Volume : 08, Issue : 05, May – 2021
1.BEDTIME USE OF ELECTRONIC DEVICES AND SLEEP QUALITY AMONG SECONDARY SCHOOL STUDENTS IN 2019, IN TAIF – SAUDI ARABIA
Hanan Khalid Mohammad Attar, Talal Mohsen Almalki, Abdullah Khalid M Attar
Background: Globally, there is a high prevalence of electronic and smart device overuse among high school children with an established negative effect on sleep quality and scholastic academic achievement. Little is known about the prevalence of electronic device overuse and sleep quality among schoolchildren in Saudi Arabia. This study aimed to estimate the prevalence of poor sleep quality among high schoolchildren and its determinants, particularly electronic device use and academic performance.
Methods: This was a descriptive questionnaire-based cross-sectional survey of a multistage stratified random sample of High school pupils in Taif and Makkah Governates in Saudi Arabia. We utilized generalized linear modeling to evaluate the impact of background sociodemographic factors on sleep quality.
Results: The study included 306 secondary school students, nearly half of them (50.7%) were females and most participants’ sleep quality (70.3%) was poor. Prevalence of use of electronic devices prior to sleep was 96.1%, particularly smart mobile (93.2%) and video games (25.5%). The use of the electronic device was associated with a significant reduction in sleep quality (P= 0.002). The presence of any electronic device in the bedroom of students was associated with poorer sleep quality (P= 0.000), particularly smart mobiles (P= 0.016) and video games (P= 0.045).
Recommendations: Given the cohesive family values in Saudi culture, strict parental rules regarding electronic device presence and use could help improve their sleep quality.
Keywords: Sleep Quality, Academic performance, Schoolchildren, Arabic PSQI, Saudi Arabia
Cite This Article:
Please cite this article in press Hanan Khalid Mohammad Attar et al., Bedtime Use Of Electronic Devices And Sleep Quality Among Secondary School Students In 2019, In Taif – Saudi Arabia.., Indo Am. J. P. Sci, 2021; 08(05).
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1. Shochat T, Cohen-Zion M, Tzischinsky O. Functional consequences of inadequate sleep in adolescents: A systematic review. Sleep Medicine Reviews. 2014;18(1):75–87.
2. Beebe DW. Cognitive, Behavioral, and Functional Consequences of Inadequate Sleep in Children and Adolescents. Pediatric Clinics of North America. 2011;58(3):649–65.
3. National Sleep Foundation (2015). National Sleep Foundation recommends New sleep times. Retrieved fromhttps://sleepfoundation.org/media-center/press-release/national-sleep-foundation-recommends-new-sleep-times.
4. Mak Y, Wu C, Hui D, Lam S, Tse H, Yu W, et al. Association between Screen Viewing Duration and Sleep Duration, Sleep Quality, and Excessive Daytime Sleepiness among Adolescents in Hong Kong. International Journal of Environmental Research and Public Health. 2014;11(11):11201–19.
5. [Matricciani L, Olds T, Petkov J. In search of lost sleep: Secular trends in the sleep time of school-aged children and adolescents. Sleep Medicine Reviews. 2012;16(3):203–11.
6. Mantz J, Muzet A, Winter A. The characteristics of the sleep wake rhythm in adolescents aged 15–20 years: a survey made at school during ten consecutive days [in French]. Arch Pediatr. 2000;7(3):256–262.
7. Samakow, J, & Leibovich, L .Here’s what a constantly plugged-in life is doing to kid’s bodies. Huffington Post (Retrieved from http://www.huffingtonpost.com/2013/10/17/teens-on-screens_n_4101758.html).
8. Carskadon MA. Sleep in Adolescents: The Perfect Storm. Pediatric Clinics of North America. 2011;58(3):637–47
9. How Much Sleep Do We Really Need? .National Sleep Foundation. [cited 2019Feb6]. Available from: https://www.sleepfoundation.org/how-sleep-works/how-much-sleep-do-we-really-need
10. Beebe DW. Cognitive, Behavioral, and Functional Consequences of Inadequate Sleep in Children and Adolescents. Pediatric Clinics of North America. 2011;58(3):649–65.
11. Cain N, Gradisar M. Electronic media use and sleep in school-aged children and adolescents: A review. Sleep Medicine. 2010;11(8):735–42.
12. Rosen L, Lim A, Felt J, Carrier L, Cheever N, Lara-Ruiz J, et al. Media and technology use predicts ill-being among children, preteens and teenagers independent of the negative health impacts of exercise and eating habits. Computers in Human Behavior. 2014;35:364–75.
13. National Sleep Foundation (2015). National Sleep Foundation recommends New sleep times. [cited 2019Feb6]. Available from: https://www.sleepfoundation.org/press-release/national-sleep-foundation-recommends-new-sleep-times.
14. Carskadon MA. Sleep in Adolescents: The Perfect Storm. Pediatric Clinics of North America. 2011;58(3):637–47
15. American Academy of Pediatrics. (2014). Insufficient sleep in adolescents and young adults: An update on causes and consequences. Adolescents sleep working group, committee on adolescents, and council on school health. Pediatrics 2014;134(3).
16. Brunborg GS, Mentzoni RA, Molde H, et al. The relationship between media use in the bedroom, sleep habits and symptoms of insomnia. J Sleep Res 2011;20:569–75.
17. Gradisar, M., Wolfson, A.R., Harvey, A.G., Hale, L., Rosenberg, R., & Czeisler, C.A. (2013). The sleep and technology use of Americans: findings from the National Sleep Foundation’s 2011 Sleep in America Poll. J Clin Sleep Med 2013;9(12):1291-1299.
18. Fuller C, Lehman E, Hicks S, Novick MB. Bedtime Use of Technology and Associated Sleep Problems in Children. Global Pediatric Health. 2017;4.
19. Hysing M, Pallesen S, Stormark KM, Jakobsen R, Lundervold AJ, Sivertsen B. Sleep and use of electronic devices in adolescence: results from a large population-based study. BMJ Open. 2015;5(1).
20. Bruni O, Sette S, Fontanesi L, Baiocco R, Laghi F, Baumgartner E. Technology Use and Sleep Quality in Preadolescence and Adolescence. Journal of Clinical Sleep Medicine. 2015;11(12):1433–41.
21. Cain N, Gradisar M.Electronic media use and sleep in school-aged children and adolescents: a review. Sleep Med 2010;11:735–42.
22. Calamaro CJ, Mason TBA, Ratcliff SJ. Adolescents living the 24/7 lifestyle: effects of caffeine and technology on sleep duration and daytime functioning.Pediatrics 2009;123:e1005–10.
23. Alsulami R, Alwadie S, Alsulami R, The Quality of Sleep among Adolescents in the City of Jeddah during Summer Vacation 2017;(4), 1723-1729.
24. Cain N, Gradisar M. Electronic media use and sleep in school-aged children and adolescents: A review. Sleep Medicine. 2010;11(8):735–42.
25. Munezawa T, Kaneita Y, Osaki Y, Kanda H, Minowa M, Suzuki K, et al. The Association between Use of Mobile Phones after Lights Out and Sleep Disturbances among Japanese Adolescents: A Nationwide Cross-Sectional Survey. Sleep. 2011;34(8):1013–20.
26. Cajochen, C., Frey, S., Anders, D., Bues, M., Pross, A., et al. (2011). Evening exposure to a light-emitting diodes (LED)- backlit computer screen affects circadian physiology and cognitive performance. Journal of Applied Physiology, 110, 1432–1438.
27. Merdad RA, Merdad LA, Nassif RA, El-Derwi D, Wali SO. Sleep habits in adolescents of Saudi Arabia; distinct patterns and extreme sleep schedules. Sleep Med. 2014 Nov;15(11):1370-8. doi: 10.1016/j.sleep.2014.06.008. Epub 2014 Aug 8. PMID: 25260431.
28. Liu B, Gao F, Zhang J, Zhou H, Sun N, Li L, Liang L, Ning N, Wu Q, Zhao M. Sleep Quality of Students from Elementary School to University: A Cross-Sectional Study. Nat Sci Sleep. 2020 Oct 29;12:855-864. doi: 10.2147/NSS.S266493. PMID: 33154689; PMCID: PMC7605933.
29. Kesintha A, Rampal L, Sherina MS, Kalaiselvam T. Prevalence and predictors of poor sleep quality among secondary school students in Gombak District, Selangor. Med J Malaysia. 2018 Feb;73(1):31-40. PMID: 29531200.
30. Chahine R, Farah R, Chahoud M, Harb A, Tarabay R, Sauleau E, Godbout R. Assessing sleep quality of Lebanese high school students in relation to lifestyle: pilot study in Beirut. East Mediterr Health J. 2018 Oct 10;24(8):722-728. doi: 10.26719/2018.24.8.722. PMID: 30328602.
31. Zou Y, Xia N, Zou Y, Chen Z, Wen Y. Smartphone addiction may be associated with adolescent hypertension: a cross-sectional study among junior school students in China. BMC Pediatr. 2019 Sep 4;19(1):310. doi: 10.1186/s12887-019-1699-9. PMID: 31484568; PMCID: PMC6724312.
32. Kim SY, Kim MS, Park B, Kim JH, Choi HG. Lack of sleep is associated with internet use for leisure. PLoS One. 2018 Jan 23;13(1):e0191713. doi: 10.1371/journal.pone.0191713. PMID: 29360882; PMCID: PMC5779686.
33. Xie X, Dong Y, Wang J. Sleep quality as a mediator of problematic smartphone use and clinical health symptoms. J Behav Addict. 2018 Jun 1;7(2):466-472. doi: 10.1556/2006.7.2018.40. Epub 2018 May 23. PMID: 29788754; PMCID: PMC6174583.
34. Cao R, Gao T, Ren H, Hu Y, Qin Z, Liang L, Mei S. The relationship between bullying victimization and depression in adolescents: multiple mediating effects of internet addiction and sleep quality. Psychol Health Med. 2020 Jun 1:1-11. doi: 10.1080/13548506.2020.1770814. Epub ahead of print. PMID: 32479131.
35. Inoue K, Hashioka S, Takeshita H, Kamura M, Fujita Y. High Serum Cortisol Levels as a Potential Indicator for Changes in Well-Regulated Daily Life among Junior High School Students. Tohoku J Exp Med. 2019 Nov;249(3):143-146. doi: 10.1620/tjem.249.143. PMID: 31685782.
36. Chongchitpaisan W, Wiwatanadate P, Tanprawate S, Narkpongphan A, Siripon N. Trigger of a migraine headache among Thai adolescents smartphone users: a time series study. Environ Anal Health Toxicol. 2021 Mar;36(1):e2021006-0. doi: 10.5620/eaht.2021006. Epub 2021 Mar 18. PMID: 33730793.
37. Li X, Fu S, Fu Q, Zhong B. Youths’ Habitual Use of Smartphones Alters Sleep Quality and Memory: Insights from a National Sample of Chinese Students. Int J Environ Res Public Health. 2021 Feb 25;18(5):2254. doi: 10.3390/ijerph18052254. PMID: 33668732; PMCID: PMC7956394.
38. van den Eijnden RJJM, Geurts SM, Ter Bogt TFM, van der Rijst VG, Koning IM. Social Media Use and Adolescents’ Sleep: A Longitudinal Study on the Protective Role of Parental Rules Regarding Internet Use before Sleep. Int J Environ Res Public Health. 2021 Feb 2;18(3):1346. doi: 10.3390/ijerph18031346. PMID: 33540882; PMCID: PMC7907989.
39. Jun N, Lee A, Baik I. Associations of Caffeinated Beverage Consumption and Screen Time with Excessive Daytime Sleepiness in Korean High School Students. Clin Nutr Res. 2017 Jan;6(1):55-60. doi: 10.7762/cnr.2017.6.1.55. Epub 2017 Jan 25. PMID: 28168182; PMCID: PMC5288553.
40. Hoefelmann LP, Lopes Ada S, da Silva KS, Moritz P, Nahas MV. Sociodemographic factors associated with sleep quality and sleep duration in adolescents from Santa Catarina, Brazil: what changed between 2001 and 2011? Sleep Med. 2013 Oct;14(10):1017-23. doi: 10.1016/j.sleep.2013.05.015. Epub 2013 Jul 25. PMID: 23890599.
41. Bugueño M, Curihual C, Olivares P, Wallace J, López-AlegrÍa F, Rivera-López G, Oyanedel JC. Calidad de sueño y rendimiento académico en alumnos de educación secundaria [Quality of sleep and academic performance in high school students]. Rev Med Chil. 2017 Sep;145(9):1106-1114. Spanish. doi: 10.4067/s0034-98872017000901106. PMID: 29424396.
42. Rajaei S, Kalantari M, Pashazadeh Azari Z, Tabatabaee SM, Dunn W. Sensory Processing Patterns and Sleep Quality in Primary School Children. Iran J Child Neurol. 2020 Summer;14(3):57-68. PMID: 32952582; PMCID: PMC7468082.
43. Chen TY, Chou YC, Tzeng NS, Chang HA, Kuo SC, Pan PY, Yeh YW, Yeh CB, Mao WC. Effects of a selective educational system on fatigue, sleep problems, daytime sleepiness, and depression among senior high school adolescents in Taiwan. Neuropsychiatr Dis Treat. 2015 Mar 19;11:741-50. doi: 10.2147/NDT.S77179. PMID: 25834449; PMCID: PMC4372029.