Pittsburgh Sleep Quality Index Questionnaire Research Articles

Effect of Vitamin E Supplementation on Chronic Insomnia Disorder in Postmenopausal Women: A Prospective, Double-Blinded Randomized Controlled Trial.

Chronic insomnia disorder is one of the most common problems in postmenopausal women, exacerbated by underdiagnosis and improper treatment. This double-blinded, randomized, placebo-controlled trial was conducted to evaluate the potential of vitamin E to treat chronic insomnia as an alternative to sedative drugs and hormonal therapy. The study enrolled 160 postmenopausal women with chronic insomnia disorder, divided randomly into two groups. The vitamin E group received 400 units of mixed tocopherol daily, while the placebo group received an identical oral capsule. The primary outcome of this study was sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI), a self-evaluated and standardized questionnaire. The secondary outcome was the percentage of participants using sedative drugs. There were no significant differences in baseline characteristics between the study groups. However, the median PSQI score at baseline was slightly higher in the vitamin E group compared with the placebo (13 (6, 20) vs. 11 (6, 20); p-value 0.019). After one month of intervention, the PSQI score was significantly lower (indicating better sleep quality) in the vitamin E group compared with the placebo (6 (1, 18) vs. 9 (1, 19); p-value 0.012). Moreover, the improvement score was significantly higher in the vitamin E group compared with the placebo (5 (-6, 14) vs. 1 (-5,13); p-value < 0.001). In addition, there was a significant reduction in the percentage of patients using sedative drugs in the vitamin E group (15%; p-value 0.009), while this reduction was not statistically significant in the placebo group (7.5%; p-value 0.077). This study demonstrates vitamin E's potential as an excellent alternative treatment for chronic insomnia disorder that improves sleep quality and reduces sedative drug use.

Impact of COVID-19 on dietary intake, sleeping patterns and physical activity levels among Malaysian University students.

The COVID-19 pandemic has brought a significant impact on people's behaviour and lifestyles. Limited research has been conducted on the impact of COVID-19 on Malaysian university students' lifestyle modifications. This study aims to identify the impact of COVID-19 on dietary intake, sleeping patterns and physical activity levels among Malaysian university students. A total of 261 university students were recruited. Sociodemographic and anthropometric data were collected. Dietary intake was assessed using PLifeCOVID-19 questionnaire, sleep quality was assessed using Pittsburgh Sleep Quality Index Questionnaire (PSQI) while physical activity level was assessed using International Physical Activity Questionnaire-Short Forms (IPAQ-SF). SPSS was used to perform statistical analysis. 30.7% of the participants adhered to the unhealthy dietary pattern, 48.7% had poor quality of sleep and 59.4% engaged in low physical activity levels during the pandemic. Unhealthy dietary pattern was significantly associated with a lower IPAQ category (p=0.013), and increased time spent sitting (p=0.027) during the pandemic. Participants being underweight before the pandemic (aOR=2.472, 95% CI=1.358-4.499), increased takeaway meal consumption (aOR=1.899, 95% CI=1.042-3.461), increased snacking between meals consumption (aOR=2.989, 95% CI=1.653-5.404) and engaged in a low level of physical activity during pandemic (aOR=1.935, 95% CI=1.028-3.643) were the predictors of unhealthy dietary pattern. The university students' dietary intake, sleeping patterns, and physical activity levels were impacted in different ways during the pandemic. Strategies and interventions should be developed and implemented to improve the dietary intake and lifestyle of the students.

The effect of a standardized capsule of Aloe vera gel on the quality of life in patients with systolic heart failure: A randomized double-blind placebo-controlled clinical trial.

This trial was designed to evaluate the effect of a standardized capsule of Aloe vera gel (AVG) on the quality of life (QOL) in patients with systolic heart failure (HF). Forty-two patients were randomly divided into two groups to receive either AVG 150 mg or harmonized placebo capsules twice a day for 8 weeks. The patients were evaluated before and after the intervention using the Minnesota Living with Heart Failure Questionnaire (MLHFQ), New York Heart Association (NYHA) functional class, six-minute walk test (6MWT), Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI) and STOP-BANG questionnaires. Post-intervention, AVG group indicated a significant reduction in the total score of MLHFQ (p< 0.001). The changes in MLHFQ and NYHA class were statistically significant after taking medication (p< 0.001 and p= 0.004, respectively). The change of 6MWT in the AVG group was more advanced; however, it was not statistically significant (p= 0.353). Moreover, in the AVG group, the severity of insomnia and obstructive sleep apnea decreased (p< 0.001, p= 0.01 respectively) and the sleep quality improved as well (p< 0.001). There were significantly fewer adverse events reported in the AVG group (p= 0.047). Therefore, AVG combined with standard medical therapy could provide more clinical benefits for patients with systolic HF.

Prevalence of dietary supplement consumption among CrossFit practitioners.

We aimed to verify the prevalence of dietary supplements among CrossFit practitioners (CFPs), considering gender and training status. Still, we aimed to determine the type, reasons, and associated factors of dietary supplement utilization among CFPs. This is a cross-sectional, exploratory, and descriptive study with the snowball sampling method. Data were collected through online questionnaires using the Google Forms® tool. We included CFPs aged 18-64years, from Aug 1, 2020, to Sept 31, 2020. The questionnaire contained questions to assess the prevalence, type, and reasons for supplement use; also, we assessed information about sociodemographic variables and the prevalence of the main chronic morbidities. To analyze aspects of eating behavior and sleep-related parameters, we applied the three-factor eating questionnaire (TFEQ)-R21 and the Pittsburgh Sleep Quality Index questionnaire (PSQI), respectively. We assessed one hundred twelve (n = 112; 57 men; 55 women) CFPs (28.9 ± 7.64years old; body mass index (BMI), 25.5 ± 4.83kg/m2). Eighty-seven (50 men; 37 women; 28.2 ± 6.66years old; BMI, 25.4 ± 4.55kg/m2) reported using dietary supplements. Whey protein was the most used supplement (n = 70), followed by creatine (n = 54). Cognitive restraint (a dimension of eating behavior)score was higher in supplement users than in non-users (51.7 ± 18.6 vs. 42.6 ± 20.5; p = 0.040). Sleep-related parameters did not differ between supplement users and non-users. The most associated factors to supplement use were sex (being man; OR, 7.99; p = 0.007), sleep quality (poor; OR, 5.27; p = 0.045), CrossFit level (as prescribed (RX); OR, 4.51; p = 0.031), and cognitive restraint (OR, 1.03; p = 0.029). The CFPs, especially RX and Elite ones, showed a higher prevalence of supplement utilization. Anabolic-related supplements (i.e., whey protein and creatine) were the most used; moreover, several CFPs used supplements not supported by scientific evidence. Cognitive restraint scorewas higher in supplement users than in non-users. RX level, beingmen, and poor sleep quality were associated with supplement utilization. These data draw attention to the necessity of nutritional education for CrossFit coaches and athletes. Broader studies are necessary to confirm our findings.

Differences in Gray Matter Volume in Cerebral Small Vessel Disease Patients with and without Sleep Disturbance.

Recently, there has been increased interest in the relationship between cerebral small vessel disease (CSVD) and circadian rhythm disruption, particularly sleep disturbance. However, the neural mechanism of sleep disturbance in CSVD patients remains poorly understood. The purpose of this study is to explore the gray matter alterations in CSVD patients with and without sleep disturbance. 59 patients with CSVD and 40 healthy controls (HC) were recruited for the present study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. CSVD patients were categorized into either the good sleepers group (CSVD-GS, n = 23) or the poor sleepers group (CSVD-PS, n = 36) based on PSQI score. Voxel-based morphometry (VBM) analysis was used to assess differences in gray matter volume (GMV) between groups. Multivariate regression analyses were performed to investigate the relationships between sleep quality, GMV, and white matter hyperintensities (WMH). We observed GMV differences between the three groups in the bilateral caudate, right thalamus, bilateral calcarine cortex, left precentral gyrus, right orbitofrontal cortex, left cingulate gyrus, and right sub-gyral temporal lobe. Additionally, the CSVD-PS group exhibited decreased GMV in the bilateral calcarine cortex yet increased GMV in the right caudate compared to the CSVD-GS group. In fully adjusted models, GMV of the right caudate and bilateral calcarine cortex was associated with sleep quality in CSVD patients. The present study revealed structural brain alterations in CSVD patients with sleep disturbance. These findings may provide novel insights into the neural mechanisms of sleep disturbance in CSVD.

Sleep Disturbances Following Total Knee Arthroplasty

BackgroundSleep disturbances are common after total knee arthroplasty (TKA), yet literature examining sleep and postoperative pain remains sparse. With the use of wearable devices, convenient objective remote sleep monitoring is now possible. We aimed to measure patient sleep following TKA using validated questionnaires and wearable devices to compare sleep patterns to pain scores 90 days postoperatively. MethodsAdult patients with body mass index < 45 undergoing unilateral primary TKA were enrolled. Patients wore a monitor, which tracked sleep duration and disturbances (getting up at least once during the night). They completed weekly Pittsburgh Sleep Quality Index (PSQI) questionnaires and visual analog scale (VAS) pain scores. Sleep patterns were compared with pain scores and sleep duration was compared with PSQI responses. ResultsThere were 110 patients included with 54.5% women; average age was 64 years (range, 43-80). VAS scores decreased postoperatively. PSQI overall sleep scores, sleep quantity, and sleep quality worsened for the first 30 days then improved past baseline levels by 90 days. Recorded sleep duration did not change, and recordings did not correlate at any point with VAS scores. PSQI overall score and sleep quantity did not correlate with VAS. At 30 days postoperatively, patients reporting “very bad” sleep had significantly worse VAS scores than those reporting “bad” sleep. ConclusionPatient-reported sleep quality (very bad sleep) correlated well with VAS pain score at 30 days, while sleep duration (monitored or patient-reported) did not correlate with any clinical measure and does not seem to be a useful metric in assessing TKA outcome.

The Relationship between Mental Health and Sleeping Quality in COVID-19: The Moderating Effect of the Attachment Style

During the epidemic, the mental health and sleeping quality of college students were affected to varying degrees, which may influence the quality of life and well-being. This cross-sectional aimed to determine the frequency of psychologically negative states and poor sleeping quality among undergraduate students during the Covid-19 pandemic and explore the correlation between mental health and sleeping quality and the moderating effect of the attachment style. Relevant information was collected with an online questionnaire, which was distributed among 72 undergraduate students at prestigious universities in Shanghai and Nanjing. The mental health status of the subjects was assessed using the Depression, Anxiety, and Stress Scale - 21 (DASS-21), the sleep quality of the students using the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the attachment style using the Experiences in Close Relationships Inventory (ECR). The study revealed that 70% of the subjects were suffering stress of different levels, two-thirds of them were undergoing varying degrees of depression, and nearly 85% were bearing anxiety after the outbreak of COVID-19. The prevalence of poor sleeping quality among college students was 36.2%. The study concluded that stress, anxiety and depression index were all in direct proportion to the level of sleeping problems. The attachment style may play a more or less role in moderating the direct proportion. The findings could help choose appropriate interventions to try to solve the mental and sleep problems for people with different attachment styles.

Stress Levels and Sleep Disorders among Undergraduate Nursing Students During COVID-19 Pandemic: A Cross-Sectional Study from Indonesia

The COVID-19 pandemic has forced universities to change their teaching and learning activities using online methods, which can impact students' stress problems, including undergraduate nursing students. This study aims to identify the relationship between stress levels and sleep disorders among nursing students in online learning during the COVID-19 pandemic. A cross-sectional study included 253 nursing students from the Faculty of Nursing at Universitas Padjadjaran between 2018 and 2021, and completed the Student Nurse Stress Index (SNSI) questionnaire and the Pittsburgh Sleep Quality Index (PSQI) questionnaire from June 2022 to July 2022. Study findings, all individuals reported experiencing moderate to severe stress levels and had an impact on sleep disorders, with a sig. (2-tailed) namely 0.001 (&lt;0.05) and correlation (r) 0.290. The majority reported moderate stress, i.e. less disturbed sleep (70.6%), disturbed (63.2%), and very disturbed (52.6%). Meanwhile, severe stress, namely disturbed sleep (33%) and very disturbed (47.4%). Although, there were 14.3% had mild stress and slept less disturbed. The highest levels of stress and sleep disorders were reported by women (85.4%), 17-21 years old (78.7%), and lived with their family (77.1%). This study highlights that the COVID-19 pandemic related to stress and sleep disorders has a significant relationship. Therefore, future studies using meta-regression are needed to investigate the factors influencing and exacerbating stress and sleep disorder among nursing students in online learning during the COVID-19 pandemic to minimize results bias.

Sleep quality, antepartum depression and self-harm thoughts in pregnant Chinese women

BackgroundPrevious literature has shown a significant association between sleep and depression, whereas limited studies have examined the association of sleep quality with self-harm ideation in pregnant Chinese women. MethodsA total of 898 pregnant women (first to third trimester) from the Young Investigation Study were enrolled in this study. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to assess sleep quality. Antepartum depression and self-harm ideation were evaluated using the Edinburgh Postnatal Depression Scale (EPDS). Multivariable logistic regression models were used to calculate odds ratios (ORs) and 95 % confidence intervals (CIs). ResultsIn this sample, the prevalence of poor sleep quality and antepartum depression was 44.3 % and 24.4 %, respectively. Furthermore, 12.8 % of women were considered as having self-harm ideation. Individuals in different trimesters reported similar prevalence of self-harm thoughts. Women were more likely to report self-harm thoughts if they were categorized as poor sleep quality or antepartum depression. And women with moderate or severe depression had higher risk of self-harm ideation and poor sleep, compared with those with mild depression. Although sleep quality indirectly influenced self-harm thoughts through the mediation effect of depressive symptoms, poor sleep quality was still associated with a 2.62-fold increased odds of self-harm ideation among women in the second trimester (OR = 2.62; 95 % CI: 1.11–6.21), after adjustment for depression. LimitationsCausality cannot be inferred. Results should be generalized carefully. Depression was evaluated by a screening tool rather than clinical interviews. ConclusionsThe prevalence of poor sleep quality, depressive symptoms and self-harm ideation in pregnant Chinese women were noteworthy and high. Besides, a direct effect was also found between sleep quality and self-harm thoughts among women in the second trimester. Our findings suggest the need to identify and intervene when sleep disturbances are observed in women during pregnancy.

Sleep habits and problems across gestational progress in Japanese women.

Pregnancy-related anatomic, physiologic, and hormonal factors can occur at different stages of pregnancy and affect sleep disturbances. Sleep problems and habits among Japanese women across gestational stages have not been described. This study aimed to elucidate sleep problems, including a high risk of sleep-disordered breathing and sleep habits, among Japanese women across gestational progress, including postpartum. A questionnaire survey using the Pittsburgh Sleep Quality Index (PSQI) and Berlin Questionnaire was conducted for 683 pregnant women (223 in the second trimester, 453 in the third trimester) and 386 postpartum (within 1 week after delivery). The total PSQI score was 5.3 [2.6] in the second trimester, 6.1 [2.8] in the third trimester, and 6.8 [3.1] in the first week postpartum. The percentage of those at high risk for sleep-disordered breathing, as determined by the Berlin Questionnaire, was 11.8% in the second trimester, 21.3% in the third trimester, and 19.2% in the first week postpartum, with the highest percentage of those at high risk in the third trimester of pregnancy. The PSQI total score exceeded the cut-off value in the third trimester and the first week postpartum, suggesting sleep deterioration. Therefore, it is necessary to understand and support sleep in pregnant women to ensure safe delivery, postpartum recovery, and health.

The Relationship Between Sleep Quality and Quality of Life Among Postmenopausal Women

Background: With increased life expectancy and changes in lifespan, now women spend more years after menopause. Women with menopausal symptoms may experience a lower quality of life (QoL) and complain about poor sleep quality. This study aimed to examine the relationship between QoL and sleep quality in postmenopausal women. Methods: This research was a predictive correlational study. The study sample was 200 postmenopausal women referred to the healthcare centers affiliated with Mashhad University of Medical Sciences in Mashhad City, Iran, in 2021. The subjects were selected through multistage cluster sampling. To assess the quality of sleep and life quality, the Pittsburgh Sleep Quality Index (PSQI) and Menopause-Specific QoL questionnaire (MENQOL) were used. The obtained data were analyzed by the Pearson correlation coefficient and multiple linear regression in SPSS software, version 21. The significance level was set at P&lt;0.05. Results: The mean±SD age of the subjects was 53.92±6.13 years. Their mean±SD scores of sleep quality and QoL were 48.62±21.98 and 4.93±2.74, respectively, and 37% of women had sleep disorders. The multiple determination coefficient for the linear regression model was equal to 0.35, and there was a significant direct relationship between sleep quality and QoL (b=3.72, 95% CI =2.70-4.74, P&lt;0.001). So for each unit change in sleep quality, the average QoL score increased by 3.72 units. Conclusion: Considering the relationship between sleep quality and QoL in postmenopausal women, it is recommended that these women use appropriate methods to improve sleep quality. Also, health professionals should keep this issue in mind when examining the health status of this group of women.

Sleep Duration, Body Mass Index, and Dietary Behaviour among KSU Students.

Adolescents who receive an adequate amount of sleep benefit from a positive health status. Previous studies have documented several health consequences connected with obesity as well as short sleep duration among adolescents. Poor sleep quality with obesity and uncontrolled diet can lead to chronic diseases in the future. This study aimed to examine the link between eating habits, sleep duration, and body mass index (BMI) among King Saud University (KSU) students. The study was cross-sectional and conducted from February to May 2021 on 311 recruited students (male and female) of KSU premises. Pittsburgh Sleep Quality Index questionnaire was used to describe sleep duration linked with a dietary pattern that included fruit and vegetable intake. The questionnaire consists of two sections of 15 and 10 questions each. The questionnaire was created using the Google Forms tool and distributed through social media platforms like Twitter and WhatsApp. The obtained data was transferred into excel to perform the statistical analysis. The mean total of students who participated in this study was 21.45 ± 23.11. Female students (72.3%) were actively involved in this study. About 30.2% of students were found to be overweight and obese. Around 67.8% of students had insufficient sleep, 32.2% had adequate sleep, and over 70% of students fell asleep within 30 min of going to bed. A total of 71.7% of students showed good sleep quality, whereas 28.3% reported poor sleep quality. BMI was categorized into four groups: 17.7% of individuals were underweight, 52.1% were of normal weight threshold, 20.6% were overweight, and 9.6% were obese. On a regular basis, 12.5% of students consume vegetables and 6.4% fruits daily. The results of this study show that only 8% of students eat breakfast, whereas 62.1% eat lunch, and 29.9% eat dinner. This study concludes that short sleep duration was associated with obesity among KSU students. This association was also found between sleep duration and dietary factors, specifically in the consumption of fruits and vegetables in terms of eating behaviour.

Relationship Between Sleep Quality and Learning Achievement in Junior High School Students in Denpasar

Background: Learning is defined as a process of continuous development in various aspects of a person. Although various literatures have examined the relationship between sleep quality and learning activities, there are still few studies that discuss the relationship between sleep quality and learning achievement in students. Therefore, the authors want to determine the relationship between sleep quality and learning achievement achieved by junior high school students in Denpasar. Method: This study was an analytical study with a cross-sectional approach. Sampling was done by cluster sampling technique. Sleep quality data was taken using the Pittsburgh Sleep Quality Index (PSQI) questionnaire while learning achievement data was obtained from students' even semester report cards. Result: The study was conducted on 58 samples of junior high school students in Denpasar City with a median age of 14 years. This study found that the number of samples with good sleep quality was 36 people (62.1%). Among those with good sleep quality, 11 people (30.6%) had very good learning achievement, 25 people (69.4%) with good learning achievement, and there were no subjects with fair or poor learning achievement. The number of students with poor sleep quality was 22 people (37.9%). Among those with poor sleep quality, there were 6 people (27.3%) with very good learning achievement, 16 people (72.7%) with good learning achievement, and there were no samples with fair or poor learning achievement. The bivariate analysis was performed using Fisher Exact test. There is no significant relationship between sleep quality and learning achievement with p value &gt;0,05. Conclusion: There is no significant relationship between sleep quality and learning achievement in junior high school students in Denpasar. Keywords: [Sleep Quality, Learning Achievement, Junior High School in Denpasar]

Assessment of Sleep Quality and Sleep Hygiene among Nursing officers during COVID pandemic in a Tertiary Care Hospital in a Southern District of Karnataka, India

Introduction: Nursing officers are one of the susceptible groups prone to have sleep disturbances, which maynot only influence their own health but also affect the nursing quality and treatment process. During COVIDPandemic, because of high work demand, nurses were made to run more shifts than regular days which can bequite stressful for them. Our study was conducted to assess the sleep quality and sleep hygiene among Nursingofficers during COVID pandemic andto determine the factors influencing the Sleep quality and Sleep HygieneMethods: A cross sectional study was conducted from September 2021- October 2021 among nursing officersof Kodagu district hospital attached to Kodagu Institute of Medical sciences. Pittsburgh Sleep Quality Indexquestionnaire was used to assess the sleep quality, Epworth Sleepiness Scale was used to determine the presenceof tendency of daytime sleepiness and Sleep hygiene index was used to assess the sleep hygiene among therespondents.Results: Poor sleep quality was high(70.4%) among nursing officers. A significant association (p&lt;0.05) of poorsleep quality was found with 31-40 years age group, nuclear family, less than 10 years of work experience and&gt;15 nights shifts per month when logistic regression was applied. Poor sleep quality was high among the nursingofficers who were practicing poor sleep hygiene (79.16 %).The assessment of daytime sleepiness showed thatmajority of the nursing officers (94%) were unlikely to be abnormally sleepy.Conclusion: The prevalence of poor sleep quality was high among nurses which was done during COVIDpandemic. Poor sleep quality was associated age, type of family, years of work experience and nights shifts.Recruitment of adequate number of nursing staff and scrupulously planned night shifts are needed to improvethe sleep health and well being of nurses which sequentially will result in better and efficient patient care.

Effect of predialysis fluid overload on sleep quality in hemodialysis patients

Background Sleep disorders are common among end-stage renal disease patients undergoing hemodialysis (HD). The etiology of sleep disorders in these patients is known to be multifactorial. However, the role of hydration status in sleep disorders in HD patients is not well studied. Therefore, our aim was to study the effect of predialysis fluid overload on sleep quality in HD patients. Patients and methods This cross-sectional study included 100 prevalent HD patients from the HD unit of El Sahel Teaching Hospital. Fluid status and fluid compartments [total body water), extracellular water (ECW),and overhydration (OH) index] were analyzed by a portable whole-body bioimpedance spectroscopy (body composition monitor) before a mid-week dialysis session. OH was defined as OH/ECW% more than or equal to 15%. HD patients were then classified into two groups: group 1 (normohydrated) and group 2 (overhydrated) according to the relative OH index (OH/ECW%). Sleep quality was assessed in all patients by the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Patients with concurrent diagnosis of either obstructive sleep apnea or psychiatric disorder and patients on any medications that affect the sleep pattern were excluded. Results Our study included 100 HD patients (49 male, 51 female; mean age, 49.3 ± 11); 42 (42%) patients had OH (i.e. group 2). Poor sleep quality (defined as PSQI score ≥5) was reported in 57% (n=57) of HD patients included in our study. Poor sleep quality was significantly higher in the HD patients with OH (group 2). Total PSQI scores were significantly higher in overhydrated patients (group 2) compared with normohydrated patients (group 1) (7.92 ± 3.32 vs. 4.83 ± 2.27, P≤0.001). The component scores 1, 2, 3, 4, 6, and 7 of the PSQI showed significant higher values (i.e. poor sleep quality) in overhydrated patients (group 2). Moreover, there was significant positive correlation between total PSQI score both of OH (r=0.259, P=0.009) and OH index (OH/ECW%) (r=0.283, P=0.004) in all HD patients included in the study. Conclusion We may conclude from our study that sleep disorders are prevalent in HD patients. Predialysis fluid overload in HD patients may be associated significantly with poor sleep quality.

Comparative impact of yoga and ayurveda practice in insomnia: A randomized controlled trial.

Insomnia is connected with a lifted hazard for neurocognitive dysfunction and psychiatric disarranges. Clinical observations of psychosomatic patients indicate that their distorted somatopsychic functioning necessitates their practice of yoga-like therapy. Sleep and its modifications and management have also been explained well in ayurveda. This study aimed to compare the effectiveness of Yoga and Nasya Karma on the sleep quality, stress, cognitive function, and quality of life of people suffering from acute insomnia. It was an open-label, randomized controlled trial. A total of 120 participants were randomly (computer-generated randomization) equally allocated to three groups, yoga group (G-1), ayurveda group (G-2), and control group (G-3). All the groups were assessed on the first day before the start of the yoga regime and the 48th day. Participants in the study were included in the age group of 18 to 45 years, fulfilling DSM-V criteria for insomnia, physically fit for the yoga module, and Nasya procedure. Outcomes were measured by the Pittsburgh Sleep Quality Index (PSQI) questionnaire, Perceived Stress Scale (PSS), cognitive failure questionnaire, and WHO Quality of Life Scale-Brief (WHOQOL-Brief). Proportions and frequencies were described for categorical variables and compared using the Chi-square test. ANOVA (one-way) and post hoc analysis, Bonferroni test, were performed for multiple comparisons in groups at a significance level of P < 0.05 using SPSS (23 version). A total of 112 participants were analyzed as per protocol analysis. All groups have observed significant mean differences for stress (<0.05) and sleep quality (<0.05). All five aspects of quality of life - general health (<0.05), physical health (<0.01), psychological health (<0.05), social health (<0.05), and environmental health (<0.05) - had a significant mean difference in all three groups. All three aspects of cognitive failure, forgetfulness (<0.05), distractibility (<0.05), and false triggers (<0.01) had a significant mean difference in scores for all three groups. Yoga practice was effective, followed by ayurveda and the control group in reducing stress and improving sleep, cognitive function, and quality of life.

Correlation of Sleep Quality with Body Mass Index and Blood Pressure among the Healthcare Students in Karnataka: A Cross-sectional Study

Introduction: A quality night sleep is essential for physical, cognitive, and emotional well-being. The amount of sleep may have an effect on both weight and metabolism. In India, for the last few years, decline in sleep duration has been noted with an average sleep duration of 7 hours per night and one-third sleeping less than 7 hours per night. Televisions and smartphones which came into households as remarkable source of information and entertainment has caused the voluntary sleep restriction. Aim: To evaluate the sleep quality, Body Mass Index (BMI) and Blood Pressure (BP) of the healthcare students and also to find the correlation of sleep quality with BMI and BP. Material and Methods: The present cross-sectional study was conducted on 138 healthy males and females healthcare students residing in hostel premises of Yenepoya (Deemed to be University), Karnataka, India from November to December 2021. Pittsburgh Sleep Quality Index (PSQI) questionnaires administered to assess the sleep quality by adding the seven components of PSQI score ranging from 0 to 21. A weighing scale, sphygmomanometer, and stadiometer instruments were used to record the weight, BP, and height. Data were computed in International Business Management (IBM) Statistical Package for Social Sciences (SPSS) software version 23.0 to analyse descriptive and inferential statistics. Results: The mean age in present study was 23±0.72 years and 71 (51.4%) belonged to 22-23 years, majority 112 (81.2%) were female students. In present study, moderately obese students (33.15±0.72) and severely obese (35.39±0.10) had mean sleep score of 6.00±3.46 and 11 respectively indicating poor sleep quality. The underweight (16.91±1.17), normal weight (21.49±2.04) and overweight (26.49±1.48) had mean sleep score of 3.08±1.62, 3.08±1.12 and 4.66±3.05 respectively, which indicated good sleep quality. Students with hypotension, normal BP and hypertension stage-1 showed mean sleep score of 3.52, 2.71 and 4.77 respectively, showing good sleep quality. A statistically significant positive correlation of BMI was found with SBP (r-value 0.273, p-value 0.001) and DBP (r-value 0.181, p-value 0.033). Conclusion: BMI and BP were positively correlated with sleep quality. Therefore, creating awareness among healthcare students on healthy lifestyles such as exercise, healthy sleep and regular health supervision is essential to prevent prehypertension and maintain normal BMI status.

Correlation Between Body Mass Index and Sleep Quality among Indian Doctors: A Descriptive Study

Introduction: In the current scenario, clinicians are constantly subjected to high workload coupled with enormous amount of stress which can lead to both derangement of sleep and accumulation of body fat. Since they are the central pillar of healthcare industry, the health of doctors themselves is an extremely important factor in pursuit of a healthy and disease free society. Aim: To determine the effect of Body Mass Index (BMI) on quality of sleep in clinicians and to establish a relation between obesity and sleep pattern of clinicians. Materials and Methods: The present descriptive study was conducted on 400 doctors working in Outpatient Department (OPD) clinics of various departments at Punjab Institute of Medical Sciences, Jalandhar and OPDs of NIMS Hospital, Jaipur, India, from July 2019 to June 2021. BMI was calculated as ratio of weight (kg) to the square of height (m). Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI) questionnaire as a Global Pittsburgh Sleep Quality Index. BMI and sleep quality were checked for inter-relationship using various statistical methods like Chi- square test, Analysis of Variance (ANOVA), student t-test and Pearson’s correlation. Results: In the present study, 200 were males and 200 were females. Most of the participants were in the age group of 41- 50 years. A 51.4% of participants with BMI &gt;25 kg/m2 had poor sleep quality which was significantly higher when compared with participants with BMI &lt;25 kg/m2 (33.5%). Sleep quality had no significant bearing with gender. Further, it was found that surgical specialists had poorer sleep when compared with their medical counterparts. Conclusion: The results of the present study showed a significant association and linear correlation between sleep quality and overweight/obesity status. This information serves as an awareness and warning signal for the clinicians to safeguard their own health.

Comparison of the effectiveness of conjoint behavioral counseling model and the application of parent-child relationship-based on games on the sleep quality of students with attention deficit/hyperactivity disorder

Background and Aim: Sleep problems in children with attention deficit/hyperactivity disorder are a significant challenge for parents and teachers. The purpose of this study was to compare the effectiveness of parent training based on the Conjoint Behavioral Counselling (CBC) model and the application of parent-child relationship training based on games (CPRT) on the sleep quality in students with attention deficit/hyperactivity disorder. Methods: The research method was a semi-experimental type with a pre-test-post-test design with a control group. For this purpose, a semi-structured interview was taken from the volunteer parents of students referred to the Roozbeh Mandegar Tehran counseling center with the aim of having physical health, not receiving treatment, not taking medication by the child, and not receiving counseling in the field of parenting from other counseling centers. In order to diagnose attention deficit/hyperactivity disorder, CSI4 children's symptoms questionnaire was used. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was also administered. Among those whose children had attention deficit/hyperactivity disorder and also had poor sleep quality, 45 people were selected to participate in the research and were randomly divided into groups of 15 people as two experimental groups and one control group. The experimental groups were trained every week for 1 hour for 10 weeks, while the control group did not receive any training. For data analysis, statistical test of mixed analysis of variance and SPSS-23 software were used. Results: The results showed that the quality of sleep has increased in both groups, but there was a significant difference in the comparison of the effectiveness of the two groups (p&lt;0.05) and the CBC pattern was more effective, and in the four-month follow-up, it was found that CPRT is more durable. Conclusion: The findings of this research showed that both methods can be used to increase the sleep quality of students with ADHD.

Burnout syndrome among healthcare professionals in the Fako division, Cameroon: Impact of physical activity and sleep quality.

Burnout syndrome (BOS) is an affection mostly resulting from chronic job-related stress. Many studies have identified job-related and non-job-related factors associated with BOS. Our aim of this study was to assess the level of BOS in private and public hospital healthcare providers in Fako division, Cameroon and evaluate the impact of physical activity and sleep quality (SQ). The study was carried out in five randomly selected hospitals in Fako Division over a three-month period. Consenting doctors, nurses and laboratory technicians were recruited using consecutive sampling methods. Sociodemographic and professional characteristics were collected using a structured questionnaire. BOS was assessed using the Maslach Burnout Inventory Human Services Survey (MBI-HSS). Sleep quality (SQ) and physical activity (PA) were assessed using the Pittsburgh Sleep Quality Index (PSQI) and Global Physical Activity Questionnaire (GPAQ) respectively. Odd ratios and 95% confidence intervals were calculated and a statistical significance was set for p-value < 0.05. The mean age was 32 ± 6 years and 70.9% female. BOS prevalence was 66.3% with 71.4% in females and 53.9% in males (p = 0.002). Of the 232 participants with BOS, 65.7%, 52% and 53.7% had moderate to high emotional exhaustion, depersonalization and decreased personal accomplishment, respectively. Moderate to high PA as well as poor SQ were not significantly associated with BOS while longer sleep duration (>8 h) was associated with a greater odd of BOS. The prevalence of BOS was high among healthcare professionals. While PA showed no protective effects, high sleep duration could increase its risk.