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CC BY-NC-ND 4.0 · Sleep Sci 2021; 14(03): 207-213
DOI: 10.5935/1984-0063.20200061
ORIGINAL ARTICLE

Is poor sleep quality associated with a deterioration in postural control?

Authors

  • Tarushi Tanwar

    1   Jamia Millia Islamia, Centre for Physiotherapy and Rehabilitation Sciences - New Delhi - Delhi - India.

  • Zubia Veqar

    1   Jamia Millia Islamia, Centre for Physiotherapy and Rehabilitation Sciences - New Delhi - Delhi - India.

  • Amer K. Ghrouz

    2   An-Najah National University, Department of Applied Medical Sciences - Nablus - West Bank - Palestinian Territories.

  • David Warren Spence

    3   Independent Research Consultant, Independent Research Consultant - Toronto - Ontario - Canada.

  • Seithikurippu R. Pandi-Perumal

    4   Somnogen Canada Inc., Somnogen Canada Inc. - Toronto - Ontario - Canada.
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ABSTRACT

Objective: The primary aim was to investigate whether any association exists between poor sleep quality and deterioration in postural control among university student population.

Materials and Methods: A case-control study was conducted in which sleep quality of 119 university students from different departments of Jamia Millia Islamia University, New Delhi, India was assessed using Pittsburgh sleep quality index (PSQI) following which the participants postural control, or dynamic balance was measured using the Y balance test (YBT). The participants were divided into two groups (A and B) based on their PSQI cut off scores. The YBT data was then evaluated for the dynamic balance assessment of the participants.

Results: The mean age of the participants was 22.23±2.29 out of which 86 were female and 33 were male. The mean BMI of the participants was 21.58±3.66. Group A included 63 participants who had “good” sleep quality (global PSQI score < 5) whereas group B included 56 participants who had “poor” sleep quality (global PSQI score ≥ 5). Group comparisons based on t-test revealed a significant difference (p<0.05) between means of the two groups, with the mean balance of group A being greater than that of group B. Also, chi-square testing showed no significant association between the BMI and dynamic balance scores for the participants (p<0.10).

Conclusion: The findings of the study conclude that poor sleep quality is associated with a deterioration of postural control in university students. The study also revealed that there was no association between BMI and dynamic balance in this population.

Keywords:

Sleep - Postural Balance - Self-report - Universities - Students


Publication History

Received: 25 May 2020

Accepted: 25 September 2020

Article published online:
30 November 2023

© 2021. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • REFERENCES

  • 1 National Sleep Foundation. Adolescent sleep needs and patterns. Research Report and Resource Guide, 2000. Needs, S. Adolescent Sleep Needs and Patterns. Available from: http://www.sleepfoundation.org
  • 2 Wheaton AG, Olsen EO, Miller GF, Croft JB. Sleep duration and injury-related risk behaviors among high school students - United States, 2007-2013. MMWR. 2016;65(13):337-41.
  • 3 Pepin JL, Borel AL, Tamisier R, Baguet JP, Levy P, Dauvilliers Y. Hypertension and sleep: overview of a tight relationship. Sleep Med Rev. 2014 Dec;18(6):509-19.
  • 4 Lovato N, Gradisar M. A meta-analysis and model of the relationship between sleep and depression in adolescents: recommendations for future research and clinical practice. Sleep Med Rev. 2014 Dec;18(6):521-9.
  • 5 Mezick EJ, Hall M, Matthews KA. Sleep duration and ambulatory blood pressure in black and white adolescents. Hypertension. 2012 Mar;59(3):747-52.
  • 6 Cheng SH, Shih CC, Lee IH, Hou YW, Chen KC, Chen KT, et al. A study on the sleep quality of incoming university students. Psychiatry Res. 2012 May;197(3):270-4.
  • 7 Manzar MD, Moiz JA, Zannat W, Spence DW, Pandi-Perumal SR, BaHammam AS, et al. Validity of the Pittsburgh sleep quality index in Indian university students. Oman Med J. 2015 May;30(3):193.
  • 8 Yang CM, Wu CH, Hsieh MH, Liu MH, Lu FH. Coping with sleep disturbances among young adults: a survey of first-year college students in Taiwan. Behav Med. 2003 Jan;29(3):133-8.
  • 9 O'Sullivan SB, Schmitz TJ, Fulk G. Physical rehabilitation. 6th ed. Philadelphia: F. A. Davis; 2014.
  • 10 Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?. Age Ageing. 2006 Sep;35(Suppl 2):ii7-11.
  • 11 Patel M, Gomez S, Berg S, Almbladh P, Lindblad J, Petersen H, et al. Effects of 24-h and 36-h sleep deprivation on human postural control and adaptation. Exp Brain Res. 2008 Feb;185(2):165-73.
  • 12 Fabbri M, Martoni M, Esposito MJ, Brighetti G, Natale V. Postural control after a night without sleep. Neuropsychologia. 2006 Jan;44(12):2520-5.
  • 13 Gomez S, Patel M, Berg S, Magnusson M, Johansson R, Fransson PA. Effects of proprioceptive vibratory stimulation on body movement at 24 and 36h of sleep deprivation. Clin Neurophysiol. 2008 Mar;119(3):617-25.
  • 14 Robillard R, Prince F, Filipini D, Carrier J. Aging worsens the effects of sleep deprivation on postural control. PLoS One. 2011 Dec;6(12):e28731.
  • 15 Furtado F, Gonçalves BSG, Abranches ILL, Abrantes AF, Forner-Cordero A. Chronic low quality sleep impairs postural control in healthy adults. PLoS One. 2016 Oct;11(10):e0163310.
  • 16 Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213.
  • 17 Plisky PJ, Gorman PP, Butler RJ, Kiesel KB, Underwood FB, Elkins B. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther. 2009 May;4(2):92-9.
  • 18 Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star excursion balance test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006 Dec;36(12):911-9.
  • 19 Jahn K, Strupp M, Krafczyk S, SchuÈler O, Glasauer S, Brandt T. Suppression of eye movements improves balance. Brain. 2002 Sep;125(9):2005-11.
  • 20 Bougard C, Lepelley MC, Davenne D. The influences of time-of-day and sleep deprivation on postural control. Exp Brain Res. 2011 Mar;209(1):109-15.
  • 21 Goel N, Rao H, Durmer JS, Dinges DF. Neurocognitive consequences of sleep deprivation. Semin Neurol. 2009 Sep;29(4):320-39.
  • 22 Fallone G, Acebo C, Arnedt JT, Seifer R, Carskadon MA. Effects of acute sleep restriction on behavior, sustained attention, and response inhibition in children. Percept Motor Skills. 2001 Aug;93(1):213-29.
  • 23 Manganotti P, Palermo A, Patuzzo S, Zanette G, Fiaschi A. Decrease in motor cortical excitability in human subjects after sleep deprivation. Neurosci Lett. 2001 May;304(3):153-6.
  • 24 Ku PX, Osman NAA, Yusof A, Abas WABW. The effect on human balance of standing with toe-extension. PLoS One. 2012 Jul;7(7):e41539.
  • 25 Kurz I, Oddsson L, Melzer I. Characteristics of balance control in older persons who fall with injury-a prospective study. J Electromyogr Kinesiol. 2013;23(4):814-9.
  • 26 Gauchard GC, Chau N, Touron C, Benamghar L, Dehaene D, Perrin P, et al. Individual characteristics in occupational accidents due to imbalance: a case-control study of the employees of a railway company. Occup Environ Med. 2003 May;60(5):330-5.
  • 27 Lytle LA, Moe SG, Nanney MS, Laska MN, Linde JA. Designing a weight gain prevention trial for young adults: the CHOICES study. Am J Health Educ. 2014 Jan;45(2):67-75.
  • 28 Forquer LM, Camden AE, Gabriau KM, Johnson CM. Sleep patterns of college students at a public university. J Am Coll Health. 2008 Mar/Apr;56(5):563-5.
  • 29 Owens J, Adolescent Sleep Working Group, Committee on Adolescence. Insufficient sleep in adolescents and young adults: an update on causes and consequences. Pediatrics. 2014 Sep;134(3):e921-32.
  • 30 Lee KS, Lee DB, Kwon IS, Cho YC. Depressive symptoms and their association with sleep quality, occupational stress and fatigue among small-scaled manufacturing male workers. Korean J Occup Environ Med. 2011 Jun;23(2):99-111.
  • 31 Owens JA, Rosen CL, Mindell JA, Kirchner HL. Use of pharmacotherapy for insomnia in child psychiatry practice: a national survey. Sleep Med. 2010 Aug;11(7):692-700.
  • 32 Morad Y, Azaria B, Avni I, Barkana Y, Zadok D, Kohen-Raz R, et al. Posturography as an indicator of fatigue due to sleep deprivation. Aviat Space Environ Med. 2007 Sep;78(9):859-63.
  • 33 Colten HR, Altevogt BM. Functional and economic impact of sleep loss and sleep-related disorders. Washington, DC: National Academy of Sciences; 2006.
  • 34 Lee DK, Kang MH, Lee TS, Oh JS. Relationships among the Y balance test, Berg Balance Scale, and lower limb strength in middle-aged and olde\r females. Braz J Phys Ther. 2015 May/Jun;19(3):227-34.
  • 35 Greve J, Alonso A, Bordini ACPG, Camanho GL. Correlation between body mass index and postural balance. Clinics. 2007 Dec;62(6):717-20.
  • 36 Teasdale N, Simoneau M. Attentional demands for postural control: the effects of aging and sensory reintegration. Gait Posture. 2001 Dec;14(3):203-10.
  • 37 Thomas M, Sing H, Belenky G, Holcomb H, Mayberg H, Dannals R, et al. Neural basis of alertness and cognitive performance impairments during sleepiness. I. Effects of 24h of sleep deprivation on waking human regional brain activity. J Sleep Res. 2000 Dec;9(4):335-52.
  • 38 Ouchi Y, Okada H, Yoshikawa E, Nobezawa S, Futatsubashi M. Brain activation during maintenance of standing postures in humans. Brain. 1999 Feb;122(Pt 2):329-38.
  • 39 Peterka RJ, Loughlin PJ. Dynamic regulation of sensorimotor integration in human postural control. J Neurophysiol. 2004 Jan;91(1):410-23.