17º CONGRESSO BRASILEIRO DE NEUROLOGIA INFANTIL

Dados do Trabalho


Título

CHANGES IN THE SLEEP LATENCY TIME OF ADOLESCENTS SEEN AT THE HEBIATRIA SERVICE OF A TERTIARY HOSPITAL IN PARANA STATE AFTER CONFINEMENT OF THE COVID-19 PANDEMIC

Introdução

Introduction: Sleep characteristics vary throughout life, with a well-documented night preference among adolescents from 12 years of age onwards, with a predilection for later times to sleep and waking up. The COVID-19 outbreak caused an impact on the adolescent sleep patterns, including sleep duration, latency, time, quality and onset of insomnia symptoms.

Objetivo

Objectives: This study aimed to evaluate the sleep latency time of adolescents treated at the Hebiatrics service of a tertiary hospital after the period of lockdown due to the COVID-19 pandemic, checking this sleep behaviour in adolescents with return of presential learning.

Métodos

Methods: A cross-sectional observational study was carried out in 55 patients treated at the Hebiatry Service of the Hospital de Clínicas do Paraná, aged between 12 and 18 years, with the application of the Pittsburgh Sleep Quality Index questionnaire (1989).

Resultados

Results: The sleep latency time of adolescents after a period of social isolation with home-schooling ranged from 0 to 120 minutes and was greater than 15 minutes in 27 patients (49%), with an average of 26.5 minutes and a median of 15 minutes, which refers to an increase in latency time compared to studies that occurred in periods prior to the pandemic.

Conclusões

Conclusion: There was a change in the sleep pattern of adolescents after the period of social isolation, which may represent a worsening in sleep quality. It is important to be aware of changes in the sleep behaviors of adolescents, since changes in sleep patterns in this age group can have consequences for a decline in cognitive and physical performance, in addition to an increase in the morbidity and mortality rate, so it is important to intervene in this stage of life so that there are no future consequences.

Palavras chave

Sleep; Pandemic; Adolescent; sleep disorders; COVID-19; Coronavirus Infections; sleep latency time.

Referências (se houver)

REFERÊNCIAS

1. de Matos MG, Marques A, Peralta M, Gaspar T, Simões C, Pinto HR, Pinto TR, Godeau E, Paiva T. Sleep in adolescence: sex matters? Sleep Sci. 2019 Jul-Sep;12(3):138-146. doi: 10.5935/1984-0063.20190075. PMID: 31890088; PMCID: PMC6932838.

2. Tetik, Nihal Gamze, and Gülcan Kar Şen. "Impact of Adolescents’ Sleeping Problems and Habits on the Quality of Their Sleep." Journal of Turkish Sleep Medicine 8.2 (2021): 118.

3. Hayes, Ben, and Josie Bainton. “The Impact of Reduced Sleep on School Related Outcomes for Typically Developing Children Aged 11–19: A Systematic Review.” School Psychology International 41, no. 6 (December 2020): 569–94.

4. Galva´ n, The Need for Sleep in the Adolescent Brain, Trends in Cognitive Sciences (2019), https://doi.org/10.1016/j.tics.2019.11.002

5. Memar P, Faradji F. A Novel Multi-Class EEG-Based Sleep Stage Classification System. IEEE Trans Neural Syst Rehabil Eng. 2018 Jan;26(1):84-95.

6. DEL CIAMPO, Luiz A; LOURO, Adriana L; DEL CIAMPO, Ieda R L y FERRAZ, Ivan S.Characteristics of sleep habits among adolescents living in the city of Ribeirão Preto (SP). J. Hum. Growth Dev. [online]. 2017, vol.27, n.3, pp. 307-314. ISSN 0104-1282.

7. Deboer T. Sleep homeostasis and the circadian clock: Do the circadian pacemaker and the sleep homeostat influence each other's functioning?. Neurobiol Sleep Circadian Rhythms. 2018;5:68-77. Published 2018 Mar 1. doi:10.1016/j.nbscr.2018.02.003.

8. Facer-Childs ER, Middleton B, Skene DJ, Bagshaw AP, Resetting the late timing of ‘night owls’ has a positive impact on mental health and performance, Sleep Medicine, https://doi.org/10.1016/j.sleep.2019.05.001.

9. Dolsen MR, Deardorff J, Harvey AG. Salivary Pubertal Hormones, Sleep Disturbance, and an Evening Circadian Preference in Adolescents: Risk Across Health Domains. J Adolesc Health. 2019 Apr;64(4):523-529. doi: 10.1016/j.jadohealth.2018.10.003. Epub 2018 Dec 1. PMID: 30514653.

10. Crowley, Stephanie J et al. “An update on adolescent sleep: New evidence informing the perfect storm model.” Journal of adolescence vol. 67 (2018): 55-65. doi:10.1016/j.adolescence.2018.06.001

11. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, Hazen N, Herman J, Katz ES, Kheirandish-Gozal L, Neubauer DN, O'Donnell AE, Ohayon M, Peever J, Rawding R, Sachdeva RC, Setters B, Vitiello MV, Ware JC, Adams Hillard PJ. National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health. 2015 Mar;1(1):40-43. doi: 10.1016/j.sleh.2014.12.010. Epub 2015 Jan 8. PMID: 29073412.

12. Santos JS, Louzada FM. Changes in adolescents' sleep during COVID-19 outbreak reveal the inadequacy of early morning school schedules. Sleep Sci. 2022 Jan-Mar;15(Spec 1):74-79. doi: 10.5935/1984-0063.20200127. PMID: 35273750; PMCID: PMC8889976.

13. Helito AC, Lindoso L, Sieczkowska SM, Astley C, Queiroz LB, Rose N, Santos CRP, Bolzan T, Peralta RMIA, Franco RR, Cominato L, Pereira RMR, Tannuri U, Campos LMA, Lourenço B, Toma RK, Medeiros K, Watanabe A, Grangeiro PM, Farhat SC, Casella CB, Polanczyk GV, Gualano B, Silva CA; HC-FMUSP Adolescent COVID-19 Study Group, Sallum AME, Iraha AY, Ihara BP, Mazzolani BC, Martinez CA, Strabelli CAA, Fonseca CB, Lima DCC, Setoue DND, Roz DFP, Smaira FI, Roschel H, Miyatani HT, Marques IG, Oba J, Ferreira JCO, Simon JR, Kozu K, Saccani LP, Martiniano LVM, Miranda LCA, Silva LEV, Laurentino MF, Aikawa NE, Sakita NK, Tanigava NY, Pereira PRA, Palmeira P, Angelo SS, Lavorato SSM, Bernardes TM, Franco TC, Viana VSL, Barros VPMFR, Zheng Y. Poor Sleep quality and health-related quality of life impact in adolescents with and without chronic immunosuppressive conditions during COVID-19 quarantine. Clinics (Sao Paulo). 2021 Nov 19;76:e3501. doi: 10.6061/clinics/2021/e3501. PMID: 34817047; PMCID: PMC8579852.

14. Ferreira VR, Carvalho LB, Ruotolo F, de Morais JF, Prado LB, Prado GF. Sleep disturbance scale for children: translation, cultural adaptation, and validation. Sleep Med. 2009 Apr;10(4):457-63. doi: 10.1016/j.sleep.2008.03.018. Epub 2008 Aug 15. PMID: 18706856.

15. Bertolazi, Alessandra Naimaier et al. Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil. Jornal Brasileiro de Pneumologia [online]. 2009, v. 35, n. 9 [Accessed 26 June 2022] , pp. 877-883. Available from: <https://doi.org/10.1590/S1806-37132009000900009>. Epub 06 Oct 2009. ISSN 1806-3756. https://doi.org/10.1590/S1806-37132009000900009.

16. Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME, Barreto SS. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011 Jan;12(1):70-5. doi: 10.1016/j.sleep.2010.04.020. Epub 2010 Dec 9. PMID: 21145786.

17. Bruni O, Ottaviano S, Guidetti V, et al. The sleep disturbance scale for children (SDSC). Construction and validation of na instrument to evaluate sleep disturbance in childhood and adolescence. J Sleep Res 1996;5:251e61.

18. Ferrari, Geraldo Jose et al. SUBJECTIVE SLEEP NEED AND DAYTIME SLEEPINESS IN ADOLESCENTS. Revista Paulista de Pediatria [online]. 2019, v. 37, n. 2 [Acessado 10 Julho 2022] , pp. 209-216. Disponível em: <https://doi.org/10.1590/1984-0462/;2019;37;2;00014>. Epub 25 Fev 2019. ISSN 1984-0462. https://doi.org/10.1590/1984-0462/;2019;37;2;00014.

19. SILVER MH, et al. The visual scoring of sleep in adults. J Clin Sleep Med. 2007 Mar 15;3(2);121:13.

20. Ferreira VR, Carvalho LBC, Ruotolo F, de Morais JF, Prado LBF, Prado GF. Sleep disturbance scale for children: translation, cultural adaptation, and validation. Sleep medicine. 2009, Apr. 10(4):457–463.

21. Bertolazi AN, Fagondes SC, Hoff LS, Pedro D, Barreto SSM, Johns MW. Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil. J Bras Pneumol. 2009;35(9):877-883

22. Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, da Silva Miozzo IC, de Barba ME, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12:70-5.

23. Galland, B.C. et al. (2018) Establishing normal values for pediatric nighttime sleep measured by actigraphy: a systematic review and meta-analysis. Sleep 41, zsy017

24. CARSKADON, M.A., ACEBO, C. and JENNI, O.G. (2004), Regulation of Adolescent Sleep: Implications for Behavior. Annals of the New York Academy of Sciences, 1021: 276-291. https://doi.org/10.1196/annals.1308.032

25. Perez-Chada D, Perez-Lloret S, Videla AJ, Cardinali D, Bergna MA, Fernández-Acquier M, et al. Sleep disordered breathing and daytime sleepiness are associated with poor academic performance in teenagers. A study using the Pediatric Daytime Sleepiness Scale (PDSS). Sleep. 2007;30(12):1698-703.

26. Hagenauer, M.H. and Lee,.M. (2013) Adolescent sleep patterns in humans and laboratory animals. Horm. Behav. 64, 270–279

27. Hysing M, Pallesen S, Stormark KM, Lundervold AJ, Sivertsen B. Sleep patterns and insomnia among adolescents: a population-based study. J Sleep Res. 2013 Oct;22(5):549-56. doi: 10.1111/jsr.12055. Epub 2013 Apr 24. PMID: 23611716.

28. Patte KA, et al, Youth sleep durations and school start times: a cross-sectional analysis of the COMPASS study, Sleep Health (2017), http://dx.doi.org/10.1016/j.sleh.2017.07.011

29. Perez-Lloret S, Videla AJ, Richaudeau A, Vigo D, Rossi M, Cardinali DP, et al. A multi-step pathway connecting short sleep duration to daytime somnolence, reduced attention, and poor academic performance: an exploratory cross‑sectional study in teenagers. J Clin Sleep Med. 2013;9:469-73.

30. Scott H, Biello SM, Woods HC. Social media use and adolescent sleep patterns: cross-sectional findings from the UK millennium cohort stud. BMJ Open. 2019;9(9):e031161. https://doi.org/10.1136/bmjopen-2019-031161.

31. van der Schuur WA, Baumgartner SE, Sumter SR. Social media use, social media stress, and sleep: examining cross-sectional and longitudinal relationships in adolescents. Health Commun. 2019;34(5):552–9. https://doi. org/10.1080/10410236.2017.1422101.

32. Lund L, Sølvhøj IN, Danielsen D, Andersen S. Electronic media use and sleep in children and adolescents in western countries: a systematic review. BMC Public Health. 2021 Sep 30;21(1):1598. doi: 10.1186/s12889-021-11640-9. PMID: 34587944; PMCID: PMC8482627.

33. Green A, Cohen-Zion M, Haim A, Dagan Y. Evening light exposure to computer screens disrupts human sleep, biological rhythms, and attention abilities. Chronobiol Int. 2017;34(7):855–65. https://doi.org/10.1080/0742052 8.2017.1324878

34. Felden, Érico Pereira Gomes et al. Factors associated with short sleep duration in adolescents. Revista Paulista de Pediatria [online]. 2016, v. 34, n. 1 [Accessed 14 August 2022] , pp. 64-70. Available from: <https://doi.org/10.1016/j.rppede.2015.10.007>. ISSN 1984-0462. https://doi.org/10.1016/j.rppede.2015.10.007.

35. Thiedke CC. Sleep disorders and sleep problems in childhood. Am Fam Physician. 2001;63:227-84.

36. Herwanto H, Lestari H, Warouw S, Salendu P. Sleep disturbance scale for children as a diagnostic tool for sleep disorders in adolescents. PI [Internet]. 8Jun.2018 [cited 15Aug.2022];58(3):133-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1667

Fonte de Fomento (se houver)

Declaração de conflito de interesses de TODOS os autores

Declaramos não ter conflitos de interesses

Área

Transtornos do sono

Instituições

UFPR-HC - Paraná - Brasil

Autores

LIARA BOHNERT, ANA CHRYSTINA De Souza Crippa, Letícia Pugim Ferreira, Beatriz Elizabeth Bagatin Veleda Bermudez