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The Effect of Sleep Duration and Relief of Fatigue after Sleep on the Risk of Injury at School among Korean Adolescents

청소년의 수면시간과 수면 후 피로 회복이 학교 내 손상에 미치는 영향

  • Received : 2015.03.20
  • Accepted : 2015.06.05
  • Published : 2015.06.30

Abstract

Purpose: To explore the association between sleep and the risk of accidental injury at school among Korean adolescents. Methods: From the database of the Ninth Korea Youth Risk Behavior Web-based Survey (KYRBS), the researcher selected 63,307 adolescents who responded to a survey on sleep hours. We conducted logistic regression with sleep duration and fatigue after sleep as independent variables, the risk of injury at school as a dependent variable, and gender, grade, school type, economic status, parents' education level, number of participations in physical education, and current smoking and drinking as control variables. Results: Using 9 hours of sleep as the reference, the adjusted injury risk (odds ratio) was 1.74 for those sleeping less than 5 hours a day, 1.61 for 5 hours, 1.45 for 6 hours, 1.31 for 7 hours, 1.13 for 8 hours, and 1.40 for 10 hours or longer. The difference between each pair of groups was statistically significant. In this study, injury risk increased as sleep duration decreased and fatigue after sleep increased. Conclusion: The findings suggest that a short nightly duration of sleep and fatigue after sleep can be considered potential risk factorsfor unintentional injuries at school among Korean adolescents.

Keywords

References

  1. Ministry of Education, Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Adolescent of seven to nine among ten is lack of sleep-the seventh Korea youth risk behavior web-based survey [Internet]. Osong: Ministry of Education, Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. 2011 [cited 2015 January 15]. Available from: http://yhs.cdc.go.kr/
  2. National Sleep Foundation. How much sleep do we really need? [Internet]. Arlington: National Sleep Foundation. [cited 2015 January 15]. Available from: http://sleepfoundation.org/how-sleep-works/how-much-sleep-do-we-really-need
  3. Nam SO. Normal sleep in children and adolescents. Journal of the Korean Child Neurology Society. 2011;19(2):66-75.
  4. Rhie S, Lee S, Chae KY. Sleep patterns and school performance of Korean adolescents assessed using a Korean version of the pediatric daytime sleepiness scale. Korean Journal of Pediatrics. 2011;54(1):29-35. http://dx.doi.org/10.3345/kjp.2011.54.1.29
  5. Goel N, Rao H, Durmer JS, Dinges DF. Neurocognitive consequences of sleep deprivation. In Seminars in Neurology. 2009;29(4):320-339. http://dx.doi.org/10.1055/s-0029-1237117
  6. Park S. Association between short sleep duration and obesity among South Korean adolescents. Western Journal of Nursing Research. 2011;33(2):207-223. http://dx.doi.org/10.1177/0193945910371317
  7. Rhie SK, Chae KY. Impact of sleep duration on emotional status in adolescents. Journal of Depress and Anxiety. 2013; 2(138):1-5. http://dx.doi.org/10.4172/2167-1044.1000138
  8. Kim YY, Kim UN, Lee JS, Park JH. The effect of sleep duration on the risk of unintentional injury in Korean adults. Journal of Preventive Medicine and Public Health. 2014;47(3): 150-157. http://dx.doi.org/10.3961/jpmph.2014.47.3.150
  9. School Safety and Insurance Federation. 2013 accidents and compensation statistics. [Internet] Seoul: School Safety and Insurance Federation. 2014 [cited 2015 January 15]. Available from: http://www.ssif.or.kr/06_participation/part05.html
  10. Malta DC, do Prado RR, Caribe SS, da Silva MM, de Andreazzi MA, da Silva Junior JB, et al. Factors associated with injuries in adolescents, from the National Adolescent School-based Health Survey(PeNSE 2012). Revista Brasileira de Epidemiologia. 2014;17(Suppl 1):183-202. http://dx.doi.org/10.1590/1809-4503201400050015
  11. Mattila V, Parkkari J, Kannus P, Rimpela A. Occurrence and risk factors of unintentional injuries among 12-to 18-year-old Finns-a survey of 8219 adolescents. European Journal of Epidemiology. 2004;19(5):437-444. http://dx.doi.org/10.1023/B:EJEP.0000027355.85493.cb
  12. Stallones L, Beseler C, Chen P. Sleep patterns and risk of injury among adolescent farm residents. American Journal of Preventive Medicine. 2006;30(4):300-304. http://dx.doi.org/10.1016/j.amepre.2005.11.010
  13. Lam LT, Yang L. Short duration of sleep and unintentional injuries among adolescents in China. American Journal of Epidemiology. 2007;166(9):1053-1058. http://dx.doi.org/10.1093/aje/kwm175
  14. Dawson D, Reid K. Fatigue, alcohol and performance impairment. Nature. 1997;388:235-235.
  15. Shin SM. Association of sleep habit with health behavior, experience of accident and injury treated among middle school students in seoul, Korea. The Korean Journal of Stress Research. 2015;23(1):19-25. http://dx.doi.org/10.17547/kjsr.2015.23.1.19
  16. Chen MY, Wang EK, Jeng YJ. Adequate sleep among adolescents is positively associated with health status and healthrelated behaviors. BioMed Central Public Health. 2006;6:59. http://dx.doi.org/doi:10.1186/1471-2458-6-59
  17. Grandner MA, Drummond SP. Who are the long sleepers? Towards an understanding of the mortality relationship. Sleep Medicine Reviews. 2007;11(5):341-360. http://dx.doi.org/10.1016/j.smrv.2007.03.010
  18. Pilcher JJ, Ginter DR, Sadowsky B. Sleep quality versus sleep quantity: Relationships between sleep and measures of health, well-being and sleepiness in college students. Journal of Psychosomatic Research. 1997;42(6):583-596. http://dx.doi.org/10.1016/S0022-3999(97)00004-4
  19. Parrott AC, Hindmarch I. The leeds sleep evaluation questionnaire in psychopharmacological investigations-a review. Psychopharmacology. 1980;71(2):173-179. https://doi.org/10.1007/BF00434408
  20. Zhu H, Han Y, Sun Y, Xie Z, Qian X, Stallones L, et al. Sleeprelated factors and work-related injuries among farmers in heilongjiang province, people's republic of China. International Journal of Environmental Research and Public Health. 2014;11(9):9446-9459. http://dx.doi.org/10.3390/ijerph110909446
  21. Li Y, Jin H, Owens JA, Hu C. The association between sleep and injury among school-aged children in rural China: A case-control study. Sleep Medicine. 2008;9(2):142-148. http://dx.doi.org/10.1016/j.sleep.2007.01.018
  22. Boergers J, Gable CJ, Owens JA. Later school start time is associated with improved sleep and daytime functioning in adolescents. Journal of Developmental & Behavioral Pediatrics. 2014;35(1):11-17. http://dx.doi.org/10.1097/DBP.0000000000000018
  23. Owens JA, Belon K, Moss P. Impact of delaying school start time on adolescent sleep, mood, and behavior. Archives of Pediatrics & Adolescent Medicine. 2010;164(7):608-614. http://dx.doi.org/10.1001/archpediatrics.2010.96.
  24. Taylor DJ, Jenni O, Acebo C, Carskadon MA. Sleep tendency during extended wakefulness: Insights into adolescent sleep regulation and behavior. Journal of Sleep Research. 2005;14(3):239-244. http://dx.doi.org/10.1111/j.1365-2869.2005.00467.x
  25. Choi YS. Jeonbuk, later school start time... I love it. but I'm still awkward [Internet]. Seoul: Yonhapnews. 2014 [cited 2014 October 1]. Available from: http://www.yonhapnews.co.kr/bulletin/2014/10/01/0200000000AKR20141001097500055.HTML?from=search

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