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Later high school start times associated with longer actigraphic sleep duration in adolescents.
Nahmod, Nicole G; Lee, Soomi; Master, Lindsay; Chang, Anne-Marie; Hale, Lauren; Buxton, Orfeu M.
Afiliação
  • Nahmod NG; Department of Biobehavioral Health, Pennsylvania State University, University Park, PA.
  • Lee S; School of Aging Studies, University of South Florida, Tampa, FL.
  • Master L; Department of Biobehavioral Health, Pennsylvania State University, University Park, PA.
  • Chang AM; Department of Biobehavioral Health, Pennsylvania State University, University Park, PA.
  • Hale L; Program in Public Health; Department of Family, Population and Preventive Medicine, Stony Brook University, Stony Brook, NY.
  • Buxton OM; Department of Biobehavioral Health, Pennsylvania State University, University Park, PA.
Sleep ; 42(2)2019 02 01.
Article em En | MEDLINE | ID: mdl-30395345
Study Objectives: High school start times (SSTs) directly impact adolescents' sleep timing and duration. This study investigated the associations between SSTs and actigraphically-measured 24-hour sleep duration, sleep onset, sleep offset and sleep quality. Methods: This study included 383 adolescents (Mage = 15.5, SDage = 0.6 years) participating in the age 15 wave of the Fragile Families & Child Wellbeing Study, a national birth cohort study sampling from 20 large US cities. Multilevel models used daily observations (N = 1116 school days, Mdays = 2.9, SDdays = 1.4 per adolescent) of sleep and SSTs from concordant daily diary and actigraphy. Results: A diverse range of SSTs were included in our analyses (MSST = 08:08, SDSST = 39 minutes, RangeSST = 06:00-11:05), and are presented in the following categories for ease of interpretation: before 07:30, 07:30-07:59, 08:00-08:29, and 08:30 or later. Adolescents starting school at 08:30 or later exhibited significantly longer actigraphically-assessed 24-hour sleep duration (by 21-34 minutes, p < .05) and later sleep offset (by 32-64 minutes, p < .001) when compared with the adolescents grouped by earlier SSTs. SSTs were also analyzed continuously for comparison with existing literature, and results indicated that every 1-hour delay in SST was significantly associated with 21 minutes longer 24-hour sleep duration (p < .001), 16 minutes later sleep onset (p < .01), and 39 minutes later sleep offset (p < .001). All models controlled for covariates including socioeconomic status. Conclusion: These findings support pediatric and public health expert recommendations for SSTs after 08:30. In our diverse national urban sample, adolescents with SSTs at 08:30 or later, compared with adolescents with earlier SSTs, had significantly longer actigraphy-measured sleep.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Instituições Acadêmicas / Sono Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Female / Humans / Male Idioma: En Revista: Sleep Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Instituições Acadêmicas / Sono Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Female / Humans / Male Idioma: En Revista: Sleep Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos