Association of sleep timing and sleep variability with health-related outcomes in a

sample of Brazilian adolescents

Luís Ea Malheiros 1, Bruno Gg da Costa 1 2, Marcus Vv Lopes 1, Rafael Martins da

Costa 1, Jean-Philippe Chaput 3, Kelly S Silva 1
Affiliations expand

 PMID: 37154038

 DOI: 10.1080/15402002.2023.2207699

Abstract

Objectives: This cross-sectional study aimed to examine the relationships of sleep

timing and sleep variability with depressive symptoms, health-related quality of life
(HRQoL), daytime sleepiness, and body mass index (BMI) in adolescents.

Methods: Adolescents from three schools (n = 571, 56% female, 16.3 ± 1.0 years) had
their sleep examined by actigraphy, their anthropometrics assessed, and answered a
survey. Sleep timing was examined by combining groups of median-dichotomized onset
and wakeup times (early onset and early wakeup; early onset and late wakeup; later
onset and early wakeup; later onset and later wakeup); sleep variability was based on
within-participant standard deviations of onset and wakeup; and sleep duration as the
length of time between onset and wakeup. The sleep variables were separated for
weekdays and weekend. Mixed linear models were fitted to compare each sleep variable
with health-related outcomes.

Results: Higher values of daytime sleepiness were observed in adolescents from the

late-early and late-late timing group during the week. Greater sleep midpoint and
wakeup variability on weekdays were related with higher daytime sleepiness.
Adolescents in the late-late and early-late groups showed higher daytime sleepiness.
Increased of all sleep variability variables was related with greater daytime sleepiness.
Higher depressive symptoms scores were found among adolescents in the late-early
subgroup and with the increase of sleep variability. Participants with greater sleep onset
variability and sleep midpoint variability reported less HRQoL.

Conclusions: Not only sleep duration, but sleep timing and variability also relate to
health outcomes, and should be addressed by policies and interventions among
adolescents.
Screen Time Correlates of Bullying Perpetration and Victimization in Brazilian
Adolescents

 Bruno Nunes Oliveira, 

 Priscila Cristina dos Santos, 
 Bruno Gonçalves Galdino da Costa, 
 Luís Eduardo Argenta Malheiros, 
 Marcus Vinicius Veber Lopes & 
 Kelly Samara Silva 
Journal of Child & Adolescent Trauma volume 16, pages607–613 (2023)Cite this
article
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Abstract
This study is an investigation of the associations of time spent in different screen time
activities with bullying among Brazilian adolescents. In this cross-sectional study,
adolescents answered questions related to bullying in the past 30 days and reported the
weekly volume of screen time spent studying, working, watching videos, playing video
games, and using social media applications. Multilevel logistic regression models were
used. Our results indicate that higher social media use was associated with higher odds
of bullying victimization among males but not females. Excessive use of screen time for
work and social media purposes was associated with a higher likelihood of bullying
victimization.
Cross-Sectional Associations of Screen Time Activities With Alcohol and Tobacco
Consumption Among Brazilian Adolescents

Priscila Cristina dos Santos1*,  Bruno Gonçalves Galdino da Costa2,  Marcus

Vinicius Veber Lopes1,  Luís Eduardo Argenta Malheiros1,  Lauren
Arundell3 and  Kelly Samara da Silva1

 1
Department of Physical Education, Federal University of Santa Catarina,
Florianopolis, Brazil
 2
School of Physical and Health Education, Nipissing University, North Bay, ON,
Canada
 3
Institute for Physical Activity and Nutrition (IPAN), Deakin University,
Geelong, VIC, Australia

Objectives: Little is known about the association between specific types of screen time
and adolescents’ substance use. Thus, this study aimed to investigate the associations
between screen time for studying, working, watching movies, playing games, and using
social media and frequency of alcohol and tobacco use.

Methods: In this cross-sectional study, Brazilian adolescents answered survey questions

related to frequency of tobacco and alcohol consumption, and reported their daily
volume of five types of screen time. Multilevel ordered logistic regression models were
performed.

Results: Each 1-hour increase in ST for studying was associated with 26% lower odds
of smoking (OR = 0.74; 95% CI: 0.61–0.90) and 17% lower odds of drinking alcohol
(OR = 0.83; 95% CI: 0.76–0.91) in the past 30 days. The increase of 1 hour of social
media use was associated with 10% greater odds of smoking (OR = 1.10; 95% CI: 1.02–
1.18) and a 13% greater chance of consuming alcohol (OR = 1.13; 95% CI: 1.08–1.18)
in the past 30 days.

Conclusion: The association between screen time and substance use appears to be type-
specific. Future longitudinal research is needed to explore causal relationships.