Purpose This study examined the combined effects of sugar-sweetened beverage (SSB) consumption, screen-based sedentary behaviors, and sleep duration on adolescent obesity.
Methods It followed a cross-sectional study design and conducted secondary analysis on data from 20,497 high school students who participated in the 17th (2021) Korea Youth Risk Behavior Web-based Survey. This study underwent logistic regression analysis in complex sampling analysis.
Results The combinations of low and medium consumption of SSBs, excessive screen-based sedentary behaviors, and short sleep durations were associated with a 1.18 and 1.12 fold increased likelihood of obesity (95% confidence interval [CI]=1.03–1.35) and (95% CI=1.02–1.22), respectively. The combination of high SSB consumption, appropriate screen-based sedentary behaviors, and short sleep duration (adjusted odds ratio [aOR]=1.15, 95% CI=1.01–1.31) and high SSB consumption, excessive screen-based sedentary behaviors, and short sleep duration (aOR=1.40, 95% CI=1.16–1.69) were associated with obesity.
Conclusion Integrated and tailored programs considering combination patterns of SSB consumption, screen-based sedentary behaviors, and short sleep duration need to be developed for preventing adolescent obesity.
Purpose This study investigated correlations between the actual sleep time 24 hours prior to an examination and the time to achieve chloral hydrate sedation in pediatric patients.
Methods With parental consent, 84 children who were placed under moderate or deep sedation with chloral hydrate for examinations from November 19, 2020 to July 9, 2022 were recruited.
Results Patients' average age was 19.9 months. Pediatric neurology patients and those who underwent electroencephalography took significantly longer to achieve sedation with chloral hydrate. There was a negative correlation between the time to achieve sedation and actual sleep time within 24 hours prior to the examination. Positive correlations were found between the actual sleep time 24 hours prior to the examination and the second dose per weight, as well as between the sedation recovery time and awake hours before the examination.
Conclusion Sleep restriction is not an effective adjuvant therapy for chloral hydrate sedation in children, and sedation effects vary according to pediatric patients' characteristics. Therefore, it would be possible to reduce the unnecessary efforts of caregivers who restrict children's sleep for examinations. It is more important to educate parents about safe sedation than about sleep restriction.
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Risk factors for chloral hydrate sedation failure in pediatric patients: a retrospective analysis Young-Eun Jang, Jung-Bin Park, Pyoyoon Kang, Sang-Hwan Ji, Eun-Hee Kim, Ji-Hyun Lee, Hee-Soo Kim, Jin-Tae Kim Korean Journal of Anesthesiology.2024; 77(5): 526. CrossRef
Purpose Safe sleep practices (SSP) are among the main strategies to reduce sleep-related sudden unexplained infant death (SUID). Daycare personnel must be knowledgeable and trained in SSP related to SUID. This study explored the experience, knowledge, and confidence regarding SSP associated with SUID of daycare personnel.
Methods A cross-sectional survey was conducted with 395 staff members at 61 daycare centers to measure their experience related to SSP (10 items), related to sleep position and location, bedding materials, and other topics; knowledge of SSP (18 items); and confidence in SSP (1 item) related to SUID.
Results A substantial proportion (23.6%) of respondents used the lateral or prone positions for infant sleep. On average, 4.5 bedding materials were used for infant sleep. Participants showed a lack of knowledge about SSP as indicated by a 56.6% knowledge of SSP related to SUID correct answer rate. Personnel who received SUID education were more knowledgeable and had more confidence regarding SSP than those who did not. More knowledge and confidence related to SSP were associated with better adherence to SSP.
Conclusion Standard SSP guidelines should be developed based on South Korea's culture of childcare for educating both childcare professionals and parents at home.
Purpose The purpose of this study was to evaluate the current level of sleep quality among Korean middle-school students using the Pittsburg Sleep Quality Index (PSQI), and to analyze the factors influencing sleep quality.
Methods The study used a descriptive cross-sectional design and a self-report questionnaire. The participants were 744 middle-school students. The questionnaire included the PSQI and health-related questions, such as the types of diseases they had been diagnosed with and the frequency of hospital admissions. The data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and linear multiple regression.
Results The global PSQI score was 4.21, which indicated good sleep quality. The major factors that were associated with the sleep quality of middle-school students were the number of diseases they had been diagnosed with (β=.54, p=.001) and atopic dermatitis (β=.32, p=.001). In addition, asthma and the frequency of hospital admissions were significant factors influencing each component of the PSQI.
Conclusion The findings from this study suggest that sleep quality was associated with several health-related factors. Thus, nurses, school nurses, and nursing researchers may need to assess the health-related factors associated with adolescents’ sleep quality as part of efforts to improve their sleep quality.
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Purpose
This study was done to investigate quality of sleep and heart rate variability by the physical activity in high school students.
Methods
A survey that measures physical activity and quality of sleep was distributed to 118 students at Y High School. Heart rate variability was obtained using the LXC3203 heart rate monitor. The data of 105 students were analyzed using descriptive statistics, t-test, x2-test, and ANOVA with Scheffé test.
Results
Boys and students with part-time jobs had significantly higher physical activity. The quality of sleep was significantly high when the students were non-smokers, felt healthy, happy, less stressed, and satisfied with their school lives. Mean heart rate was significantly higher among girls, and standard deviation from normal to normal R-R intervals were high in boys. Physical activity had no significant relationships with quality of sleep and heart rate variability.
Conclusions
Physical activity should be encouraged for high school students, especially for girls. An experimental study with different intensity and time of physical activity is recommended to examine the relationships with quality of sleep and heart rate variability in the future.
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PURPOSE This study was done to evaluate effects of a mother-fetus interaction promotion program on maternal and infant sleep/activity regulation, and examine the correlation between maternal and infant sleep/activity. METHODS Thirty-four mother-infant dyads were recruited from an OB-GY clinic with postpartum care center, and assigned to the intervention group (17) or control group (17). Data were collected from January 18 to August 5 2005. A programmed education focused on mother-fetus interaction was provided to the intervention group in the 3rd trimester. Maternal sleep/activity record was completed at 32-36 weeks gestation and infant sleep/activity record was completed for one month after birth. RESULTS During the 3rd trimester, there were no significant differences in maternal sleep/activity between the groups, except for frequency of mothers' night awakening and urination at night. There were no significant differences in infant sleep, but significant difference was found in feeding times between the groups. Correlation of maternal sleep in the 3rd trimester and infant waking times was significant. CONCLUSION The results of this study indicate that maternal sleep/activity during pregnancy influences infant sleep/activity at 3-4 weeks, and that nursing interventions to regulate maternal sleep/activity provided to primiparas can be beneficial to the regularity of infant sleep/activity patterns.
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Development of an Infants' Sleep Health Program Using a Video for SIDS Prevention Education and Measurement of the Program's Effects. Sook Jang, Il Ok Kim Child Health Nursing Research.2015; 21(1): 11. CrossRef
PURPOSE The purposes of this study were to develop an infant sleep health education program using a video for SIDS prevention education and to measure the effects of the program. METHODS The infant sleep health education program consisted of presentations and motor images. The formation of educational material was directed by the systematic design of instruction. Participants in this study were 59 primiparous women from postpartum care centers. The instruments used in this study were criterion referenced test items for knowledge about infant sleep health and confidence inventory. Experimental group I was given the treatment of infant sleep health education program.
Experimental group II was given the program using a video reinforcement after 2 weeks. On the other hand, control group was given no treatment. RESULTS There was a significant increase in knowledge and confidence in the performance of mother's roles of both experimental group I and experimental group II over the control group. No significant difference was founds for knowledge and confidence in the performance of mother's roles between experimental group I and II. CONCLUSION The results indicate that this program is a very effective intervention for better sleep health in infants by helping the mothers increase confidence in their role performance.
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The purpose of this study was to compare the sleep characteristics between the prone and the supine position in healthy newborns. The 48 newborns were observed in the prone position and the supine position respectively on the 2nd day after birth. The data were collected from January to May, 1999. The state of a newborn was classified and categorized to 6 states (deep sleep, light sleep, drowsy, quiet alert, active alert, crying) by Barnard. The movements of eyes, face and extremities, pulse and arterial oxygen were observed and recorded continuously from the start of sleep after feeding until the time of being woken for the next feeding by a trained nurse. The data was analyzed by using paired t-test. The results of this study were as follows; 1.
There was no significant difference in the length of sleeping time between the prone and the supine position. 2.
There was no significant difference in the length and frequencies of each states(deep sleep, light sleep, drowsy, quiet alert, active alert, crying) between the prone and the supine position. But the frequency of light sleep in the supine position was significantly higher than that of the prone position. 3. There was no significant difference in the numbers of eyes movements between the prone and the supine sleep position. But the amount of facial and extremity movement in the supine position was significantly higher than those in the prone position 4. There was no significant difference in the arterial oxygen content between the prone and the supine sleep position. 5. There was no significant difference in the heart rates between the prone and the supine sleep position. The above results indicated that the newborns in the prone position moved less and slept deeper than those in the supine position, though there was no difference in the length of sleep or arterial oxygen content between the prone and the supine sleep position. But, Nurses and mothers should consider the relationship between the sleep position and SIDS suggested by previous researches. The infant's 'awakening' during sleep is a normal process and rather valuable because it can provide an opportunity to promote a stronger relationship between mother and baby. So, It is suggested that the supine sleep position is better than the prone sleep position for infants.
The purpose of this study was to identify the children's sleeping patterns, such as the sleeping hours and the nature of sleep disruptions following hospitalization and its accompanying factor.
The data were collected from December, 1997 to March, 1998 using a questionnaire developed by researchers. The subjects were 76 children in a hospital.
The results of this study were summarized as follows : 1. The average sleeping hours(sleep duration) at night were 10 hours and 10 minutes and 9 hours and 9 minutes before and after hospitalization respectively. There was a significant difference(P<0.01).
2. The mean bed time(sleep onset) was 10:22 pm and 10:28 pm before and after hospitalization respectively. There was no significant difference.
3. The mean hour of rising(sleep termination) was 7:54 am 7:08 am before and after hospitalization respectively. There was a significant difference(P<0.01).
4. The mean number of sleep disruption was 0.72 and 1.94 before and after hospitalization respectively.
There was a significant difference(P<0.01).
The sleep disruptions were influenced by crying of other children(53.9%), lights(28.9%) nursing procedures(18.4%), noise of TV(17.1%) and noise of visitors(15.8%).
PURPOSE This study was to done to develop a nursing intervention, Meridian massage and to investigate its effects on the infants' growth and sleep of infants and on role confidence and sensitivity in their mothers. METHOD This study used a nonequivalent control group non-synchronized quasi experimental. Infants and mothers from Y health center were assigned to an experimental group (17) and control group (14). Meridian massage was given to infants by their mothers. Data were collected from August 11, 2005 to February 24, 2006. Infants in the experimental group had Meridian massage for 15 min per time, three times a week for 3 weeks. RESULT Regarding growth, infants in the experimental group showed a statistical significant increase in weight and height compared to those in the control group. Sleeping well was also significant for infants in the experimental group compare to those in the control group. There was no signifiant difference in confidence in mothering role between the two groups. Sensitivity for the mothering role was significantly higher for mothers of infants in the experimental group compare to those in the control group. CONCLUSION Meridian massage is an effective nursing intervention in improving infant growth and maternal-infant interaction.
PURPOSE The purpose of this study was to investigate the sleep/activity patterns of premature babies. METHOD The subjects were 55 premature babies who were hospitalized in the Neonatal Intensive Care Unit (NICU) of one University Hospital in Daejeon from September 1, 2004 to March 31, 2006. The sleep/activity patterns of the premature babies were observed for 24 hours a day for 7 days. The observations were made and recorded by the researcher and 5 trained research assistants using NCASA records developed by Barnard et al. (1979). For statistical analysis, frequency, average, t-test, and Pearson correlation coefficients were used. RESULTS The infants slept more and had less awake periods during daytime than full-term infants. As the hospital stay of the premature babies increased, the amount of daytime sleep and total daily sleep decreased, and the amount of daytime awake periods increased. CONCLUSIONS The findings suggest that the level of physical and physiological maturity of premature babies is one of the major variables that affect their sleep/activity patterns.
Furthermore, the findings of this study will provide information about the sleep/activity patterns of premature babies, and present baseline data to develop the nursing intervention programs which support optimum development for the premature babies.
, Do Thi Thu Huyen
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