Subscribe to RSS

DOI: 10.5935/1984-0063.20220070
Lifestyle factors associated with poor sleep quality among undergraduate dental students at a Malaysian private university
Authors
Objective The purpose of this study was to look into the associations between lifestyle factors, gender, clinical level, and sleep quality among undergraduate dental students at a private university in Malaysia.
Material and Methods A self-administered Pittsburg sleep quality index (PSQI) scale and the lifestyle and habits questionnaire-brief (LHQ-B) were used in this cross-sectional study. A global PSQI score of greater than 5 indicates poor sleep quality. All university dental students were invited to take part. Descriptive statistics and logistic regression analyses were used to analyze the data.
Results A total of 338 students took part in the study, with a response rate of 90.4%. The proportion of females was higher (68.3 %) and more than half of the respondents (56.7 %) were in their clinical years. The prevalence of poor sleep quality was 36.7%. At multivariable level, poor sleep quality was associated with being male (OR=1.72 [95% confidence interval (1.05, 2.83)] and engaging in an unhealthy lifestyle for psychological health (OR=2.64 [95% confidence interval (1.34, 5.21)] and nutrition (OR=2.48 [95% confidence interval (1.028, 4.82)].
Conclusion The prevalence of poor sleep quality among undergraduate dental students in our study was comparable to that found in other studies. Male students were more likely to have poor sleep quality than female students. Our findings indicate that poor sleep quality (PSQI score >5) may be linked to unhealthy lifestyle habits related to psychological health and nutrition. Health education that emphasizes these domains is essential for improving their lifestyle habits and sleep quality.
Funding
The authors received no funding from any external source.
Publication History
Received: 09 July 2021
Accepted: 22 February 2022
Article published online:
01 December 2023
© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
REFERENCES
- 1 Assefa SZ, Diaz-Abad M, Wickwire EM, Scharf SM. The functions of sleep. AIMS Neurosci. 2015;2(3):155-71.
- 2 Schlarb AA, Claßen M, Grünwald J, Vögele C. Sleep disturbances and mental strain in university students: results from an online survey in Luxembourg and Germany. Int J Ment Health Syst. 2017 Mar;11:24.
- 3 Elagra MI, Rayyan MR, Alnemer OA, Alshehri MS, Alsaffar NS, Al- Habib RS, et al. Sleep quality among dental students and its association with academic performance. J Int Soc Prev Community Dent. 2016 Jul/ Aug;6(4):296-301.
- 4 Salama AA. Sleep quality in medical students, Menoufia University, Egypt. Egypt Fam Med J. 2017;1(1):1-21.
- 5 Toscano-Hermoso MD, Arbinaga F, Fernández-Ozcorta EJ, Gómez- Salgado J, Ruiz-Frutos C. Influence of sleeping patterns in health and academic performance among university students. Int J Environ Res Public Health. 2020 Apr;17(8):2760.
- 6 Maheshwari G, Shaukat F. Impact of poor sleep quality on the academic performance of medical students. Cureus. 2019 Apr;11(4):e4357.
- 7 Mirghani HO, Mohammed OS, Almurtadha YM, Ahmed MS. Good sleep quality is associated with better academic performance among Sudanese medical students. BMC Res Notes. 2015 Nov;8:706. DOI: https://doi. org/10.1186/s13104-015-1712-9
- 8 Campsen N, Buboltz WC. Lifestyle factors’ impact on sleep of college students. Austin J Sleep Disord. 2017 Mar;4(1):1028.
- 9 Jin S, Pae M. Sleep quality and its association with the dietary behavior and lifestyle of university students in Cheongju. Korean J Community Nutr. 2019;24(5):395.
- 10 Ezati M, Keshavarz M, Barandouzi ZA, Montazeri A. The effect of regular aerobic exercise on sleep quality and fatigue among female student dormitory residents. BMC Sports Sci Med Rehabil. 2020 Aug;12:44.
- 11 Flausino NH, Prado JMS, Queiroz SS, Tufik S, Mello MT. Physical exercise performed before bedtime improves the sleep pattern of healthy young good sleepers. Psychophysiology. 2012 Feb;49(2):186-92.
- 12 Santos RV, Tufik S, Mello M. Exercise, sleep and cytokines: is there a relation? Sleep Med Rev. 2007 Jun;11(3):231-9.
- 13 Alotaibi AD, Alosaimi FM, Alajlan AA, Abdulrahman KAB. The relationship between sleep quality, stress, and academic performance among medical students. J Fam Community Med. 2020 Jan/Apr;27(1):23-8.
- 14 Sardar KP, Bari YA, Akhtar M. Association among improper sleep, stress and parafunctional habits in dental students at Dow University of Health Sciences. J Pak Dent Assoc. 2015;24:194-8.
- 15 Ersan N, Fisekcioglu E, Oktay I, Ilgüy D. Perceived sources and levels of stress, general selfefficacy and coping strategies in clinical dental students. Psychol Health Med. 2017 Dec;22(10):1175-85.
- 16 Srivastava R, Jyoti B, Pradhan D, Kumar M, Priyadarshi P. Evaluating the stress and its association with stressors among the dental undergraduate students of Kanpur city, India: a cross-sectional study. J Educ Health Promot. 2020;9:56.
- 17 Wilson V, Rayner C, Gordon N, Shaikh A, Crombie K, Yasin-Harnekar S. Perceived stress among dental students at the University of the Western Cape. South African Dent J. 2015;70(6):255-9.
- 18 Babar MG, Hasan SS, Ooi YJ, Ahmed SI, Wong PS, Ahmad SF, et al. Perceived sources of stress among Malaysian dental students. Int J Med Educ. 2015;6:56-61.
- 19 Shree V, Prasad RR, Kumar S, Sinha S, Choudhary SK. Study on consumption of fast food among medical students of IGIMS, Patna. Int J Community Med Public Heal. 2018;5(7):2750-4.
- 20 Al-Otaibi HH. The pattern of fruit and vegetable consumption among Saudi university students. Glob J Health Sci. 2014 Dec;6(2):155-62.
- 21 Godos J, Grosso G, Castellano S, Galvano F, Caraci F, Ferri R. Association between diet and sleep quality: a systematic review. Sleep Med Rev. 2021 Jun;57:101430.
- 22 Nisar M, Mohammad RM, Arshad A, Hashmi I, Yousof SM, Baig S. Influence of dietary intake on sleeping patterns of medical students. Cureus. 2019;11(2):e4106. DOI: https://doi.org/10.7759/cureus.4106
- 23 Valerio TD, Kim MJ, Sexton-Radek K. Association of stress, general health, and alcohol use with poor sleep quality among U.S. college students. Am J Heal Educ. 2016;47(1):17-23.
- 24 Fadhel FH. Exploring the relationship of sleep quality with drug use and substance abuse among university students: a cross-cultural study. Middle East Curr Psychiatry. 2020 Nov;27:65. DOI: https://doi.org/10.1186/ s43045-020-00072-7
- 25 Jin Y, Ding Z, Fei Y, Jin W, Liu H, Chen Z, et al. Social relationships play a role in sleep status in Chinese undergraduate students. Psychiatry Res. 2014 Dec;220(1-2):631-8.
- 26 Krause N, Rainville G. Exploring the relationship between social support and sleep. Heal Educ Behav. 2020 Feb;47(1):153-61.
- 27 Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193-213.
- 28 Sacket D, Haynes R, Guyatt G. Clinical epidemiology: a basic science for clinical medicine. 2nd ed. Boston: Little Brown, Co.; 1991.
- 29 Dinzeo TJ, Thayasivam U, Sledjeski EM. The development of the lifestyle and habits questionnaire-brief version: relationship to quality of life and stress in college students. Prev Sci. 2014 Feb;15(1):103-14.
- 30 Daoud JI. Multicollinearity and regression analysis. J Phys Conf Ser. 2017;949;012009.
- 31 R Core Team. R: a language and environment for statistical computing [Internet]. Vienna: R Core Team; 2020; [access in 2020 Oct 20]. Available from: https://www.r-project.org/
- 32 Pike CK, Hudson WW. Reliability and measurement error in the presence of homogeneity. J Soc Serv Res. 1998 Sep;24(1-2):149-63.
- 33 Hashmi AM, Khawaja IS, Butt Z, Umair M, Naqvi SH, Ul-Haq J. The Pittsburgh sleep quality index: validation of the Urdu translation. J Coll Physicians Surg Pakistan. 2014 Feb;24(2):123-6.
- 34 Salahuddin M, Maru TT, Kumalo A, Pandi-Perumal SR, Bahammam AS, Manzar MD. Validation of the Pittsburgh sleep quality index in community dwelling Ethiopian adults. Health Qual Life Outcomes. 2017 Mar;15:1-7.
- 35 Ul Ain N, Ahmad H, Rehman S, Emman S, Sethi MR, Irfan M. Dysfunctional beliefs and attitudes about sleep in undergraduate medical and dental students. J Postgrad Med Inst. 2020;34:49-53.
- 36 Li Y, Bai W, Zhu B, Duan R, Yu X, Xu W, et al. Prevalence and correlates of poor sleep quality among college students: a cross-sectional survey. Health Qual Life Outcomes. 2020;18:210.
- 37 Kaur G. A study on the sleep quality of Indian college students. JSM Brain Sci. 2018;3(1):1018.
- 38 Waqas A, Iftikhar A, Malik Z, Aedma KK, Meraj H, Naveed S. Association of severity of depressive symptoms with sleep quality, social support and stress among Pakistani medical and dental students: a crosssectional study. Glob Psychiatry. 2019;2(2):211-20.
- 39 Serra-Negra JM, Scarpelli AC, Tirsa-Costa D, Guimarães FH, Pordeus IA, Paiva SM. Sleep bruxism, awake bruxism and sleep quality among Brazilian dental students: a cross-sectional study. Braz Dent J. 2014;25(3):241-7.
- 40 Zvauya R, Oyebode F, Day EJ, Thomas CP, Jones LA. A comparison of stress levels, coping styles and psychological morbidity between graduateentry and traditional undergraduate medical students during the first 2 years at a UK medical school. BMC Res Notes. 2017 Feb;10(1):93.
- 41 Olfert MD, Barr ML, Charlier CC, Greene G, Zhou W, Colby SE. Sex differences in lifestyle behaviors among U.S. college freshmen. Int J Environ Res Public Health. 2019 Feb;16(3):482.
- 42 Okano K, Kaczmarzyk JR, Dave N, Gabrieli JDE, Grossman JC. Sleep quality, duration, and consistency are associated with better academic performance in college students. NPJ Sci Learn. 2019 Oct;4:16.
- 43 Ji A, Wang R. Study on the current situation of college students’ sleep quality in China. J Sleep Disord Ther. 2018 Jan;7(2):5-7.
- 44 Nowakowski S, Meers J, Heimbach E. Sleep and women’s health. Sleep Med Res. 2013;4(1):1-22.
- 45 Gao M, Hu J, Yang L, Ding N, Wei X, Li L, et al. Association of sleep quality during pregnancy with stress and depression: a prospective birth cohort study in China. BMC Pregnancy Childbirth. 2019 Nov;19:444.
- 46 Tandon A, Kaur P, Dhir A, Mäntymäki M. Sleepless due to social media? Investigating problematic sleep due to social media and social media sleep hygiene. Comput Human Behav. 2020 Dec;113:106487.
- 47 Wunsch K, Kasten N, Fuchs R. The effect of physical activity on sleep quality, well-being, and affect in academic stress periods. Nat Sci Sleep. 2017;9:117-26.
- 48 Kent RG, Uchino BN, Cribbet MR, Bowen K, Smith TW. Social relationships and sleep quality. Ann Behav Med. 2015 Dec;49(6):912-7.
- 49 Du C, Zan MCH, Cho MJ, Fenton JI, Hsiao PY, Hsiao R, et al. The effects of sleep quality and resilience on perceived stress, dietary behaviors, and alcohol misuse: a mediation-moderation analysis of higher education students from Asia, Europe, and North America during the COVID-19 pandemic. Nutrients. 2021 Jan;13(2):442.
- 50 Abu-Ghazaleh SB, Sonbol HN, Rajab LD. A longitudinal study of psychological stress among undergraduate dental students at the University of Jordan. BMC Med Educ. 2016 Mar;16:90.
- 51 Basudan S, Binanzan N, Alhassan A. Depression, anxiety and stress in dental students. Int J Med Educ. 2017 May;8:179-86.
- 52 O’Reilly MP, Jacobs AV. Mental health: would you choose a dental degree? Br Dent J. 2015 Jul;219(1):2.
- 53 Wang F, Bíró É. Determinants of sleep quality in college students: a literature review. Explore (NY). 2021 Mar/Apr;17(2):170-7.
- 54 Omar NH, Ling TP, Joe LS, Ramaya K. Dietary intake and physical lifestyle of residential college students in Universiti Kebangsaan Malaysia. J Pers Pelajar. 2015;18:75-85.
- 55 Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S. Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health. 2014;56(5):359-68.
- 56 Frank S, Gonzalez K, Lee-Ang L, Young MC, Tamez M, Mattei J. Diet and sleep physiology: public health and clinical implications. Front Neurol. 2017 Aug;8:393.
- 57 Conklin AI, Guo SXR, Tam ACT, Richardson CG. Gender, stressful life events and interactions with sleep: a systematic review of determinants of adiposity in young people. BMJ Open. 2018 Jul;8(7):e019982.
- 58 Grzymisławska M, Puch EA, Zawada A, Grzymisławski M. Do nutritional behaviors depend on biological sex and cultural gender? Adv Clin Exp Med. 2020 Jan;29(1):165-72.
- 59 Kumar S, Wong PS, Hasan SS, Kairuz T. The relationship between sleep quality, inappropriate medication use and frailty among older adults in aged care homes in Malaysia. PLoS One. 2019 Oct;14(10):e0224122.
- 60 Angelin TJ, Mota KR, Santos Júnior VE, Silva LC, Heimer MV. Evaluation of sleep quality and daytime sleepiness in dentistry students. Pesq Bras Odontopediatria Clín Integr. 2020;20:1-7.
