Okul Çocuklarında Uyku Bozukluğu Semptomları İle Sağlıklı Yaşam Davranışları Arasındaki İlişki

Yaşar Bildirici; Sevda Sungur; Feyza Nehir Öznur Muz; Mediha Bal; Zehra Akkoca; Selma Metintas

doi:10.20515/otd.1344793

Araştırma Makalesi

Okul Çocuklarında Uyku Bozukluğu Semptomları İle Sağlıklı Yaşam Davranışları Arasındaki İlişki

Yıl 2023, Cilt: 45 Sayı: 5, 732 - 746, 27.09.2023

Yaşar Bildirici , Sevda Sungur , Feyza Nehir Öznur Muz , Mediha Bal , Zehra Akkoca , Selma Metintas

https://doi.org/10.20515/otd.1344793

Öz

Uyku bozukluğunun çocukluk çağının giderek artan önemli bir sorunu olduğu bildirilmektedir. Çalışmada, okul çağı çocuklarında uyku semptom bozuklukları ile sağlıklı yaşam davranışları arasında ilişkilerin belirlenmesi amaçlandı. Çalışmanın örneklem büyüklüğü 384 kişi olarak hesaplandı. Çalışma, veri toplama süresince bir Şehir Hastanesi’nin Pediatri Polikliniği’ne herhangi bir nedenle başvuran 5-17 yaş arasında okul çocukları ve ebeveynlerinde yapıldı. Çalışma anketi, sosyodemografik özellikler, Çocuklar için Uyku Bozukluğu Ölçeği (ÇUBÖ), Beslenme Davranış Ölçeği ve Aile Beslenme ve Fizik Aktivite Ölçeği’nden oluşmaktaydı. Çalışma verilerinin değerlendirilmesinde tek değişkenli analizler ve çocukların uyku bozukluğu ile ilişkili faktörlerin belirlenmesinde de hiyerarşik lineer regresyon analizi yapıldı. Çalışma grubu 211 (%52,0)’i kız, 195 (%48,0)’i erkek olmak üzere toplam 406 kişiden oluştu. Çocukların ÇUBÖ’den aldıkları puanlar 26-124 arasında değişmekte olup ortancası 39,0 (33,0-46,0) puan idi. Çalışmada uyku bozukluğu semptom sıklığının %14 ile yaygın bir sorun olduğu en sık görülen uyku bozukluğu semptomunun ise uyanıklık reaksiyon bozukluğu (%17,2) olduğu saptandı. Uyku bozukluğu semptomları en sık 15-17 yaş grubunda saptandı. Uyku bozukluğunun yordalayıcıları, çocuğun günlük ekran süresinin iki saatin üzerinde olması, yaşa göre uyku süresi kısalığı ve çocuğun uyku rutinin olmadığı durumlar olarak saptandı. Çocukluk döneminde benimsenen davranışlar yetişkinliğe kadar devam edip olumsuz sağlık sonuçlarına neden olabileceğinden, bu davranışları daha sağlıklı bir yaşam için artırmak önemlidir.

Anahtar Kelimeler

Okul çocuğu, Uyku bozukluğu, Beslenme, Ekran süresi, Fiziksel aktivite

Destekleyen Kurum

Proje Numarası

Teşekkür

Yazarlar anket çalışmasına katılan çocuklara ve ebeveynlerine teşekkür ederler.

Kaynakça

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2. Owens JA, Witmans M. Sleep problems. Current Problems in Pediatric and Adolescent Health Care. 2004;4(34):154-79.
3. Türkbay T, Çocuklar ST. Ergenlerde uyku bozuklukları. Türkiye Klinikleri Psikiyatri. 2001;2:86-90.
4. Carter JC, Wrede JE. Overview of sleep and sleep disorders in infancy and childhood. Pediatric Annals. 2017;46(4):e133-e8.
5. Ünsal G, Korğali EÜ, Tan AK, Ongun EA. 6-10 Yaş arası çocuklarda uyku alışkanlıkları, uyku sorunları ve etkileyen faktörler. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi. 2021;13(4):216-32.
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11. Olds TS, Maher CA, Matricciani L. Sleep duration or bedtime? Exploring the relationship between sleep habits and weight status and activity patterns. Sleep. 2011;34(10):1299-307.
12. Golley RK, Maher C, Matricciani L, Olds T. Sleep duration or bedtime? Exploring the association between sleep timing behaviour, diet and BMI in children and adolescents. International Journal of Obesity. 2013;37(4):546-51.
13. Poitras VJ, Gray CE, Borghese MM, Carson V, Chaput J-P, Janssen I, et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Applied Physiology, Nutrition, and Metabolism. 2016;41(6):S197-S239.
14. Chahal H, Fung C, Kuhle S, Veugelers P. Availability and night‐time use of electronic entertainment and communication devices are associated with short sleep duration and obesity among Canadian children. Pediatric Obesity. 2013;8(1):42-51.
15. Domingues‐Montanari S. Clinical and psychological effects of excessive screen time on children. Journal of Paediatrics and Child Health. 2017;53(4):333-8.
16. Shochat T, Flint‐Bretler O, Tzischinsky O. Sleep patterns, electronic media exposure and daytime sleep‐related behaviours among Israeli adolescents. Acta Paediatrica. 2010;99(9):1396-400.
17. Hale L, Guan S. Screen time and sleep among school-aged children and adolescents: a systematic literature review. Sleep Medicine Reviews. 2015;21:50-8.
18. Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput J-P, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Applied Physiology, Nutrition, and Metabolism. 2016;41(6):S240-S65.
19. Tremblay MS, Carson V, Chaput J-P, Connor Gorber S, Dinh T, Duggan M, et al. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Applied Physiology, Nutrition, and Metabolism. 2016;41(6):S311-S27.
20. Chaput JP, Saunders T, Carson V. Interactions between sleep, movement and other non‐movement behaviours in the pathogenesis of childhood obesity. Obesity Reviews. 2017;18:7-14.
21. Rollo S, Antsygina O, Tremblay MS. The whole day matters: understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan. Journal of Sport and Health Science. 2020;9(6):493-510.
22. Çetin E, Özbiçakçi Ş. İlköğretim Öğrencilerinde Uyku Alişkanliklarinin Duygu-Davraniş Sorunlarina Etkisinin İncelenmesi. Hemşirelikte Araştırma Geliştirme Dergisi. 2012;14(2):52-60.
23. Şimşek DC, Polat F. İlköğretim öğrencilerinin fiziksel aktivite durumu ile uyku sorunu arasındaki ilişkinin incelenmesi: Elazığ örneği. Journal of Turkish Sleep Medicine. 2023;10(2).
24. Aygün SK, Başpınar MM, Güleç SG, Basat O. COVID kapanma döneminde çocuklarda uyku bozukluğu riskinde bilgisayar oyun bağımlılığının rolü nedir? Kesitsel Bir Çalışma. Journal of Turkish Sleep Medicine. 2023;10(2).
25. Burt J, Dube L, Thibault L, Gruber R. Sleep and eating in childhood: a potential behavioral mechanism underlying the relationship between poor sleep and obesity. Sleep Medicine. 2014;15(1):71-5.
26. Day RE, Bridge G, Austin K, Ensaff H, Christian MS. Parents’ awareness and perceptions of the Change4Life 100 cal snack campaign, and perceived impact on snack consumption by children under 11 years. BMC Public Health. 2022;22(1):1-14.
27. Akçay D. Çocuk ve adölesanlarin elektronik medya kullanımının obezite ve uyku sorunlarına etkisi The effect of electronic media use children and adolescents with obesity and sleep. Güncel Pediatri. 2017;15(2):67-72.
28. Halford JC, Boyland EJ, Hughes G, Oliveira LP, Dovey TM. Beyond-brand effect of television (TV) food advertisements/commercials on caloric intake and food choice of 5–7-year-old children. Appetite. 2007;49(1):263-7.
29. Bruni O, Ottaviano S, Guidetti V, Romoli M, Innocenzi M, Cortesi F, et al. The Sleep Disturbance Scale for Children (SDSC) construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. Journal of sleep research. 1996;5(4):251-61.
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31. Parcel GS, Edmundson E, Perry CL, Feldman HA, O'Hara‐Tompkins N, Nader PR, et al. Measurement of self‐efficacy for diet‐related behaviors among elementary school children. Journal of School Health. 1995;65(1):23-7.
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The Relationship Between Sleep Disorder Symptoms and Health-Promoting Lifestyle Habits in School-Aged Children

Yıl 2023, Cilt: 45 Sayı: 5, 732 - 746, 27.09.2023

Yaşar Bildirici , Sevda Sungur , Feyza Nehir Öznur Muz , Mediha Bal , Zehra Akkoca , Selma Metintas

https://doi.org/10.20515/otd.1344793

Öz

Sleep disorders have been reported to be an increasingly important problem in childhood. The aim of this study was to determine the relationship between symptoms of sleep disorders and health-promoting lifestyle habits in school-aged children. The sample size of the study was calculated as 384 subjects. The study was conducted on school children aged 5 to 17 years and their parents who presented to the pediatric outpatient clinic of a city hospital for any reason during the survey period. The study questionnaire included sociodemographic characteristics, the Childhood Sleep Disorders Scale (CSDS), the Dietary Behavior Scale, and the Family Nutrition and Physical Activity Scale. Univariate analysis was used to analyze the study data, and hierarchical linear regression analysis was used to determine the factors associated with sleep disorders in children. The study group consisted of 406 subjects, 211 (52.0%) girls and 195 (48.0%) boys. Children's scores on the CSDS ranged from 26 to 124, with a median of 39.0 (33.0-46.0). The study found that the frequency of sleep disorder symptoms was a common problem at 14%. Sleep disorder symptoms occurred most frequently in the 15- to 17-year-old age group. Predictors of sleep disorder were daily screen time of more than two hours, sleep duration too short for the child's age, and situations in which the child had no sleep routine. Since behaviors adopted in childhood can persist into adulthood and have negative health consequences, it is important to improve these behaviors in order to live a healthier life.

Anahtar Kelimeler

School-Aged children, Sleep disturbances, Nutrition, Screen time, Physical activity

Proje Numarası

Kaynakça

1. Ward TM, Rankin S, Lee KA. Caring for children with sleep problems. Journal of Pediatric Nursing. 2007;22(4):283-96.
2. Owens JA, Witmans M. Sleep problems. Current Problems in Pediatric and Adolescent Health Care. 2004;4(34):154-79.
3. Türkbay T, Çocuklar ST. Ergenlerde uyku bozuklukları. Türkiye Klinikleri Psikiyatri. 2001;2:86-90.
4. Carter JC, Wrede JE. Overview of sleep and sleep disorders in infancy and childhood. Pediatric Annals. 2017;46(4):e133-e8.
5. Ünsal G, Korğali EÜ, Tan AK, Ongun EA. 6-10 Yaş arası çocuklarda uyku alışkanlıkları, uyku sorunları ve etkileyen faktörler. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi. 2021;13(4):216-32.
6. LeBourgeois MK, Hale L, Chang A-M, Akacem LD, Montgomery-Downs HE, Buxton OM. Digital media and sleep in childhood and adolescence. Pediatrics. 2017;140(Supplement_2):S92-S6.
7. Maski K, Owens JA. Insomnia, parasomnias, and narcolepsy in children: clinical features, diagnosis, and management. The Lancet Neurology. 2016;15(11):1170-81.
8. Hall WA, Nethery E. What does sleep hygiene have to offer children’s sleep problems? Paediatric Respiratory Reviews. 2019;31:64-74.
9. Ophoff D, Slaats MA, Boudewyns A, Glazemakers I, Van Hoorenbeeck K, Verhulst S. Sleep disorders during childhood: a practical review. European Journal of Pediatrics. 2018;177:641-8.
10. Cappuccio FP, Taggart FM, Kandala N-B, Currie A, Peile E, Stranges S, et al. Meta-analysis of short sleep duration and obesity in children and adults. Sleep. 2008;31(5):619-26.
11. Olds TS, Maher CA, Matricciani L. Sleep duration or bedtime? Exploring the relationship between sleep habits and weight status and activity patterns. Sleep. 2011;34(10):1299-307.
12. Golley RK, Maher C, Matricciani L, Olds T. Sleep duration or bedtime? Exploring the association between sleep timing behaviour, diet and BMI in children and adolescents. International Journal of Obesity. 2013;37(4):546-51.
13. Poitras VJ, Gray CE, Borghese MM, Carson V, Chaput J-P, Janssen I, et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Applied Physiology, Nutrition, and Metabolism. 2016;41(6):S197-S239.
14. Chahal H, Fung C, Kuhle S, Veugelers P. Availability and night‐time use of electronic entertainment and communication devices are associated with short sleep duration and obesity among Canadian children. Pediatric Obesity. 2013;8(1):42-51.
15. Domingues‐Montanari S. Clinical and psychological effects of excessive screen time on children. Journal of Paediatrics and Child Health. 2017;53(4):333-8.
16. Shochat T, Flint‐Bretler O, Tzischinsky O. Sleep patterns, electronic media exposure and daytime sleep‐related behaviours among Israeli adolescents. Acta Paediatrica. 2010;99(9):1396-400.
17. Hale L, Guan S. Screen time and sleep among school-aged children and adolescents: a systematic literature review. Sleep Medicine Reviews. 2015;21:50-8.
18. Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput J-P, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Applied Physiology, Nutrition, and Metabolism. 2016;41(6):S240-S65.
19. Tremblay MS, Carson V, Chaput J-P, Connor Gorber S, Dinh T, Duggan M, et al. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Applied Physiology, Nutrition, and Metabolism. 2016;41(6):S311-S27.
20. Chaput JP, Saunders T, Carson V. Interactions between sleep, movement and other non‐movement behaviours in the pathogenesis of childhood obesity. Obesity Reviews. 2017;18:7-14.
21. Rollo S, Antsygina O, Tremblay MS. The whole day matters: understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan. Journal of Sport and Health Science. 2020;9(6):493-510.
22. Çetin E, Özbiçakçi Ş. İlköğretim Öğrencilerinde Uyku Alişkanliklarinin Duygu-Davraniş Sorunlarina Etkisinin İncelenmesi. Hemşirelikte Araştırma Geliştirme Dergisi. 2012;14(2):52-60.
23. Şimşek DC, Polat F. İlköğretim öğrencilerinin fiziksel aktivite durumu ile uyku sorunu arasındaki ilişkinin incelenmesi: Elazığ örneği. Journal of Turkish Sleep Medicine. 2023;10(2).
24. Aygün SK, Başpınar MM, Güleç SG, Basat O. COVID kapanma döneminde çocuklarda uyku bozukluğu riskinde bilgisayar oyun bağımlılığının rolü nedir? Kesitsel Bir Çalışma. Journal of Turkish Sleep Medicine. 2023;10(2).
25. Burt J, Dube L, Thibault L, Gruber R. Sleep and eating in childhood: a potential behavioral mechanism underlying the relationship between poor sleep and obesity. Sleep Medicine. 2014;15(1):71-5.
26. Day RE, Bridge G, Austin K, Ensaff H, Christian MS. Parents’ awareness and perceptions of the Change4Life 100 cal snack campaign, and perceived impact on snack consumption by children under 11 years. BMC Public Health. 2022;22(1):1-14.
27. Akçay D. Çocuk ve adölesanlarin elektronik medya kullanımının obezite ve uyku sorunlarına etkisi The effect of electronic media use children and adolescents with obesity and sleep. Güncel Pediatri. 2017;15(2):67-72.
28. Halford JC, Boyland EJ, Hughes G, Oliveira LP, Dovey TM. Beyond-brand effect of television (TV) food advertisements/commercials on caloric intake and food choice of 5–7-year-old children. Appetite. 2007;49(1):263-7.
29. Bruni O, Ottaviano S, Guidetti V, Romoli M, Innocenzi M, Cortesi F, et al. The Sleep Disturbance Scale for Children (SDSC) construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. Journal of sleep research. 1996;5(4):251-61.
30. Ağadayı E, Çelik N, Başer DA. Çocuklar İçin Uyku Bozukluğu Ölçeğinin Türkçe geçerlik ve güvenirlik çalışması. Journal of Turkish Sleep Medicine. 2020;7(2).
31. Parcel GS, Edmundson E, Perry CL, Feldman HA, O'Hara‐Tompkins N, Nader PR, et al. Measurement of self‐efficacy for diet‐related behaviors among elementary school children. Journal of School Health. 1995;65(1):23-7.
32. Öztürk M, Erdoğan S. Çocukların beslenme alışkanlıklarının sağlık davranışı etkileşim modeline göre incelenmesi. Doktora Tezi. İstanbul: İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, 2010.
33. Ihmels MA, Welk GJ, Eisenmann JC, Nusser SM. Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening tool. International Journal of Behavioral Nutrition and Physical Activity. 2009;6(1):1-10.
34. Ekici E, Ikiisik H, Ankarali H, Manav G, Çolak M, Kozan EH. The validity and reliability of the Turkish version of the Family Nutrition and Physical Activity screening tool. Marmara Medical Journal. 2021;34(3):319-26.
35. World Health Organization. Body mass inder-for-age (BMI-for-age). https://www.who.int/toolkits/child-growth-standards/standards/body-mass-index-for-age-bmi-for-age. Erişim 09.04.2023.
36. World Health Organization. BMI-for-age (5-19 years). https://www.who.int/tools/growth-reference-data-for-5to19-years/indicators/bmi-for-age. Erişim 09.04.2023.
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38. Kabel AM, Al Thumali AM, Aldowiala KA, Habib RD, Aljuaid SS. Sleep disorders in a sample of students in Taif University, Saudi Arabia: The role of obesity, insulin resistance, anemia and high altitude. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2018;12(4):549-54.
39. Roberts CM, Harper KL, Bistricky SL, Short MB. Bedtime behaviors: Parental mental health, parental sleep, parental accommodation, and children’s sleep disturbance. Children's Health Care. 2020;49(2):115-33.
40. Fidancı İ, Aksoy H, Yengil Taci D, Fidancı İ, Ayhan Başer D, Cankurtaran M. Evaluation of the effect of the COVID‐19 pandemic on sleep disorders and nutrition in children. International Journal of Clinical Practice. 2021;75(7):e14170.
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42. Bülbül S, Kurt G, Ünlü E, Kırlı E. Adolesanlarda uyku sorunları ve etkileyen faktörler. Çocuk Sağlığı ve Hastalıkları Dergisi. 2010;53(3):204-10.
43. Susan Shur‐Fen G. Prevalence of sleep problems and their association with inattention/hyperactivity among children aged 6–15 in Taiwan. Journal of Sleep Research. 2006;15(4):403-14.
44. Chen X, Beydoun MA, Wang Y. Is sleep duration associated with childhood obesity? A systematic review and meta-analysis. Obesity. 2008;16(2):265.
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61. 61. Joshi A, Hinkley T. Too much time on screens? Screen time effects and guidelines for children and young people. Australian Institute of Family Studies. 2021.
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66. Fatih B, Okkay İ. Dijital Oyunların Çocuklarda Uyku Bozuklukları İle İlişkisinin İncelenmesi. Hacettepe Üniversitesi Sosyal Bilimler Dergisi. 2021;3(2):132-5

Toplam 66 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	Türkçe
Konular	Çocuk Sağlığı ve Hastalıkları (Diğer)
Bölüm	ORİJİNAL MAKALELER / ORIGINAL ARTICLES
Yazarlar	Yaşar Bildirici 0000-0002-4784-7810 Sevda Sungur 0000-0002-0186-0331 Feyza Nehir Öznur Muz 0000-0001-8747-9867 Mediha Bal 0009-0007-6667-0655 Zehra Akkoca 0000-0002-3950-2011 Selma Metintas 0000-0002-5002-5041
Proje Numarası	-
Yayımlanma Tarihi	27 Eylül 2023
Yayımlandığı Sayı	Yıl 2023 Cilt: 45 Sayı: 5

Kaynak Göster

Vancouver	Bildirici Y, Sungur S, Öznur Muz FN, Bal M, Akkoca Z, Metintas S. Okul Çocuklarında Uyku Bozukluğu Semptomları İle Sağlıklı Yaşam Davranışları Arasındaki İlişki. Osmangazi Tıp Dergisi. 2023;45(5):732-46.

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