Association of depressive symptoms with habitual sleep duration and sleep timing in junior high school students

ABSTRACT

This study aims to investigate independent associations of habitual sleep durations and sleep timings on weekdays and weekends with depressive symptoms in adolescents who have classes in the morning. We studied grade 7–9 students (942 males and 940 females, aged 12–15 years), who had classes in the morning, at public junior high schools in Japan in a cross-sectional design. The students answered a self-report questionnaire, which covers habitual sleep durations, bedtimes and wake-up times on weekdays and weekends, and depressive symptoms. The Short Mood and Feelings Questionnaire (SMFQ) was used to determine the level of depressive symptoms. The relationship between the variables on sleep habits and the SMFQ score were studied using multivariate linear regression and generalized additive models (GAM), controlling for sex, age and school. Multivariate linear regression analysis revealed that sleep duration on weekdays and relative mid-sleep time on weekdays (i.e. mid-sleep time on weekdays – mid-sleep time on weekends) were independently significantly (p < .001) associated with the SMFQ score. GAM analysis also revealed that sleep duration on weekdays (a reverse J-shaped relationship) and the relative mid-sleep time on weekdays (a negative monotonic/linear relationship) were independently significantly (p < .001) associated with the SMFQ score. These associations were confirmed in both males and females when they were analyzed separately. These results suggest that sleep duration on weekdays and the relative mid-sleep time on weekdays may be independently associated with the level of depressive symptoms in junior high school students who have classes in the morning. These findings may have important implications for the development of novel strategies for preventing mental health problems in adolescents.     

Gestational jet lag predisposes to later-life skeletal and cardiac disease

Circadian rhythm disturbance (CRD) increases the risk of disease, e.g. metabolic syndrome, cardiovascular disease, and cancer. In the present study, we investigated later life adverse health effects triggered by repeated jet lag during gestation. Pregnant mice were subjected to a regular light-dark cycle (CTRL) or to a repeated delay (DEL) or advance (ADV) jet lag protocol. Both DEL and ADV offspring showed reduced weight gain. ADV offspring had an increased circadian period, and an altered response to a jet lag was observed in both DEL and ADV offspring. Analysis of the bones of adult male ADV offspring revealed reduced cortical bone mass and strength. Strikingly, analysis of the heart identified structural abnormalities and impaired heart function. Finally, DNA methylation analysis revealed hypermethylation of miR17-92 cluster and differential methylation within circadian clock genes, which correlated with altered gene expression. We show that developmental CRD affects the circadian system and predisposes to non-communicable disease in adult life.     

The relationship between assessments of jet lag and some of its symptoms

The power of the symptoms of jet lag in predicting the amount of jet lag measured at the same and different times of the day has been investigated. A total of 85 subjects was studied for 6 days after a flight from the UK to Australia (10 time zones to the east). At 08:00, 12:00, 16:00, 20:00, and 24:00h, the subjects recorded their jet lag and fatigue. At 08:00h, they also assessed their sleep. At 12:00 and 16:00h, they assessed their attitude to a meal, as well as their motivation, commitment, and irritability. On retiring, they recorded bowel activity. Assessments were by visual analog scales. Jet lag was treated as the dependent variable and the symptoms as covariates in ANCOVAs. Fatigue was a powerful predictor of jet lag, provided it was measured at the same time, and some aspects of sleep predicted jet lag measured on retiring or rising. The other symptoms predicted jet lag less powerfully and/or at a wider range of times. It is concluded that, even though jet lag at any time of the day can be predicted from contemporaneous assessments of fatigue and that it can be predicted on retiring or rising from some aspects of changed sleep, jet lag is predicted less reliably from other symptoms, including aspects of mental performance. These findings question exactly what causes jet lag at a particular time of day, and so are relevant to studies which use this measurement to investigate the problems associated with time-zone transitions, and ways to ameliorate them.     

Assessing sleep,travelling habits and jet lag in kite surfers according to competition level

This study evaluated sleep duration, travelling habits and jet lag effects in kite surfers according to their competition level. Ninety-four male kite surfers (34.3 ± 8.8 years) were evaluated through an online questionnaire in order to collect information on training volume, clinical history, anthropometric profile, sleep habits, fluid and fruit intake and jet lag effects on athletic performance. Mean sleep duration was 07 h 19 min ± 01 h 12 min on weekdays with 82.3% sleeping less than 8 h/night. Sleep duration was less on weekdays (p = 0.002) and weekends (p = 0.011) in kite surfers‘ squad members (SM) compared to no squad members (NoSM). Greater jet lag symptoms were reported following west-to-east flights. Kite surfers with SM arrived earlier at the competition destination (p = 0.019), were more likely to implement strategies to minimize travel effects (p = 0.003), but reported more symptoms of jet lag than did NoSM (p = 0.041). Travel effects were positively correlated with the distance travelled and negatively correlated with sleep duration on weekdays and water intake during travel to an international kite surfing competition. Jet lag negatively influenced kite surfers’ athletic performance with greater symptoms following west-to-east travel in both SM and NoSM.     

Adolescent sleep misalignment: a chronic jet lag and a matter of public health

Sleep is a key element, both physiologically and psychologically, in adolescent development. The prevalence of sleep disorders in western countries is important, as with age the sleep–wake cycle of adolescents becomes irregular and delayed in relation with later sleep onset and waking time resulting in rhythm desynchronization. A large number of adolescents sleep for 7–8 h instead of 9–10 h per night, which can lead to a cumulative sleep debt with fatigue, behavioral problems and poor academic achievement. The effect of electronic media use (such as television, mobile phone, computer, and electronic gaming) on sleep has been the object of several international studies, though pubertal changes may also impact adolescent sleep. Adolescents and their parents should be educated by professionals, including physicians and nurses, on the key role of sleep in adolescent well being and quality of life. A number of basic rules are proposed to improve sleep in adolescents. The permanent social jet lag experienced by a number of adolescents should be considered as a matter of public health.     

Transient changes in the pattern of food intake following a simulated time-zone transition to the east across eight time zones

Twelve healthy adults were studied, singly or in groups of up to four, in an Isolation Unit before (control days) and for 3 days after a simulated time-zone transition to the east across 8 time zones (the clock being changed from 15:00 to 23:00 h). Subjects were free to choose how to pass their waking hours (though naps were forbidden), and to eat what and when they wanted. A wide selection of food was provided, though the subjects had to prepare it. Subjects completed food intake questionnaire on waking and at 3 h intervals during the waking day. This questionnaire assessed the reasons for choosing not to eat a meal or, if a meal was eaten, the reasons for doing so, the type of meal chosen and the reasons for this choice, and subjective responses to the meal (hunger before, enjoyment during, and satiety afterwards). Subjects also recorded the incidence and degree of indigestion and jet lag at 3 h intervals after the time-zone transition. Following the time-zone transition, the subjects experienced significant amounts of jet lag and recorded a significant increase in the incidence of indigestion. They also showed significant changes in their pattern of food intake, but, whereas the patterns of food intake were no longer significantly different from control days by the third post-shift day, the symptoms of jet lag and indigestion were still present then. The distribution of daytime meals was significantly affected on the first post-shift day, with a redistribution of the times that the main, hot meals were eaten; these times indicated some influence of an unadjusted body clock. On this day also, the reasons for determining food intake continued to be dominated by hunger and appetite (hunger even increasing in the frequency with which it was cited), and the reason for not eating a meal, by a lack of hunger. On both control and post-shift days, there was a marked effect of meal type upon the responses to food intake, with cold food being rated least and large hot meals most when appetite before the meal, enjoyment during it, and satiety afterward were considered. However, evidence suggested that the degree to which larger hot meals were preferred to cold meals was significantly less marked after the time-zone transition. On control days, sleep was unbroken; whereas, after the time-zone transition, all subjects woke on at least one of the 3 nights studied. During the first post-shift night, about half of the subjects ate a meal, the reason given being that they were “hungry.” On those occasions when subjects woke but did not eat a meal, the reason cited was because they “could not be bothered” as frequently as because they were “not hungry.”. A simulated time-zone transition is associated with significant changes to the incidence of indigestion, pattern of food intake, and subjective responses to food. However, these changes are generally transient and are only weakly linked to the sensation of jet lag.