Sleep duration in schooldays is associated with health-related quality of life in norwegian adolescents: a cross-sectional study

BMC Pediatrics

Research

Hilde Timenes Mikkelsen¹  Erik Grasaas¹  Kristin Haraldstad¹  Gudrun Rohde²  Sølvi Helseth³  Milada Cvancarova Småstuen⁴  Siv Skarstein⁴ 

[1] Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University in Agder, Kristiansand, Norway;Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University in Agder, Kristiansand, Norway;Department of Clinical Research, Sorlandet Hospital, Kristiansand, Norway;Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University in Agder, Kristiansand, Norway;Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway;Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway;

关键词: Adolescents;    Sleep;    Health-related quality of life;    Self-efficacy;    Mediation;   

DOI  :  10.1186/s12887-023-04306-5

 received in 2023-05-23, accepted in 2023-09-11,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundInsufficient sleep is commonly reported in adolescence and is negatively associated with a wide range of health outcomes. A way to grasp the complicated challenge of how sleep impact different aspects of the adolescents´ everyday life is by examining the relationship between sleep duration in schooldays and weekends on different health-related quality of life (HRQOL) subscales. Furthermore, to expand the understanding of possible underlying mechanisms between sleep and HRQOL, testing for self-efficacy as a possible mediator is of importance.MethodsA cross-sectional study was performed among 696 adolescents aged 13–15 years from a school-based setting. All participants completed an electronic survey in their respective classrooms. The survey included demographic data, the School Sleep Habits Survey, the KIDSCREEN-27 questionnaire measuring HRQOL, and the General Perceived Self-Efficacy Scale. Statistical analyses were conducted using SPSS Statistics software including PROCESS macro by Andrew Hayes.ResultsOur findings revealed overall similar sleep patterns in boys and girls including longer sleep duration in the study sample during weekends (10:09 h) than in schooldays (08:36 h). Regression analyses revealed that sleep duration in schooldays was positively and statistically associated with HRQOL subscales psychological well-being (95% CI [0.44 to 1.33]), autonomy and parents (95% CI [0.12 to 1.06]), school environment (95% CI [0.47 to 1.40]), and self-efficacy (95% CI [0.01 to 0.47]). Sleep duration in weekends revealed no associations with the HRQOL subscales, except for the HRQOL subscale psychological well-being (95% CI [0.09 to 0.85]). Mediation analyses revealed that sleep duration in schooldays explained most of the associations (64 − 75%) in 4 out 5 HRQOL subscales, except in the association with the HRQOL subscale physical well-being revealing an indirect effect of 71.9%.ConclusionsThis cross-sectional study described sleep among Norwegian adolescents and demonstrated that sleep durations in weekends and schooldays impact HRQOL and self-efficacy, revealing overall better outcome in HRQOL and self-efficacy with sufficient sleep during schooldays. These findings support the regularity of sleep and highlight the importance of sufficient sleep during schooldays, especially in a school-based sample of adolescents.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

12888_2023_5172_Article_IEq48.gif