a Santa Catarina State University , Florianopolis , Brazil.
Chronobiol Int. 2019 Sep;36(9):1240-1248. doi: 10.1080/07420528.2019.1633661. Epub 2019 Jul 12.
This study aimed to verify the prevalence and factors associated with excessive daytime sleepiness (EDS) among adolescents. In all, 1.132 people participated. They were aged between 14 and 19 years, of both sexes and they came from a city in southern Brazil. Many socio-demographic variables were collected (sex, age group, socioeconomic status, period of study, year of school and work), also variables related to their health (level of physical activity, alcohol intake, smoking, misuse of medicines, stress control, duration of sleep, sedentary behavior and self-rated health) and EDS, through the Pediatric Daytime Sleepiness Scale (PDSS). The prevalence of EDS in general sample was 54.2% and average score in PDSS was 16.0 (5.7). Comparing results between both sexes, female sex presents the higher prevalence of EDS (64.3%) and greatest average PDSS score 17.5 (5.4) compared to male sex (35.7%) with 14.5 (5.6%) score ( < .001). In analysis of the prevalence ratio, using 15 as an EDS cut-off point, prevalence was 35% higher in the female sex (PR = 1.35 CI 95% 1.08-1.69, = .010). In addition, adolescents which had lower self-rated health (PR = 1.24 CI 95% 1.01-1.52, = .038), low stress control (PR = 1.28 CI 95% 1.05-1.57, = .014) and short sleep duration (PR = 1.30 CI 95% 1.02-1.65, = .029), presented higher prevalence of EDS. High prevalence of EDS was identified, being more common in young women. Adequate sleep, greater stress control and better health perception should be promoted among Brazilian adolescents.
本研究旨在验证青少年日间嗜睡（EDS）的流行率及其相关因素。共有 1132 人参与。他们的年龄在 14 至 19 岁之间，性别不限，来自巴西南部的一个城市。收集了许多社会人口统计学变量（性别、年龄组、社会经济地位、学习期间、学年和工作），以及与他们健康相关的变量（身体活动水平、酒精摄入、吸烟、药物滥用、压力控制、睡眠时间、久坐行为和自我评估健康）和 EDS，通过儿科日间睡眠量表（PDSS）进行评估。总体样本中 EDS 的患病率为 54.2%，PDSS 的平均得分为 16.0（5.7）。比较两性之间的结果，女性 EDS 的患病率（64.3%）和 PDSS 的平均得分（17.5（5.4））均高于男性（35.7%）（14.5（5.6%）（<.001）。在患病率比分析中，使用 15 作为 EDS 的截断值，女性的患病率高出 35%（PR = 1.35，95%CI 1.08-1.69， =.010）。此外，自我评估健康状况较差（PR = 1.24，95%CI 1.01-1.52， =.038）、压力控制能力较低（PR = 1.28，95%CI 1.05-1.57， =.014）和睡眠时间较短（PR = 1.30，95%CI 1.02-1.65， =.029）的青少年，EDS 的患病率更高。研究发现 EDS 的患病率较高，在年轻女性中更为常见。巴西青少年应促进充足的睡眠、更好的压力控制和更好的健康感知。
