scholarly journals Association between Sleep Quality and Gastroesophageal Reflux in Medical Students

2021 ◽  
Vol 13 (2) ◽  
pp. 139-144
Author(s):  
Azam Teimouri ◽  
Babak Amra

BACKGROUND Due to stressful occupational conditions, irregular dietary and sleep schedules, medical students are at increased risk of developing gastrointestinal disorders, gastroesophageal reflux (GERD) in particular, as well as sleep disturbances. Therefore, for the first time, we aimed to assess the correlation between GERD and sleep disturbances among medical students. METHODS The current cross-sectional study was done on 290 medical students at different study periods in Iran during 2018-2019. Age, sex, stage of studying, residence, and body mass index were gathered. The frequency scale for the symptoms of gastroesophageal reflux (FSSG) was utilized to assess gastrointestinal symptoms among them and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality. Eventually, the association of sleep disturbances with demographic factors and gastrointestinal symptoms was evaluated. RESULTS Living in the dormitory (p = 0.048; OR: 1.73; 95%CI: 1.01-2.99) and being overweight (p < 0.001; OR: 3.09; 95%CI: 1.58-6.06) were independently correlated with impaired sleep quality. GERD presented either by heartburn (p < 0.001) or regurgitation (p < 0.001) was associated with a lower quality of life. CONCLUSION GERD was correlated with poor sleep quality among medical students. In addition, residence in dormitory and being overweight were correlated with poor sleep quality.

2020 ◽  
Author(s):  
Sultan Qanash ◽  
Faisal Al-Husayni ◽  
Haneen Falata ◽  
Ohud Halawani ◽  
Enas Jahra ◽  
...  

BACKGROUND Sleep quality ensures better physical and psychological well-being. It is regulated through endogenous hemostatic, neurogenic, and circadian processes. Nonetheless, environmental and behavioral factors also play a role in sleep hygiene. Electronic device use is increasing rapidly and has been linked to many adverse effects, raising public health concerns. OBJECTIVE This study aimed to investigate the impact of electronic device addiction on sleep quality and academic performance among health care students in Saudi Arabia. METHODS A descriptive cross-sectional study was conducted from June to December 2019 at 3 universities in Jeddah. Of the 1000 students contacted, 608 students from 5 health sciences disciplines completed the questionnaires. The following outcome measures were used: Smartphone Addiction Scale for Adolescents–short version (SAS-SV), Pittsburgh Sleep Quality Index (PSQI), and grade point average (GPA). RESULTS The median age of participants was 21 years, with 71.9% (437/608) being female. Almost all of the cohort used smartphones, and 75.0% (456/608) of them always use them at bedtime. Half of the students (53%) have poor sleep quality, while 32% are addicted to smartphone use. Using multivariable logistic regression, addiction to smartphones (SAS-SV score &gt;31 males and &gt;33 females) was significantly associated with poor sleep quality (PSQI &gt;5) with an odds ratio of 1.8 (1.2-2.7). In addition, male gender and older students (age ≥21 years) were significantly associated with lower GPA (&lt;4.5), with an odds ratio of 1.6 (1.1-2.3) and 2.3 (1.5-3.6), respectively; however, addiction to smartphones and poor sleep quality were not significantly associated with a lower GPA. CONCLUSIONS Electronic device addiction is associated with increased risk for poor sleep quality; however, electronic device addiction and poor sleep quality are not associated with increased risk for a lower GPA.


Author(s):  
Murad A. Yasawy ◽  
Rehab A. Mohammed ◽  
Mahmood A. Yasawy ◽  
Nada Mohammed Hafiz ◽  
Haneen A. Turkistani

Background: Aim of the study was to assess the sleep quality among medical students and explore its relation to many variables as BMI, smoking and chronic diseases.Methods: A descriptive cross-sectional study, conducted among medical students at Ibn Sina national college, Jeddah, KSA. This study was approved by Research Center. A total of 408 participants; Participants are who admitted to hospital for last two days, pregnant and who under 18 years were excluded. We consider p value=0.05 as significant statistically and our confidant interval (CI) is 95%. We used bivariate and univariant variables, for categorical variables we used Chi-square and Fisher exact test.Results: The participants’ mean age was 22.6±2.7 (87.9%) of them were females. Most of our participants were Single (89.8%). A total of 85.9% of the students had poor sleep quality. Those who had less than 6 Hours of sleeping per day had poor sleep quality by 92.2% and statistically affecting their sleep quality p value =0.000. There was no statistically significant relation between sleep quality and academic year or with Gender (p=0.139, p=0.263) respectively. There was no statistical correlation between Sleep quality and Nightmares or Snoring (p value =0.063, 0.055) respectively.Conclusions: Poor sleep quality was prevalent in all class years of the undergraduate medical course and more common between females. This study revealed high prevalence of poor sleep quality. Sleep educational programs, stress management courses and lifestyles modifications are required.


2020 ◽  
Vol 19 (2) ◽  
Author(s):  
Said AH ◽  
Yusof MZ ◽  
Mohd FN ◽  
Azmi MANH ◽  
Mohd Hanapiah H ◽  
...  

INTRODUCTION: Poor sleep quality is a common problem experienced by medical students worldwide. Therefore, this study aimed to measure the prevalence of poor sleep quality among medical students in International Islamic University Malaysia (IIUM) and its association with mental health and other factors. MATERIALS AND METHODS: A cross-sectional study using convenience sampling was conducted among 500 medical students in IIUM Kuantan. A validated self-reported questionnaire including sociodemographic, socioeconomic, lifestyle, Pittsburgh Sleep Quality Index and Depression Anxiety Stress Score 21 was distributed from 15th July to 31st August 2019. Descriptive statistics were used to measure the prevalence of poor sleep quality. Chi- square test, Fisher’s exact test, independent sample T-test, and multiple logistic regression were used to measure the association between risk factors and sleep quality. RESULT: The response rate was 91.2%. The prevalence of poor sleep quality was 59.6%. Multiple logistic regression analysis revealed level of study (clinical year (AOR=0.44, 95% CI: 0.29 - 0.66) and depression (yes (AOR: 1.71, 95% CI 1.03-2.83) contributed independently on poor sleep quality among medical students. There was no significant relationship between tahajjud practice and poor sleep quality. CONCLUSION: More than half of IIUM medical students have poor sleep quality. Those students who were in the pre-clinical year and had depression were independently associated with the occurrence of poor sleep quality. Early intervention is compulsory to overcome this problem among medical students in IIUM.  


2018 ◽  
Vol 8 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Sarah M. AlSharif ◽  
Marwah S. Al-Qathmi ◽  
Wejdan M. Baabdullah ◽  
Talah A. Alhrkan ◽  
Yara A. Fayoumi ◽  
...  

Objectives: Poor sleep quality is considered a global health problem. Considering that caffeine intake contributes to sleep disturbances, we evaluated the relationship between sleep quality and the consumption of caffeinated beverages in college students in Jeddah, Kingdom of Saudi Arabia. Methods: This was a cross-sectional study conducted with college students aged 18 to 25 years old from both governmental and private colleges in Jeddah, Saudi Arabia. Sleep quality, caffeine intake, and stress exposure were assessed using three validated electronic questionnaires. Results: A total of 476 college students completed the questionnaire. Sleep quality was found to be poor in 80.7% of students. The prevalence of caffeine intake was as follows: none = 8%, a tolerable amount = 40.5%, and excessive = 51.5%. Of the students who reported excessive caffeine intake, 83.3% had poor sleep quality. The relationship between excessive caffeine intake and poor sleep quality was significant (p = 0.003). Conclusions: The majority of students had poor sleep quality, and this was correlated with excessive caffeine intake. Our results highlight the importance of raising awareness among students about the factors that may affect sleep quality.


10.2196/25662 ◽  
2021 ◽  
Vol 7 (4) ◽  
pp. e25662
Author(s):  
Sultan Qanash ◽  
Faisal Al-Husayni ◽  
Haneen Falata ◽  
Ohud Halawani ◽  
Enas Jahra ◽  
...  

Background Sleep quality ensures better physical and psychological well-being. It is regulated through endogenous hemostatic, neurogenic, and circadian processes. Nonetheless, environmental and behavioral factors also play a role in sleep hygiene. Electronic device use is increasing rapidly and has been linked to many adverse effects, raising public health concerns. Objective This study aimed to investigate the impact of electronic device addiction on sleep quality and academic performance among health care students in Saudi Arabia. Methods A descriptive cross-sectional study was conducted from June to December 2019 at 3 universities in Jeddah. Of the 1000 students contacted, 608 students from 5 health sciences disciplines completed the questionnaires. The following outcome measures were used: Smartphone Addiction Scale for Adolescents–short version (SAS-SV), Pittsburgh Sleep Quality Index (PSQI), and grade point average (GPA). Results The median age of participants was 21 years, with 71.9% (437/608) being female. Almost all of the cohort used smartphones, and 75.0% (456/608) of them always use them at bedtime. Half of the students (53%) have poor sleep quality, while 32% are addicted to smartphone use. Using multivariable logistic regression, addiction to smartphones (SAS-SV score >31 males and >33 females) was significantly associated with poor sleep quality (PSQI >5) with an odds ratio of 1.8 (1.2-2.7). In addition, male gender and older students (age ≥21 years) were significantly associated with lower GPA (<4.5), with an odds ratio of 1.6 (1.1-2.3) and 2.3 (1.5-3.6), respectively; however, addiction to smartphones and poor sleep quality were not significantly associated with a lower GPA. Conclusions Electronic device addiction is associated with increased risk for poor sleep quality; however, electronic device addiction and poor sleep quality are not associated with increased risk for a lower GPA.


2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A71-A71
Author(s):  
P Varma ◽  
M Burge ◽  
H Meaklim ◽  
M Junge ◽  
M Jackson

Abstract Introduction The COVID-19 pandemic has caused significant psychological distress to many people across the globe. Poor sleep quality may be linked to poor mental health and increased suicide ideation. To contextualise the risk factors associated with self-harm or suicidal ideation during the COVID-19 pandemic, this cross-sectional study examined links between poor sleep quality, individual experiences and self-harm risk. Methods N=1544 (Mage=44.3y) from 63 countries completed an online survey in March-April 2020. Participants reported their pandemic experiences as free text responses, which were examined quantitatively for frequent word usage using Linguist Inquiry and Word Count software. Pittsburgh Sleep Quality Index assessed poor sleep quality (cut-off score &gt;8). Item-9 of Patient Health Questionnaire-9 measured the risk of self-harm. Results Individuals with poor sleep quality (45%) used more negative emotional tone and had greater use of anxiety or money-related words in their comments than good sleepers (all ps&lt;.05). Additionally, 19% of respondents (n=295) reported thoughts of self-harm at least several days a week (3.4% nearly every day). Logistic regression indicated that younger individuals, males, and those feeling isolated or less resilient had 1.2 to 1.5 times greater risk of self-harm (all ps&lt;.001). Poor sleep quality was associated with a two-fold increased risk of self-harm (95%CI=1.5–2.7, p&lt;.0001) after controlling for demographic variables. Discussion Poor sleep quality is linked to negative emotionality and increased risk of self-harm during the COVID-19 pandemic. Sleep is a modifiable factor; therefore interventions aimed at addressing sleep disturbances may improve resilience and reduce the risk of self-harm in vulnerable individuals.


Author(s):  
Geeta V. Bathija ◽  
Sushma H. R.

Background: Problems related to sleep and poor sleep quality are important issues for medical students. Poor sleep quality is a stressing and worrying condition that can contribute to the risk factors of medical errors being made, adverse events and attention failure which has an impact on individual’s health, hence the objective of this study was to assess the sleep hygiene among post graduate medical students of KIMS, Hubballi.Methods: A cross sectional study consisting of 260 post graduates of all departments of 1st, 2nd and 3rd year were chosen by convenient sampling method. A semi-structured questionnaire which included socio-demographic data, data to assess sleep quality by Pittsburgh sleep quality index, attention performance by EPSS scale, psychological health by self reported questionnaire 20 and data regarding factors affecting sleep. Data were entered in MS excel and analysed using SPSS software version 21.0 and suitable statistical tests were applied.Results: Our study included 122 male and 138 female post graduates, it was found that sleep quality was better among males. Excessive daytime sleepiness indicating sleep loss, was assessed by using EPSS questionnaire, which showed that in our study that 63.1% have normal attention performance. Score >17 on EPSS was 4.2% which shows that it has a negative impact on sleep hygiene.Conclusions: Poor sleep hygiene may be associated with poor sleep quality and excessive day time sleepiness. Stress and regular exercise were highly associated with sleep quality, the junior post graduates have significantly poor sleep quality than the senior post graduates.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Tirusew Wondie ◽  
Alemayehu Molla ◽  
Haregewoin Mulat ◽  
Woynabeba Damene ◽  
Mengistu Bekele ◽  
...  

Abstract Purpose Poor quality of sleep has a negative effect on academic performance of medical students. Quantity and quality of sleep in addition to average sleep time are strongly linked with students’ learning abilities, poor academic performance and poor interpersonal relationship which predispose them to mental illnesses. This study is aimed to assess magnitude and correlates of sleep quality among medical students in Ethiopia. Method An institutional based cross-sectional study was conducted among 576 undergraduate medical students. Data was collected by using interviewer administered structured questionnaires. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. The collected data were entered in to Epi-data version 3.1and analyzed using SPSS version 20. Logistic regression was used to identify the potential determinants of quality of sleep among undergraduate medical students. P-values less than 0.05 were considered statistically significant and strength of the association was presented by adjusted odds ratio with 95% C.I. Result The prevalence of poor sleep quality among undergraduate medical students was 62% (95%CI, 57.9, 65.3). The mean age (±SD) of the respondents was 21.5(±2.4), with age ranging from 18 to 28 and about 310 (53.8%) were males. Factors like, being depressed (AOR = 1.92,95%CI 1.16,3.19), poor social support (AOR = 5.39,95%CI 2.33,2.49), being stressed (AOR = 2.04,95%CI 1.26,3.31), and poor sleep hygiene (AOR = 3.01,95%CI 1.75,5.18) were associated with poor sleep quality at p-value < 0.05. Findings also showed that, one unit increase in grade point average was associated with 81.5% decrease (AOR = 0.185, 95%CI 0.13, 0.28) in poor sleep quality. Conclusion A substantial proportion of medical students are affected by poor sleep quality. Routine screening of sleep quality, sleep hygiene, depression and stress is warranted. Moreover, it is better to educating medical students about proper sleep hygiene and the consequences of poor sleep.


BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lily Yuen Wah Ho ◽  
Claudia Kam Yuk Lai ◽  
Shamay Sheung Mei Ng

Abstract Background The prevalence of fatigue and sleep disturbances is high in stroke populations. Sleep quality can be targeted by interventions to alleviate fatigue following a stroke. This study aimed to determine the prevalence of fatigue and poor sleep quality, and to quantify the contribution of sleep quality to fatigue following a stroke, in chronic (≥1 year) stroke survivors. Methods A cross-sectional design was adopted. A total of 112 stroke survivors (mean age ± standard deviation [year], 64.18 ± 5.77) at 6.08 ± 4.80 years post-stroke completed this study. All participants were assessed using the Fatigue Assessment Scale, the Pittsburgh Sleep Quality Index, the Visual Analogue Scale-Pain, the Fugl-Meyer Assessment of the upper and lower extremities, the 5-Time Sit-To-Stand Test, the Epworth Sleepiness Scale, the Frenchay Activities Index, the Life-Space Assessment, the Community Integration Measure, and the Multidimensional Scale of Perceived Social Support. Pearson and partial correlation coefficients were used to examine the correlation between fatigue and other variables. A multiple linear regression (the forced entry method) was performed to quantify the independent contribution of sleep quality to prediction of fatigue. Results Of the 112 participants, 52.7% reported experiencing fatigue and 64.3% reported poor sleep quality. Sleep quality could independently account for 5.9% of the variance in fatigue scores after a stroke. Conclusions There is a high prevalence of fatigue and poor sleep quality in Chinese stroke survivors. Sleep quality is an independent predictor of fatigue in those living in the community who have survived a stroke for a year or longer.


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