目的:青少年第二天睡眠质量评价的睡眠质量指标

C Tang, K Meredith-Jones, L Signal, B Galland
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引用次数: 0

摘要

摘要:良好的睡眠质量对良好的睡眠健康至关重要,但如何定义睡眠质量仍然不确定;大多数人仅仅根据主观或客观的衡量标准来定义它,最近,两者结合在一起。在健康成年人中,psg衍生的睡眠效率和WASO与主观睡眠质量有关,但这是否适用于青少年(一个以睡眠不足而臭名昭著的年龄组),目前尚不清楚。目的探讨哪些客观的睡眠指标与第二天的睡眠质量评分(主要结果)、睡眠充足性、早晨和白天嗜睡、情绪和注意力相关。方法71名16-17岁无焦虑/抑郁症状的青少年(50%为女性)完成了为期一周的活动描记和上述主观因素的每日评分(分析469天)。统计分析采用广义估计方程模型。结果:在未调整的模型中,睡眠质量与睡眠时间、睡眠量、睡眠效率和可变性等变量在受试者内部和受试者之间表现出显著的关系。然而,调整后,总睡眠时间(TST)是唯一仍然显著的指标;每晚睡眠时间每减少1小时,青少年认为自己睡眠质量差的可能性要高出1.56倍(95%可信区间:1.29,1.88)。TST还与日常情绪评级、早晨睡意有关。没有发现其他重要的关系。影响青少年睡眠质量的关键睡眠指标实际上与睡眠量有关。令人惊讶的是,睡眠质量指南中使用的睡眠质量指标都与这个年龄段的睡眠质量主观评分无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
O063 Objective Sleep Quality Metrics underlying next-day Sleep Quality Ratings in Adolescents
Abstract Introduction Good sleep quality is critical for good sleep health, but how sleep quality is defined remains uncertain; most defining it based solely on subjective or objective measures, and more recently, a combination of the two. PSG-derived sleep efficiency and WASO are linked to subjective sleep quality in healthy adults, but whether this is the same in adolescents (an age group notorious for not getting enough sleep), remains unknown. Aims To investigate which objective measures of sleep correlate with next-day ratings of sleep quality (primary outcome), sleep sufficiency, morning and daytime sleepiness, mood and concentration. Methods Seventy-one 16-17 y-olds (50% female) without anxiety/depression symptoms, completed a week of actigraphy and daily ratings of the subjective elements described above (469 days analysed). Statistical analyses used generalised estimating equation models. Results In unadjusted models, sleep quality showed significant within- and between-subject relationships with variables of sleep timing, amount, efficiency and variability. However after adjustment, total sleep time (TST) was the only metric that remained significant; for every 1 h less TST/night, teens were 1.56 (95%CI: 1.29, 1.88) times more likely to rate their sleep quality as poor rather than good. TST also correlated with daily mood ratings, and awakenings with morning sleepiness. No other significant relationships were found. Discussion The key sleep metric contributing to perceptions of sleep quality in adolescents was in fact one related to sleep quantity. Surprisingly, none of the sleep quality metrics used in sleep quality guidelines, linked to subjective ratings of sleep quality in this age group.
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