Padrões de sono e sonolência diurna: comparação entre adolescentes do interior e da região metropolitana

Abstract

Resumo Introdução O sono é um processo fisiológico cuja expressão nos seres humanos é influenciada por fatores sociais e ambientais. Objetivo Comparar as variáveis de sono e sonolência diurna de adolescentes de uma cidade do interior e de uma cidade metropolitana. Método Participaram do estudo 1.645 adolescentes provenientes de amostras representativas de duas cidades do Estado de Santa Catarina, uma do interior e outra metropolitana. Os adolescentes responderam a um questionário autoaplicável sobre questões sociodemográficas, horários de dormir e de acordar durante a semana e no final de semana, sonolência diurna e percepção de saúde. Resultados Observou-se que os adolescentes residentes na região metropolitana apresentaram horários de dormir (p < 0,001), horários de acordar (p < 0,001) e ponto médio de sono (p < 0,001) mais atrasados quando comparados aos adolescentes da cidade do interior. Já as médias de duração do sono identificadas não apresentaram diferenças (p = 0,645). Os adolescentes também tiveram índices de sonolência semelhantes (p = 0,082). Ainda, verificou-se associação da percepção de saúde negativa com altas pontuações da Pediatric Daytime Sleepiness Scale (PDSS), independentemente da cidade dos adolescentes. Conclusões O estudo fornece indícios de que variáveis contextuais e geográficas possuem alguma influência na fase de sono dos adolescentes. Assim, torna-se fundamental o melhor entendimento a respeito das medidas compensatórias realizadas pelos adolescentes.

Instruments For Assessment Of Excessive Daytime Sleepiness In Brazilian Children And Adolescents: Systematic Review

“…Selection included studies with subjects aged between 7 and 19 years old, with samples of children and adolescents from the following Brazilian regions: Midwest (Souza et al), 16 Northeast (Almondes et al) 17 Southeast (Andrade et al, 18 Boscolo et al, 19 Fischer et al, 20 Vilela et al 21 and Del Ciampo et al,) 22 and South (Beijamini et al, 23 Beijamini et al, 24 Felden et al, 25 Felden et al, 26 Felden et al, 27 Felden et al, 28 Meyer et al, 29 Felden et al 30 and Ferrari Junior et al 31 ). There were also studies with stratification of sample in public and private schools (Boscolo et al 19 and Vilela et al) 21 and from capitals/municipalities in metropolitan regions and inland states (Felden et al).…”

“…There were also studies with stratification of sample in public and private schools (Boscolo et al 19 and Vilela et al) 21 and from capitals/municipalities in metropolitan regions and inland states (Felden et al). 30 The description of the selected studies is shown in Table 1.…”

“…Among the instruments identified, the Pediatric Daytime Sleepiness Scale (PDSS) [26][27][28][29][30] and the Karolinska Sleepiness Scale (KSS) were the most used ones. 23,24,20 In addition to them, two different Sleep Questionnaires were also identified, [18][19] along with the Epworth Sleepiness Scale (ESS), 16 the Sleep Habits Questionnaire, 25 the Cleveland Adolescent Sleepiness Questionnaire (CASQ), 21 the Sleep Habits Questionnaire 22 and the Sleep Disturbance Scale for Children (SDSC).…”

“…23,24,20 In addition to them, two different Sleep Questionnaires were also identified, [18][19] along with the Epworth Sleepiness Scale (ESS), 16 the Sleep Habits Questionnaire, 25 the Cleveland Adolescent Sleepiness Questionnaire (CASQ), 21 the Sleep Habits Questionnaire 22 and the Sleep Disturbance Scale for Children (SDSC). 17 The studies by Andrade et al, 18 Boscolo et al, 19 Souza et al, 16 Beijamini et al, 23 Beijamini et al, 24 Felden et al, 25 Fischer et al, 20 Felden et al, 27 Vilela et al, 21 Del Ciampo et al, 22 Felden et al, 28 Meyer et al, 29 Almondes et al 17 and Felden et al 30 did not present reliability criteria (Cronbach), 14 while the studies by Felden et al 26 and Ferrari Junior et al 31 pointed out the alpha value. The Cronbach's alpha coefficient 14 was presented for PDSS in the studies by Felden et al 26 (coefficient value = 0.784) and by Ferrari Junior et al 31 (coefficient value = 0.737), however no studies confirmed the reliability or the validity of KSS, Sleep Questionnaires, ESS, Sleep Habits Questionnaire, CASQ, SDSC and the Sleep Habits Questionnaire for Brazilian Children and Adolescents.…”

Adequate sleep duration among children and adolescents: a review of the Brazil's Report Card

“…While 54 articles were identified, some used the same study sample: 10 articles used data from ISCOLE [10][11][12][13][14][15][16][17][18][19] , 3 from ERICA [20][21][22] , 7 from the "Brazilian Guide for Evaluating Physical Fitness Related to Health and Life Habits" [23][24][25][26][27][28][29] , 2 from BRACAH 30,31 , 2 from COMPAC 32,33 , 2 from "1993 Pelotas Birth Cohort" 34,35 , and 4 from "2004 Pelotas Birth Cohort [36][37][38][39] ." Three studies were conducted with the same sample of adolescents from the city of Maravilha in Santa Catarina 24,[40][41][42] , and another three were conducted with the same sample of adolescents from the city of Teutônia in Rio Grande do Sul [43][44][45] . The other articles did not report their study name or were identified as having unique samples (n = 18).…”