Poor Sleep quality and health-related quality of life impact in adolescents with and without chronic immunosuppressive conditions during COVID-19 quarantine

Helito, Alberto Carame; Lindoso, Lívia; Astley, Camilla; Queiroz, Lígia Bruni; Rose, Natalia; Santos, Claudia Renata P; Bolzan, Thalis; Peralta, Ana Rita; Franco, Ruth Rocha; Cominato, Louise; Pereira, Rosa Maria Rodrigues; Tannuri, Uenis; Campos, Lúcia Maria Arruda; Lourenço, Benito; Toma, Ricardo Katsuya; Medeiros, Karina; Watanabe, Andréia; Grangeiro, Patrícia Moreno; Farhat, Sylvia Costa Lima; Casella, Caio Borba; Polanczyk, Guilherme Vanoni; Gualano, Bruno; Silva, Clóvis A.; Sallum, Adriana Maluf Elias; Iraha, Amanda Yuri; Ihara, Bianca Pires; Mazzolani, Bruna Caruso; Martinez, Claudia; Strabelli, Claudia Alejandra Ayala; Fonseca, Claudia B; Lima, Dandara C.C.; Setoue, Debora Narumi Demitrol; Roz, Deborah F.P.; Smaira, Fabiana Infante; Roschel, Hamilton; Miyatani, Helena Thie; Marques, Isabela G.; Oba, Jane; Ferreira, Juliana Carvalho; Simon, Juliana Russo; Kozu, Kátia; Saccani, Ligia P.; Martiniano, Lorena Vasconcelos Mesquita; Miranda, Luana C A; Silva, Luiz E. V.; Laurentino, Moisés F; Aikawa, Nádia E.; Sakita, Neusa Keico; Tanigava, Nicolas Yamada; Pereira, Paulo Rogério; Palmeira, Patrícia; Angelo, Simone Santoro; Lavorato, Sofia Simão Martins; Bernardes, Tamires M; Franco, Tathiane Christine; Viana, Vivianne Saraiva; Barros, Vera P M F R; Zheng, Yingying

doi:10.6061/clinics/2021/e3501

Cited by 11 publications

(19 citation statements)

References 32 publications

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“…The median number of participants was 338. Excluding manuscripts that reported age as range or median (i.e., 28%) [ 41 , [44] , [45] , [46] , 48 , 59 , [61] , [62] , [63] , 69 , 73 , 75 ], [ 84 , 87 , 96 , [98] , [101] , 104 , 111 , 112 , 121 ], [ 126 , 134 , 137 , 141 , 144 , 145 , 147 ], [ 158 , 161 , [163] , [164] , [165] , 167 , 169 , 175 ], the mean age of the participants was 32.22 ± 9.35 years. Regarding the administered sleep measures, 103 studies reported PSQI scores.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the administered sleep measures, 103 studies reported PSQI scores. Specifically, 100 reported PSQI global scores [ [37] , [38] , [39] , [40] , 42 , 43 , 45 ], [ 46 , [48] , [49] , [50] , [51] , [52] , [53] ], [ [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [65] , [66] , [67] , [68] ], [ [70] , [71] , [72] , [73] , 75 , [77] , [78] , [79] , [80] , [81] , [82] , [83] , [84] , 86 , 87 ], [ [91] , [92] , [93] , [94] , [96] , [97] , [98] , 102 , 103 , [106] , [107] , [108] , [109] , [110] ], [ [113] , [114] , [115] , [116] , 119 , 120 , [122] , [123] , [124] , [...…”

Section: Resultsmentioning

confidence: 99%

“…The type of population was categorized as follow: adolescents (6 studies) [ 71 , 81 , 87 , 92 , 108 , 138 ], children (1 study) [38], general population (66 studies) [ 40 , 42 , 43 , 46 , 48 , 49 ], [ [51] , [52] , [53] , [54] , [55] , [56] , [57] , 59 , 60 , [64] , [65] , [66] ], [ [68] , [69] , [70] , 72 , 73 , 76 , [78] , [79] , [80] ], [ [82] , [83] , [84] , [85] , 88 , 89 , 101 , 103 ], [ 104 , 109 , 110 , 113 , 117 , 120 , 121 ], [ 123 , 128 , 129 , 131 , 134 , 135 , 137 ], [ 139 , [141] , [142] , [143] , [144] , [145] , 147 , [150] , [151] , [152] ], [ 154 <...…”

Section: Resultsmentioning

confidence: 99%

“…The total scores ranged from 3 to 6. Most of the studies (114) [ [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] ], [ [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] ], [ [63] , [64] , [65] , [66] , [67] , [68] ], [ [70] , [71] , [72] , [73] , [75] , [76] , [77] ], [ [79] , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , [89] , 91 , [93] , [94] , [95] , [96] , [97] , [98] , [99] ], [ [101] , [102] , [103] , [104] , [105] , [106] , [107] , [108] , [109] , [110] , [113] , …”

Section: Resultsunclassified

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Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression

Scarpelli¹,

Zagaria²,

Ratti³

et al. 2022

Sleep Medicine

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsunclassified

See 2 more Smart Citations

Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression

Scarpelli¹,

Zagaria²,

Ratti³

et al. 2022

Sleep Medicine

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“…Compared with before the pandemic, older adolescents reported significant delays in bedtime (sleep latency), longer sleep duration, and significant difficulty falling asleep ( p < 0.001) during the pandemic (Illingworth et al, 2022 ). Another cross‐sectional study that included 305 Brazilian adolescents with chronic health conditions (mean age 14 years) and 82 healthy adolescents (mean age 15 years) used the PSQI to estimate sleep quality; both groups reported poor sleep (PSQI score > 5 in 38% and 48%, respectively) (Helito et al, 2021 ). Similar to our findings, the highest mean scores were for sleep latency and sleep disturbance in both groups of adolescents (Helito et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Association between quality of sleep and screen time during the COVID‐19 outbreak among adolescents in the United Arab Emirates

Bani‐Issa

Radwan

Saqan

et al. 2022

Journal of Sleep Research

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Summary The COVID‐19 pandemic had a major impact on people of all ages. Adolescents' exposure to online learning is linked to excessive screen time on digital devices, which leads to poor sleep quality. This study aimed to investigate the association between screen time on different electronic devices and sleep quality among adolescents in the United Arab Emirates. This study was based on a self‐reported questionnaire, which was administered online to school‐aged adolescents (aged 12–19 years). The multicomponent questionnaire collected information on sociodemographic characteristics, sleep quality using the Pittsburgh Sleep Quality Index (PSQI), and screen time (minutes) on TV, TV‐connected devices, laptops, smartphones, and tablets on weekdays, weeknight, and weekends using the Screen Time Questionnaire (STQ). Univariate and multivariate analyses were used to identify factors correlated with poor sleep quality. A total of 1720 adolescents were recruited from private and public schools (mean age 14.6 ± 1.97 years). The mean PSQI score was 8.09 ± 3.37, and 74.3% of participants reported poor sleep (cutoff score >5). Mean scores were highest for the sleep latency (1.85 ± 0.97) and sleep disturbance (1.56 ± 0.62) domains. The highest STQ score was observed for smartphones, with a median screen time of 420 min on weekdays and 300 min on weekends. Screen time related to smartphones on weekends ( p = 0.003) and increased screen time in bed ( p < 0.001) were significantly associated with poor sleep. Our results confirmed the correlation between sleep and screen time in adolescents. The results may inform educational polices that target screen time and sleep among adolescents during and after the COVID‐19 pandemic.

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Sleep Disturbance and SARS–CoV‐2 Vaccinations in Patients With Chronic Inflammatory Disease

Pawar

Taylor

Yang

et al. 2023

Arthritis Care & Research

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Objective Immunocompromised patients with chronic inflammatory diseases (CID) may have experienced additional psychosocial burden during the COVID‐19 pandemic due to an immunocompromised status. We hypothesized that vaccination will result in improved patient‐reported outcomes (PROs) longitudinally among individuals with CID undergoing SARS‐CoV‐2 vaccination following vaccination regardless of baseline anxiety. Methods Data are from a cohort of individuals with CID from two sites undergoing SARS‐CoV‐2 vaccination. Participants completed three study visits before and after two mRNA vaccine doses, in the initial vaccination series, where clinical data was collected. PROs were measured using the PROMIS‐29 Profile and expressed as T‐scores, with 2 groups stratified by high and low baseline anxiety. Mixed effects models were used to examine longitudinal changes, adjusting for age, gender, and study site. Results The cohort was 72% female with mean ±SD age of 48.1±15.5 years. Overall, sleep disturbance improved following both doses of SARS‐CoV‐2 vaccinations and anxiety decreased after the second dose. Physical function scores worsened but did not meet MID threshold. Stratifying by baseline anxiety, improvement in anxiety, fatigue, and social participation were greater for the high anxiety group. Physical function worsened slightly for both groups and sleep disturbance improved significantly in the high anxiety group. Conclusion Sleep disturbance decreased in a significant and meaningful way in patients with CID upon vaccination. In patients with higher baseline anxiety, social participation increased and anxiety, fatigue, and sleep disturbance decreased. Overall, results suggest that SARS‐CoV‐2 vaccines may improve mental health and wellbeing, particularly among those with greater anxiety.

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Poor Sleep quality and health-related quality of life impact in adolescents with and without chronic immunosuppressive conditions during COVID-19 quarantine

Cited by 11 publications

References 32 publications

Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression

Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression

Association between quality of sleep and screen time during the COVID‐19 outbreak among adolescents in the United Arab Emirates

Sleep Disturbance and SARS–CoV‐2 Vaccinations in Patients With Chronic Inflammatory Disease

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