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The Impact of the Double School Shift System on Lifestyle Behaviors Among Mexican Adolescents.
Peng, Yujie; Arboleda-Merino, Laura; Arrona-Palacios, Arturo; Cantoral, Alejandra; Tellez Rojo, Martha Maria; Peterson, Karen E; Torres-Olascoaga, Libni; Jansen, Erica C.
Afiliação
  • Peng Y; Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan.
  • Arboleda-Merino L; Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan.
  • Arrona-Palacios A; Writing Lab, Institute for the Future of Education, Tecnologico de Monterrey, Monterrey, Nuevo León, Mexico; Division of Sleep and Circadian Disorders, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts; Division of Sleep Medicine, Harvard Medical School, Boston, Massachuset
  • Cantoral A; Health Department, Ibero-American University, Mexico City, Mexico.
  • Tellez Rojo MM; Center for Research on Nutrition and Health, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
  • Peterson KE; Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan; Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan.
  • Torres-Olascoaga L; Center for Research on Nutrition and Health, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
  • Jansen EC; Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan; Department of Neurology, Division of Sleep Medicine, Michigan Medicine, Ann Arbor, Michigan. Electronic address: janerica@umich.edu.
J Adolesc Health ; 74(6): 1164-1174, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38483375
ABSTRACT

PURPOSE:

Early school start times could adversely impact adolescent sleep duration. They could also impact other behaviors like diet and physical activity, either directly or indirectly through effects on sleep. We examined whether the double school shift system was associated with sleep, diet, and physical activity behaviors among Mexican adolescents.

METHODS:

The analytic sample included 305 Mexican adolescents from a cohort study (on average 14.53 ± 1.75 years old and 51% male). Sleep and physical activity were measured with wrist actigraphy, while diet and other lifestyle behaviors were assessed with questionnaires. Regression analyses were conducted to compare lifestyle behaviors between the morning and afternoon school shifts, adjusting for potential confounders.

RESULTS:

Adolescents attending the morning school shift (44%) had pronounced differences in sleep compared to those attending afternoon shift, including a 1.77-hour shorter sleep duration on weekdays (95% CI -1.55, -2.00), a 0.40-hour longer sleep duration on weekends (95% CI 0.10, 0.70), higher social jetlag (1.07 hours with a 95% CI of 0.87, 1.27), and an earlier chronotype. Morning shift students also had 0.85 hours longer sedentary time (95% CI 0.61, 1.10) and higher consumption of a meat and starchy food dietary pattern. Among boys only, morning shift was associated with a lower likelihood of smoking and higher consumption of a breakfast pattern.

DISCUSSION:

Overall, attending a morning school shift was associated with shorter sleep, more social jetlag, greater sedentary time, and higher consumption of a meat and starchy diet. However, among boys, a few healthier behaviors were observed for the morning versus afternoon shift.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Instituições Acadêmicas / Sono / Exercício Físico / Dieta / Estilo de Vida Limite: Adolescent / Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: J Adolesc Health Assunto da revista: PEDIATRIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Instituições Acadêmicas / Sono / Exercício Físico / Dieta / Estilo de Vida Limite: Adolescent / Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: J Adolesc Health Assunto da revista: PEDIATRIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos