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Social epidemiology of bedtime screen use behaviors and sleep outcomes in early adolescence 青少年早期睡前屏幕使用行为和睡眠结果的社会流行病学。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-18 DOI: 10.1016/j.sleh.2025.05.005
Jason M. Nagata MD , Joan Shim MPH , Sapna Ramappa BS , Ishani Deshpande BS , Patrick Low BA , Orsolya Kiss PhD , Kyle T. Ganson PhD , Alexander Testa PhD , Jinbo He PhD , Fiona C. Baker PhD
{"title":"Social epidemiology of bedtime screen use behaviors and sleep outcomes in early adolescence","authors":"Jason M. Nagata MD ,&nbsp;Joan Shim MPH ,&nbsp;Sapna Ramappa BS ,&nbsp;Ishani Deshpande BS ,&nbsp;Patrick Low BA ,&nbsp;Orsolya Kiss PhD ,&nbsp;Kyle T. Ganson PhD ,&nbsp;Alexander Testa PhD ,&nbsp;Jinbo He PhD ,&nbsp;Fiona C. Baker PhD","doi":"10.1016/j.sleh.2025.05.005","DOIUrl":"10.1016/j.sleh.2025.05.005","url":null,"abstract":"<div><h3>Objectives</h3><div>The current study aimed to determine sociodemographic associations of bedtime screen use behaviors and the sociodemographic differences in the associations between bedtime screen use and sleep outcomes in a national (US) study of early adolescents.</div></div><div><h3>Methods</h3><div>We analyzed cross-sectional data from 10,305 early adolescents (12-13<!--> <!-->years, 48.4% female) in the Adolescent Brain Cognitive Development (ABCD) Study (Year 3, 2019-2021). Multiple regression analyses examined associations between (1) sociodemographic factors (age, sex, race and ethnicity, sexual orientation, household income, parental education, and number of siblings) and adolescent-reported bedtime screen use and (2) bedtime screen use and sleep outcomes (caregiver-reported sleep disturbance and self-reported sleep duration).</div></div><div><h3>Results</h3><div>Older age, female sex, sexual minority status, lower household income, and lower parent education were associated with more bedtime screen use. Black, Native American, and Latino/Hispanic race/ethnicity were associated with more bedtime screen use compared with White race, regardless of household income or parent education. More bedtime screen use was linked to greater sleep disturbances, with stronger effects observed in male adolescents. More bedtime screen use was also associated with shorter sleep duration, particularly among female adolescents and individuals from households with higher income and parental education levels. Although sexual minority identification was associated with more bedtime screen use, it was not associated with worse sleep outcomes among these adolescents.</div></div><div><h3>Conclusions</h3><div>Given sociodemographic differences in bedtime screen use, digital literacy education and anticipatory guidance could focus on at-risk early adolescent populations. Findings can inform targeted counseling by pediatricians and family media plans for diverse populations.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 562-571"},"PeriodicalIF":3.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The temporal relationship between long sleep duration and poor hand grip strength in older adults: The Yilan study 老年人睡眠时间长与握力差的时间关系:宜兰研究。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-16 DOI: 10.1016/j.sleh.2025.04.010
Nai-Wei Hsu MD, MPH, PhD , Po-Jung Pan MD, MS , Hsuan-Ming Tsao MD , Hsueh-Ping Chiang MS , Pesus Chou DrPH , Hsi-Chung Chen MD, PhD
{"title":"The temporal relationship between long sleep duration and poor hand grip strength in older adults: The Yilan study","authors":"Nai-Wei Hsu MD, MPH, PhD ,&nbsp;Po-Jung Pan MD, MS ,&nbsp;Hsuan-Ming Tsao MD ,&nbsp;Hsueh-Ping Chiang MS ,&nbsp;Pesus Chou DrPH ,&nbsp;Hsi-Chung Chen MD, PhD","doi":"10.1016/j.sleh.2025.04.010","DOIUrl":"10.1016/j.sleh.2025.04.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Muscle strength is an important subdomain of intrinsic capacity in older adults. Although poor muscle strength is closely correlated with long sleep duration<span>, a causal relationship has not yet been established. This study aimed to examine whether long sleep duration predicted a decrease in hand grip strength or vice versa.</span></div></div><div><h3>Methods</h3><div>In this follow-up study involving a community-based fixed cohort, participants included community-dwelling older adults aged ≥65<!--> <span>years residing in Yilan City, Taiwan. Self-reported sleep duration at night was categorized as short (&lt;6 hours), mid-range (6 to &lt;8 hours), and long (≥8</span> <span>hours). Hand grip strength was measured using a dynamometer, and poor hand grip strength was defined by age- and sex-specific cutoffs based on one standard deviation below the age- and sex-specific means of the data. Two temporal directions of analyses were performed between sleep duration and hand grip strength. First, baseline participants with good hand grip strength were followed-up to examine whether baseline long sleep predicted poor hand grip strength. In contrast, baseline mid-range sleepers were followed-up to examine whether baseline poor hand grip strength predicted long sleep.</span></div></div><div><h3>Results</h3><div>A total of 539 individuals, with an average age of 74.5<!--> <!-->±<!--> <!-->5.5<!--> <!-->years, participated in the study. The average follow-up period was 5.8<!--> <!-->±<!--> <!-->1.8<!--> <!-->years. Regarding factors predicting a decrease in hand grip strength, after controlling for various confounders, long sleep duration at baseline predicted incident poor hand grip strength at follow-up visits (odds ratio, 2.63; 95% confidence interval, 1.27-5.43). Conversely, poor hand grip strength failed to predict lengthening of sleep duration.</div></div><div><h3>Conclusion</h3><div>In older adults, long sleep duration preceded a decrease in hand grip strength.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 676-682"},"PeriodicalIF":3.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Higher daytime intake of fruits and vegetables predicts less disrupted nighttime sleep in younger adults 白天摄入较多的水果和蔬菜预示着年轻人夜间睡眠受到的干扰较少。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-11 DOI: 10.1016/j.sleh.2025.05.003
Hedda L. Boege MS , Katherine D. Wilson BS , Jennifer M. Kilkus MS , Waveley Qiu MS , Bin Cheng PhD , Kristen E. Wroblewski MS , Becky Tucker BA , Esra Tasali MD , Marie-Pierre St-Onge PhD
{"title":"Higher daytime intake of fruits and vegetables predicts less disrupted nighttime sleep in younger adults","authors":"Hedda L. Boege MS ,&nbsp;Katherine D. Wilson BS ,&nbsp;Jennifer M. Kilkus MS ,&nbsp;Waveley Qiu MS ,&nbsp;Bin Cheng PhD ,&nbsp;Kristen E. Wroblewski MS ,&nbsp;Becky Tucker BA ,&nbsp;Esra Tasali MD ,&nbsp;Marie-Pierre St-Onge PhD","doi":"10.1016/j.sleh.2025.05.003","DOIUrl":"10.1016/j.sleh.2025.05.003","url":null,"abstract":"<div><h3>Background</h3><div>Higher-quality diets are associated with better sleep quality in observational studies. However, a better understanding of this association is needed given that dietary modifications could represent a novel and natural approach to achieve better sleep.</div></div><div><h3>Objective</h3><div>To examine how daytime dietary intakes influence sleep quality on the following night using multiple days of self-reported diet monitoring and objective sleep measured under free-living conditions.</div></div><div><h3>Methods</h3><div>Participants were younger US adults with average habitual sleep duration between 7 and 9 hours per night. Diet was assessed using the Automated Self-Administered 24-Hour Dietary Assessment<span> Tool. Sleep was measured using wrist actigraphy. Sleep fragmentation index was used for objective assessment of sleep quality.</span></div></div><div><h3>Results</h3><div>Thirty-four participants (age: 28.3<!--> <!-->±<!--> <!-->6.6<!--> <span>years, BMI: 24.1</span> <!-->±<!--> <!-->3.9 kg/m<sup>2</sup>, 82.3% males, 50.0% racial/ethnic minority) provided 201 paired diet-sleep data. Greater daytime intakes of fruits and vegetables (β-coefficient (SE)<!--> <!-->=<!--> <!-->−0.60 (0.29), <em>P</em> <!-->=<!--> <!-->.038) and carbohydrates (−0.02 (0.007), <em>P</em> <!-->=<!--> <!-->.022), but not added sugar (<em>P</em> <!-->=<!--> <span>.54), were associated with lower sleep fragmentation index. Trends toward associations of higher intakes of red and processed meat (</span><em>P</em> <!-->=<!--> <!-->.10) with more disrupted sleep, as well as higher fiber (<em>P</em> <!-->=<!--> <!-->.08) and magnesium (<em>P</em> <!-->=<!--> <!-->.09) intakes with less disrupted sleep, were observed.</div></div><div><h3>Conclusions</h3><div>Higher daytime intakes of fruits and vegetables and carbohydrates that align with a healthy diet were associated with less disrupted nighttime sleep. A 5-cup increase (from no intake) in fruits and vegetables, meeting dietary recommendations, was associated with 16% better sleep quality. These findings suggest that diets rich in complex carbohydrates, fruits, and vegetables may promote better sleep health.</div></div><div><h3>Clinical trial registry</h3><div>NCT03663530 and NCT03257137</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 590-596"},"PeriodicalIF":3.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Racial and ethnic variations in sleep outcomes following a Brief Sleep Intervention in United States Air Force Technical Training students 美国空军技术训练学生短暂睡眠干预后睡眠结果的种族差异。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-10 DOI: 10.1016/j.sleh.2025.04.007
Faith S. Luyster PhD , Xin-Qun Wang MS , Chase A. Aycock PsyD , Rosemary Estevez Burns PhD , Trevin Glasgow PhD , Jennifer P. Halbert MSPH, CPH , Kara P. Wiseman MPH, PhD , Gerald Wayne Talcott PhD , Jordan Ellis PhD
{"title":"Racial and ethnic variations in sleep outcomes following a Brief Sleep Intervention in United States Air Force Technical Training students","authors":"Faith S. Luyster PhD ,&nbsp;Xin-Qun Wang MS ,&nbsp;Chase A. Aycock PsyD ,&nbsp;Rosemary Estevez Burns PhD ,&nbsp;Trevin Glasgow PhD ,&nbsp;Jennifer P. Halbert MSPH, CPH ,&nbsp;Kara P. Wiseman MPH, PhD ,&nbsp;Gerald Wayne Talcott PhD ,&nbsp;Jordan Ellis PhD","doi":"10.1016/j.sleh.2025.04.007","DOIUrl":"10.1016/j.sleh.2025.04.007","url":null,"abstract":"<div><h3>Objective</h3><div>Racial and ethnic minorities in civilian and military populations report worse sleep health than non-Hispanic Whites. A group-based, single-session Brief Sleep Intervention for United States Air Force<span> trainees improved sleep outcomes, yet the effects across racial and ethnic groups remain unclear. This secondary analysis examined racial and ethnic differences in sleep outcomes and behavior change engagement following the Brief Sleep Intervention.</span></div></div><div><h3>Methods</h3><div>The sample included 321 United States Air Force Technical Training students (mean age 20.9 ± 3.6; 81.9% men; 51.7% non-Hispanic Whites; 24.3% Hispanic; 23.4% non-Hispanic People of Color). Weekday sleep duration<span><span> and quality along with weekend catch-up sleep duration were assessed at baseline and 2-week follow-up. At follow-up, Brief Sleep Intervention participants reported engagement in a self-selected behavior change action. Propensity score--adjusted logistic and </span>linear regression models were used.</span></div></div><div><h3>Results</h3><div>Among Hispanic students, those in the Brief Sleep Intervention group were more likely to achieve a weekday sleep duration of ≥6 hours and report good/very good weekend sleep compared with those in the active control group. Within the Brief Sleep Intervention group, as compared with non-Hispanic Whites and non-Hispanic People of Color students, Hispanic students showed higher rates of weekday sleep duration ≥6 hours, good/very good weekday sleep quality, and engagement in a behavior change action than non-Hispanic Whites.</div></div><div><h3>Conclusions</h3><div>Hispanic students who received the Brief Sleep Intervention demonstrated superior sleep outcomes and higher behavior change engagement compared with students from other racial and ethnic groups. Further research should investigate factors driving these differences and identify aspects of the Brief Sleep Intervention that contribute to its effectiveness for Hispanic United States Air Force trainees.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 711-716"},"PeriodicalIF":3.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleepless in cyberspace: A thematic analysis of online sleep recommendations for insomnia symptoms 网络空间失眠:对失眠症状的在线睡眠建议的专题分析。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-06 DOI: 10.1016/j.sleh.2025.04.008
Siri Jakobsson Støre PhD, PsyD , Ena Milutinovic , Frida Sjökvist Landén , Annika Norell PhD
{"title":"Sleepless in cyberspace: A thematic analysis of online sleep recommendations for insomnia symptoms","authors":"Siri Jakobsson Støre PhD, PsyD ,&nbsp;Ena Milutinovic ,&nbsp;Frida Sjökvist Landén ,&nbsp;Annika Norell PhD","doi":"10.1016/j.sleh.2025.04.008","DOIUrl":"10.1016/j.sleh.2025.04.008","url":null,"abstract":"<div><h3>Objectives</h3><div>Insomnia is the most common sleep disorder in adults. About 10% of adults meet the diagnostic criteria, and about 30% suffer from subclinical symptoms. Seeking advice online is common when having health issues. There are no previous studies on Swedish Internet forums regarding types of advice and the logic behind the recommendations given for how to handle troubled sleep. The purpose of the study was to examine which treatment methods for insomnia symptoms were recommended by forum users on the Swedish Internet forum Flashback.</div></div><div><h3>Methods</h3><div>A thematic analysis was conducted on 1174 posts.</div></div><div><h3>Results</h3><div>The analysis resulted in four themes: (1) Advice on healthcare, (2) Bedtime and sleep environment strategies, (3) Implement long-term lifestyle changes, and (4) Advice on nonprescribed, legal, or illegal drugs. Notably, a large portion of the recommendations provided emphasized the utilization of pharmacological interventions, including prescription drugs, over-the-counter medications, supplements, illegal substances, or combinations of these. This despite the fact that many advice givers attributed insomnia to psychological causes such as stress.</div></div><div><h3>Conclusions</h3><div>Insight into recommendations given on Internet forums is important for healthcare personnel; advice might shape patients’ sleep habits as well as expectations on insomnia treatments.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 737-745"},"PeriodicalIF":3.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bedtime and naptime routines for young infants: Associations with family sleep outcomes 婴儿的就寝时间和午睡时间:与家庭睡眠结果的关系。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-03 DOI: 10.1016/j.sleh.2025.04.001
Jodi A. Mindell PhD , Erin S. Leichman PhD , Mikayla Carson MS , M. Catherine Mack PhD
{"title":"Bedtime and naptime routines for young infants: Associations with family sleep outcomes","authors":"Jodi A. Mindell PhD ,&nbsp;Erin S. Leichman PhD ,&nbsp;Mikayla Carson MS ,&nbsp;M. Catherine Mack PhD","doi":"10.1016/j.sleh.2025.04.001","DOIUrl":"10.1016/j.sleh.2025.04.001","url":null,"abstract":"<div><h3>Objectives</h3><div>A bedtime routine is associated with better sleep and well-being in young children. The aim of this study was to explore the prevalence of bedtime and naptime routines in young infants and their association with sleep outcomes in both the babies and parents.</div></div><div><h3>Methods</h3><div>Parents (67% mothers, 33% fathers) of 135 young infants (1-15<!--> <!-->weeks; <em>M</em> = 8.2<!--> <!-->weeks) completed an online questionnaire about infant sleep routines and patterns (Brief Infant Sleep Questionnaire—Revised), as well as parent sleep (PROMIS Sleep Disturbance Scale; Sleep-related Impairment Scale).</div></div><div><h3>Results</h3><div>Overall, 62% reported having a bedtime routine and 20% a naptime routine for their young infant. Babies with a bedtime routine were less likely to be held to sleep, slept for longer stretches overnight, and had shorter nighttime awakenings, with those parents having decreased sleep disturbance. Parents with a bedtime routine for their baby believed the routine helped their baby fall and stay asleep more than those without, and were more likely to believe it helped them bond with their baby. Parents with a naptime routine for their baby reported liking it and believed what they did helped their baby sleep more than those without, without any other associations with daytime sleep patterns.</div></div><div><h3>Conclusions</h3><div>Sleep routines were well-liked, easy to implement, and perceived as helpful for sleep and bonding. Bedtime routines were also associated with better baby sleep consolidation, and fewer sleep disturbances in parents. A simple recommendation of instituting sleep routines for young infants by pediatricians may result in improved family sleep outcomes.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 597-605"},"PeriodicalIF":3.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Work ability and health-related productivity loss by chronotype: Results from population-based panel study 工作能力和健康相关生产力损失随时间类型的变化:基于人群的小组研究结果
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-02 DOI: 10.1016/j.sleh.2025.04.005
Heejoo Ko MD , Seong-Sik Cho MD, PhD , Mo-Yeol Kang MD, PhD
{"title":"Work ability and health-related productivity loss by chronotype: Results from population-based panel study","authors":"Heejoo Ko MD ,&nbsp;Seong-Sik Cho MD, PhD ,&nbsp;Mo-Yeol Kang MD, PhD","doi":"10.1016/j.sleh.2025.04.005","DOIUrl":"10.1016/j.sleh.2025.04.005","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the relationship between chronotype<span> and two key occupational health outcomes—work ability and health-related productivity loss—in the general working population of Korea. The research further sought to identify subgroup variations by demographic and occupational factors.</span></div></div><div><h3>Methods</h3><div>Data were derived from the Korean Work, Sleep, and Health Study (KWSHS), a nationwide panel study conducted between 2022 and 2024. Chronotype was assessed using the reduced Morningness-Eveningness Questionnaire (rMEQ), categorizing participants as morning, intermediate, or evening types. Work ability and health-related productivity loss were measured using the Work Ability Index (WAI) and the Work Productivity and Activity Impairment Questionnaire (WPAI), respectively. Generalized estimating equation models were employed to estimate odds ratios for poor work ability and mean differences in health-related productivity loss, adjusting for demographic and occupational factors.</div></div><div><h3>Results</h3><div>Evening chronotypes exhibited significantly higher odds of poor work ability (adjusted odds ratio: 2.291, 95% CI: 1.717-3.058) and greater health-related productivity loss (mean difference: 5.362%, 95% CI: 3.902-6.822) compared to morning types. Intermediate types demonstrated moderately elevated risks. Subgroup analyses revealed that evening-type men, younger workers, and white-collar employees experienced the greatest disparities. Conversely, the impact of chronotype on shift workers was less pronounced.</div></div><div><h3>Conclusions</h3><div>Chronotype significantly influences work ability and health-related productivity loss, with evening types experiencing the poorest outcomes due to circadian misalignment. These findings suggest the importance of considering chronotype in workplace health interventions. Strategies such as flexible schedules and sleep health programs may mitigate productivity losses and enhance employees' well-being.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 731-736"},"PeriodicalIF":3.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices SUNRISE研究父母问卷用于评估睡眠和睡眠相关家庭实践的测量特性。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-02 DOI: 10.1016/j.sleh.2025.04.006
Zhiguang Zhang PhD , Chalchisa Abdeta MPH , Mohamed Souhaiel Chelly PhD , Jesús del Pozo Cruz PhD , Leyna Germana PhD , Fazlollah Ghofranipour PhD , Amy Sau-Ching Ha PhD , Asmaa El Hamdouchi PhD , Hong Kim Tang PhD , Mohammed Sorowar Hossain PhD , Bayasgalan Jambaldorj PhD , Denise C.L. Koh PhD , Anna Kontsevaya PhD , Marie Löf PhD , Himangi Lubree MSc , Alejandra Jáuregui DSc , Tawonga Mwase-Vuma MPH , Amonje Moses Oluchiri BSc , Aoko Oluwayomi MSc , John J. Reilly PhD , Anthony Okely EdD
{"title":"Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices","authors":"Zhiguang Zhang PhD ,&nbsp;Chalchisa Abdeta MPH ,&nbsp;Mohamed Souhaiel Chelly PhD ,&nbsp;Jesús del Pozo Cruz PhD ,&nbsp;Leyna Germana PhD ,&nbsp;Fazlollah Ghofranipour PhD ,&nbsp;Amy Sau-Ching Ha PhD ,&nbsp;Asmaa El Hamdouchi PhD ,&nbsp;Hong Kim Tang PhD ,&nbsp;Mohammed Sorowar Hossain PhD ,&nbsp;Bayasgalan Jambaldorj PhD ,&nbsp;Denise C.L. Koh PhD ,&nbsp;Anna Kontsevaya PhD ,&nbsp;Marie Löf PhD ,&nbsp;Himangi Lubree MSc ,&nbsp;Alejandra Jáuregui DSc ,&nbsp;Tawonga Mwase-Vuma MPH ,&nbsp;Amonje Moses Oluchiri BSc ,&nbsp;Aoko Oluwayomi MSc ,&nbsp;John J. Reilly PhD ,&nbsp;Anthony Okely EdD","doi":"10.1016/j.sleh.2025.04.006","DOIUrl":"10.1016/j.sleh.2025.04.006","url":null,"abstract":"<div><h3>Background</h3><div>Few questionnaires with established measurement properties can globally measure sleep in preschoolers and sleep-related family practices.</div></div><div><h3>Objective</h3><div>To examine (1) concurrent validity of the SUNRISE parent questionnaire against an accelerometer for measuring sleep in preschoolers and (2) test-retest reliability of the questionnaire for sleep and related family practices.</div></div><div><h3>Methods</h3><div>Sleep was measured using the questionnaire and Actigraph GTX3+ accelerometer using a decision-tree algorithm and the Sadeh algorithm in 1737 preschoolers (4.4<!--> <!-->±<!--> <!-->0.6<!--> <!-->years) from 30 countries. Concurrent validity was examined using correlation analysis (duration, timing, and quality), paired <em>t</em> test or the Wilcoxon signed-rank test, Bland-Altman plot (duration, timing), and analysis of sensitivity, specificity, and accuracy (variability). Test-retest variability was examined for sleep and family practice variables in a subsample of 163 participants (4.3<!--> <!-->±<!--> <!-->0.6<!--> <!-->years) from eight countries.</div></div><div><h3>Results</h3><div>Questionnaire measures of sleep timing and duration were correlated with the accelerometer measures (r<!--> <!-->=<!--> <!-->0.43-0.75; <em>p</em> <!-->&lt;<!--> <!-->.001). Although statistically significant mean differences were observed between questionnaire and accelerometer measures of sleep timing and duration variables, the difference in nighttime sleep duration had a small effect size (−14 min/d; Cohen’s d<!--> <!-->=<!--> <!-->−0.2). The questionnaire was less able to provide adequate measurement for sleep quality and variability. High levels of reliability were observed for sleep (ICC<!--> <!-->=<!--> <!-->0.63-0.83; Kappa<!--> <!-->=<!--> <!-->0.53-0.62) and family practice (ICC<!--> <!-->=<!--> <!-->0.81-0.94; Kappa<!--> <!-->=<!--> <!-->0.73-0.86) variables.</div></div><div><h3>Conclusion</h3><div>The SUNRISE questionnaire appears reliable in assessing preschooler sleep characteristics and related family practices, particularly in disadvantaged settings. It could be used in global surveillance of nighttime sleep duration and in studies examining associations of sleep timing and duration with health indicators in preschoolers.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 5","pages":"Pages 613-623"},"PeriodicalIF":3.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Celebrating 10 years of Sleep Health helping to advance National Sleep Foundation’s mission 庆祝10年的睡眠健康帮助推进国家睡眠基金会的使命。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-01 DOI: 10.1016/j.sleh.2025.02.006
Joseph M. Dzierzewski PhD, John G. Lopos
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引用次数: 0
An investigation of racial and socioeconomic factors related to sleep in a Brazilian population sample 对巴西人口样本中与睡眠相关的种族和社会经济因素的调查。
IF 3.4 2区 医学
Sleep Health Pub Date : 2025-06-01 DOI: 10.1016/j.sleh.2025.01.008
Guilherme Luiz Fernandes PhD , Vinícius Dokkedal-Silva PhD , Sergio Tufik MD PhD , Monica L. Andersen PhD
{"title":"An investigation of racial and socioeconomic factors related to sleep in a Brazilian population sample","authors":"Guilherme Luiz Fernandes PhD ,&nbsp;Vinícius Dokkedal-Silva PhD ,&nbsp;Sergio Tufik MD PhD ,&nbsp;Monica L. Andersen PhD","doi":"10.1016/j.sleh.2025.01.008","DOIUrl":"10.1016/j.sleh.2025.01.008","url":null,"abstract":"<div><h3>Objectives</h3><div>The relationship of sleep, race, and socioeconomic status has become the focus of discussion in several studies. Investigation of these connections in sleep studies has identified substantial associations between these factors. However, most research output on this subject comes from higher-income countries with specific social issues, which warrants evaluations in countries with other socioeconomic backgrounds. This study aimed at performing an assessment of sleep, race, and socioeconomic status in the Brazilian population.</div></div><div><h3>Methods</h3><div>This manuscript examined data from a large-scale Brazilian epidemiological study, comprising 1042 participants. Self-declared race/skin color could be reported from five options (Black, White, Indigenous, Asian, <em>Pardo</em>) or as an open-ended question. Socioeconomic status was assessed using the Brazil Economic Classification Criteria, a questionnaire that evaluates possession of domestic appliances, educational level, and house structure.</div></div><div><h3>Results</h3><div>Self-declared Black Brazilians with lower socioeconomic status presented significantly lower objective total sleep time; conversely, they also presented lower wake after sleep onset time and higher sleep efficiency. Mid-to-high socioeconomic status <em>Pardo</em> Brazilians had less total sleep time and higher sleep latency.</div></div><div><h3>Conclusions</h3><div>The sleep disparities in our findings, compared with those from studies from other countries, suggest that sociodemographic and racial/ethnic factors may vary in nature from one population to another. Therefore, the social and racial construction of each specific nation or culture must be considered in epidemiological sleep assessments and comparisons with other studies.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 3","pages":"Pages 256-264"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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