Correlates of Adolescent Sleep Time and Variability in Sleep Time: the Role of Individual and Health Related Characteristics

Overview

Journal Sleep Med

Specialties Neurology
Psychiatry

Date 2011 Feb 15

PMID 21316300

Citations 95

Authors

Melisa Moore

H Lester Kirchner

Dennis Drotar

Nathan Johnson

Carol Rosen

Susan Redline

Affiliations

Soon will be listed here.

Abstract

Objectives: Adolescents are predisposed to short sleep duration and irregular sleep patterns due to certain host characteristics (e.g., age, pubertal status, gender, ethnicity, socioeconomic class, and neighborhood distress) and health-related variables (e.g., ADHD, asthma, birth weight, and BMI). The aim of the current study was to investigate the relationship between such variables and actigraphic measures of sleep duration and variability.

Method: Cross-sectional study of 247 adolescents (48.5% female, 54.3% ethnic minority, mean age of 13.7years) involved in a larger community-based cohort study.

Results: Significant univariate predictors of sleep duration included gender, minority ethnicity, neighborhood distress, parent income, and BMI. In multivariate models, gender, minority status, and BMI were significantly associated with sleep duration (all p<.05), with girls, non-minority adolescents, and those of a lower BMI obtaining more sleep. Univariate models demonstrated that age, minority ethnicity, neighborhood distress, parent education, parent income, pubertal status, and BMI were significantly related to variability in total sleep time. In the multivariate model, age, minority status, and BMI were significantly related to variability in total sleep time (all p<.05), with younger adolescents, non-minority adolescents, and those of a lower BMI obtaining more regular sleep.

Conclusions: These data show differences in sleep patterns in population sub-groups of adolescents which may be important in understanding pediatric health risk profiles. Sub-groups that may particularly benefit from interventions aimed at improving sleep patterns include boys, overweight, and minority adolescents.

Citing Articles

Anticipatory Violence and Health Among Black Adults in the United States.

Semenza D, VanHook C, Baker N, Savage B J Racial Ethn Health Disparities. 2025; .

PMID: 39775744 DOI: 10.1007/s40615-024-02257-w.

Race, Ethnicity, and Sleep in US Children.

Wang Y, Zhao Z, Zhang Y, Yan J, Zhang M, Jelsma E JAMA Netw Open. 2024; 7(12):e2449861.

PMID: 39656455 PMC: 11632548. DOI: 10.1001/jamanetworkopen.2024.49861.

Racial and ethnic sleep health disparities in adolescents and risk for type 2 diabetes: a narrative review.

Clark E, Gutierrez-Colina A, Ruzicka E, Sanchez N, Bristol M, Gulley L Ann Med. 2024; 56(1):2399756.

PMID: 39253865 PMC: 11389628. DOI: 10.1080/07853890.2024.2399756.

Sleep disturbances in hospitalized children: a wake-up call.

Burger P, Steur L, Polderman J, Twisk J, Lindeboom R, Gemke R Eur J Pediatr. 2024; 183(9):4063-4072.

PMID: 38958694 PMC: 11322318. DOI: 10.1007/s00431-024-05660-x.

Association between smartphone addiction risk, sleep quality, and sleep duration among Korean school-age children: a population-based panel study.

Park M, Jeong S, Huh K, Park Y, Park E, Jang S Sleep Biol Rhythms. 2024; 20(3):371-380.

PMID: 38469423 PMC: 10899991. DOI: 10.1007/s41105-022-00377-6.

References

Sulit L, Storfer-Isser A, Rosen C, Kirchner H, Redline S . Associations of obesity, sleep-disordered breathing, and wheezing in children. Am J Respir Crit Care Med. 2004; 171(6):659-64. DOI: 10.1164/rccm.200403-398OC. View

Lewin D, Dahl R . Importance of sleep in the management of pediatric pain. J Dev Behav Pediatr. 1999; 20(4):244-52. DOI: 10.1097/00004703-199908000-00007. View

Chaput J, Brunet M, Tremblay A . Relationship between short sleeping hours and childhood overweight/obesity: results from the 'Québec en Forme' Project. Int J Obes (Lond). 2006; 30(7):1080-5. DOI: 10.1038/sj.ijo.0803291. View

Spiegel K, Tasali E, Penev P, Van Cauter E . Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med. 2004; 141(11):846-50. DOI: 10.7326/0003-4819-141-11-200412070-00008. View

Tonetti L, Fabbri M, Natale V . Sex difference in sleep-time preference and sleep need: a cross-sectional survey among Italian pre-adolescents, adolescents, and adults. Chronobiol Int. 2008; 25(5):745-59. DOI: 10.1080/07420520802394191. View

Dahl R, Lewin D . Pathways to adolescent health sleep regulation and behavior. J Adolesc Health. 2002; 31(6 Suppl):175-84. DOI: 10.1016/s1054-139x(02)00506-2. View

Ancoli-Israel S, Cole R, Alessi C, Chambers M, Moorcroft W, Pollak C . The role of actigraphy in the study of sleep and circadian rhythms. Sleep. 2003; 26(3):342-92. DOI: 10.1093/sleep/26.3.342. View

Bertocci M, Dahl R, Williamson D, Iosif A, Birmaher B, Axelson D . Subjective sleep complaints in pediatric depression: a controlled study and comparison with EEG measures of sleep and waking. J Am Acad Child Adolesc Psychiatry. 2005; 44(11):1158-66. DOI: 10.1097/01.chi.0000179057.54419.17. View

Spilsbury J, Storfer-Isser A, Drotar D, Rosen C, Kirchner L, Benham H . Sleep behavior in an urban US sample of school-aged children. Arch Pediatr Adolesc Med. 2004; 158(10):988-94. DOI: 10.1001/archpedi.158.10.988. View

10.

Moore P, Adler N, Williams D, Jackson J . Socioeconomic status and health: the role of sleep. Psychosom Med. 2002; 64(2):337-44. DOI: 10.1097/00006842-200203000-00018. View

11.

OBrien E, Mindell J . Sleep and risk-taking behavior in adolescents. Behav Sleep Med. 2005; 3(3):113-33. DOI: 10.1207/s15402010bsm0303_1. View

12.

Knutson K . The association between pubertal status and sleep duration and quality among a nationally representative sample of U. S. adolescents. Am J Hum Biol. 2005; 17(4):418-24. DOI: 10.1002/ajhb.20405. View

13.

Johnson N, Kirchner H, Rosen C, Storfer-Isser A, Cartar L, Ancoli-Israel S . Sleep estimation using wrist actigraphy in adolescents with and without sleep disordered breathing: a comparison of three data modes. Sleep. 2007; 30(7):899-905. PMC: 1978368. DOI: 10.1093/sleep/30.7.899. View

14.

Rosen C, Larkin E, Kirchner H, Emancipator J, Bivins S, Surovec S . Prevalence and risk factors for sleep-disordered breathing in 8- to 11-year-old children: association with race and prematurity. J Pediatr. 2003; 142(4):383-9. DOI: 10.1067/mpd.2003.28. View

15.

Hasler G, Buysse D, Klaghofer R, Gamma A, Ajdacic V, Eich D . The association between short sleep duration and obesity in young adults: a 13-year prospective study. Sleep. 2004; 27(4):661-6. DOI: 10.1093/sleep/27.4.661. View

16.

Chervin R, Archbold K, Dillon J, Panahi P, Pituch K, Dahl R . Inattention, hyperactivity, and symptoms of sleep-disordered breathing. Pediatrics. 2002; 109(3):449-56. DOI: 10.1542/peds.109.3.449. View

17.

Marshall W, Tanner J . Variations in pattern of pubertal changes in girls. Arch Dis Child. 1969; 44(235):291-303. PMC: 2020314. DOI: 10.1136/adc.44.235.291. View

18.

Fredriksen K, Rhodes J, Reddy R, Way N . Sleepless in Chicago: tracking the effects of adolescent sleep loss during the middle school years. Child Dev. 2004; 75(1):84-95. DOI: 10.1111/j.1467-8624.2004.00655.x. View

19.

Giannotti F, Cortesi F, Sebastiani T, Ottaviano S . Circadian preference, sleep and daytime behaviour in adolescence. J Sleep Res. 2002; 11(3):191-9. DOI: 10.1046/j.1365-2869.2002.00302.x. View

20.

Gregory A, Rijsdijk F, Lau J, Dahl R, Eley T . The direction of longitudinal associations between sleep problems and depression symptoms: a study of twins aged 8 and 10 years. Sleep. 2009; 32(2):189-99. PMC: 2635583. DOI: 10.1093/sleep/32.2.189. View