Modifiable behavioral risk factors for NCDs and sleep in Brazilian adolescents.

Autor: Cutrim Propp Lima, Raina Jansen, Araujo Batalha, Mônica, Costa Ribeiro, Cecília Cláudia, Lima Neto, Pedro Martins, Moura da Silva, Antônio Augusto, Lucena Batista, Rosângela Fernandes
Zdroj: Revista de Saúde Pública; 2023, Vol. 57, p1-13, 13p
Abstrakt: OBJECTIVE: To analyze the association between modifiable behavioral risk factors for non-communicable diseases and sleep parameters in Brazilian adolescents. METHODS: This was a cross-sectional study that used data from the RPS Cohort Consortium, São Luís, Brazil for the follow-up of adolescents aged 18-19 years (n = 2,515). The outcomes were excessive daytime sleepiness (Epworth Sleepiness Scale - ESS) and sleep quality (Pittsburgh Sleep Quality Index - PSQI). The exposures of interest were the behavioral risk factors for non-communicable diseases (NCDs): screen time, physical inactivity, alcohol, smoking, illicit drugs, caffeine intake, and consumption of sugar-sweetened beverages. Excess weight was considered a possible mediator of this association between the exposures of interest and the outcomes. The models were analyzed by modeling with structural equations. RESULTS: Physical inactivity (standardized coefficient, SC = 0.112; p = 0.001), higher consumption of alcohol (SC = 0.168; p = 0.019) and of sugar-sweetened beverages (SC = 0.128; p < 0.001) were associated with excessive daytime sleepiness in adolescents; better socioeconomic status was also associated with this outcome (SC = 0.128; p < 0.001). Physical inactivity (SC = 0.147; p < 0.001) and higher consumption of sugar-sweetened beverages (SC = 0.089; p = 0.003) were also associated with poor sleep quality. Overweight was neither a mediator nor associated with sleep quality or excessive daytime sleepiness. CONCLUSIONS: The main modifiable behavioral risk factors for NCDs are associated with worse sleep parameters already in adolescence, which serves as a warning toward the accumulation of risks for sleep disorders in the future. DESCRIPTORS: Sleep. Adolescent Health. Sleepiness. Sedentary Behavior. Alcohol Consumption. Sugar-Sweetened Beverages. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index