significantly high level of academic burden and turn to options such as pulling all-nighters that further propel these issues. Most students realize the effects of a bad sleep schedule but nonetheless sacrifice it for the promise of better grades ignoring the double-edged sword. This study assesses the association of self-rated subjective sleep quality with habits prevalent among undergraduate students in India and its effect on their academic performance. Based on a modified PSQI questionnaire, the participants’ sleep quality was scored and a large majority of students showed an overall moderately good sleep quality. Insufficient sleep was seen to have an adverse effect on facial appearance, work productivity and enthusiasm for daily chores, among students. Unlike previous reports, the current dataset did not reveal any significant impact of sleep quality on the academic performance of the students. We also analyzed the most prevalent factors that were responsible for disruption of sleep in college goers and probed the major reasons for nighttime phone usage, which revealed social media to be a major contributor. Although the negative impact of sleep deprivation on academic performance has been studied earlier, any differential impact of stream has not been addressed thoroughly. Unlike the common belief of disparity induced due to stream-based academic pressure, our survey analysis showed insignificant contribution of stream leading to differences in sleep quality of students. Although participants’ reported mild disruption in sleep, it was observed across all streams and it did not seem to have an immediate effect on overall sleep quality of undergraduate students.

scholarly journals Sleep and health: examining the relation of sleep to burnout and well-being using a consumer fitness tracker

2021 ◽  
Author(s):  
Nina R. Grossi ◽  
Bernad Batinic ◽  
Sebastian Moharitsch
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Psychological Functioning ◽  
Well Being ◽  
Quality Of Sleep ◽  
Essential Requirement ◽  
White Collar Workers ◽  
Fitness Tracker

AbstractSleep is an essential requirement for both physiological and psychological functioning and has an impact on various health parameters. The present study aimed to examine how quantity and quality of sleep predicts burnout and well-being by using both self-reported and objectively collected sleep data. The participants were 104 white-collar workers who wore a fitness tracker for 14 consecutive days and filled out a questionnaire about sleep, burnout, and well-being. The results showed that self-reported sleep quality predicts burnout and well-being, but neither did self-reported nor objective sleep duration. We concluded that although measuring sleep duration with a consumer fitness tracker still needs to be improved, it is a useful addition to self-reported sleep measures. The study did solidify results from previous self-reported measures and point out the prominent role of sleep quality rather than hours of sleep.

scholarly journals Impact of COVID-19 pandemic on the sleep quality of medical professionals in Brazil

2021 ◽  
Vol 79 (2) ◽  
pp. 149-155
Author(s):  
Janaína Mariana de Araújo Miranda Brito-Marques ◽  
Clélia Maria Ribeiro Franco ◽  
Paulo Roberto de Brito-Marques ◽  
Sandra Cristina Gonçalves Martinez ◽  
Gilmar Fernandes do Prado
Keyword(s):  
Depressive Symptoms ◽  
Sleep Quality ◽  
Health Professionals ◽  
Well Being ◽  
Poor Sleep ◽  
World Population ◽  
Psychological Resilience ◽  
Online Questionnaire ◽  
Related Factors

ABSTRACT Introduction: Coronavirus pandemic began in China in 2019 (COVID-19), causing not only public health problems but also great psychological distress, especially for physicians involved in coping with the virus or those of the risk group in social isolation, and this represents a challenge for the psychological resilience in the world population. Studies showed that health professionals had psychological symptoms such as depression, anxiety, insomnia, stress, among others. Objectives: To investigate the quality of sleep and the prevalence rate of sleeping disorders among physicians during COVID-19 pandemic, and identify the psychological and social factors associated with the condition. Methods: A cross-sectional study of an online questionnaire was applied for physicians in Brazil. Among the 332 participants included, 227 were women. Sociodemographic assessment was used in the questionnaire, as well as the scale of impact on the events of modifications caused by COVID-19, assessment on sleep quality (PSQI), presence and severity of insomnia (ISI), depressive symptoms (PHQ-9), and anxiety (GAD-7). Results: Most physicians (65.6%) had changes in sleep. Poor sleep quality was reported by 73.1%, depressive symptoms were present in 75.8%, and anxiety in 73.4%. Conclusion: Our study found that more than 70% of the physicians assessed had impaired sleep quality, characterizing insomnia symptoms during COVID-19 outbreak. Related factors included an environment of isolation, concerns about COVID-19 outbreak and symptoms of anxiety and depression. Special interventions are needed to promote health professionals’ mental well-being and implement changes in this scenario.

Training in the MMC Era: Procedure-Based Assessments – the Parents' Perspective

2011 ◽  
Vol 93 (5) ◽  
pp. 1-3
Author(s):  
RM Nataraja ◽  
SC Blackburn Department ◽  
D Rawat ◽  
E Benjamin ◽  
SA Clarke ◽  
...  
Keyword(s):  
Postgraduate Medical Education ◽  
Assessment System ◽  
Medical Careers ◽  
Surgical Trainees ◽  
Medical Education And Training ◽  
European Working ◽  
Technical Competencies ◽  
Competency Based ◽  
The Uk

The recent implementation of Modernising Medical Careers (MMC) has had a significant impact on the way that both medical and surgical trainees in the UK are trained and clinically or technically assessed. The aim of MMC is 'to drive up the quality of care for patients through reform and improvement in postgraduate medical education and training'. Surgical training has also been affected by the final stage of the implementation of the European Working Time Regulations. One of the primary changes in MMC has been the introduction of a formal assessment system of the trainees. The new system was initiated to progress towards more competency-based training rather than the total time spent in training. The trainee's progress in achieving clinical and technical competencies is assessed, as is the quality of the trainee and the training he or she receives.

scholarly journals Altered sleep patterns in patients with non-functional GHRH receptor

2017 ◽  
Vol 177 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Francielle T Oliveira ◽  
Roberto Salvatori ◽  
José Marcondes ◽  
Larissa B Macena ◽  
Alecia A Oliveira-Santos ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Rem Sleep ◽  
Sleep Problems ◽  
Receptor Gene ◽  
Subjective Evaluation ◽  
Sleep Onset ◽  
Wake Time ◽  
Ghrh Receptor ◽  
Objective Reduction

ObjectivesGH-releasing hormone (GHRH) exerts hypnotic actions increasing the non-rapid eye movement (NREM) sleep. Conversely, GH stimulates the REM sleep. GH deficiency (GHD) often leads to sleep problems, daytime fatigue and reduced quality of life (QoL). GHD may be due to lack of hypothalamic GHRH or destruction of somatotroph cells. We have described a cohort with isolated GHD (IGHD) due to GHRH resistance caused by a homozygousnullmutation (c.57 + 1G > A) in the GHRH receptor gene. They have normal QoL and no obvious complaints of chronic tiredness. The aim of this study was to determine the sleep quality in these subjects.MethodsA cross-sectional study was carried out in 21 adult IGHD subjects, and 21 age- and gender-matched controls. Objective sleep assessment included polygraphic records of the awake, stages NREM [N1 (drowsiness), N2 and N3 (already sleeping)] and REM (R). Subjective evaluation included the Pittsburgh Sleep Quality Index, the Insomnia Severity Index and the Epworth Sleepiness Scale.ResultsIGHD subjects showed a reduction in sleep efficiency (P = 0.007), total sleep time (P = 0.028), duration of N2 and R in minutes (P = 0.026 andP = 0.046 respectively), but had increased duration and percentage of N1 stage (P = 0.029 andP = 0.022 respectively), wake (P = 0.007) and wake-time after sleep onset (P = 0.017). There was no difference in N3 or in sleep quality questionnaire scores.ConclusionPatients with IGHD due to GHRH resistance exhibit objective reduction in the sleep quality, with changes in NREM and REM sleep, with no detectable subjective consequences. GHRH resistance seems to have a preponderant role over GHD in the sleep quality of these subjects.

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