Abstract

Introduction The use of blue light-emitting devices (smartphones, tablets, and laptops) at bedtime has negative effects on sleep due to light stimulation and/or problematic excessive use. We aimed to evaluate, among young medical students, if the perception of sleep disturbances due to bedtime use of these devices is consistent with healthier habits and a better sleep quality. Materials and methods 294 medical students in medicine and pharmacy from the Faculty of Medicine and Pharmacy of Rabat, Morocco, took part in this anonymous and voluntary cross-sectional study and answered an electronic questionnaire. Student and Mann–Whitney U tests were used to compare variables between 2 groups based on their perception of sleep disturbances. The level of significance was p ≤ 0.05. Results 286 students (97.3%) used a blue light-emitting smart device at bedtime before sleep, and sleep quality was poor (Pittsburgh Sleep Quality Index, PSQI > 5) in 101 students (35.3%). The perception of sleep disturbances due to this night usage was reported by 188 of them (65.7%). In this group, 154 (81.9%) used their device with all the lights turned off in the room (p=0.02), 34 (18.1%) put devices under pillows (p=0.04), 114 (60.6%) interrupted sleep to check messages (p < 0.001), and the mean duration use of these technologies at bedtime was 2 h ± 23 min per night (p=0.02). Also, the mean sleep duration was 6.3 hours ± 1.25 (p=0.04), 119 (63.3%) presented fatigue on waking more than one time per week (p=0.04), and 76 (40.4%) presented poor sleep quality (75.2% of the students with PSQI > 5) (p=0.005). Conclusions Despite the perception of sleep disturbances due to bedtime use of blue light-emitting devices, unhealthy sleep habits tend to be frequent in young medical students and worrying because it is associated to significant poor sleep quality.

Highlights

  • IntroductionThe use of blue light-emitting devices (smartphones, tablets, and laptops) at bedtime has negative effects on sleep due to light stimulation and/or problematic excessive use

  • The use of blue light-emitting devices at bedtime has negative effects on sleep due to light stimulation and/or problematic excessive use

  • Our results showed that most of the students (97.3%) used blue light-emitting devices at bedtime before sleep of whom 35.3% presented a poor quality of sleep (PSQI > 5)

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Summary

Introduction

The use of blue light-emitting devices (smartphones, tablets, and laptops) at bedtime has negative effects on sleep due to light stimulation and/or problematic excessive use. Despite the perception of sleep disturbances due to bedtime use of blue light-emitting devices, unhealthy sleep habits tend to be frequent in young medical students and worrying because it is associated to significant poor sleep quality. The use and accessibility of blue light-emitting devices such as smartphones, tablets, and laptops has increased widely in the last decade [1] These technologies have had a radical effect on the social transformation process with an impact on daily routines and habits and had become an integral part of human life [2, 3]. Appropriate behavior and environment are critical to achieve adequate quality and quantity of sleep In this context, several studies showed the negative effects of bedtime blue lightemitting-device use on sleep [1, 4, 6, 7, 14,15,16,17,18]. On one hand, BioMed Research International there is a cognitive stimulation and related sleep disturbances due to the brightness of the short blue wavelengths light emitted by these devices that disrupt the circadian clock [1, 4, 6, 7, 14,15,16]

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