Sleep, Lifestyle Behaviors, and Cardiometabolic Health Markers in Overweight/Obese Young Adults: A Pilot Study Using the SenseWear® Armband

Aim: This pilot study examined associations between sleep quality and metabolic risk profiles, underlying hormones, inflammatory markers, and behaviors in overweight and obese young adults, aged 18–29 years. Design: Cross-sectional, descriptive, correlational study design. Method: A partial sample ( n = 29) was re-recruited from a parent study on screening for risk of early-onset diabetes. BodyMedia’s SenseWear® armband was used to assess sleep quality. Based on the percentage of consolidated sleep days during the past week, participants were classified as poor, fair, or good sleepers. Multiple multivariate general linear models were used to examine group differences in study variables after adjusting for obesity impact. Results: There were no significant differences among groups in age (mean 23.5 ± 2.9 years) or body mass index (mean 38.0 ± 8.9 kg/m2). Good sleepers ( n = 12, 41.4%) showed the longest nocturnal sleep duration (7:53 ± 1:00 hr), followed by fair ( n = 12, 41.4%, 7:23 ± 1:34 hr) and poor sleepers ( n = 5, 17.2%, 5:34 ± 0:56 hr). Poor sleepers showed the highest plasma resistin (η2 = .103) and ghrelin (η2 = .205) levels and caloric (η2 = .255) and sodium (η2 = .156) intakes. No differences in clinical metabolic markers or serum leptin or adiponectin were observed. Conclusions: Overweight/obese young adults had irregular sleep schedules and patterns, indicators of poor sleep quality, that were possibly associated with changes in dietary behaviors and underlying plasma hormones. In addition to traditional clinical cardiometabolic markers, plasma resistin and ghrelin may be good predictors of heightened vulnerability to cardiometabolic diseases in overweight/obese young adults with poor-quality sleep.

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Quality of Sleep in the Cypriot Population and Its Association With Multimorbidity: A Cross-Sectional Study

Frontiers in Public Health ◽

10.3389/fpubh.2021.693332 ◽

2021 ◽

Vol 9 ◽

Author(s):

Maria Kyprianidou ◽

Demosthenes Panagiotakos ◽

Maria Kambanaros ◽

Konstantinos C. Makris ◽

Costas A. Christophi

Keyword(s):

Sleep Quality ◽

Adult Population ◽

International Classification Of Diseases ◽

Poor Quality ◽

Poor Sleep ◽

Quality Of Sleep ◽

Sleep Habits ◽

Cross Sectional ◽

Validated Questionnaire

Poor sleep is a relatively common condition with possibly serious adverse health consequences. Lack of sleep affects the endocrine, immune, and nervous systems. In Cyprus, there is no information about the quality of sleep in the population. The goal of this study was to assess the quality of sleep in the Cypriot population and evaluate its association with multimorbidity. A representative sample of the adult population of Cyprus was selected in 2018–2019 among the five government-controlled municipalities of the Republic of Cyprus using stratified sampling. Data on sleep quality as well as on the presence of chronic, clinical, and mental health conditions were collected using a validated questionnaire. Diseases were classified according to the International Classification of Diseases, 10th Revision (ICD-10). A total of 1,140 Cypriot men and women over 18-years of age (range: 18–94) participated in the study. The median Pittsburgh sleep quality index score of the participants was 5 (first quartile = 3, third quartile = 7) with the maximum score being 17, which suggests that the Cypriot population has a relatively good quality of sleep overall, although, almost one-third of the study population had a poor quality of sleep. Women, residents of Paphos, and married people had a poorer quality of sleep (p < 0.05). Having a poor quality of sleep was associated with higher odds of multimorbidity (OR = 2.21, 95% CI: 1.55, 3.16), even after adjusting for demographics, socioeconomic, and lifestyle factors. Adopting good sleep habits could be beneficial and would potentially help reduce the risk of multimorbidity. Public health guidelines regarding the importance of sleep and its association with multimorbidity should be considered.

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“DOES EXCESSIVE INTERNET USAGE DISRUPT CIRCADIAN RHYTHM? – SPOTLIGHT ON A LOOMING BEHAVIOURALADDICTION AMONG MEDICAL STUDENTS”

10.36106/ijsr/0229051 ◽

2020 ◽

pp. 1-5

Author(s):

R. Barath ◽

C.P. Rabindranath ◽

Bindu Menon ◽

Mathan. K ◽

Mithun Prasad. V

Keyword(s):

Medical Students ◽

Sleep Quality ◽

Internet Addiction ◽

Mental Health Problems ◽

Poor Quality ◽

Internet Usage ◽

Poor Sleep ◽

Quality Of Sleep ◽

Cross Sectional

Background: In recent years the internet had become the most indispensable tool for students for learning, entertainment, and communication. Internet over-usage had emerged as a major problem among students causing the emergence of a problem that is defined as internet addiction (IA) which affects sleep and leads to several mental health problems. This study is the step toward understanding the effect of internet addiction on sleep quality among medical college students in Pondicherry. Methods: This was a cross-sectional study. It is a questionnaire-based study administrated among 298 consenting medical students. The participants were assessed by proforma containing demographic details, variables related to internet use, questionnaires of Internet Addiction Test, and Pittsburgh Sleep Quality Index for Sleep quality. Statistical data were analysed by SPSS-25. Results: A total of 287 students participated; 113 (39.4%) were males and 174 (60.6%) are females. Out of which Average users were 244 (85.01%) and problematic internet usage was 43 (14.99%), whereas poor sleep quality is found in 132 (45.99%) individuals. A significant correlation was found between internet addiction and the quality of sleep. Conclusions: Participants with problematic internet users were more likely to have a poor quality of sleep and vice versa.

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Associations between sleep quality and its domains and insufficient physical activity in a large sample of Croatian young adults: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-021902 ◽

2018 ◽

Vol 8 (7) ◽

pp. e021902 ◽

Cited By ~ 10

Author(s):

Lovro Štefan ◽

Goran Sporiš ◽

Tomislav Krističević ◽

Damir Knjaz

Keyword(s):

Physical Activity ◽

Young Adults ◽

Sleep Quality ◽

Sleep Disturbances ◽

Smoking Status ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Subjective Sleep Quality ◽

Cross Sectional ◽

Insufficient Physical Activity

ObjectivesThe main purpose of the present study was to explore the associations between sleep quality and insufficient physical activity.DesignCross-sectional.SettingFaculties in Croatia.Participants2100 university students (1049 men and 1051 women) aged 18–24 years were recruited.Primary outcomeTo assess the domains of sleep quality (independent variables) and ‘insufficient’ physical activity (dependent variable), we used previously validated Pittsburgh Sleep Quality Index and International Physical Activity questionnaires. Logistic regressions were used to calculate the associations between the sleep quality and ‘insufficient’ physical activity.ResultsWhen sleep quality domains were entered separately into the model, very bad subjective sleep quality (OR 3.09; 95% CI 1.50 to 6.56), >60 min of sleep latency (OR 2.17; 95% CI 1.39 to 3.39), <7 hours of sleep (OR 1.56; 95% CI 1.24 to 1.96), <65% of habitual sleep efficiency (OR 2.26; 95% CI 1.26 to 4.05), sleep disturbances >1/week (OR 1.61; 95% CI 1.03 to 2.52), use of sleep medication >1/week (OR 3.35; 95% CI 1.83 to 6.10), very big daytime dysfunction problem (OR 2.78; 95% CI 1.57 to 4.93) and poor sleep quality (1.53; 95% CI 1.23 to 1.91) were associated with ‘insufficient’ physical activity. When all sleep quality domains were entered simultaneously into the model, the same significant associations remained, except for sleep disturbances. Both models were adjusted for gender, body mass index, self-rated health, life satisfaction, socioeconomic status, presence or absence of chronic diseases, smoking status, binge drinking and psychological distress.ConclusionsOur results show that ‘poor’ sleep quality is associated with ‘insufficient’ physical activity in young adults. In order to improve, special strategies and policies that leverage ‘good sleep’ quality are warranted.

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KORELASI KADAR GULA DARAH PUASA DAN KUALITAS TIDUR MAHASISWA USIA 20-25 TAHUN DI STIKES MAHARANI

Jurnal Kesehatan Mesencephalon ◽

10.36053/mesencephalon.v6i1.197 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Sesi Mei Irawati

Keyword(s):

Young Adults ◽

Blood Glucose ◽

Sleep Quality ◽

Blood Sugar ◽

Fasting Blood Sugar ◽

P Value ◽

Poor Sleep ◽

Cross Sectional ◽

Glucose Meter ◽

Sugar Levels

Individuals are required to meet basic human needs, one of which is sleep.Sleep disorders play an important role in the development of diabetes through the neuroendocrine metabolic pathway. People who suffer from sleep disorders, sleep quality or sleep quantity experience a decrease in insulin sensitivity and consequently an increase in blood glucose. This aims of this research was to identify the correlation between sleep quality and fasting blood sugar level in young adults. The design was correlational research with cross sectional approach. The sampling technique purposive sampling involving 38 respondents that was selected based on inclusion criteria. This research used question naire Pittsburgh Sleep Quality Index (PSQI) and blood glucose meter. The bivariate analysis use pearson test. The results of this study indicate that of the 38 respondents almost all respondents had poor sleep quality as many as 31 respondents (81.6%) and most of the respondents included in the prediabetes category were 20 respondents ( 52.6%). From the results of the Pearson correlation test obtained (r count ) of 0.700 with p-value 0.000, soit can be concluded that there is a relationship or correlation between the quality of sleep with fasting blood sugar levels in young adults. If the sleep quality score gets lower then blood sugar levels will be lower, and vice versa. Suggestion: to do counseling efforts to improve poor sleep quality to anticipate the risk of diabetes. Keywords: Sleep quality, fasting blood sugar level, diabetes mellitus, young adults Abstrak: Individu dituntut untuk memenuhi kebutuhan dasar manusia, salah satunya adalah tidur. Gangguan tidur memainkan peran penting dalam terjadinya perkembangan diabetes melalui jalur metabolisme neuro endokrin. Orang yang menderita gangguan tidur, kualitas tidur atau kuantitas tidur mengalami penurunan sensitivitas insulin dan akibatnya terjadi peningkatan glukosa darah. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kualitas tidur dengan kadar gula darah puasa pada usia dewasa muda. Desain penelitian menggunakan korelasional dengan pendekatan cross-sectional. Teknik pengambilan sampel purposive sampling dan melibatkan 38 responden yang dipilih berdasarkan kriteria inklusi. Instrumen yang digunakan adalah kuesioner Pittsburgh Sleep Quality Index (PSQI) dan blood glucose meter. Teknik statistik yang digunakan adalah uji Pearson. Hasil penelitian ini menunjukkan bahwa dari 38 responden hampir seluruh responden memiliki kualitas tidur buruk sebanyak 31 responden (81.6%) dan sebagian besar responden masuk dalam kategori prediabetes sebanyak 20 responden (52.6%). Dari hasil uji korelasi Pearson didapatkan (r hitung) sebesar 0.700 dengan p-value 0.000 sehingga dapat disimpulkan bahwa terdapat korelasi antara kualitas tidur dengan kadar gula darah puasa pada usia dewasa muda. Apabila skor kualitas tidur semakin rendah maka kadar gula darah akan semakin rendah, demikian pula sebaliknya. Saran: perlu dilakukan upaya penyuluhan tentangmemperbaiki kualitas tidur yang buruk untuk mengantisipasi resiko diabetes. Kata kunci: Kualitas Tidur, Kadar Gula Darah Puasa, Diabetes Melitus, Dewasa Muda

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Elhízással összefüggő csökkent alvásminőség és nem megfelelő alvásidőtartam két erdélyi roma alcsoportban

Orvosi Hetilap ◽

10.1556/650.2019.31469 ◽

2019 ◽

Vol 160 (32) ◽

pp. 1279-1283

Author(s):

Monica Iudita Maria Szabo ◽

Beáta Máté ◽

Attila Frigy

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Population Based ◽

Poor Quality ◽

Poor Sleep ◽

Cross Sectional Survey ◽

Short Sleep Duration ◽

Cross Sectional ◽

Roma Population ◽

Quality Sleep

Abstract: Introduction: Short sleep duration and poor sleep quality may be associated with weight gain; this association has not yet been studied in Roma (Gipsy) population. Aim: Our aim was to study sleep patterns in two adult Roma subgroups (the wealthy Gabor and the poor Lovari Roma), compared to the majority of Hungarian population, in relation to obesity, knowing that Roma population has specific socio-cultural characteristics, with a rapidly changing lifestyle. Method: A population-based cross-sectional survey was conducted in a rural region in Transylvania, where the above groups are cohabiting. The groups were age- and gender-matched. Results: Sleep duration was 7.18 ± 1.6 hours in the Gabor Roma, 7.67 ± 1.5 hours in the Lovari Roma and 7.37 ± 1.5 hours in the non-Roma group. In average, 70% of them had enough sleep (≥7 hours). 38.6% of Gabor Roma, 27.1% of Lovari Roma and 23.5% of non-Roma had poor-quality sleep (p = 0.05). Gabor Roma had significantly higher body mass index (31.1 ± 4.6 versus 27.4 ± 5.2 and 28.66 ± 5.7 kg/m2, p = 0.004), and this correlated inversely with sleep duration (F = 14.85, p<0.000). Conclusion: Gabor Roma had significantly higher percentage of poor-quality sleep. Sleep duration and sleep quality were linked with obesity, mainly in the Roma population. Orv Hetil. 2019; 160(32): 1279–1283.

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Analysis Of Rem Sleep Without Atonia In 22q11.2 Deletion Syndrome Determined By Domiciliary Polysomnography: A Cross Sectional Study

SLEEP ◽

10.1093/sleep/zsab300 ◽

2021 ◽

Author(s):

Jorge Mauro ◽

Mario Diaz ◽

Teresa Córdova ◽

Katiuska Villanueva ◽

Tania Cáceres ◽

...

Keyword(s):

Sleep Quality ◽

Rem Sleep ◽

22Q11.2 Deletion Syndrome ◽

Cross Sectional Study ◽

Poor Quality ◽

Deletion Syndrome ◽

Poor Sleep ◽

22Q11.2 Deletion ◽

Cross Sectional ◽

Rem Sleep Without Atonia

Abstract Study Objectives Our aim is to evaluate the presence of REM sleep without atonia (RWA), the objective hallmark of REM sleep Behaviour Disorder (RBD), as prodromal marker of Parkinson’s disease (PD), in an adult cohort of 22q11.2 deletion syndrome (22qDS). Methods Sleep quality was assessed by means of Pittsburgh quality scale index (PSQI), and RBD symptoms by means of RBD questionnaire-Hong-Kong (RBDQ-HK). Attended domiciliary video-Polysomnography (v-PSG) were performed in 26 adults (18-51 years, 14 females) 22qDS patients. Electromyogram during REM sleep was analyzed by means of SINBAR procedure at 3-second time resolution (miniepochs). Results An overall poor sleep quality was observed in the cohort and high RBDQ-HK score in 7 of the 26 patients, two additional patients with positive dream enactment reported by close relatives had low score of RBDQ-HK. Nevertheless, SINBAR RWA scores were lower than cut-off threshold for RWA (mean 5.5%, range 0%-12.2%). TST and the percentage of light sleep (N1) were increased, with preserved proportions of N2 and N3. Participants reported poor quality of sleep (mean PSQI>5), with prolonged sleep latency in the v-PSG. No subjects exhibit evident dream enactment episodes during recording sessions. Conclusions RWA was absent in the studied cohort of 22qDS adult volunteers according to validated polysomnographic criteria. High RBDQ-HK scores do not correlate with v-PSG results among 22qDS individuals.

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Inflammation, Oxidative Stress, and Antioxidants Contribute to Selected Sleep Quality and Cardiometabolic Health Relationships: A Cross-Sectional Study

Mediators of Inflammation ◽

10.1155/2015/824589 ◽

2015 ◽

Vol 2015 ◽

pp. 1-11 ◽

Cited By ~ 13

Author(s):

Thirumagal Kanagasabai ◽

Chris I. Ardern

Keyword(s):

Oxidative Stress ◽

Sleep Quality ◽

Reference Range ◽

Cross Sectional Study ◽

Mediating Effect ◽

Cardiometabolic Health ◽

Poor Sleep ◽

Sleep Habits ◽

Cross Sectional ◽

Fair Poor

Sleep is vital for cardiometabolic health, but a societal shift toward poor sleep is a prominent feature of many modern cultures. Concurrently, factors such as diet and lifestyle have also changed and may mediate the relationship between sleep quality and cardiometabolic health. Objectives were to explore (1) the interrelationship and (2) mediating effect of inflammation, oxidative stress, and antioxidants on sleep quality and cardiometabolic health. Cross-sectional data from the US National Health and Nutritional Examination Survey 2005-06 (≥20 y;N=2,072) was used. Cardiometabolic health was defined as per the Joint Interim Statement; overall sleep quality was determined from six sleep habits and categorized as good, fair, poor, and very poor. Fair quality sleepers had optimal inflammation, oxidative stress, and antioxidant levels. Inflammation was above the current clinical reference range across all sleep quality categories, while oxidative stress was only within the clinical reference range for fair sleep quality. Selected sleep quality-cardiometabolic health relationships were mediated by inflammation, oxidative stress, and antioxidants and were moderated by sex. Our results provide initial evidence of a potential role for inflammation, oxidative stress, and antioxidants in the pathway between poor sleep quality-cardiometabolic decline. Further prospective research is needed to confirm our results.

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Quality of sleep and hypertension in adolescents

Paediatrica Indonesiana ◽

10.14238/pi56.5.2016.272-6 ◽

2017 ◽

Vol 56 (5) ◽

pp. 272 ◽

Cited By ~ 1

Author(s):

Arie Taufansyah P. Nasution ◽

Rafita Ramayati ◽

Sri Sofyani ◽

Oke RRna Ramayani ◽

Rosmayanti Siregar

Keyword(s):

Blood Pressure ◽

Sleep Quality ◽

Later Life ◽

Cross Sectional Study ◽

Poor Quality ◽

Poor Sleep ◽

Quality Of Sleep ◽

Poor Sleep Quality ◽

Cross Sectional

Background Adolescents with hypertension are at risk of morbidity and mortality due to cardiovascular problems in later life. Hypertension may be influenced by poor quality of sleep, so early detection of hypertension and ensuring good quality of sleep in adolescence is needed.Objective To assess for a possible association between poor sleep quality and hypertension in adolescents.Methods We conducted a cross-sectional study from January to March 2013 in Mustafawiyah Boarding School, Mandailing Natal, North Sumatera. Subjects’ quality of sleep was assessed by the Pittsburgh Sleep Quality Index (PSQI) questionnaire and their systolic and diastolic blood pressures were measured. Quality of sleep was categorized as either good or poor. Blood pressure was categorized as either normotensive or hypertensive. An association between poor sleep quality and hypertension was analyzed by Chi-square test.Results Two hundred forty adolescents participated in this study, of whom 210 (87.5%) subjects were normotensive and 30 (12.5%) subjects were hypertensive. We found higher systolic blood pressure [114.9 (SD 11.7) vs. 109.5 (SD 10.5) mmHg as well as diastolic blood pressure [74 (SD 9.1) vs. 69.9 (SD 7.5) mmHg in adolescents with poor sleep quality compared to those with good sleep quality (P=0.001).Conclusion Poor sleep quality is associated with hypertension in adolescents.

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The Association Between Smartphone Addiction and Sleep: A UK Cross-Sectional Study of Young Adults

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.629407 ◽

2021 ◽

Vol 12 ◽

Author(s):

Sei Yon Sohn ◽

Lauren Krasnoff ◽

Philippa Rees ◽

Nicola J. Kalk ◽

Ben Carter

Keyword(s):

Young Adults ◽

Sleep Quality ◽

Adult Population ◽

Cross Sectional Study ◽

Smartphone Addiction ◽

Short Version ◽

Poor Sleep ◽

Cross Sectional ◽

Reduction Strategies ◽

Adjusted Logistic Regression

Background: In a large UK study we investigated the relationship between smartphone addiction and sleep quality in a young adult population.Methods: We undertook a large UK cross-sectional observational study of 1,043 participants aged 18 to 30 between January 21st and February 30th 2019. Participants completed the Smartphone Addiction Scale Short Version, an adapted Pittsburgh Sleep Quality Score Index and reported smartphone use reduction strategies using both in-person (n = 968) and online (n = 75) questionnaires. A crude and adjusted logistic regression was fitted to assess risk factors for smartphone addiction, and the association between smartphone addiction and poor sleep.Results: One thousand seventy one questionnaires were returned, of which 1,043 participants were included, with median age 21.1 [interquartile range (IQR) 19–22]. Seven hundred and sixty three (73.2%) were female, and 406 reported smartphone addiction (38.9%). A large proportion of participants disclosed poor sleep (61.6%), and in those with smartphone addiction, 68.7% had poor sleep quality, compared to 57.1% of those without. Smartphone addiction was associated with poor sleep (aOR = 1.41, 95%CI: 1.06–1.87, p = 0.018).Conclusions: Using a validated instrument, 39% young adults reported smartphone addiction. Smartphone addiction was associated with poor sleep, independent of duration of usage, indicating that length of time should not be used as a proxy for harmful usage.

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Implications of sleep quality and eating behavior in obesity prevention: A cross-sectional study in young adults.

Proceedings of The Nutrition Society ◽

10.1017/s0029665120001640 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Maria Fernanda Zeron-Rugerio ◽

Alina Schieren ◽

Antoni Diez-Noguera ◽

Trinitat Cambras ◽

Maria Izquierdo-Pulido

Keyword(s):

Young Adults ◽

Food Intake ◽

Sleep Quality ◽

Emotional Eating ◽

Cross Sectional Study ◽

Poor Sleep ◽

Sectional Study ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Uncontrolled Eating

AbstractIntroductionFood intake behavior is implicated in many chronic health issues, including obesity. Thus, understanding the underlying factors that affect food intake is important. Several studies have associated sleep restriction to increased dietary intake and poor food choices, which can be driven by hedonic mechanisms, specially food palatability. Given that people eat for different reasons other than stress, including boredom, anxiety, sadness or joy, our aim was to study the potential association between sleep quality and the cognitive-behavioral nature of food intake (eating behaviors, EB), as well as their impact on body mass index in a population of young adults.Materials and MethodsOne thousand twenty eight young adults (78% females; 21.4 ± 4.1years) were included in a cross-sectional study. The following questionnaires were used: Pittsburg Sleep Quality Index to assess sleep quality (scores > 5 indicate poor sleep quality), the Three Factor Eating Questionnaire to assess the three dimensions of EB (emotional, uncontrolled and restraint eating) (Higher scores indicate higher EB). Additionally, height, weight, body mass index (BMI) and the level of physical activity were evaluated. Statistical analysis were performed using SPSS v24, and adjusted for confounding variables.ResultsSixty one percent of the studied population had a poor sleep quality, whereas no significant associations were found between poor sleep quality, gender or age. Poor sleep quality was associated with uncontrolled (p < 0.001) and emotional (p < 0.001) eating, as well as with BMI (p < 0.001). In addition, emotional eating was associated to BMI (p < 0.001). Finally, linear regression model showed that BMI is associated with poor sleep quality (p < 0.01) and emotional eating (p < 0.001).DiscussionOur findings suggest that poor sleep quality is frequent among young adults. Furthermore, poor sleep quality is associated with higher emotional and uncontrolled eating, showing that poor sleep might be associated with a higher tendency to over eat when coping to emotionally negative emotions (sadness, anger, depression, anxiety), and a high tendency to lose control over food intake itself. Finally, the association between poor sleep quality and high emotional eating can have a negative impact over BMI, even in young adults. Hence, interventions designed to improve weight status would benefit from focusing on sleep quality in order to reduce emotional and uncontrolled eating.

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