Abstract
Objectives
Pain among adolescents is prevalent that may negatively affect adolescents’ general well-being of which sleep is an important domain. This study aims to explore the associations between weekly pain and medicine use for relevant pain and insufficient sleep duration among 11-, 13- and 15-year-old adolescents in Latvia by assessing the moderation effect of gender and age.
Methods
Data from the Health Behaviour in School-aged Children Study on 2017/2018 of Latvia (n = 4412; 49.6% boys) were used. Logistic regression was applied to analyse the odds of insufficient sleep (< 7 h) on schooldays and weekends in association with weekly headache, stomach ache or backache and corresponding medicine use when testing the interaction effect of adolescents’ gender and age.
Results
The experience of weekly pain with or without medicine use significantly increased the odds of insufficient sleep compared to adolescents with pain less than weekly, while controlling for gender and age. The interaction effect of gender and age on the studied associations was not significant.
Conclusions
Weekly pain among adolescents is a significant risk factor for insufficient sleep duration, regardless of adolescents’ gender and age.
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References
Andersen A, Krølner R, Holstein BE, Due P, Hansen EH (2007) Medicine use among 11- and 13-year-olds: agreement between parents’ reports and children’s self-reports. Ann Pharmacother 41:581–586. https://doi.org/10.1345/aph.1H579
Andreucci MA, Campbell P, Dunn KM (2017) Are sleep problems a risk factor for the onset of musculoskeletal pain in children and adolescents? A systematic review. Sleep. https://doi.org/10.1093/sleep/zsx093
Badawy SM, Law EF, Palermo TM (2019) The interrelationship between sleep and chronic pain in adolescents. Curr Opin Physiol 11:25–28. https://doi.org/10.1016/j.cophys.2019.04.012
Bartel K, Williamson P, van Maanen A, Cassoff J, Meijer AM, Oort F, Knäuper B, Gruber R, Gradisar M (2016) Protective and risk factors associated with adolescent sleep: findings from Australia, Canada, and The Netherlands. Sleep Med 26:97–103. https://doi.org/10.1016/j.sleep.2016.07.007
Buysse DJ (2014) Sleep health: can we define it? Does it matter? Sleep 37:9–17. https://doi.org/10.5665/sleep.3298
Chaput J-P, Janssen I (2016) Sleep duration estimates of Canadian children and adolescents. J Sleep Res 25:541–548. https://doi.org/10.1111/jsr.12410
Combs D, Goodwin JL, Quan SF, Morgan WJ, Hsu C-H, Edgin JO, Parthasarathy S (2019) Mother knows best? Comparing child report and parent report of sleep parameters with polysomnography. J Clin Sleep Med 15:111–117. https://doi.org/10.5664/jcsm.7582
El-Sheikh M, Saini EK, Gillis BT, Kelly RJ (2019) Interactions between sleep duration and quality as predictors of adolescents’ adjustment. Sleep Health 5:180–186. https://doi.org/10.1016/j.sleh.2018.11.004
Finan PH, Smith MT (2013) The comorbidity of insomnia, chronic pain, and depression: dopamine as a putative mechanism. Sleep Med Rev 17:173–183. https://doi.org/10.1016/j.smrv.2012.03.003
Gariepy G, Danna S, Gobiņa I, Rasmussen M, Gaspar de Matos M, Tynjälä J, Janssen I, Kalman M, Villeruša A, Husarova D, Brooks F, Elgar FJ, Klavina-Makrecka S, Šmigelskas K, Gaspar T, Schnohr C (2020) How are adolescents sleeping? Adolescent sleep patterns and sociodemographic differences in 24 European and North American countries. J Adolesc Health 66:S81–S88. https://doi.org/10.1016/j.jadohealth.2020.03.013
Ghekiere A, Van Cauwenberg J, Vandendriessche A, Inchley J, Gaspar de Matos M, Borraccino A, Gobina I, Tynjala J, Deforche B, De Clercq B (2019) Trends in sleeping difficulties among European adolescents: are these associated with physical inactivity and excessive screen time? Int J Public Health 64:487–498. https://doi.org/10.1007/s00038-018-1188-1
Gobina I, Välimaa R, Tynjälä J, Villberg J, Villerusa A, Iannotti RJ, Godeau E, Gabhainn SN, Andersen A, Holstein BE, The HMUWG (2011) The medicine use and corresponding subjective health complaints among adolescents, a cross-national survey. Pharmacoepidemiol Drug Saf 20:424–431. https://doi.org/10.1002/pds.2102
Gobina I, Villberg J, Villerusa A, Välimaa R, Tynjälä J, Ottova-Jordan V, Ravens-Sieberer U, Levin K, Cavallo F, Borraccino A, Sigmund E, Andersen A, Holstein BE (2015) Self-reported recurrent pain and medicine use behaviours among 15-year olds: results from the international study. Eur J Pain 19:77–84. https://doi.org/10.1002/ejp.524
Gobina I, Villberg J, Välimaa R, Tynjälä J, Whitehead R, Cosma A, Brooks F, Cavallo F, Ng K, de Matos MG, Villerusa A (2019) Prevalence of self-reported chronic pain among adolescents: evidence from 42 countries and regions. Eur J Pain 23:316–326. https://doi.org/10.1002/ejp.1306
Gradisar M, Gardner G, Dohnt H (2011) Recent worldwide sleep patterns and problems during adolescence: a review and meta-analysis of age, region, and sleep. Sleep Med 12:110–118. https://doi.org/10.1016/j.sleep.2010.11.008
Haugland S, Wold B (2001) Subjective health complaints in adolescence—reliability and validity of survey methods. J Adolesc 24:611–624. https://doi.org/10.1006/jado.2000.0393
Holstein BE, Hansen EH, Due P, Almarsdóttir AB (2003) Self-reported medicine use among 11- to 15-year-old girls and boys in Denmark 1988–1998. Scand J Public Health 31:334–341. https://doi.org/10.1080/14034940210165082
Inchley J, Currie D, Cosma A, Piper A, Spanou G (2018) Health behaviour in school-aged children (HBSC) study protocol: background, methodology and mandatory items for the 2017/18 survey. St Andrews: CAHRU
Jiang J, Li Y, Mao Z, Wang F, Huo W, Liu R, Zhang H, Tian Z, Liu X, Zhang X, Tu R, Qian X, Liu X, Luo Z, Bie R, Wang C (2019) Abnormal night sleep duration and poor sleep quality are independently and combinedly associated with elevated depressive symptoms in Chinese rural adults: henan rural cohort. Sleep Med. https://doi.org/10.1016/j.sleep.2019.10.022
Leger D, Beck F, Richard J-B, Godeau E (2012) Total sleep time severely drops during adolescence. PLoS ONE 7:e45204–e45204. https://doi.org/10.1371/journal.pone.0045204
Levin KA, Whitehead R, Andersen A, Levin D, Gobina I, Holstein B (2015) Changes in the association between health complaint frequency and medicine use among adolescents in Scotland between 1998 and 2010. J Psychosom Res 78:371–376. https://doi.org/10.1016/j.jpsychores.2014.12.006
Matricciani L (2013) Subjective reports of children’s sleep duration: does the question matter? A literature review. Sleep Med 14:303–311. https://doi.org/10.1016/j.sleep.2013.01.002
National Sleep Foundation (2015) National sleep foundation recommends new sleep times. https://www.sleepfoundation.org/press-release/national-sleep-foundation-recommends-new-sleep-times Accessed 05 Feb 2020
Olds T, Blunden S, Petkov J, Forchino F (2010) The relationships between sex, age, geography and time in bed in adolescents: a meta-analysis of data from 23 countries. Sleep Med Rev 14:371–378. https://doi.org/10.1016/j.smrv.2009.12.002
Paiva T, Gaspar T, Matos MG (2015) Sleep deprivation in adolescents: correlations with health complaints and health-related quality of life. Sleep Med 16:521–527. https://doi.org/10.1016/j.sleep.2014.10.010
Paruthi S, Brooks LJ, D’Ambrosio C, Hall WA, Kotagal S, Lloyd RM, Malow BA, Maski K, Nichols C, Quan SF, Rosen CL, Troester MM, Wise MS (2016) Consensus statement of the american academy of sleep medicine on the recommended amount of sleep for healthy children: methodology and discussion. J Clin Sleep Med 12:1549–1561. https://doi.org/10.5664/jcsm.6288
Patte KA, Qian W, Leatherdale ST (2017) Sleep duration trends and trajectories among youth in the COMPASS study. Sleep Health 3:309–316. https://doi.org/10.1016/j.sleh.2017.06.006
Shehnaz SI, Agarwal AK, Khan N (2014) A systematic review of self-medication practices among adolescents. J Adolesc Health 55:467–483. https://doi.org/10.1016/j.jadohealth.2014.07.001
Short MA, Gradisar M, Gill J, Camfferman D (2013) Identifying adolescent sleep problems. PloS ONE 8:e75301–e75301. https://doi.org/10.1371/journal.pone.0075301
Tonetti L, Fabbri M, Filardi M, Martoni M, Natale V (2015) Effects of sleep timing, sleep quality and sleep duration on school achievement in adolescents. Sleep Med 16:936–940. https://doi.org/10.1016/j.sleep.2015.03.026
Tremblay MS, Carson V, Chaput J-P, Connor Gorber S, Dinh T, Duggan M, Faulkner G, Gray CE, Gruber R, Janson K, Janssen I, Katzmarzyk PT, Kho ME, Latimer-Cheung AE, LeBlanc C, Okely AD, Olds T, Pate RR, Phillips A, Poitras VJ, Rodenburg S, Sampson M, Saunders TJ, Stone JA, Stratton G, Weiss SK, Zehr L (2016) Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab 41:S311–S327. https://doi.org/10.1139/apnm-2016-0151
Twenge JM, Krizan Z, Hisler G (2017) Decreases in self-reported sleep duration among U.S. adolescents 2009–2015 and association with new media screen time. Sleep Med 39:47–53. https://doi.org/10.1016/j.sleep.2017.08.013
Valrie CR, Bromberg MH, Palermo T, Schanberg LE (2013) A systematic review of sleep in pediatric pain populations. J Dev Behav Pediatr 34:120–128. https://doi.org/10.1097/DBP.0b013e31827d5848
Vandendriessche A, Ghekiere A, Van Cauwenberg J, De Clercq B, Dhondt K, DeSmet A, Tynjala J, Verloigne M, Deforche B (2019) Does sleep mediate the association between school pressure, physical activity, screen time, and psychological symptoms in early adolescents? A 12-country study. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph16061072
Vinall J, Pavlova M, Asmundson GJG, Rasic N, Noel M (2016) Mental health comorbidities in pediatric chronic pain: a narrative review of epidemiology, models, neurobiological mechanisms and treatment. Children 3:40
Yan Y-W, Rongmao L, Su Y-K, Liu M-Y (2018) The relationship between adolescent academic stress and sleep quality: a multiple mediation model. Soc Behav Pers Int J 46:63–77. https://doi.org/10.2224/sbp.6530
Acknowledgements
The Health Behaviour in School-aged Children (HBSC) is an international study carried out in collaboration with WHO/EURO. The International Coordinator of the 2017/2018 survey was Jo Inchley (University of Glasgow) and the Data Bank Manager was Professor Oddrun Samdal (University of Bergen). The authors acknowledge all members of the HBSC Latvia team—Iveta Pudule (Principal Investigator), Daiga Grinberga and Biruta Velika—and also Iveta Gavare, Director of the Centre for Disease Prevention and Control of Latvia, for coordinating and managing the survey.
Funding
The 2017/18 survey in Latvia were conducted by the financial support of The Ministry of Health of Republic of Latvia and coordinated by The Centre for Disease Prevention and Control Latvia. There are no conflict of interests regarding the funding of the study.
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The manuscript contains original unpublished work and is not being submitted for publication elsewhere. The research is based on WHO collaborative Health Behaviour among School-aged Children study.
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Ethical approval for this survey was gained from the Committee of Ethics of the Medical and Biomedical Researches, Riga East Clinical University Hospital. Passive parental consent was required. Participation in the study was fully voluntary and anonymous with no explicit incentives provided for participation. All authors meet criteria for authorship, and all authors discussed the results and commented on the manuscript.
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This article is part of the special issue “Adolescent Health in Central and Eastern Europe”.
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Klavina-Makrecka, S., Gobina, I., Pulmanis, T. et al. Insufficient sleep duration in association with self-reported pain and corresponding medicine use among adolescents: a cross-sectional population-based study in Latvia. Int J Public Health 65, 1365–1371 (2020). https://doi.org/10.1007/s00038-020-01478-0
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DOI: https://doi.org/10.1007/s00038-020-01478-0