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By:
Jyoti Jha and
Renu
Banasthali Vidayapith
Dr.KS Rathore, BN Institute of Pharmaceutical
Sciences, Udaipur
INTRODUCTION
Sleep is an essential component for
adolescent growth and today's young
adolescents are deprived of it.
 Occupies 1/3 of our Lives (3,000 hrs /year)
 Necessary for Physical and Mental Health
 $50 Billion / Year in Lost Productivity
Reference : Wikipedia and the Sleep DE cerce’s
PPT present in different universities.
Age Average Amount of sleep
Newborn Upto 18 hours
1-12 months 14-18 hours
1-3 years 12-15 hours
3-5 years 11-13 hours
5-12 years 9-11 hours
Adolescents 9-10 hours
Adults Including elders 7-8(+) hours
 As per above studies 8-9 hours are recommended sleep
durations for adolescents, but our recent studies reveals that
college students sleep has decreased from 7 hours 45 minute in
1969 to 7 hours in 2009 (LUND H.G. at al 2010)
Reference: http://www.helpguide.org
 As per our recent study low sleep quality, sleep disturbances and at
least sleep dissatisfaction are prevalent among most college
undergraduates which leads to: (REFF)
 Poor Academic performance
 Depressed mood
 Irritability
 Day time sleepiness
 Drowsiness
 Mood swing
 It has also been shown that as the pharmacy students progressed
through their courses, their day time sleepiness increased and sleepier
student did not achieve as good as others.
 Sleep quality & the factor which affect it are not
explore yet in Indian context
 Therefore, the present study was design to
investigate the interrelation between demographic
characteristics, lifestyle and academic progress with
sleep quality and sleep problems along with daytime
and nighttime habits in young female pharmacy
students of India.
 Our survey were based on the following data:
Study Area
one of the largest university of India
"Banasthali University"
Total No of
students 8540 including 340 Pharmacy student
No.of student
surveyed 324 pharmacy student
No.of student
considered for
survey 226 pharmacy student
Average age of the
participant 19.24 years
Body mass index of
the student (BMI) 19.89kg/m^2
 Questionnaire on sleep and daytime habits (QS & DH) :
1. When do you go to bed on weekdays?
2. When do you go to bed in weekends?
3. How long does it take you to fall asleep usually?
4. How many times do you wake up during the night?
5.If you take daytime naps, how long are they?
6. How do you evaluate your sleep quality?
7. How do you evaluate your sleep quality before an exam?
8.How do you evaluate your academic progress?
9. How do you evaluate your leisure activity?
10 How do you evaluate your living condition?
11.Do you think your course curriculum affecting your sleep quality?
12.How often during the week:
Do you go to bed at an unusual time (later than usually) at night?
Do you have difficulty in getting to sleep at night?
Do you drink coffee late in the evening?
Do you use sleeping pills?
Do you wake up because of noise?
Do you wake up because of nightmares?
Do you wake up because of talking during sleep?
Do you wake up because of walking during sleep?
Do you wake up because of nocturnal eating habits?
Do you wake up because of leg movements or disagreeable leg sensations?
Do you snore?
Do you grind your teeth while asleep?
Do you wake up too early and have difficulty in getting to sleep again?
Do you feel tired when waking up?
Do you feel daytime sleepiness?
Do you feel excessive sleepiness during the lectures?
Do you take daytime naps?
Software used for the statistical analysis
SPSS 16.0 software package
Method used to find the relationship between
sleep quality, night time and daytime habits,
sleep problems, age and BMI
Spearman Rank Order Correlations.
 Five points scale based sleep quality shows the distribution of 226 students as
Sleep Quality
Excellent
good
satisfactory
poor
very poor
38.5%
20.4%
35.8 %
4%
 According to Spearman Rank Order Correlation, students was linked on
following factors:
Wake up due to noise ρ =0.257, P=0.000
Nightmares ρ=0.167,P=0.012
Talking during the
sleep
ρ =0.140,P=0.036
Wake up too early &
have difficulty in
getting to sleep
again
ρ =0.217,P=0.001
Feel tired when
waking up
ρ=0.202,P=0.002
Daytime naps ρ =0.160,P=0.016
Academic progress ρ=0.151,P=0.023
living conditions ρ =0.168,P=0.011
leisure activity ρ=0.133,P=0.045
 Four points scale based Academic progress shows the distribution of 226 students
as :
Excellent
good
satisfactory
Unsatisfactory
42.9%
45.6%
9.3 %
 According to Spearman Rank Order
Correlation, students Academic
progress was linked on following
factors:
Wake up due to noise ρ=-0.145;P=0.029
Feel tired when
waking up
ρ=-0.193,P=0.004
Daytime naps ρ =-0.146,P=0.028
Excessive sleepiness ρ =-0.315,P=0.000
Excessive leisure
activity
ρ =-0.204,P=0.002
 Four points scale based leisure activity shows the distribution of 226 students as :
Leisure Activity
Excellent
good
satisfactory
Unsatisfactory
47.8 % 37.6 %
8.4%
6.2 %
 According to Spearman Rank
Order Correlation, students leisure
Activity was linked on following
Wake up due to noise ρ=0.154,P=0.021
academic progress ρ=0.255,P=0.000
living conditions ρ =0.339,P=0.000
course curriculum
activity
ρ =-0.204,P=0.002
difficulty in getting
sleep at night
ρ =0.253, P=0.000
 Four point scale measurement of students living condition showed following
distribution :
Living condition
Excellent
good
satisfactory
Unsatisfactory
36.7 %
48.7%
9.7%
4.9 %
 According to Spearman Rank Order
Correlation, living conditions were
associated with
 Course Curriculam: From our study on female pharmacy students, it was shown
that course curriculum affects a no. of sleep habits like:
Timing of going to bed on weekdays ρ -0.147, P-Value 0.027
Timing of going to bed on weekends ρ -0.163, P-Value 0.014
Sleep quality before exam ρ-0.221, P-Value 0.001
Going to bed at an unusual time ρ -0.156, P-Value 0.019
Wake up due to noise ρ -0.145, P-Value 0.029
grinding teeth while asleep ρ -0.133, P-Value 0.046
feel tired when waking up ρ -0.193, P-Value 0.004
feeling daytime sleepiness ρ -0.146, P-Value 0.028
excessive sleepiness in lectures ρ -0.315, P-Value 0.000
leisure activity ρ -0.204, P-Value 0.002
leisure activity ρ =0.339, P=0.000
academic progress ρ =0.335, P=0.000
feel tiredness while
wake up
ρ =0.203, P=0.002
grind teeth while sleep ρ =0.190, P=0.004
difficulty in getting
sleep at night
ρ =0.158, P=0.018
 Insomnia Symptom : The prevalence of nocturnal sleep disturbance
symptoms were as follows:
60.2
4.4
5.8
0.9
0.4
3.1
8.4
24.3
12.4
8.4
0.4
6.6
0.4
Factors % value
Sleep latency (after 1 A.M ) 60.2
difficulty getting to sleep at night (DGS) every
night 4.4
waking up due to noise at night (NN) 5.8
nightmares (NM) 0.9
nocturnal eating habits (NE) 0.4
leg movements (LM) for 3-5 nights per week 3.1
tiredness in the morning (TM) for every night 8.4
daytime sleepiness (DS) for every night 24.3
daytime sleepiness during classes (DSS) 12.4
daytime sleepiness in free time (DSF) for 3-5
nights per week 8.4
snoring (S) 0.4
sleep-talking (ST) 6.6
sleepwalking (SW) 0.4
Our studies and data reveals that :
 Sleep disorders are common
 Sleep disorders are serious
 Factors which are associated to sleep quality are:
• Wake up due to noise
• Night mares
• talking during the sleep
• wake up too early & have difficulty in getting to sleep again
• feel tired when waking up
• daytime naps, academic progress, living conditions & leisure activity
•Factors which are not associated to sleep quality are:
 students academic progress was found to be associated with noise, feel
tired when wakeup, daytime sleepiness & excessive leisure activity while
age, BMI, day time & night time activities were not found to be associated
with academic progress
Thank You

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Sleep disorders

  • 1. By: Jyoti Jha and Renu Banasthali Vidayapith Dr.KS Rathore, BN Institute of Pharmaceutical Sciences, Udaipur
  • 2. INTRODUCTION Sleep is an essential component for adolescent growth and today's young adolescents are deprived of it.  Occupies 1/3 of our Lives (3,000 hrs /year)  Necessary for Physical and Mental Health  $50 Billion / Year in Lost Productivity Reference : Wikipedia and the Sleep DE cerce’s PPT present in different universities.
  • 3. Age Average Amount of sleep Newborn Upto 18 hours 1-12 months 14-18 hours 1-3 years 12-15 hours 3-5 years 11-13 hours 5-12 years 9-11 hours Adolescents 9-10 hours Adults Including elders 7-8(+) hours  As per above studies 8-9 hours are recommended sleep durations for adolescents, but our recent studies reveals that college students sleep has decreased from 7 hours 45 minute in 1969 to 7 hours in 2009 (LUND H.G. at al 2010) Reference: http://www.helpguide.org
  • 4.  As per our recent study low sleep quality, sleep disturbances and at least sleep dissatisfaction are prevalent among most college undergraduates which leads to: (REFF)  Poor Academic performance  Depressed mood  Irritability  Day time sleepiness  Drowsiness  Mood swing  It has also been shown that as the pharmacy students progressed through their courses, their day time sleepiness increased and sleepier student did not achieve as good as others.
  • 5.  Sleep quality & the factor which affect it are not explore yet in Indian context  Therefore, the present study was design to investigate the interrelation between demographic characteristics, lifestyle and academic progress with sleep quality and sleep problems along with daytime and nighttime habits in young female pharmacy students of India.
  • 6.  Our survey were based on the following data: Study Area one of the largest university of India "Banasthali University" Total No of students 8540 including 340 Pharmacy student No.of student surveyed 324 pharmacy student No.of student considered for survey 226 pharmacy student Average age of the participant 19.24 years Body mass index of the student (BMI) 19.89kg/m^2
  • 7.  Questionnaire on sleep and daytime habits (QS & DH) : 1. When do you go to bed on weekdays? 2. When do you go to bed in weekends? 3. How long does it take you to fall asleep usually? 4. How many times do you wake up during the night? 5.If you take daytime naps, how long are they? 6. How do you evaluate your sleep quality? 7. How do you evaluate your sleep quality before an exam? 8.How do you evaluate your academic progress? 9. How do you evaluate your leisure activity? 10 How do you evaluate your living condition? 11.Do you think your course curriculum affecting your sleep quality?
  • 8. 12.How often during the week: Do you go to bed at an unusual time (later than usually) at night? Do you have difficulty in getting to sleep at night? Do you drink coffee late in the evening? Do you use sleeping pills? Do you wake up because of noise? Do you wake up because of nightmares? Do you wake up because of talking during sleep? Do you wake up because of walking during sleep? Do you wake up because of nocturnal eating habits? Do you wake up because of leg movements or disagreeable leg sensations? Do you snore? Do you grind your teeth while asleep? Do you wake up too early and have difficulty in getting to sleep again? Do you feel tired when waking up? Do you feel daytime sleepiness? Do you feel excessive sleepiness during the lectures? Do you take daytime naps? Software used for the statistical analysis SPSS 16.0 software package Method used to find the relationship between sleep quality, night time and daytime habits, sleep problems, age and BMI Spearman Rank Order Correlations.
  • 9.  Five points scale based sleep quality shows the distribution of 226 students as Sleep Quality Excellent good satisfactory poor very poor 38.5% 20.4% 35.8 % 4%  According to Spearman Rank Order Correlation, students was linked on following factors: Wake up due to noise ρ =0.257, P=0.000 Nightmares ρ=0.167,P=0.012 Talking during the sleep ρ =0.140,P=0.036 Wake up too early & have difficulty in getting to sleep again ρ =0.217,P=0.001 Feel tired when waking up ρ=0.202,P=0.002 Daytime naps ρ =0.160,P=0.016 Academic progress ρ=0.151,P=0.023 living conditions ρ =0.168,P=0.011 leisure activity ρ=0.133,P=0.045
  • 10.  Four points scale based Academic progress shows the distribution of 226 students as : Excellent good satisfactory Unsatisfactory 42.9% 45.6% 9.3 %  According to Spearman Rank Order Correlation, students Academic progress was linked on following factors: Wake up due to noise ρ=-0.145;P=0.029 Feel tired when waking up ρ=-0.193,P=0.004 Daytime naps ρ =-0.146,P=0.028 Excessive sleepiness ρ =-0.315,P=0.000 Excessive leisure activity ρ =-0.204,P=0.002  Four points scale based leisure activity shows the distribution of 226 students as : Leisure Activity Excellent good satisfactory Unsatisfactory 47.8 % 37.6 % 8.4% 6.2 %  According to Spearman Rank Order Correlation, students leisure Activity was linked on following Wake up due to noise ρ=0.154,P=0.021 academic progress ρ=0.255,P=0.000 living conditions ρ =0.339,P=0.000 course curriculum activity ρ =-0.204,P=0.002 difficulty in getting sleep at night ρ =0.253, P=0.000
  • 11.  Four point scale measurement of students living condition showed following distribution : Living condition Excellent good satisfactory Unsatisfactory 36.7 % 48.7% 9.7% 4.9 %  According to Spearman Rank Order Correlation, living conditions were associated with  Course Curriculam: From our study on female pharmacy students, it was shown that course curriculum affects a no. of sleep habits like: Timing of going to bed on weekdays ρ -0.147, P-Value 0.027 Timing of going to bed on weekends ρ -0.163, P-Value 0.014 Sleep quality before exam ρ-0.221, P-Value 0.001 Going to bed at an unusual time ρ -0.156, P-Value 0.019 Wake up due to noise ρ -0.145, P-Value 0.029 grinding teeth while asleep ρ -0.133, P-Value 0.046 feel tired when waking up ρ -0.193, P-Value 0.004 feeling daytime sleepiness ρ -0.146, P-Value 0.028 excessive sleepiness in lectures ρ -0.315, P-Value 0.000 leisure activity ρ -0.204, P-Value 0.002 leisure activity ρ =0.339, P=0.000 academic progress ρ =0.335, P=0.000 feel tiredness while wake up ρ =0.203, P=0.002 grind teeth while sleep ρ =0.190, P=0.004 difficulty in getting sleep at night ρ =0.158, P=0.018
  • 12.  Insomnia Symptom : The prevalence of nocturnal sleep disturbance symptoms were as follows: 60.2 4.4 5.8 0.9 0.4 3.1 8.4 24.3 12.4 8.4 0.4 6.6 0.4 Factors % value Sleep latency (after 1 A.M ) 60.2 difficulty getting to sleep at night (DGS) every night 4.4 waking up due to noise at night (NN) 5.8 nightmares (NM) 0.9 nocturnal eating habits (NE) 0.4 leg movements (LM) for 3-5 nights per week 3.1 tiredness in the morning (TM) for every night 8.4 daytime sleepiness (DS) for every night 24.3 daytime sleepiness during classes (DSS) 12.4 daytime sleepiness in free time (DSF) for 3-5 nights per week 8.4 snoring (S) 0.4 sleep-talking (ST) 6.6 sleepwalking (SW) 0.4
  • 13. Our studies and data reveals that :  Sleep disorders are common  Sleep disorders are serious  Factors which are associated to sleep quality are: • Wake up due to noise • Night mares • talking during the sleep • wake up too early & have difficulty in getting to sleep again • feel tired when waking up • daytime naps, academic progress, living conditions & leisure activity •Factors which are not associated to sleep quality are:  students academic progress was found to be associated with noise, feel tired when wakeup, daytime sleepiness & excessive leisure activity while age, BMI, day time & night time activities were not found to be associated with academic progress