Association Between Objectively Measured Sleep Duration and Symptoms of Psychiatric Disorders in Middle Childhood

Ranum, Bror M.; Wichstrøm, Lars; Pallesen, Ståle; Falch-Madsen, Jonas; Halse, Marte Kathrine; Steinsbekk, Silje

doi:10.1001/jamanetworkopen.2019.18281

Cited by 37 publications

(37 citation statements)

References 70 publications

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“…First, short sleep duration negatively affects levels of neurotransmitters that regulate mood and thinking [49]. It also impairs executive functions [50], including working memory, cognitive flexibility, and inhibitory control [51,52]. Second, short sleep duration could be associated with heightened stress reactivity, which has been associated with the activation of the hypothalamic-pituitary-adrenal and the sympatho- Table 3 Combinations of physical activity, sedentary time, and sleep duration and their relationships with other mental health indicators (Continued) No of studies…”

Section: Discussionmentioning

confidence: 99%

Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review

Sampasa‐Kanyinga

Colman

Goldfield

et al. 2020

Int J Behav Nutr Phys Act

230

151

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Background: For optimal health benefits, the Canadian 24-Hour Movement Guidelines for Children and Youth (aged 5-17 years) recommend an achievement of high levels of physical activity (≥60 min of moderate-to-vigorous physical activity), low levels of sedentary behaviour (≤2 h of recreational screen time), and sufficient sleep (9-11 h for children or 8-10 h for adolescents) each day. The objective of this systematic review was to examine how combinations of physical activity, sedentary time, and sleep duration relate to depressive symptoms and other mental health indicators among children and adolescents. Methods: Literature was obtained through searching Medline, EMBASE, PsycINFO, and SportDiscus up to September 30, 2019. Peer-reviewed studies published in English or French were included if they met the following criteria: population (apparently healthy children and adolescents with a mean age of 5-17 years), intervention/ exposure (combinations of physical activity, sedentary time, and sleep duration), and outcomes (depressive symptoms and other mental health indicators). A risk of bias assessment was completed for all included studies using the methods described in the Cochrane Handbook. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework was used to assess the quality of evidence for each health indicator. Narrative syntheses were employed to describe the results due to high levels of heterogeneity across studies.

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Section: Discussionmentioning

confidence: 99%

Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review

Sampasa‐Kanyinga

Colman

Goldfield

et al. 2020

Int J Behav Nutr Phys Act

230

151

View full text Add to dashboard Cite

show abstract

“…Sleep deprivation and sleep disruptions may cause severe cognitive and emotional problems [32,33]. Previous studies reported that inadequate sleep duration caused heightened cardiovascular risk, cerebrovascular disease, psychiatric disorders, and obesity [34][35][36][37].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Suboptimal Health Status and the Relationships between Suboptimal Health Status and Lifestyle Factors among Chinese Adults Using a Multi-Level Generalized Estimating Equation Model

Zhu

2020

IJERPH

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This study examined the prevalence of suboptimal health among Chinese adults based on a large-scale national survey and clarified the relationship between suboptimal health and lifestyle factors. We used multi-level generalized estimating equation models to examine the relationships between suboptimal health and lifestyle factors. Of the 48,978 respondents, 34,021 reported one or more suboptimal health symptoms, giving a suboptimal health status prevalence of 69.46%. After controlling for the cluster effect of living areas and confounding effect of demographic characteristics, factors associated with suboptimal health were: current smoking (odds ratio (OR) = 1.083, 95% confidence interval (CI): 1.055-1.111), drinking alcohol (OR = 1.075, 95% CI: 1.025-1.127), family history of disease (OR = 1.203, 95% CI: 1.055-1.111), sleeping <6 h per day (OR = 1.235, 95% CI: 1.152-1.256), poor sleep quality (OR = 1.594, 95% CI: 1.515-1.676), stress (OR = 1.588, 95% CI: 1.496-1.686), negative life events (OR = 1.114, 95% CI: 1.045-1.187), unhealthy diet choices (OR = 1.093, 95% CI: 1.033-1.156), and not regularly having meals at fixed hours (OR = 1.231, 95% CI: 1.105-1.372). Respondents who exercised regularly had lower odds of having suboptimal health status (OR = 0.913, 95% CI: 0.849-0.983). Suboptimal health has become a serious public health challenge in China. The health status of the population could be effectively improved by improving lifestyle behaviors.

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“…Short sleep duration affects brain activity and neurochemicals that regulate mood and cognitive function [16]. It impairs executive functions [17], such as inhibitory control and cognitive flexibility, that could result in increased irritability, impulsivity, anger and aggression [18,19]. Short sleep duration can also make the maintenance of a healthy lifestyle (e.g., physical activity) more difficult because of subsequent daytime sleepiness, fatigue, and tiredness [20,21].…”

Section: Introductionmentioning

confidence: 99%

24-Hour Movement Behaviors and Internalizing and Externalizing Behaviors Among Youth

Sampasa‐Kanyinga

Colman

Goldfield

et al. 2021

Journal of Adolescent Health

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The Canadian 24-Hour Movement Guidelines for Children and Youth (≥60 minutes of moderate-to-vigorous physical activity per day, ≤2 hours of recreational screen time per day, and 9-11 hours of sleep per night for 5-13 years old) are associated with better physical health, but less is known about how these behaviours are related to mental health. This study examined the association of meeting these guideline recommendations with internalizing and externalizing behaviours among children. Methods: A large and broadly representative cross-sectional sample of 9-to 11-year-old U.S. children (N = 11,875) from the Adolescent Brain and Cognitive Development (ABCD) study was analyzed. Internalizing and externalizing behaviours were measured using the Child Behaviour Check List (CBCL). Associations were examined using negative binomial regression adjusted for several confounders. Results: Compared to meeting none of the recommendations, meeting recommendations for screen time and sleep but not physical activity was associated with a lower prevalence ratio of total, internalizing, and externalizing behaviours. Meeting two or all three recommendations was more strongly associated with these outcomes than meeting one recommendation or none. The prevalence ratio (PR) of the group meeting all three recommendations was 0.77 (95% CI: 0.68-−0.86) for total problem scores, 0.78 (95% CI: 0.68−0.89) for internalizing problem scores, and 0.79 (95% CI: 0.68-0.91) for externalizing problem scores. Conclusions: Meeting the 24-hour movement guidelines was associated with a lower risk of internalizing and externalizing behaviours in children. These associations were mainly explained by meeting the screen time and sleep duration recommendations.

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Association Between Objectively Measured Sleep Duration and Symptoms of Psychiatric Disorders in Middle Childhood

Cited by 37 publications

References 70 publications

Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review

Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review

Prevalence of Suboptimal Health Status and the Relationships between Suboptimal Health Status and Lifestyle Factors among Chinese Adults Using a Multi-Level Generalized Estimating Equation Model

24-Hour Movement Behaviors and Internalizing and Externalizing Behaviors Among Youth

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