DOI QR코드

DOI QR Code

Association of Sleep Duration with Stress Status and Nutritional Quotient for Korean Adolescents (NQ-A) in High School Students in Chungbuk

충북지역 일부 고등학생의 수면시간과 스트레스 및 청소년 영양지수와의 관련성

  • Bae, Yun-Jung (Major in Food and Nutrition, Korea National University of Transportation) ;
  • Kim, In Young (Major in Nutrition Education, Graduate School of Education, Kongju National University) ;
  • Kim, Ok Sun (Dept. of Integrated Life Science and Technology, Kongju National University) ;
  • Choi, Mi-Kyeong (Dept. of Food and Nutrition, Kongju National University)
  • 배윤정 (한국교통대학교 식품영양학전공) ;
  • 김인영 (공주대학교 교육대학원 영양교육전공) ;
  • 김옥선 (공주대학교 생명기술융합학과) ;
  • 최미경 (공주대학교 식품영양학과)
  • Received : 2021.04.09
  • Accepted : 2021.04.22
  • Published : 2021.05.02

Abstract

This study aimed to examine the association between sleep duration, stress levels, and dietary behavior in adolescents. A survey was conducted on 453 students (227 male, 226 female) in high schools in the Chungbuk area. The participants were divided into groups based on daily sleep duration: group I (<5 hrs/d), group II (≥5 hrs/d and <6 hrs/d), group III (≥6 hrs/d and <7 hrs/d), and group IV (≥7 hrs/d). To measure the stress levels of participants, the survey had questions covering a variety of areas, including school life, family life, social relationships, and personal evaluation. To assess the dietary behaviors of participants, the survey included questions encompassing the Nutrition Quotient for Korean adolescents (NQ-A). Among female students, the sleep duration group IV had significantly lower total stress (P=0.022) and significantly lower stress in the personal evaluation area than the sleep duration group I (P=0.004). In the analysis of NQ-A, among female students, the sleep duration group IV showed significantly higher scores in balance (P=0.004), diversity (P=0.016), and total NQ-A score area (P=0.007) compared to other groups. There was a significant negative correlation between sleep duration and stress scores in total students (r=-0.24, P<0.001), while a significant positive correlation was seen between sleep duration and NQ-A scores in female students (r=0.16, P<0.05). To sum up, the longer the sleep duration, the lower the degree of stress, and the quality of meals which can be said to be a significant finding for high school students.

Keywords

References

  1. Al Khatib HK, Harding SV, Darzi J, Pot GK (2017): The effects of partial sleep deprivation on energy balance: a systematic review and meta-analysis. Eur J Clin Nutr 71(5):614-624 https://doi.org/10.1038/ejcn.2016.201
  2. Asarnow LD, Greer SM, Walker MP, Harvey AG (2017): The impact of sleep improvement on food choices in adolescents with late bedtimes. J Adolesc Health 60(5):570-576 https://doi.org/10.1016/j.jadohealth.2016.11.018
  3. Bae SM, Kim BS (2014): Development and validity study of the daily stress response inventory for adolescent. Korean J Sch Psychol 11(1):19-32 https://doi.org/10.16983/kjsp.2014.11.1.19
  4. Chung JE, Yoon JS (2015): Consumption behavior of processed foods among high school students in Daegu area. J Living Sci Res 41:103-112
  5. de Matos MG, Marques A, Peralta M, Gaspar T, Simoes C, Pinto HR, Pinto TR, Godeau E, Paiva T (2019): Sleep in adolescence: sex matters? Sleep Sci 12(3):138-146
  6. Doo S, Lee Y, Park H, Song K (2017): Relationship among life stress, dietary behaviors and high-fat snack intake in high school students in Gyeonggi area. Korean J Community Nutr 22(4):289-297 https://doi.org/10.5720/kjcn.2017.22.4.289
  7. Duan Y, Sun J, Wang M, Zhao M, Magnussen CG, Xi B (2020): Association between short sleep duration and metabolic syndrome in Chinese children and adolescents. Sleep Med 74:343-348 https://doi.org/10.1016/j.sleep.2020.08.018
  8. Dworak M, Schierl T, Bruns T, Struder HK (2007): Impact of singular excessive computer game and television exposure on sleep patterns and memory performance of school-aged children. Pediatrics 120(5):978-985 https://doi.org/10.1542/peds.2007-0476
  9. Fallone G, Owens JA, Deane J (2002): Sleepiness in children and adolescents: clinical implications. Sleep Med Rev 6(4):287-306 https://doi.org/10.1053/smrv.2001.0192
  10. Fatima Y, Doi SA, Mamun AA (2015): Longitudinal impact of sleep on overweight and obesity in children and adolescents: a systematic review and bias-adjusted meta-analysis. Obes Rev 16(2):137-149 https://doi.org/10.1111/obr.12245
  11. Forkert ECO, Moraes ACF, Carvalho HB, Manios Y, Widhalm K, Gonzalez-Gross M, Gutierrez A, Kafatos A, Censi L, De Henauw S, Moreno LA (2019): Skipping breakfast is associated with adiposity markers especially when sleep time is adequate in adolescents. Sci Rep 9(1):6380 https://doi.org/10.1038/s41598-019-42859-7
  12. Gang M, Kwon JS, Oh K (2012): Influencing factors of resilience of adolescents according to stress. Korean J Str Res 20(3):187-198
  13. Grandner MA (2017): Sleep, health, and society. Sleep Med Clin 12(1):1-22 https://doi.org/10.1016/j.jsmc.2016.10.012
  14. Hale L (2010): Bedtimes and the blues: evidence in support of improving adolescent sleep. Sleep 33(1):17-18 https://doi.org/10.1093/sleep/33.1.17
  15. 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 (2015): National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health 1(4):233-243 https://doi.org/10.1016/j.sleh.2015.10.004
  16. Hong JH, Kim SY (2014): Correlation between eating behavior and stress level in high school students. J Korean Soc Food Sci Nutr 43(3):459-470 https://doi.org/10.3746/JKFN.2014.43.3.459
  17. Hysing M, Harvey AG, Linton SJ, Askeland KG, Sivertsen B (2016): Sleep and academic performance in later adolescence: results from a large population-based study. J Sleep Res 25(3):318-324 https://doi.org/10.1111/jsr.12373
  18. Jansen EC, Baylin A, Cantoral A, Tellez Rojo MM, Burgess HJ, O'Brien LM, Torres Olascoaga L, Peterson KE (2020): Dietary patterns in relation to prospective sleep duration and timing among Mexico City adolescents. Nutrients 12(8):2305 https://doi.org/10.3390/nu12082305
  19. Ji MG, Lee MR (2019): The convergence relationship on stress, sugar intake behaviors, and oral health status in high school students. J Converg Inf Technol 9(4):118-129 https://doi.org/10.22156/CS4SMB.2019.9.4.118
  20. Jiang X, Hardy LL, Baur LA, Ding D, Wang L, Shi H (2015): Sleep duration, schedule and quality among urban Chinese children and adolescents: associations with routine after-school activities. PLoS One 10(1):e0115326 https://doi.org/10.1371/journal.pone.0115326
  21. Kang N, Kim N, Lee BG (2018): Effects of dietary habits on sleep duration in Korean adolescents: based on results from the 2016 Korean Youth Risk Behavior Web-based Survey. J Korean Acad Community Health Nurs 29(4):440-449
  22. Ki YJ, Kim Y, Shin WK (2018): Mental health and nutritional intake according to sleep duration in adolescents - based on the 2007-2016 Korea National Health and Nutrition Examination Survey -. J Korean Home Econ Educ Assoc 30(4):1-14
  23. Kim EM, Choi MK, Kim MH (2019): Association between frequency of convenience foods use at convenience stores and dietary quality among high school students in Incheon. J Nutr Health 52(4):383-398 https://doi.org/10.4163/jnh.2019.52.4.383
  24. Kim GR, Kim MJ (2013): Differences in snacking behavior and general characteristics of high school students in some areas in Seoul and Kyonggido. Korean J Culin Res 19(2):11-27
  25. Kim HY, Lee JS, Hwang JY, Kwon S, Chung HR, Kwak TK, Kang MH, Choi YS (2017): Development of NQ-A, nutrition quotient for Korean adolescents, to assess dietary quality and food behavior. J Nutr Health 50(2):142-157 https://doi.org/10.4163/jnh.2017.50.2.142
  26. Kim IY (2020): Assessment of stress and Nutrition Quotient for Korean Adolescents (NQ-A) of high school students in Chungbuk. Masters degree thesis. Kongju National University. pp.18-19
  27. Kim IY, Choi MK (2020): Association between stress and nutritional status of high school students in Chungbuk using Nutrition Quotient for Korean Adolescents. Korean J Community Nutr 25(5):361-373
  28. Kim KH (2017): Factors influencing high school students' sleep duration: analyzing the 5th Wave Data from Korean Children & Youth Panel Study. J Youth Welf 19(1):57-84
  29. Koh KB, Park JK, Kim CH (2000): Development of the stress response inventory. J Korean Neuropsychiatr Assoc 39(4):707-719
  30. Kracht CL, Chaput JP, Martin CK, Champagne CM, Katzmarzyk PT, Staiano AE (2019): Associations of sleep with food cravings, diet, and obesity in adolescence. Nutrients 11(12):2899 https://doi.org/10.3390/nu11122899
  31. Lee HO, Oh SI, Choi MK, Kim MH, Yeon JY, Bae YJ (2021): Nutrition through the life cycle. Gyomoonsa. Paju. pp.218-224
  32. Lee J, Kang J, Rhie S, Chae KY (2013): Impact of sleep duration on emotional status in adolescents. J Korean Child Neurol Soc 21(3):100-110
  33. Ministry of Education, Ministry of Health and Welfare, Korea Disease Control and Prevention Agency (2021): The 16th Korea Youth Risk Behavior Survey, 2020. Korea Disease Control and Prevention Agency. Cheongju. pp.208-210
  34. Moore M, Meltzer LJ (2008): The sleepy adolescent: causes and consequences of sleepiness in teens. Paediatr Respir Rev 9(2):114-120; quiz 120-121 https://doi.org/10.1016/j.prrv.2008.01.001
  35. Ortega FB, Chillon P, Ruiz JR, Delgado M, Albers U, Alvarez-Granda JL, Marcos A, Moreno LA, Castillo MJ (2010): Sleep patterns in Spanish adolescents: associations with TV watching and leisure-time physical activity. Eur J Appl Physiol 110(3):563-573 https://doi.org/10.1007/s00421-010-1536-1
  36. Owens JA, Weiss MR (2017): Insufficient sleep in adolescents: causes and consequences. Minerva Pediatr 69(4):326-336
  37. Park HS, Han JY, Lee NY (2018): The association of health behaviors with stress perception among high school students in Korea: based on 2015 Korean Youth Risk Behavior Survey. J Korean Acad Community Health Nurs 29(1):87-96
  38. Park HS, Jung LH (2018): A study on snack intake behavior by the stress level of high school students in Jeonnam area. J Korean Home Econ Educ Assoc 30(4):141-164
  39. Park JY, Kim SM (2016): Effects of stress perception level on dietary habits and oral health behaviors in adolescents. J Dent Hyg Sci 16(2):111-117 https://doi.org/10.17135/jdhs.2016.16.2.111
  40. Penev PD (2012): Update on energy homeostasis and insufficient sleep. J Clin Endocrinol Metab 97(6):1792-1801 https://doi.org/10.1210/jc.2012-1067
  41. Randler C (2011): Age and gender differences in morning-ness-eveningness during adolescence. J Genet Psychol 172(3):302-308 https://doi.org/10.1080/00221325.2010.535225
  42. Rhie S, Lee S, Chae KY (2011): Sleep patterns and school performance of Korean adolescents assessed using a Korean version of the pediatric daytime sleepiness scale. Korean J Pediatr 54(1):29-35 https://doi.org/10.3345/kjp.2011.54.1.29
  43. Shochat T, Cohen-Zion M, Tzischinsky O (2014): Functional consequences of inadequate sleep in adolescents: a systematic review. Sleep Med Rev 18(1):75-87 https://doi.org/10.1016/j.smrv.2013.03.005
  44. Yang CK, Kim JK, Patel SR, Lee JH (2005): Age-related changes in sleep/wake patterns among Korean teenagers. Pediatrics 115(1 Suppl):250-256
  45. Yang MJ, Lee EK, Lee HW (2006): A study on psychosocial characteristic, environmental variables and mental health variables of adolescent. Korea J Youth Couns 14(1):63-76
  46. Zhang J, Paksarian D, Lamers F, Hickie IB, He J, Merikangas KR (2017): Sleep patterns and mental health correlates in US adolescents. J Pediatr 182:137-143 https://doi.org/10.1016/j.jpeds.2016.11.007