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咖啡因摄入量、屏幕使用时间、社会因素与心理健康的初步研究结果:它们对西班牙裔青少年昼夜节律类型和睡眠健康的影响

Preliminary findings on caffeine intake, screen time, social factors, and psychological well-being: their impact on chronotype and sleep health in Hispanic adolescents.

作者信息

Wallace Alexander L, Aguinaldo Laika, Thomas Michael L, McCarthy Michael J, Meruelo Alejandro D

机构信息

Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.

Department of Psychology, Colorado State University, Fort Collins, CO, USA.

出版信息

Sleep Adv. 2025 Mar 22;6(2):zpaf019. doi: 10.1093/sleepadvances/zpaf019. eCollection 2025 Apr.

Abstract

This study examined the relationships between caffeine intake, screen time, and chronotype/sleep outcomes in adolescents, with a focus on differences between Hispanic and non-Hispanic groups and the influence of peer network health, school environment, and psychological factors, including perceived stress, depression, and anxiety. Data from the Adolescent Brain Cognitive Development (ABCD) study were analyzed using -tests and structural equation modeling (SEM) to assess behavioral, social, and psychological predictors of chronotype, social jet lag, and weekday sleep duration, incorporating demographic covariates. Hispanic adolescents exhibited a later chronotype (Cohen's  = 0.42), greater social jet lag (Cohen's  = 0.38), and shorter weekday sleep duration (Cohen's  = -0.12) compared to non-Hispanic peers. They also reported higher caffeine intake (Cohen's  = 0.22), though caffeine was not significantly associated with sleep outcomes. Screen time was more prevalent among Hispanic adolescents, particularly on weekday evenings (Cohen's  = 0.27) and weekend evenings (Cohen's  = 0.35), and was strongly associated with later chronotype and greater social jet lag. Higher perceived stress was linked to later chronotype and greater social jet lag, while depressive symptoms were associated with earlier chronotype and lower social jet lag. The SEM model explained 12.9% of variance in chronotype, 10.5% in social jet lag, and 6.2% in weekday sleep duration. These findings highlight disparities in adolescent sleep health but should be interpreted cautiously due to methodological limitations, including low caffeine use and assessment timing variability. Targeted interventions addressing screen time, peer relationships, and stress may improve sleep, while longitudinal research is needed to clarify causality.

摘要

本研究考察了青少年咖啡因摄入量、屏幕使用时间与昼夜节律类型/睡眠结果之间的关系,重点关注西班牙裔和非西班牙裔群体之间的差异以及同伴网络健康、学校环境和心理因素(包括感知压力、抑郁和焦虑)的影响。使用t检验和结构方程模型(SEM)对青少年大脑认知发展(ABCD)研究的数据进行分析,以评估昼夜节律类型、社会时差和工作日睡眠时间的行为、社会和心理预测因素,并纳入人口统计学协变量。与非西班牙裔同龄人相比,西班牙裔青少年表现出更晚的昼夜节律类型(科恩d=0.42)、更大的社会时差(科恩d=0.38)和更短的工作日睡眠时间(科恩d=-0.12)。他们还报告了更高的咖啡因摄入量(科恩d=0.22),尽管咖啡因与睡眠结果没有显著关联。屏幕使用时间在西班牙裔青少年中更为普遍,尤其是在工作日晚上(科恩d=0.27)和周末晚上(科恩d=0.35),并且与更晚的昼夜节律类型和更大的社会时差密切相关。更高的感知压力与更晚的昼夜节律类型和更大的社会时差有关,而抑郁症状与更早的昼夜节律类型和更低的社会时差有关。SEM模型解释了昼夜节律类型中12.9%的方差、社会时差中10.5%的方差和工作日睡眠时间中6.2%的方差。这些发现凸显了青少年睡眠健康方面的差异,但由于方法学上的局限性,包括咖啡因使用量低和评估时间变异性,应谨慎解读。针对屏幕使用时间、同伴关系和压力的有针对性干预可能会改善睡眠,同时需要进行纵向研究以阐明因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ef/12038348/1eb84ad71058/zpaf019_fig2.jpg

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