1. Poor Sleep quality and health-related quality of life impact in adolescents with and without chronic immunosuppressive conditions during COVID-19 quarantine
- Author
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Alberto C. Helito, Livia Lindoso, Sofia M. Sieczkowska, Camilla Astley, Ligia B. Queiroz, Natalia Rose, Claudia Renata P. Santos, Thalis Bolzan, Rita María I.A. Peralta, Ruth R. Franco, Louise Cominato, Rosa Maria R. Pereira, Uenis Tannuri, Lucia Maria A. Campos, Benito Lourenço, Ricardo K. Toma, Karina Medeiros, Andréia Watanabe, Patricia Moreno Grangeiro, Sylvia C. Farhat, Caio B. Casella, Guilherme V. Polanczyk, Bruno Gualano, Clovis A. Silva, Adriana M. E. Sallum, Amanda Y. Iraha, Bianca P. Ihara, Bruna C. Mazzolani, Claudia A. Martinez, Claudia A. A. Strabelli, Claudia B. Fonseca, Dandara C. C. Lima, Debora N. D. Setoue, Deborah F. P. Roz, Fabiana I. Smaira, Hamilton Roschel, Helena T. Miyatani, Isabela G. Marques, Jane Oba, Juliana C. O. Ferreira, Juliana R. Simon, Katia Kozu, Ligia P. Saccani, Lorena V. M. Martiniano, Luana C. A. Miranda, Luiz E. V. Silva, Moisés F. Laurentino, Nadia E. Aikawa, Neusa K. Sakita, Nicolas Y. Tanigava, Paulo R. A. Pereira, Patrícia Palmeira, Simone S. Angelo, Sofia S. M. Lavorato, Tamires M. Bernardes, Tathiane C. Franco, Vivianne S. L. Viana, Vera P. M. F. R. Barros, and Yingying Zheng
- Subjects
COVID-19 ,Sleep ,Adolescent ,Chronic Condition ,Health-Related Quality of Life ,Medicine (General) ,R5-920 - Abstract
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
- Published
- 2021
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