Poor Sleep quality and health-related quality of life impact in adolescents with and without chronic immunosuppressive conditions during COVID-19 quarantine | Zendy

Alberto C. Helito | Zendy; Lívia Lindoso | Zendy; Sofia Mendes Sieczkowska | Zendy; Camilla Astley | Zendy; Lígia Bruni Queiroz | Zendy; Natalia Rose | Zendy; Claudia Renata P Santos | Zendy; Thalis Bolzan | Zendy; Rita María I A Peralta | Zendy; Ruth Rocha Franco | Zendy; Louise Cominato | Zendy; Rosa Maria Rodrigues Pereira | Zendy; Uenis Tannuri | Zendy; Lúcia Maria Arruda Campos | Zendy; Benito Lourenço | Zendy; Ricardo Katsuya Toma | Zendy; Karina Medeiros | Zendy; Andréia Watanabe | Zendy; Patrícia Moreno Grangeiro | Zendy; Sylvia Costa Lima Farhat | Zendy; C Casella | Zendy; Guilherme V. Polanczyk | Zendy; Bruno Gualano | Zendy; Clóvis A. Silva | Zendy; Adriana Maluf Elias Sallum | Zendy; Amanda Yuri Iraha | Zendy; Bianca Pires Ihara | Zendy; Bruna Caruso Mazzolani | Zendy; Claudia Martinez | Zendy; Claudia A.A. Strabelli | Zendy; Claudia B Fonseca | Zendy; Dandara Carvalho Casado de Lima | Zendy; Debora Narumi Demitrol Setoue | Zendy; Deborah Roz | Zendy; Fabiana Infante Smaira | Zendy; Hamilton Roschel | Zendy; Helena T. Miyatani | Zendy; Isabela G. Marques | Zendy; Jane Oba | Zendy; Juliana Caires de Oliveira Achili Ferreira | Zendy; Juliana Simon | Zendy; Kátia Tomie Kozu | Zendy; Ligia P. Saccani | Zendy; Lorena Vasconcelos Mesquita Martiniano | Zendy; Luana C A Miranda | Zendy; Luiz E. V. Silva | Zendy; Moisés de Freitas Laurentino | Zendy; Nádia Emi Aikawa | Zendy; Neusa Keico Sakita | Zendy; Nicolas Yamada Tanigava | Zendy; Paulo Rogério Pereira | Zendy; Patrícia Palmeira | Zendy; Simone Santoro Angelo | Zendy; Sofia Simão Martins Lavorato | Zendy; Tamires Miranda Bernardes | Zendy; Tathiane Christine Franco | Zendy; Vivianne Saraiva Leitão Viana | Zendy; Vera P.M.F.R. Barros | Zendy; Yingying Zheng | Zendy

Open Access

Poor Sleep quality and health-related quality of life impact in adolescents with and without chronic immunosuppressive conditions during COVID-19 quarantine

Author(s) -

Alberto C. Helito,

Lívia Lindoso,

Sofia Mendes Sieczkowska,

Camilla Astley,

Lígia Bruni Queiroz,

Natalia Rose,

Claudia Renata P Santos,

Thalis Bolzan,

Rita María I A Peralta,

Ruth Rocha Franco,

Louise Cominato,

Rosa Maria Rodrigues Pereira,

Uenis Tannuri,

Lúcia Maria Arruda Campos,

Benito Lourenço,

Ricardo Katsuya Toma,

Karina Medeiros,

Andréia Watanabe,

Patrícia Moreno Grangeiro,

Sylvia Costa Lima Farhat,

C Casella,

Guilherme V. Polanczyk,

Bruno Gualano,

Clóvis A. Silva,

Adriana Maluf Elias Sallum,

Amanda Yuri Iraha,

Bianca Pires Ihara,

Bruna Caruso Mazzolani,

Claudia Martinez,

Claudia A.A. Strabelli,

Claudia B Fonseca,

Dandara Carvalho Casado de Lima,

Debora Narumi Demitrol Setoue,

Deborah Roz,

Fabiana Infante Smaira,

Hamilton Roschel,

Helena T. Miyatani,

Isabela G. Marques,

Jane Oba,

Juliana Caires de Oliveira Achili Ferreira,

Juliana Simon,

Kátia Tomie Kozu,

Ligia P. Saccani,

Lorena Vasconcelos Mesquita Martiniano,

Luana C A Miranda,

Luiz E. V. Silva,

Moisés de Freitas Laurentino,

Nádia Emi Aikawa,

Neusa Keico Sakita,

Nicolas Yamada Tanigava,

Paulo Rogério Pereira,

Patrícia Palmeira,

Simone Santoro Angelo,

Sofia Simão Martins Lavorato,

Tamires Miranda Bernardes,

Tathiane Christine Franco,

Vivianne Saraiva Leitão Viana,

Vera P.M.F.R. Barros,

Yingying Zheng

Publication year - 2021

Publication title -

clinics

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.618

H-Index - 61

eISSN - 1980-5322

pISSN - 1807-5932

DOI - 10.6061/clinics/2021/e3501

Subject(s) - medicine , odds ratio , pittsburgh sleep quality index , confidence interval , logistic regression , quality of life (healthcare) , cross sectional study , sleep (system call) , young adult , pediatrics , sleep quality , psychiatry , insomnia , nursing , pathology , computer science , operating system

OBJECTIVE: To assess the possible factors that influence sleep quality in adolescents with and without chronic immunosuppressive conditions quarantined during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: This cross-sectional study included 305 adolescents with chronic immunocompromised conditions and 82 healthy adolescents. Online surveys were completed, which included questions on socio-demographic data and self-rated healthcare routine during COVID-19 quarantine and the following validated questionnaires: the Pittsburgh Sleep Quality Index (PSQI), Pediatric Quality of Life Inventory 4.0 (PedsQL4.0), and Pediatric Outcome Data Collection Instrument (PODCI). RESULTS: The median current age [14 (10-18) vs . 15 (10-18) years, p =0.847] and frequency of female sex (62% vs . 58%, p =0.571) were similar in adolescents with chronic conditions compared with healthy adolescents. The frequency of poor sleep quality was similar in both groups (38% vs . 48%, p =0.118). Logistic regression analysis, including both healthy adolescents and adolescents with chronic conditions (n=387), demonstrated that self-reported increase in screen time (odds ratio [OR] 3.0; 95% confidence interval [CI] 1.3-6.8; p =0.008) and intrafamilial violence report (OR 2.1; 95% CI 1.2-3.5; p =0.008) were independently associated with poor sleep quality in these adolescents. However, the PODCI global function score was associated with a lower OR for poor sleep quality (OR 0.97; 95% CI 0.94-0.99; p =0.001). Further logistic regression, including only adolescents with chronic conditions (n=305), demonstrated that self-reported increase in screen time (OR 3.1; 95% CI 1.4-6.8; p =0.006) and intrafamilial violence report (OR 2.0; 95% CI 1.2-3.4; p =0.011) remained independently associated with poor quality of sleep, whereas a lower PODCI global function score was associated with a lower OR for sleep quality (OR 0.96; 95% CI 0.94-0.98; p <0.001). CONCLUSION: Self-reported increases in screen time and intrafamilial violence report impacted sleep quality in both healthy adolescents and those with chronic conditions. Decreased health-related quality of life was observed in adolescents with poor sleep quality.

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