An epidemiologic study of sleep problems among adolescents in North Taiwan

Huang, Yu-Shu; Wang, Chih-Huan; Guilleminault, Christian

doi:10.1016/j.sleep.2010.04.009

Cited by 68 publications

(70 citation statements)

References 50 publications

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“…As a result, epidemiologic studies can determine sleep patterns across the full adolescent age range with less potential sampling bias than smaller case-control studies. Consistent with other methodologic approaches, the consensus finding across epidemiologic studies is that both younger [4][5][6] and older 4,[7][8][9][10][11] adolescents are not getting enough sleep. It is important to note that studies comparing selfreported sleep duration with objectively measured sleep amounts (ie, with actigraphy) suggest that self-reports of sleep often overestimate actual sleep duration, signifying that the problem of chronic sleep loss in adolescents may be even greater than the data indicate.…”

Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 61%

“…6 In general, studies have demonstrated similar weekend sleep durations across countries, but weekday sleep durations tend to vary greatly. 5,9 In contrast, Australian adolescents seem to do comparatively well, with students 17 years and older reporting average sleep durations between 8.5 and 9.1 hours. 18 The difference between weeknight and weekend sleep durations also was not large, with weekend durations reported at 9.3 hours.…”

Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 99%

“…It is important to note that studies comparing selfreported sleep duration with objectively measured sleep amounts (ie, with actigraphy) suggest that self-reports of sleep often overestimate actual sleep duration, signifying that the problem of chronic sleep loss in adolescents may be even greater than the data indicate. 12 US-based 4,13 and international studies 5,6,14 revealed that as students get older, sleep durations decline. The National Sleep Foundation Sleep in America Poll 4 found that by the 12th grade, 75% of students self-reported sleep durations of less than 8 hours of sleep per night compared with 16% of sixth graders.…”

Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 99%

“…4,7,8,15,16 Comparisons with other countries show similar patterns of decreased sleep durations with increasing age among adolescents. For example, in Northern Taiwan, 5 Germany, 14 and India, 17 average sleep duration dropped to below 8 hours for high school-aged students. The most precipitous drop was reported in 2005 for more than 1400 South Korean adolescents, for whom the average duration of sleep was 4.9 hours.…”

Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 99%

“…25 However, higher socioeconomic status is not necessarily protective because studies have also shown that youth from households with higher socioeconomic status have shorter sleep durations. 16,26 For older adolescents, additional environmental factors, such as after-school employment, 16 striving for good grades, 5,6,12 socializing, 27,28 participation in sports and other extracurricular activities, and lack of parental monitoring or rules about bedtimes, can further interfere with sleep durations. 6,29,30 School start times are reviewed later in the present report.…”

Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 99%

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Insufficient Sleep in Adolescents and Young Adults: An Update on Causes and Consequences

Owens¹

2014

Pediatrics

1,146

768

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Chronic sleep loss and associated sleepiness and daytime impairments in adolescence are a serious threat to the academic success, health, and safety of our nation’s youth and an important public health issue. Understanding the extent and potential short- and long-term repercussions of sleep restriction, as well as the unhealthy sleep practices and environmental factors that contribute to sleep loss in adolescents, is key in setting public policies to mitigate these effects and in counseling patients and families in the clinical setting. This report reviews the current literature on sleep patterns in adolescents, factors contributing to chronic sleep loss (ie, electronic media use, caffeine consumption), and health-related consequences, such as depression, increased obesity risk, and higher rates of drowsy driving accidents. The report also discusses the potential role of later school start times as a means of reducing adolescent sleepiness.

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Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 61%

Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 99%

Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 99%

Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 99%

Section: Epidemiologic Studies Of Sleeping Adolescentsmentioning

confidence: 99%

See 3 more Smart Citations

Insufficient Sleep in Adolescents and Young Adults: An Update on Causes and Consequences

Owens¹

2014

Pediatrics

1,146

768

View full text Add to dashboard Cite

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Association of Sleep Deprivation With Reduction in Insulin Sensitivity as Assessed by the Hyperglycemic Clamp Technique in Adolescents

et al. 2016

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; for the Brazilian Metabolic Syndrome Study (BRAMS) Investigators IMPORTANCE The association between short sleep duration and decreased insulin sensitivity in adolescents has been described. However, to our knowledge, no studies have investigated this association measuring insulin sensitivity by the hyperglycemic clamp technique. OBJECTIVES To compare the distributions of parameters of insulin resistance in adolescents with sleep deprivation vs adequate sleep, and to investigate the association between sleep deprivation and insulin sensitivity. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional multicenter study using data from the Brazilian Metabolic Syndrome Study conducted from June 29, 2011, to December 3, 2014, at an obesity outpatient clinic at the University of Campinas and public schools, with a convenience sample of 615 adolescents aged 10 to 19.9 years with a body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) for age and sex at the fifth percentile or higher. A subsample of 81 adolescents underwent the hyperglycemic clamp technique. MAIN OUTCOMES AND MEASURES The self-reported sleep duration was used to classify the population into 2 groups: adolescents with sleep deprivation (<8 hours/night) and adolescents with adequate sleep (Ն8 hours/night). Insulin sensitivity was assessed using the hyperglycemic clamp technique. RESULTS Among the 615 adolescents (56.3% female; median age, 15.9 years [interquartile range, 12.9-17.8 years]) included in the sample, the mean (SD) sleep duration was 7.9 (1.7) hours/night. The adolescents with sleep deprivation (n = 257) compared with those with adequate sleep (n = 358) had a higher median (interquartile range) age (17.

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Validation of sleep‐related breathing disorder scale in Hong Kong Chinese snoring children

Chan

2012

Pediatric Pulmonology

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The purpose of this study is to validate the previously-validated Taiwan Chinese version of Sleep-Related Breathing Disorder scale (SRBD scale) in Hong Kong Chinese snoring children. SRBD scale is an instrument used for prediction of obstructive sleep apnea syndrome. (OSA) The Chinese version of SRBD scale were previously translated and validated in Taiwan. The same questionnaire were administered in a group of 102 snoring children (mean age: 10.7 and 65 boys) from a sleep laboratory in Hong Kong before their sleep studies. The SRBD scores were then validated against the results from sleep studies. By using the definition of apnea-hypopnea index larger than 1.5 as OSA, 28 children (27.5%) had polysomnography-confirmed OSA. The sensitivity, specificity, positive likelihood ratio and negative likelihood ratio of the previously validated cut-off of SRBD score > 0.33 for OSA were 0.5, 0.55, 1.12, and 0.90, respectively. The area under ROC curve was only 0.58, indicates suboptimal performance of SRBD score in predicting OSA. In summary, our study concluded that the previously reported Chinese SRBD scale is not accurate in identifying presence of OSA in Hong Kong Chinese snoring children.

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An epidemiologic study of sleep problems among adolescents in North Taiwan

Cited by 68 publications

References 50 publications

Insufficient Sleep in Adolescents and Young Adults: An Update on Causes and Consequences

Insufficient Sleep in Adolescents and Young Adults: An Update on Causes and Consequences

Association of Sleep Deprivation With Reduction in Insulin Sensitivity as Assessed by the Hyperglycemic Clamp Technique in Adolescents

Validation of sleep‐related breathing disorder scale in Hong Kong Chinese snoring children

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