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Kinder- und Jugendmedizin 2024; 24(02): 131-142
DOI: 10.1055/a-2251-9647
Schwerpunkt

Das Schlafverhalten von Jugendlichen in unterschiedlichen ländlichen Wohnumgebungen

Ergebnisse der GABRIEL-StudieThe sleep behavior of adolescents in different rural living environmentsResults of the GABRIEL study
Madeleine Ordnung
1   Pädiatrische Epidemiologie, Klinik und Poliklinik für Kinder- und Jugendmedizin, Medizinische Fakultät, Universität Leipzig
,
Jon Genuneit
1   Pädiatrische Epidemiologie, Klinik und Poliklinik für Kinder- und Jugendmedizin, Medizinische Fakultät, Universität Leipzig
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ZUSAMMENFASSUNG

Im Jugendalter steigt die Prävalenz von Schlafschwierigkeiten an. Verschiedene Faktoren der Wohnumgebung können den Schlaf beeinflussen. Bisher ist jedoch unklar, ob sich der Schlaf von Jugendlichen unterschiedlicher ländlicher Wohnumgebungen unterscheidet.

Untersucht wurden daher die Schlafdauer und -qualität im Frühling (n = 926) und Herbst 2016 (n = 867) von Jugendlichen unterschiedlicher ländlicher Wohnumgebungen (Farm, Exposed, Non-Farm). Unterschiede von Schlaf für Wohnumgebung und Geschlecht wurden mittels einfaktoriellen Varianzanalysen sowie multiplen Regressionen eruiert.

Signifikante Unterschiede wurden für die Schlafqualität bei weiblichen auf einem Bauernhof aufgewachsenen Jugendlichen verglichen mit weiblichen Jugendlichen ohne Kontakt zu Bauernhöfen im Frühling gefunden. Bei der Schlafqualität, aber nicht Schlafdauer, zeigte sich ein signifikanter Geschlechtsunterschied in allen Wohnumgebungen, welcher sich für Bauernhof-Jugendliche adjustiert verminderte.

Es wurden keine eindeutigen Unterschiede im Schlaf Jugendlicher unterschiedlicher ländlicher Wohnumgebungen gefunden. Zukünftige bestenfalls longitudinale Studien sollten insbesondere saisonale Unterschiede sowie weitere potenzielle Störvariablen untersuchen.

ABSTRACT

The prevalence of sleeping difficulties increases in adolescence. Various factors in the living environment can influence sleep. However, it is still unclear whether sleep differs between adolescents from different rural living environments.

Sleep duration and quality in spring (n = 926) and autumn 2016 (n = 867) of adolescents from different rural living environments (farm, exposed, non-farm) were therefore examined. Differences in sleep for living environment and gender were determined using one-factor analyzes of variance and multiple regressions.

Significant differences were found for sleep quality in female farm- compared to female non-farm-adolescents in spring. There was a significant gender difference in sleep quality, but not sleep duration, for all living environments, which decreased for farm adolescents in adjusted models.

No clear differences were found in adolescent sleep across rural living environments. Future studies, at best longitudinal, should particularly examine seasonal differences and other potential confounding variables.

Schlüsselwörter

Schlaf - Jugendliche - ländlich
Sleep - adolescence - rural


Publication History

Article published online:
12 April 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG,
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Crowley SJ, Tarokh L, Carskadon MA.. Sleep during adolescence. In: Principles and practice of pediatric sleep medicine [Internet]. Second Edition 2014. S. 45–51. Verfügbar unter://doi.org/10.1016/B978-1- 4557-0318-0.00006-1
    Google Scholar
  • 2 Robert-Koch Institut (RKI). AdiMon-Themenblatt: Schlaf 2020
  • 3 Paruthi S, Brooks LJ, D’Ambrosio C. et al Recommended Amount of Sleep for Pediatric Populations: A Consensus Statement of the American Academy of Sleep Medicine. J Clin Sleep Med 2016; 12 (06) 785-786
    CrossrefPubMedGoogle Scholar
  • 4 Schlarb A, Gulewitsch M, Ellert U, Enck P.. Scientific Research Publishing Inc. 2015 [zitiert 17. Oktober 2023]. Sleep Duration and Sleep Problems in a Representative Sample of German Children and Adolescents. Verfügbar unter https://www.scirp.org/journal/paperinformation.aspx?paperid=60881
    Google Scholar
  • 5 Bacaro V, Carpentier L, Crocetti E. Sleep Well, Study Well: A Systematic Review of Longitudinal Studies on the Interplay between Sleep and School Experience in Adolescence. Int J Environ Res Public Health 2023; 20 (06) 4829
    CrossrefPubMedGoogle Scholar
  • 6 O’Callaghan VS, Couvy-Duchesne B, Strike LT. et al A meta-analysis of the relationship between subjective sleep and depressive symptoms in adolescence. Sleep Med 2021; 79: 134-144
    CrossrefPubMedGoogle Scholar
  • 7 Okoli A, Hanlon EC, Brady MJ. The Relationship between Sleep, Obesity, and Metabolic Health in Adolescents – a Review. Curr Opin Endocr Metab Res 2021; 17: 15-19
    CrossrefPubMedGoogle Scholar
  • 8 Simon SL, Higgins J, Melanson E. et al A Model of Adolescent Sleep Health and Risk for Type 2 Diabetes. Curr Diab Rep 2021; 21 (02) 4
    CrossrefPubMedGoogle Scholar
  • 9 Bodin T, Björk J, Ardö J, Albin M. Annoyance, sleep and concentration problems due to combined traffic noise and the benefit of quiet side. Int J Environ Res Public Health 2015; 12 (02) 1612-1628
    CrossrefPubMedGoogle Scholar
  • 10 Grigsby-Toussaint DS, Turi KN, Krupa M. et al Sleep insufficiency and the natural environment: Results from the US Behavioral Risk Factor Surveillance System survey. Prev Med 2015; 78: 78-84
    CrossrefPubMedGoogle Scholar
  • 11 Johnson DA, Billings ME, Hale L. Environmental Determinants of Insufficient Sleep and Sleep Disorders: Implications for Population Health. Curr Epidemiol Rep 2018; 05 (02) 61-69
    CrossrefPubMedGoogle Scholar
  • 12 Khor SPH, McClure A, Aldridge G. et al Modifiable parental factors in adolescent sleep: A systematic review and meta-analysis. Sleep Med Rev 2021; 56: 101408
    CrossrefPubMedGoogle Scholar
  • 13 Widome R, Berger AT, Lenk KM. et al Correlates of short sleep duration among adolescents. J Adolesc 2019; 77: 163-167
    CrossrefPubMedGoogle Scholar
  • 14 Janssen I, Berg RL, Marlenga B, Pickett W. Sleep in Farm Adolescents. J Rural Health 2019; 35 (04) 436-441
    CrossrefPubMedGoogle Scholar
  • 15 Stallones L, Beseler C, Chen P. Sleep patterns and risk of injury among adolescent farm residents. Am J Prev Med 2006; 30 (04) 300-304
    CrossrefPubMedGoogle Scholar
  • 16 Meers J, Stout-Aguilar J, Nowakowski S. Sex differences in sleep health. In: Sleep and health [Internet]. Elsevier Academic Press. 2019: 21-29 Verfügbar unter https://doi.org/10.1016/B978-0-12-815373-4.00003-4
    CrossrefGoogle Scholar
  • 17 Fatima Y, Doi SAR, Najman JM, Mamun AA. Exploring Gender Difference in Sleep Quality of Young Adults: Findings from a Large Population Study. Clin Med Res 2016; 14 3–4 138-144
    CrossrefPubMedGoogle Scholar
  • 18 Baumgärtner T, Kestler J.. Suchtmittelgebrauch, Computerspielverhalten, Internetnutzung und Glücksspielerfahrungen von Jugendlichen in Hamburg und drei kommunalen Modellregionen in Deutschland. Deskriptive Ergebnisse der SCHULBUS-regional-Studie 2012 [Internet]. 2014. Report No.: HLS/BfS Berichte. SB 14-B1. Verfügbar unter https://epub.sub.uni-hamburg.de/epub/volltexte/2017/74357/pdf/Baumgaertner_Kestler_SCHULBUS_2012.pdf
    Google Scholar
  • 19 Genuneit J, Büchele G, Waser M. et al The GABRIEL Advanced Surveys: study design, participation and evaluation of bias. Paediatr Perinat Epidemiol 2011; 25 (05) 436-447
    CrossrefPubMedGoogle Scholar
  • 20 Buysse DJ, Reynolds CF, Monk TH. et al The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28 (02) 193-213
    CrossrefPubMedGoogle Scholar
  • 21 Roenneberg T, Wirz-Justice A, Merrow M. Life between clocks: daily temporal patterns of human chronotypes. J Biol Rhythms 2003; 18 (01) 80-90
    CrossrefPubMedGoogle Scholar
  • 22 Marlenga B, King N, Pickett W. et al Impact of sleep on injury risk among rural children. Paediatr Child Health 2017; 22 (04) 211-216
    CrossrefPubMedGoogle Scholar
  • 23 Burns AC, Saxena R, Vetter C. et al Time spent in outdoor light is associated with mood, sleep, and circadian rhythm-related outcomes: A cross-sectional and longitudinal study in over 400,000 UK Biobank participants. J Affect Disord 2021; 295: 347-352
    CrossrefPubMedGoogle Scholar
  • 24 Dietrich H, Patzina A, Chesters J, Reissner V. School-to-work transition and subjective well-being in Australia. Br J Sociol 2022; 73 (01) 78-111
    CrossrefPubMedGoogle Scholar
  • 25 Thorsén F, Antonson C, Palmér K. et al Associations between perceived stress and health outcomes in adolescents. Child Adolesc Psychiatry Ment Health 2022; 16 (01) 75
    CrossrefPubMedGoogle Scholar
  • 26 Lutin E, De Raedt W, Steyaert J. et al Exploring the perception of stress in childhood and early adolescence. J Exp Child Psychol 2023; 228: 105604
    CrossrefPubMedGoogle Scholar
  • 27 Galan-Lopez P, Domínguez R, Gísladóttir T. et al Sleep Quality and Duration in European Adolescents (The AdolesHealth Study): A Cross-Sectional, Quantitative Study. Child Basel Switz 2021; 08 (03) 188
    Google Scholar
  • 28 Matthews KA, Hall M, Dahl RE. Sleep in Healthy Black and White Adolescents. Pediatrics 2014; 133 (05) e1189-1196
    CrossrefPubMedGoogle Scholar
  • 29 James S, Chang AM, Buxton OM, Hale L. Disparities in adolescent sleep health by sex and ethnoracial group. SSM – Popul Health 2020; 11: 100581
    CrossrefPubMedGoogle Scholar
  • 30 Maslowsky J, Ozer EJ. Developmental trends in sleep duration in adolescence and young adulthood: evidence from a national United States sample. J Adolesc Health Off Publ Soc Adolesc Med 2014; 54 (06) 691-697
    CrossrefPubMedGoogle Scholar
  • 31 Dewald JF, Meijer AM, Oort FJ. et al The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep Med Rev 2010; 14 (03) 179-189
    CrossrefPubMedGoogle Scholar
  • 32 Zhang J, Chan NY, Lam SP. et al Emergence of Sex Differences in Insomnia Symptoms in Adolescents: A Large-Scale School-Based Study. Sleep 2016; 39 (08) 1563-1570
    CrossrefPubMedGoogle Scholar
  • 33 Santos RB, Giatti S, Aielo AN. et al Prevalence and predictors of under or overestimation sleep duration in adults: The ELSA-Brasil study. Sleep Epidemiol 2021; 01: 100013
    CrossrefGoogle Scholar
  • 34 Tremaine RB, Dorrian J, Blunden S. Subjective and objective sleep in children and adolescents: Measurement, age, and gender differences. Sleep Biol Rhythms 2010; 08 (04) 229-238
    CrossrefGoogle Scholar
  • 35 Gaina A, Sekine M, Chen X. et al Weekly variation in sleep patterns: Estimates of validity in Japanese schoolchildren. Sleep Biol Rhythms 2005; 03 (02) 80-85
    CrossrefGoogle Scholar
  • 36 Tang J, Liao Y, Kelly BC. et al Gender and Regional Differences in Sleep Quality and Insomnia: A General Population-based Study in Hunan Province of China. Sci Rep 2017; 07 (01) 43690
    CrossrefPubMedGoogle Scholar
  • 37 Boraita RJ, Alsina DA, Ibort EG, Torres JMD. Quality of life related to health and habits: Differences between adolescents in rural and urban environments. An Pediatr 2022; 96 (03) 196-202
    Google Scholar
  • 38 Shin JC, Parab KV, An R, Grigsby-Toussaint DS. Greenspace exposure and sleep: A systematic review. Environ Res 2020; 182: 109081
    CrossrefPubMedGoogle Scholar
  • 39 Mrug S, Tyson A, Turan B, Granger DA. Sleep problems predict cortisol reactivity to stress in urban adolescents. Physiol Behav 2016; 155: 95-101
    CrossrefPubMedGoogle Scholar
  • 40 DeSilva Mousseau AM, Lund TJ, Liang B. et al Stressed and losing sleep: Sleep duration and perceived stress among affluent adolescent females. Peabody J Educ 2016; 91 (05) 628-644
    CrossrefGoogle Scholar
  • 41 Arber S, Bote M, Meadows R. Gender and socio-economic patterning of self-reported sleep problems in Britain. Soc Sci Med 2009; 68 (02) 281-289
    CrossrefPubMedGoogle Scholar
  • 42 Sekine M, Chandola T, Martikainen P. et al Work and Family Characteristics as Determinants of Socioeconomic and Sex Inequalities in Sleep: The Japanese Civil Servants Study. Sleep 2006; 29 (02) 206-216
    CrossrefPubMedGoogle Scholar
  • 43 Biro FM, Greenspan LC, Galvez MP. Puberty in girls of the 21st century. J Pediatr Adolesc Gynecol 2012; 25 (05) 289-294
    CrossrefPubMedGoogle Scholar
  • 44 Short MA, Gradisar M, Lack LC. et al The discrepancy between actigraphic and sleep diary measures of sleep in adolescents. Sleep Med 2012; 13 (04) 378-384
    CrossrefPubMedGoogle Scholar
  • 45 Kohyama J. Which Is More Important for Health: Sleep Quantity or Sleep Quality?. Child Basel Switz 2021; 08 (07) 542
    Google Scholar
  • 46 Gradisar M, Gardner G, Dohnt H. Recent worldwide sleep patterns and problems during adolescence: A review and meta-analysis of age, region, and sleep. Sleep Med 2011; 12 (02) 110-118
    CrossrefPubMedGoogle Scholar