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

Author

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

Author

Clovis A. Silva, Neusa Keico Sakita, Tathiane Christine Franco, Debora Narumi Demitrol Setoue, Tamires M Bernardes, Rita María I A Peralta, Nicolas Yamada Tanigava, Patricia Moreno Grangeiro, Rosa Maria Rodrigues Pereira, Adriana M. E. Sallum, Nadia E. Aikawa, Andreia Watanabe, Alberto C. Helito, Lorena V.M. Martiniano, Lucia M.A. Campos, Uenis Tannuri, Juliana Russo Simon, Bianca Pires Ihara, Bruna Caruso Mazzolani, Benito Lourenço, Luiz Eduardo Virgilio Silva, Karina Medeiros, Sylvia Costa Lima Farhat, Ricardo Katsuya Toma, Claudia de Brito Fonseca, Lígia Bruni Queiroz, Sofia S.M. Lavorato, Claudia A Martinez, Helena T. Miyatani, Deborah F.P. Roz, Yingying Zheng, Luana Cristina do Amaral Miranda, Patricia Palmeira, Guilherme V. Polanczyk, Isabela G. Marques, Livia Lindoso, Claudia Renata P Santos, Hamilton Roschel, Fabiana Infante Smaira, Louise Cominato, Ruth Rocha Franco, Natalia Rose, Simone Santoro Angelo, Claudia A A Strabelli, Paulo Rogério Pereira, Jane Oba, Ligia P. Saccani, Katia Kozu, Bruno Gualano, V.S. Viana, Amanda Yuri Iraha, Juliana Carvalho Ferreira, Camilla Astley, Moisés F Laurentino, Caio Borba Casella, Sofia Mendes Sieczkowska, Vera P.M.F.R. Barros, Dandara C.C. Lima, and Thalis Bolzan

Subjects
Pediatrics, medicine.medical_specialty, Medicine (General), Adolescent, media_common.quotation_subject, Logistic regression, law.invention, Pittsburgh Sleep Quality Index, Screen time, R5-920, Chronic Condition, Quality of life, law, Surveys and Questionnaires, Quarantine, Medicine, Humans, Quality (business), Child, media_common, business.industry, SARS-CoV-2, COVID-19, General Medicine, Odds ratio, Confidence interval, Cross-Sectional Studies, Health-Related Quality of Life, Chronic Disease, Quality of Life, Original Article, Female, business, Sleep
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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