Trends in sleeping difficulties among European adolescents: are these associated with physical inactivity and excessive screen time?

Ariane Ghekiere; Jelle Van Cauwenberg; Ann Vandendriessche; Jo Inchley; Margarida Gaspar de Matos; Alberto Borraccino; Inese Gobina; Jorma Tynjälä; Benedicte Deforche; Bart De Clercq

doi:10.1007/s00038-018-1188-1

Trends in sleeping difficulties among European adolescents: are these associated with physical inactivity and excessive screen time?

Ariane Ghekiere, Jelle Van Cauwenberg, Ann Vandendriessche, Jo Inchley, Margarida Gaspar de Matos, Alberto Borraccino, Inese Gobina, Jorma Tynjälä, Benedicte Deforche, Bart De Clercq^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives

We examined changes in sleep-onset difficulties over time and associations with physical activity and screen time behavior among adolescents.

Methods

We used data from last four survey waves of the Health Behavior in School-Aged Children (HBSC) study (2002–2006–2010–2014). Multilevel logistic regression analyses were conducted to explore associations between regular sleeping difficulties, excessive screen time exposure and being insufficiently physically active (i.e., < 60 min daily) among 33 European and non-European countries.

Results

Findings indicate an increase in the prevalence of sleep-onset difficulties and in excessive screen time exposure and a small but significant increase in physical activity levels. Additionally, adolescents exceeding 2-h daily screen time had 20% higher odds of reporting sleep-onset difficulties, while no association was found for physical activity. The strength of the association between screen time and sleep-onset difficulties increased over time, which may reflect a change in type of screen time use (e.g., the increased use of easy accessible screens such as smartphones and tablets).

Conclusions

Effective strategies to reduce screen time are key to reverse the detrimental trend in sleep-onset difficulties among adolescents.

Original language	English
Pages (from-to)	487–498
Number of pages	12
Journal	International Journal of Public Health
Volume	64
Issue number	4
Early online date	10 Dec 2018
DOIs	https://doi.org/10.1007/s00038-018-1188-1
Publication status	Published - May 2019

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

24-h approach
Sleep
Sedentary behavior
Physical activity
Trend

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10.1007/s00038-018-1188-1

blinded_manuscript_2018_11_21
© 2018, Swiss School of Public Health (SSPH+). This work has been made available online in accordance with the publisher's policies. This is the author created accepted version manuscript following peer review and as such may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1007/s00038-018-1188-1
Accepted author manuscript, 1.91 MB

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Ghekiere, A., Van Cauwenberg, J., Vandendriessche, A., Inchley, J., Gaspar de Matos, M., Borraccino, A., Gobina, I., Tynjälä, J., Deforche, B., & De Clercq, B. (2019). Trends in sleeping difficulties among European adolescents: are these associated with physical inactivity and excessive screen time? International Journal of Public Health, 64(4), 487–498. https://doi.org/10.1007/s00038-018-1188-1

@article{d7de7165b45a45f5b85a8a189cd3c903,

title = "Trends in sleeping difficulties among European adolescents: are these associated with physical inactivity and excessive screen time?",

abstract = "ObjectivesWe examined changes in sleep-onset difficulties over time and associations with physical activity and screen time behavior among adolescents.MethodsWe used data from last four survey waves of the Health Behavior in School-Aged Children (HBSC) study (2002–2006–2010–2014). Multilevel logistic regression analyses were conducted to explore associations between regular sleeping difficulties, excessive screen time exposure and being insufficiently physically active (i.e., < 60 min daily) among 33 European and non-European countries.ResultsFindings indicate an increase in the prevalence of sleep-onset difficulties and in excessive screen time exposure and a small but significant increase in physical activity levels. Additionally, adolescents exceeding 2-h daily screen time had 20\% higher odds of reporting sleep-onset difficulties, while no association was found for physical activity. The strength of the association between screen time and sleep-onset difficulties increased over time, which may reflect a change in type of screen time use (e.g., the increased use of easy accessible screens such as smartphones and tablets).ConclusionsEffective strategies to reduce screen time are key to reverse the detrimental trend in sleep-onset difficulties among adolescents.",

keywords = "24-h approach, Sleep, Sedentary behavior, Physical activity, Trend",

author = "Ariane Ghekiere and \{Van Cauwenberg\}, Jelle and Ann Vandendriessche and Jo Inchley and \{Gaspar de Matos\}, Margarida and Alberto Borraccino and Inese Gobina and Jorma Tynj{\"a}l{\"a} and Benedicte Deforche and \{De Clercq\}, Bart",

note = "The study was funded by the government of Flanders (Grant No. GEO-1GDD2A-WT) and the Research Foundation Flanders (Grant No. 12I1117N).",

year = "2019",

month = may,

doi = "10.1007/s00038-018-1188-1",

language = "English",

volume = "64",

pages = "487–498",

journal = "International Journal of Public Health",

issn = "1661-8556",

publisher = "Frontiers Media SA",

number = "4",

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Ghekiere, A, Van Cauwenberg, J, Vandendriessche, A, Inchley, J, Gaspar de Matos, M, Borraccino, A, Gobina, I, Tynjälä, J, Deforche, B & De Clercq, B 2019, 'Trends in sleeping difficulties among European adolescents: are these associated with physical inactivity and excessive screen time?', International Journal of Public Health, vol. 64, no. 4, pp. 487–498. https://doi.org/10.1007/s00038-018-1188-1

TY - JOUR

T1 - Trends in sleeping difficulties among European adolescents

T2 - are these associated with physical inactivity and excessive screen time?

AU - Ghekiere, Ariane

AU - Van Cauwenberg, Jelle

AU - Vandendriessche, Ann

AU - Inchley, Jo

AU - Gaspar de Matos, Margarida

AU - Borraccino, Alberto

AU - Gobina, Inese

AU - Tynjälä, Jorma

AU - Deforche, Benedicte

AU - De Clercq, Bart

N1 - The study was funded by the government of Flanders (Grant No. GEO-1GDD2A-WT) and the Research Foundation Flanders (Grant No. 12I1117N).

PY - 2019/5

Y1 - 2019/5

N2 - ObjectivesWe examined changes in sleep-onset difficulties over time and associations with physical activity and screen time behavior among adolescents.MethodsWe used data from last four survey waves of the Health Behavior in School-Aged Children (HBSC) study (2002–2006–2010–2014). Multilevel logistic regression analyses were conducted to explore associations between regular sleeping difficulties, excessive screen time exposure and being insufficiently physically active (i.e., < 60 min daily) among 33 European and non-European countries.ResultsFindings indicate an increase in the prevalence of sleep-onset difficulties and in excessive screen time exposure and a small but significant increase in physical activity levels. Additionally, adolescents exceeding 2-h daily screen time had 20% higher odds of reporting sleep-onset difficulties, while no association was found for physical activity. The strength of the association between screen time and sleep-onset difficulties increased over time, which may reflect a change in type of screen time use (e.g., the increased use of easy accessible screens such as smartphones and tablets).ConclusionsEffective strategies to reduce screen time are key to reverse the detrimental trend in sleep-onset difficulties among adolescents.

AB - ObjectivesWe examined changes in sleep-onset difficulties over time and associations with physical activity and screen time behavior among adolescents.MethodsWe used data from last four survey waves of the Health Behavior in School-Aged Children (HBSC) study (2002–2006–2010–2014). Multilevel logistic regression analyses were conducted to explore associations between regular sleeping difficulties, excessive screen time exposure and being insufficiently physically active (i.e., < 60 min daily) among 33 European and non-European countries.ResultsFindings indicate an increase in the prevalence of sleep-onset difficulties and in excessive screen time exposure and a small but significant increase in physical activity levels. Additionally, adolescents exceeding 2-h daily screen time had 20% higher odds of reporting sleep-onset difficulties, while no association was found for physical activity. The strength of the association between screen time and sleep-onset difficulties increased over time, which may reflect a change in type of screen time use (e.g., the increased use of easy accessible screens such as smartphones and tablets).ConclusionsEffective strategies to reduce screen time are key to reverse the detrimental trend in sleep-onset difficulties among adolescents.

KW - 24-h approach

KW - Sleep

KW - Sedentary behavior

KW - Physical activity

KW - Trend

UR - https://www.scopus.com/pages/publications/85058083309

U2 - 10.1007/s00038-018-1188-1

DO - 10.1007/s00038-018-1188-1

M3 - Article

AN - SCOPUS:85058083309

SN - 1661-8556

VL - 64

SP - 487

EP - 498

JO - International Journal of Public Health

JF - International Journal of Public Health

IS - 4

ER -

Trends in sleeping difficulties among European adolescents: are these associated with physical inactivity and excessive screen time?

Abstract

UN SDGs

Keywords

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