Screen use and sleep duration and quality at 15 years old: Cohort study

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Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER B.V.
Autores
ECHEVARRIA, P.
DEL-PONTE, B.
TOVO-RODRIGUES, L.
HALAL, C. S.
SANTOS, I. S.
Citação
SLEEP MEDICINE: X, v.5, article ID 100073, p, 2023
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
Objective/background: The evidence on the association between screen use and sleep of adolescents is mainly based on studies about time watching television, with a few examining time using computers, videogames, and mobile devices. Our aim was to investigate the association between screen time for entertainment (watching TV, using computer, or playing games on tablets, smartphones, or videogame consoles) and sleep duration and self-reported sleep quality, among adolescents aged 15 years. Methods: With data from the 2004 Pelotas Birth Cohort, sleep duration was assessed with questions extracted from the Munich Chronotype Questionnaire and quality was self-reported. Adjusted β coefficients and prevalence ratios (PR) with (95% confidence intervals) were obtained, respectively, by linear and Poisson regressions. Results: 1,949 adolescents had information about screen time and sleep quality, and 1,851 about screen time and sleep duration. The median screen time was 4.5hs/24hs. The mean sleep duration was 7.6hs/24hs and the prevalence of bad sleep was 17.3% (15.7–19.0%). There was an inverse relationship between screen time and sleep duration. When compared with those with less than 2hs/24hs of screen time, adolescents with 6–8.8hs/24hs and ≥9hs experienced, respectively, 23.4 and 32.4 min reduction in sleep duration (β = -0.39; −0.62;-0.16 and β = -0.54; −0.77;-0.30). Adolescents with ≥9hs of screen time were 60% more likely to report bad sleep than those with less than 2hs/24hs (PR: 1.60; 1.10–2.32). Conclusions: The median time spent using screens was longer than recommended. Screen use for ≥6hs/24hs was associated with a shorter sleep duration, and ≥9hs/24hs with poor sleep quality.
Palavras-chave
Adolescents, Cohort study, Screen, Sleep, Sleep duration, Sleep quality
Referências
  1. Brinkman J.E., Reddy V., Sharma S., Physiology of sleep, (2023)
  2. Dutil C., Walsh J.J., Featherstone R.B., Gunnell K.E., Tremblay M.S., Gruber R., Weiss S.K., Cote K.A., Sampson M., Chaput J.P., Influence of sleep on developing brain functions and structures in children and adolescents: a systematic review, Sleep Med Rev, 42, pp. 184-201, (2018)
  3. Shochat T., Cohen-Zion M., Tzischinsky O., Functional consequences of inadequate sleep in adolescents: asystematic review, pp. 75-87, (2014)
  4. Short M.A., Weber N., Sleep duration and risk-taking in adolescents: a systematic review and meta-analysis, Sleep Med Rev, 41, pp. 185-196, (2018)
  5. Kelman B., The sleep needs of adolescents, J Sch Nurs: the official publication of the National Association of School Nurses, 15, 3, pp. 14-19, (1999)
  6. Hirshkowitz M., Whiton K., Albert S.M., Alessi C., Bruni O., DonCarlos L., Hazen N., Herman J., Katz E.S., Kheirandish-Gozal L., Neubauer D.N., O'Donnell A.E., Ohayon M., Peever J., Rawding R., Sachdeva R.C., Setters B., Vitiello M.V., Ware J.C., Adams Hillard P.J., National sleep foundation's sleep time duration recommendations: methodology and results summary, Sleep Health, 1, 1, pp. 40-43, (2015)
  7. Tarokh L., Raffray T., Van Reen E., Carskadon M.A., Physiology of normal sleep in adolescents, Adolesc Med (Phila): State Art Rev, 21, 3, pp. 401-417, (2010)
  8. Moore M., Meltzer L.J., The sleepy adolescent: causes and consequences of sleepiness in teens, Paediatr Respir Rev, 9, 2, pp. 111-114, (2008)
  9. Owens J.A., Etiologies and evaluation of sleep disturbances in adolescence, Adolesc Med (Phila): State Art Rev, 21, 3, pp. 430-445, (2010)
  10. Medicine Io, Sleep disorders and sleep deprivation: an unmet public health problem, (2006)
  11. Kokka I., Mourikis I., Nicolaides N.C., Darviri C., Chrousos G.P., Kanaka-Gantenbein C., Bacopoulou F., Exploring the effects of problematic internet use on adolescent sleep: a systematic review, Int J Environ Res Publ Health, 18, 2, (2021)
  12. Lund L., Solvhoj I.N., Danielsen D., Andersen S., Electronic media use and sleep in children and adolescents in western countries: a systematic review, BMC Publ Health, 21, 1, (2021)
  13. Kokka I., Mourikis I., Nicolaides N.C., Darviri C., Chrousos G.P., Kanaka-Gantenbein C., Bacopoulou F., Exploring the effects of problematic internet use on adolescent sleep: a systematic review, Int J Environ Res Publ Health, 18, 2, (2021)
  14. Hale L., Guan S., Screen time and sleep among school-aged children and adolescents: a systematic literature review, Sleep Med Rev, 21, pp. 50-58, (2015)
  15. Stiglic N., Viner R.M., Effects of screentime on the health and well-being of children and adolescents: a systematic review of reviews, BMJ Open, 9, 1, (2019)
  16. Communications C.O., Hill D., Ameenuddin N., Chassiakos Y.R., Cross C., Radesky J., Hutchinson J., Levine A., Boyd R., Mendelson R., Moreno M., Swanson W.S., MBE. Media use in school-aged children and adolescents, Pediatrics, 138, 5, (2016)
  17. Schaan C.W., Cureau F.V., Sbaraini M., Sparrenberger K., Kohl H.W., Schaan B.D., Prevalence of excessive screen time and TV viewing among Brazilian adolescents: a systematic review and meta-analysis, J Pediatr, pp. 155-165, (2019)
  18. Santos I.S., Barros A.J.D., Matijasevich A., Domingues M.R., Barros F.C., Victora C.G., Cohort profile: the 2004 pelotas (Brazil) birth cohort study, Int J Epidemiol, 40, 6, pp. 1461-1468, (2011)
  19. Santos I.S., Barros A.J.D., Matijasevich A., Zanini R., Cesar M.A.C., Camargo-Figuera F.A., Oliveira I.O., Barros F.C., Victora C.G., Cohort profile update: 2004 pelotas (Brazil) birth cohort study. Body composition, mental health and genetic assessment at the 6 years follow-up, Int J Epidemiol, 43, 5, (2014)
  20. Cavalcante J.R., Cardoso-Dos-Santos A.C., Bremm J.M., Lobo A.D.P., Macario E.M., Oliveira W.K.D., Franca G.V.A.D., COVID-19 no Brasil: evolução da epidemia até a semana epidemiológica 20 de 2020, Epidemiologia e Serviços de Saúde, 29, 4, (2020)
  21. Harris P.A., Taylor R., Thielke R., Payne J., Gonzalez N., Conde J.G., Research electronic data capture (REDCap)–a metadata-driven methodology and workflow process for providing translational research informatics support, J Biomed Inf, 42, 2, pp. 377-381, (2009)
  22. Miguel M., Oliveira V.C.D., Pereira D., Pedrazzoli M., Detecting chronotype differences associated to latitude: a comparison between Horne-Östberg and Munich Chronotype questionnaires, Ann Hum Biol, 41, 2, pp. 107-110, (2014)
  23. Roenneberg T., Wirz-Justice A., Merrow M., Life between clocks: daily temporal patterns of human chronotypes, J Biol Rhythm, 18, 1, pp. 80-90, (2003)
  24. Matijasevich A., Munhoz T.N., Tavares B.F., Barbosa A.P., da Silva D.M., Abitante M.S., Dall'Agnol T.A., Santos I.S., Validation of the Edinburgh Postnatal Depression Scale (EPDS) for screening of major depressive episode among adults from the general population, BMC Psychiatr, 14, (2014)
  25. Fleitlich B., Cortazar P.G., Goodman R., Questionário de capacidades e dificuldades (SDQ), Infanto rev neuropsiquiatr infanc adolesc, 8, 1, pp. 44-50, (2000)
  26. Wang A., Arah O.A., G-computation demonstration in causal mediation analysis, Eur J Epidemiol, 30, 10, pp. 1119-1127, (2015)
  27. Falbe J., Davison K.K., Franckle R.L., Ganter C., Gortmaker S.L., Smith L., Land T., Taveras E.M., Sleep duration, restfulness, and screens in the sleep environment, Pediatrics, 135, 2, pp. e367-e375, (2015)
  28. Hysing M., Pallesen S., Stormark K.M., Jakobsen R., Lundervold A.J., Sivertsen B., Sleep and use of electronic devices in adolescence: results from a large population-based study, BMJ Open, 5, 1, (2015)
  29. Lee P.H., Tse A.C.Y., Wu C.S.T., Mak Y.W., Lee U., Temporal association between objectively measured smartphone usage, sleep quality and physical activity among Chinese adolescents and young adults, J Sleep Res, 30, 4, (2021)
  30. Olorunmoteni O.E., Fatusi A.O., Komolafe M.A., Omisore A., Sleep pattern, socioenvironmental factors, and use of electronic devices among Nigerian school-attending adolescents, Sleep Health, 4, 6, pp. 551-557, (2018)
  31. Continente X., Perez A., Espelt A., Lopez M.J., Media devices, family relationships and sleep patterns among adolescents in an urban area, Sleep Med, 32, pp. 28-35, (2017)
  32. Messaadi N., Bayen S., Beghin L., Lefebvre J.M., Colleau S., Deken V., Cottencin O., Quersin F., Descamps A., Vanhelst J., [Association between screen time and sleep habits in 11-to-12-year-old French middle school students], Revue d'epidemiologie et de sante publique, 68, 3, pp. 179-184, (2020)
  33. Amra B., Shahsavari A., Shayan-Moghadam R., Mirheli O., Moradi-Khaniabadi B., Bazukar M., Yadollahi-Farsani A., Kelishadi R., The association of sleep and late-night cell phone use among adolescents, J Pediatr, 93, 6, pp. 560-567, (2017)
  34. Buysse D.J., Reynolds C.F., Monk T.H., Berman S.R., Kupfer D.J., The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research, Psychiatr Res, 28, 2, pp. 193-213, (1989)
  35. Cabre-Riera A., Torrent M., Donaire-Gonzalez D., Vrijheid M., Cardis E., Guxens M., Telecommunication devices use, screen time and sleep in adolescents, Environ Res, 171, pp. 341-347, (2019)
  36. Galland B.C., de Wilde T., Taylor R.W., Smith C., Sleep and pre-bedtime activities in New Zealand adolescents: differences by ethnicity, Sleep Health, 6, 1, pp. 23-31, (2020)
  37. Bacaro V., Gavriloff D., Lombardo C., Baglioni C., Sleep characteristics in the Italian pediatric population: a systematic review, Clin Neuropsychiatry, 18, 3, pp. 119-136, (2021)
  38. Gregory A.M., Sadeh A., Annual Research Review: sleep problems in childhood psychiatric disorders–a review of the latest science, JCPP (J Child Psychol Psychiatry), 57, 3, pp. 296-317, (2016)
  39. Cain N., Gradisar M., Electronic media use and sleep in school-aged children and adolescents: a review, Sleep Med, 11, 8, pp. 735-742, (2010)
  40. Chang A.M., Aeschbach D., Duffy J.F., Czeisler C.A., Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness, Proc Natl Acad Sci U S A, 112, 4, pp. 1232-1237, (2015)
  41. Crowley S.J., Cain S.W., Burns A.C., Acebo C., Carskadon M.A., Increased sensitivity of the circadian system to light in early/mid-puberty, J Clin Endocrinol Metab, 100, 11, pp. 4067-4073, (2015)
  42. Lewis R.G., Florio E., Punzo D., Borrelli E., The brain's reward system in health and disease, Adv Exp Med Biol, 1344, pp. 57-69, (2021)
  43. Berry K.M., Berger A.T., Laska M.N., Erickson D.J., Lenk K.M., Iber C., Full K.M., Wahlstrom K., Redline S., Widome R., Weekend night vs. school night sleep patterns, weight status, and weight-related behaviors among adolescents, Sleep Health, 7, 5, pp. 572-580, (2021)
  44. Mazzer K., Bauducco S., Linton S.J., Boersma K., Longitudinal associations between time spent using technology and sleep duration among adolescents, J Adolesc, 66, pp. 112-119, (2018)
  45. Carskadon M.A., Psychiatry P., Behavior H., Sleep in adolescents: the perfect storm, (2011)
  46. Jago R., Sebire S.J., Gorely T., Cillero I.H., Biddle S.J.H., I'm on it 24/7 at the moment"": a qualitative examination of multi-screen viewing behaviours among UK 10-11 year olds, Int J Behav Nutr Phys Activ, 8, 1, (2011)
  47. Inazumi C.K., Andrechuk C.R.S., Carvalho D.C., Oliveira C.S., Cardoso T.A.M.O., Ceolim M.F., Barros M.B., Lima M.G., Zancanella E., Adolescentes que cochilam, Congresso Científico da Faculdade de Enfermagem da UNICAMP, 1, pp. 1-2, (2018)
  48. Sociedade Brasileira de Pediatria, Manual de Orientação #MENOS TELAS #MAIS SAÚDE, (2019)