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03.08.2020 | Research article

The relationship between lifestyle and anthropometric factors with the sleep characteristics among university students in Iran: the MEPHASOUS study

verfasst von: Mehdi Varmaghani, Masoume Mansouri, Mehran Shams-Beyranvand, Bereket Molla Tigabu, Parisa Saiyarsarai, Maziar Emamikhah, Hamid Yaghubi, Yousef Moghadas Tabrizi, Farshad Sharifi

Erschienen in: Journal of Diabetes & Metabolic Disorders | Ausgabe 2/2020

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Abstract

Background

Healthy sleep habits have an important role in normal cognitive function, emotional performance, and well-being. The aims of this study were to describe the characteristics of sleep among university students in Iran. In addition, we assessed the relationship between lifestyle and anthropometric factors with the sleep characteristics.

Methods

This population-based cross-sectional study was conducted using the data of “Mental and Physical Health Assessment of University Students in Iran” survey 2012–2013. This survey was conducted on newly admitted students in 74 public universities in 28 provinces. The participants were younger adults. Univariate and multivariate logistic regression models were utilized to recognize associated factors with sleep pattern and range.

Result

Of total 78,848 students who completed the survey, 54.64% (n = 43,079) were females. The average age of the students was 21.53 ± 4.08 and 21.54 ± 3.99 among males and females, respectively. More than 90% (n = 70,923), were non-smokers. Out of the total respondents, 40.56% (n = 31,756) had irregular sleep pattern. Male students were less likely to have irregular sleep pattern than female students.

Conclusion

Our findings indicated that irregular sleep pattern is associated with overweight and obesity. So, these results underscore the need to educate students on importance of healthy sleep pattern and duration on health conditions.
Literatur
1.
Zurück zum Zitat Alhola P, Polo-Kantola P. Sleep deprivation: impact on cognitive performance. Neuropsychiatr Dis Treat. 2007;3(5):553–67.PubMedPubMedCentral Alhola P, Polo-Kantola P. Sleep deprivation: impact on cognitive performance. Neuropsychiatr Dis Treat. 2007;3(5):553–67.PubMedPubMedCentral
2.
Zurück zum Zitat Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, Hazen N, Herman J, Adams Hillard PJ, Katz ES, Kheirandish-Gozal L, Neubauer DN, O’Donnell AE, Ohayon M, Peever J, Rawding R, Sachdeva RC, Setters B, Vitiello MV, Ware JC. National sleep foundation’s updated sleep duration recommendations. Sleep Health. 2015;1(4):233–43.CrossRef Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, Hazen N, Herman J, Adams Hillard PJ, Katz ES, Kheirandish-Gozal L, Neubauer DN, O’Donnell AE, Ohayon M, Peever J, Rawding R, Sachdeva RC, Setters B, Vitiello MV, Ware JC. National sleep foundation’s updated sleep duration recommendations. Sleep Health. 2015;1(4):233–43.CrossRef
3.
Zurück zum Zitat Galambos NL, Vargas Lascano DI, Howard AL, Maggs JL. Who sleeps best? Longitudinal patterns and covariates of change in sleep quantity, quality, and timing across four university years. Behav Sleep Med. 2013;11(1):8–22.CrossRef Galambos NL, Vargas Lascano DI, Howard AL, Maggs JL. Who sleeps best? Longitudinal patterns and covariates of change in sleep quantity, quality, and timing across four university years. Behav Sleep Med. 2013;11(1):8–22.CrossRef
4.
Zurück zum Zitat Simpson NS, Diolombi M, Scott-Sutherland J, Yang H, Bhatt V, Gautam S, Mullington J, Haack M. Repeating patterns of sleep restriction and recovery: do we get used to it? Brain Behav Immun. 2016;58:142–51.CrossRef Simpson NS, Diolombi M, Scott-Sutherland J, Yang H, Bhatt V, Gautam S, Mullington J, Haack M. Repeating patterns of sleep restriction and recovery: do we get used to it? Brain Behav Immun. 2016;58:142–51.CrossRef
5.
Zurück zum Zitat Xi B, He D, Zhang M, Xue J, Zhou D. Short sleep duration predicts risk of metabolic syndrome: a systematic review and meta-analysis. Sleep Med Rev. 2014;18(4):293–7.CrossRef Xi B, He D, Zhang M, Xue J, Zhou D. Short sleep duration predicts risk of metabolic syndrome: a systematic review and meta-analysis. Sleep Med Rev. 2014;18(4):293–7.CrossRef
6.
Zurück zum Zitat Digdon N, Landry K. University students’ motives for drinking alcohol are related to evening preference, poor sleep, and ways of coping with stress. Biol Rhythm Res. 2013;44(1):1–11.CrossRef Digdon N, Landry K. University students’ motives for drinking alcohol are related to evening preference, poor sleep, and ways of coping with stress. Biol Rhythm Res. 2013;44(1):1–11.CrossRef
7.
Zurück zum Zitat Kim S, DeRoo LA, Sandler DP. Eating patterns and nutritional characteristics associated with sleep duration. Public Health Nutr. 2011;14(5):889–95.CrossRef Kim S, DeRoo LA, Sandler DP. Eating patterns and nutritional characteristics associated with sleep duration. Public Health Nutr. 2011;14(5):889–95.CrossRef
8.
Zurück zum Zitat Hysing M, Pallesen S, Stormark KM, Jakobsen R, Lundervold AJ, Sivertsen B. Sleep and use of electronic devices in adolescence: results from a large population-based study. BMJ Open. 2015;5(1):e006748.CrossRef Hysing M, Pallesen S, Stormark KM, Jakobsen R, Lundervold AJ, Sivertsen B. Sleep and use of electronic devices in adolescence: results from a large population-based study. BMJ Open. 2015;5(1):e006748.CrossRef
9.
Zurück zum Zitat Knutson KL. Does inadequate sleep play a role in vulnerability to obesity? Am J Hum Biol. 2012;24(3):361–71.CrossRef Knutson KL. Does inadequate sleep play a role in vulnerability to obesity? Am J Hum Biol. 2012;24(3):361–71.CrossRef
10.
Zurück zum Zitat Mansouri M, Sharifi F, Varmaghani M, Yaghubi H, Tabrizi YM, Raznahan M, Khajavi A, Ghodsi M, Roshanfekr P, Shafiee G, Keshtkar A, Ebrahimi M. Iranian university students lifestyle and health status survey: study profile. J Diabetes Metab Disord. 2017;16(1):48.CrossRef Mansouri M, Sharifi F, Varmaghani M, Yaghubi H, Tabrizi YM, Raznahan M, Khajavi A, Ghodsi M, Roshanfekr P, Shafiee G, Keshtkar A, Ebrahimi M. Iranian university students lifestyle and health status survey: study profile. J Diabetes Metab Disord. 2017;16(1):48.CrossRef
11.
12.
Zurück zum Zitat Mansouri M, Hasani-Ranjbar S, Yaghubi H, Rahmani J, Tabrizi YM, Keshtkar A, Varmaghani M, Sharifi F, Sadeghi O. Breakfast consumption pattern and its association with overweight and obesity among university students: a population-based study. Eat Weight Disord. 2020;25(2):379–87.CrossRef Mansouri M, Hasani-Ranjbar S, Yaghubi H, Rahmani J, Tabrizi YM, Keshtkar A, Varmaghani M, Sharifi F, Sadeghi O. Breakfast consumption pattern and its association with overweight and obesity among university students: a population-based study. Eat Weight Disord. 2020;25(2):379–87.CrossRef
13.
Zurück zum Zitat Mansouri M, Miri A, Varmaghani M, Abbasi R, Taha P, Ramezani S, Rahmani E, Armaghan R, Sadeghi O. Vitamin D deficiency in relation to general and abdominal obesity among high educated adults. Eating Weight Disord-Stud Anorexia Bulimia Obes. 2019;24(1):83–90.CrossRef Mansouri M, Miri A, Varmaghani M, Abbasi R, Taha P, Ramezani S, Rahmani E, Armaghan R, Sadeghi O. Vitamin D deficiency in relation to general and abdominal obesity among high educated adults. Eating Weight Disord-Stud Anorexia Bulimia Obes. 2019;24(1):83–90.CrossRef
14.
Zurück zum Zitat Mansouri M, Sharifi F, Varmaghani M, Yaghubi H, Shokri A, Moghadas-Tabrizi Y, et al. Dairy consumption in relation to primary headaches among a large population of university students: the MEPHASOUS study. Complement. Ther. Med. 2020;48:102269.CrossRef Mansouri M, Sharifi F, Varmaghani M, Yaghubi H, Shokri A, Moghadas-Tabrizi Y, et al. Dairy consumption in relation to primary headaches among a large population of university students: the MEPHASOUS study. Complement. Ther. Med. 2020;48:102269.CrossRef
15.
Zurück zum Zitat Mansouri M, Sharifi F, Tabatabaee SS, Heidari E, Yaghubi H, Keshtkar A, et al. Prevalence of ever self-reported asthma and associated factors among university students in Iran: a population-based study. Int J Prev Med. 2020;1(4):11–54 (30 April 2020). https://doi.org/10.4103/ijpvm.IJPVM_453_18. Mansouri M, Sharifi F, Tabatabaee SS, Heidari E, Yaghubi H, Keshtkar A, et al. Prevalence of ever self-reported asthma and associated factors among university students in Iran: a population-based study. Int J Prev Med. 2020;1(4):11–54 (30 April 2020). https://​doi.​org/​10.​4103/​ijpvm.​IJPVM_​453_​18.
16.
Zurück zum Zitat Mansouri M, Pahlavani N, Sharifi F, Varmaghani M, Shokri A, Yaghubi H, et al. Dairy consumption in relation to hypertension among a large population of university students: the MEPHASOUS study. Diabetes Metab Syndr Obes: Targets Ther. 2020;13:1633.CrossRef Mansouri M, Pahlavani N, Sharifi F, Varmaghani M, Shokri A, Yaghubi H, et al. Dairy consumption in relation to hypertension among a large population of university students: the MEPHASOUS study. Diabetes Metab Syndr Obes: Targets Ther. 2020;13:1633.CrossRef
18.
Zurück zum Zitat Dzaja A, Arber S, Hislop J, Kerkhofs M, Kopp C, Pollmächer T, Polo-Kantola P, Skene DJ, Stenuit P, Tobler I, Porkka-Heiskanen T. Women’s sleep in health and disease. J Psychiatr Res. 2005;39(1):55–76.CrossRef Dzaja A, Arber S, Hislop J, Kerkhofs M, Kopp C, Pollmächer T, Polo-Kantola P, Skene DJ, Stenuit P, Tobler I, Porkka-Heiskanen T. Women’s sleep in health and disease. J Psychiatr Res. 2005;39(1):55–76.CrossRef
19.
Zurück zum Zitat Tsai L-L, Li S-P. Sleep patterns in college students: gender and grade differences. J Psychosom Res. 2004;56(2):231–7.CrossRef Tsai L-L, Li S-P. Sleep patterns in college students: gender and grade differences. J Psychosom Res. 2004;56(2):231–7.CrossRef
20.
Zurück zum Zitat Lindberg E, Janson C, Gislason T, Björnsson E, Hetta J, Boman G. Sleep disturbances in a young adult population: can gender differences be explained by differences in psychological status? Sleep. 1997;20(6):381–7.CrossRef Lindberg E, Janson C, Gislason T, Björnsson E, Hetta J, Boman G. Sleep disturbances in a young adult population: can gender differences be explained by differences in psychological status? Sleep. 1997;20(6):381–7.CrossRef
21.
Zurück zum Zitat Wu X, Tao S, Zhang Y, Zhang S, Tao F. Low physical activity and high screen time can increase the risks of mental health problems and poor sleep quality among Chinese college students. PLoS One. 2015;10(3):e0119607.CrossRef Wu X, Tao S, Zhang Y, Zhang S, Tao F. Low physical activity and high screen time can increase the risks of mental health problems and poor sleep quality among Chinese college students. PLoS One. 2015;10(3):e0119607.CrossRef
22.
Zurück zum Zitat Al-Eisa E, Buragadda S, Melam GR, Al-Osaimi AO, Al-Mubarak HA, Al-Huwaimel NA. Association between physical activity and insomnia among Saudi female college students. J Phys Ther Sci. 2013;25(11):1479–82.CrossRef Al-Eisa E, Buragadda S, Melam GR, Al-Osaimi AO, Al-Mubarak HA, Al-Huwaimel NA. Association between physical activity and insomnia among Saudi female college students. J Phys Ther Sci. 2013;25(11):1479–82.CrossRef
23.
Zurück zum Zitat Kathrotia RG, Rao PV, Paralikar SJ, Shah CJ, Oommen ER. Late sleeping affects sleep duration and body mass index in adolescents. Iran J Med Sci. 2015;35(1):57–60. Kathrotia RG, Rao PV, Paralikar SJ, Shah CJ, Oommen ER. Late sleeping affects sleep duration and body mass index in adolescents. Iran J Med Sci. 2015;35(1):57–60.
24.
Zurück zum Zitat Olds TS, Maher CA, Matricciani L. Sleep duration or bedtime? Exploring the relationship between sleep habits and weight status and activity patterns. Sleep. 2011;34(10):1299–307.CrossRef Olds TS, Maher CA, Matricciani L. Sleep duration or bedtime? Exploring the relationship between sleep habits and weight status and activity patterns. Sleep. 2011;34(10):1299–307.CrossRef
25.
Zurück zum Zitat Garaulet M, Ortega F, Ruiz J, Rey-Lopez J, Beghin L, Manios Y, et al. Short sleep duration is associated with increased obesity markers in European adolescents: effect of physical activity and dietary habits. The HELENA study. Int J Obes. 2011;35(10):1308.CrossRef Garaulet M, Ortega F, Ruiz J, Rey-Lopez J, Beghin L, Manios Y, et al. Short sleep duration is associated with increased obesity markers in European adolescents: effect of physical activity and dietary habits. The HELENA study. Int J Obes. 2011;35(10):1308.CrossRef
26.
Zurück zum Zitat Meier-Ewert HK, Ridker PM, Rifai N, Regan MM, Price NJ, Dinges DF, Mullington JM. Effect of sleep loss on C-reactive protein, an inflammatory marker of cardiovascular risk. J Am Coll Cardiol. 2004;43(4):678–83.CrossRef Meier-Ewert HK, Ridker PM, Rifai N, Regan MM, Price NJ, Dinges DF, Mullington JM. Effect of sleep loss on C-reactive protein, an inflammatory marker of cardiovascular risk. J Am Coll Cardiol. 2004;43(4):678–83.CrossRef
27.
Zurück zum Zitat Williams CJ, Hu FB, Patel SR, Mantzoros CS. Sleep duration and snoring in relation to biomarkers of cardiovascular disease risk among women with type 2 diabetes. Diabetes Care. 2007;30(5):1233–40.CrossRef Williams CJ, Hu FB, Patel SR, Mantzoros CS. Sleep duration and snoring in relation to biomarkers of cardiovascular disease risk among women with type 2 diabetes. Diabetes Care. 2007;30(5):1233–40.CrossRef
28.
Zurück zum Zitat Tochikubo O, Ikeda A, Miyajima E, Ishii M. Effects of insufficient sleep on blood pressure monitored by a new multibiomedical recorder. Hypertension. 1996;27(6):1318–24.CrossRef Tochikubo O, Ikeda A, Miyajima E, Ishii M. Effects of insufficient sleep on blood pressure monitored by a new multibiomedical recorder. Hypertension. 1996;27(6):1318–24.CrossRef
29.
Zurück zum Zitat Cappuccio FP, D'elia L, Strazzullo P, Miller MA. Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. Diabetes Care. 2010;33(2):414–20.CrossRef Cappuccio FP, D'elia L, Strazzullo P, Miller MA. Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. Diabetes Care. 2010;33(2):414–20.CrossRef
30.
Zurück zum Zitat Shen X, Wu Y, Zhang D. Nighttime sleep duration, 24-hour sleep duration and risk of all-cause mortality among adults: a meta-analysis of prospective cohort studies. Sci Rep. 2016;6:21480.CrossRef Shen X, Wu Y, Zhang D. Nighttime sleep duration, 24-hour sleep duration and risk of all-cause mortality among adults: a meta-analysis of prospective cohort studies. Sci Rep. 2016;6:21480.CrossRef
31.
Zurück zum Zitat Gottlieb DJ, Redline S, Nieto FJ, Baldwin CM, Newman AB, Resnick HE, Punjabi NM. Association of usual sleep duration with hypertension: the sleep heart health study. Sleep. 2006;29(8):1009–14.CrossRef Gottlieb DJ, Redline S, Nieto FJ, Baldwin CM, Newman AB, Resnick HE, Punjabi NM. Association of usual sleep duration with hypertension: the sleep heart health study. Sleep. 2006;29(8):1009–14.CrossRef
32.
Zurück zum Zitat Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, et al. Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension. 2006;47(5):833–9.CrossRef Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, et al. Short sleep duration as a risk factor for hypertension: analyses of the first National Health and Nutrition Examination Survey. Hypertension. 2006;47(5):833–9.CrossRef
33.
Zurück zum Zitat Kim J, Jo I. Age-dependent association between sleep duration and hypertension in the adult Korean population. Am J Hypertens. 2010;23(12):1286–91.CrossRef Kim J, Jo I. Age-dependent association between sleep duration and hypertension in the adult Korean population. Am J Hypertens. 2010;23(12):1286–91.CrossRef
34.
Zurück zum Zitat Vgontzas AN, Liao D, Bixler EO, Chrousos GP, Vela-Bueno A. Insomnia with objective short sleep duration is associated with a high risk for hypertension. Sleep. 2009;32(4):491–7.CrossRef Vgontzas AN, Liao D, Bixler EO, Chrousos GP, Vela-Bueno A. Insomnia with objective short sleep duration is associated with a high risk for hypertension. Sleep. 2009;32(4):491–7.CrossRef
35.
Zurück zum Zitat Shan Z, Ma H, Xie M, Yan P, Guo Y, Bao W, Rong Y, Jackson CL, Hu FB, Liu L. Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies. Diabetes Care. 2015;38(3):529–37.CrossRef Shan Z, Ma H, Xie M, Yan P, Guo Y, Bao W, Rong Y, Jackson CL, Hu FB, Liu L. Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies. Diabetes Care. 2015;38(3):529–37.CrossRef
36.
Zurück zum Zitat Lohsoonthorn V, Khidir H, Casillas G, Lertmaharit S, Tadesse MG, Pensuksan WC, Rattananupong T, Gelaye B, Williams MA. Sleep quality and sleep patterns in relation to consumption of energy drinks, caffeinated beverages, and other stimulants among Thai college students. Sleep Breathing. 2013;17(3):1017–28.CrossRef Lohsoonthorn V, Khidir H, Casillas G, Lertmaharit S, Tadesse MG, Pensuksan WC, Rattananupong T, Gelaye B, Williams MA. Sleep quality and sleep patterns in relation to consumption of energy drinks, caffeinated beverages, and other stimulants among Thai college students. Sleep Breathing. 2013;17(3):1017–28.CrossRef
Metadaten
Titel
The relationship between lifestyle and anthropometric factors with the sleep characteristics among university students in Iran: the MEPHASOUS study
verfasst von
Mehdi Varmaghani
Masoume Mansouri
Mehran Shams-Beyranvand
Bereket Molla Tigabu
Parisa Saiyarsarai
Maziar Emamikhah
Hamid Yaghubi
Yousef Moghadas Tabrizi
Farshad Sharifi
Publikationsdatum
03.08.2020
Verlag
Springer International Publishing
Erschienen in
Journal of Diabetes & Metabolic Disorders / Ausgabe 2/2020
Elektronische ISSN: 2251-6581
DOI
https://doi.org/10.1007/s40200-020-00598-x

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