Circadian typology and implications for adolescent sleep health. Results from a large, cross-sectional, school-based study.

Journal: Sleep medicine

Volume: 83

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Norway; Centre for Sleep Medicine, Haukeland University Hospital, Norway. Electronic address: ingvild.west.saxvig@helse-bergen.no. Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Norway. Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Norway; Department of Psychosocial Science, University of Bergen, Norway; Optentia, The Vaal Triangle Campus of the North-West University, Vanderbijlpark, South Africa. Department of Psychosocial Science, University of Bergen, Norway. Department of Health Promotion, Norwegian Institute of Public Health, Norway; Department of Research and Innovation, Helse Fonna, HF, Norway; Department of Mental Health, Norwegian University of Science and Technology, Norway. College of Education, Psychology & Social Work, Flinders University, Australia. Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Norway; Centre for Sleep Medicine, Haukeland University Hospital, Norway; Department of Global Public Health and Primary Care, University of Bergen, Norway.

Abstract summary 

To investigate circadian typology in a large, representative sample of Norwegian adolescents, and its implications for sleep health.The sample included 3920 1 year high school students aged 16-17 years. Respondents completed a web-based survey, including the short version of the Horne-Ostberg Morningness-Eveningness Questionnaire (rMEQ), the Munich Chronotype Questionnaire (MCTQ) and items on sleep-related behaviors (eg electronic media usage in bed, consumption of caffeinated beverages), sleep beliefs and daytime sleepiness. Data were analyzed using one-way ANOVAs and Chi-squared tests.In all, 7.8% were categorized as morning, 52.3% as intermediate and 39.9% as evening types, respectively. Evening types had later sleep timing, longer sleep latency, more social jetlag and shorter school day sleep duration than morning types, with intermediate types displaying a sleep pattern between these two extremes. None of the circadian types met the minimum recommended amount of sleep on school nights (ie 8+ hours), and only morning types had a mean sleep duration of 7+ hours (7:19 h, nearly 1 h more than evening types who slept 6:20 h, p < 0.001). Evening types reported more use of electronic media in bed, more consumption of caffeinated beverages and more daytime sleepiness than the other circadian types. They were also less satisfied with their school day sleep duration and perceived it more difficult to change their sleep pattern.Results from this study suggest that eveningness represents a sleep health challenge for older adolescents.

Authors & Co-authors:  Saxvig Ingvild West IW Evanger Linn Nyjordet LN Pallesen Ståle S Hysing Mari M Sivertsen Børge B Gradisar Michael M Bjorvatn Bjørn B

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 10.1016/j.sleep.2021.04.020
SSN : 1878-5506
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Adolescents;Circadian typology;Sleep habits;Sleep-related behaviors;Sleepiness
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Netherlands