Associations Between Subjective and Objective Sleep Estimates, Biomarkers, Mental Health, and Health Behavior

• Main Authors: Chun-Ping Chang, 張純評
• Other Authors: Ya-Wen Hsu
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/gsaf9w

碩士 === 嘉南藥理大學 === 醫務管理系 === 103 === Background and purpose:Poor quality of sleep affects physiological function (reducing the amount of physical activity), mental health (anxiety, emotions, and depression), social activities (decrease work performance and reduce social interactions) and lower overall quality of life. The current study aims to investigate associations between biomarkers, mental health, health behaviors among college students in Taiwan. Method:Cross-sectional study design was applied. Students aged older than 20 years old were invited to join the study from the Chia Nan University of Pharmacy & Science. Subjective sleep measures include Pittsburgh sleep quality Index, Epworth sleepiness Scale, Morningness-eveningness questionnaire, Athens Insomnia Scale, Bergen insomnia scale. Self-reported surveys were applied to assess mental health include the Center of Epidemiological study-Depression, Self-Rating Anxiety Scale, Perceived Stress Scale, Life Events Stress Scale. After participants filled out questionnaires, they were asked to wear accelerometers and pedometers for 7 days to assess daily physical activity; also, they needed to complete the 24-hour diet recall for 3 days. Results:A total of 131 college students were recruited, the valid sample size consisted of 124 individuals (94%). Based on our results, there were fewer significant associations between subjective sleep estimates (except circadian rhythms outside) and biomarkers. Subjective sleep estimates were associated with depression, stress, anxiety. In addition, those who tended to go to bed late and wake up late spent more time being sedentary and consumed greater amount of food at dinner Based on the results obtained from objective sleep measures, sleep duration was inversely related to physical activity while positively related to leptin. Sleep efficiency associated positively with adiponectin. Conclusions and Suggestions:Poor sleep quality and short sleep duration were related to depression, anxiety, and stress. Moreover, associations between sleep, leptin, and adiponectin were found. School-based health promotion programs need to emphasize on the importance of healthy sleep habits and regular exercise to strengthen health of college students. Health education on promoting mental health should also be provided at universities.