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Association between Non-Restorative Sleep and Quality of Life in Chinese Adolescents

Author

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  • Ningjing Chen

    (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong 999077, China)

  • Daniel Yee Tak Fong

    (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong 999077, China)

  • Sha Li

    (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong 999077, China)

  • Janet Yuen Ha Wong

    (School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong 999077, China)

Abstract

To examine non-restorative sleep and its impact on quality of life (QOL) in Chinese adolescents, this cross-sectional study included 2827 students aged 12–20 who were selected from 15 secondary schools in Hong Kong, China. Non-restorative sleep was assessed by a single item, rated on a 0–10 scale: “To what extent did you feel refreshed upon awakening over the past month?”. QOL was evaluated by the World Health Organization Quality of Life Measure—Abbreviated Version Hong Kong Chinese Version. Univariable and multivariable linear mixed-effects regressions were conducted to examine the influence of non-restorative sleep (NRS) on QOL. In the present sample, the mean overall QOL was 13.83, and the extent of feeling refreshed upon awakening was 4.75 on average. In multivariable linear mixed-effects regression, one unit feeling less refreshed upon awakening was associated with 0.37 units of poorer overall QOL after adjusting for age, gender, medical conditions, parental education and occupation, weekly hours of aerobic exercises, smoking and drinking habits. Additionally, adolescents with a significantly poorer overall QOL were more likely to be older, have medical problems, have parents with an educational level of primary school or below, have an unemployed father, engage in less weekly aerobic exercise, and be current smokers or former drinkers. Adolescents who experienced non-restorative sleep had a poorer QOL. Future studies are needed to alleviate non-restorative sleep to improve health outcomes in adolescents.

Suggested Citation

  • Ningjing Chen & Daniel Yee Tak Fong & Sha Li & Janet Yuen Ha Wong, 2020. "Association between Non-Restorative Sleep and Quality of Life in Chinese Adolescents," IJERPH, MDPI, vol. 17(19), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7249-:d:423580
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    References listed on IDEAS

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    1. Michèle Baumann & Kénora Chau & Bernard Kabuth & Nearkasen Chau, 2014. "Association Between Health-Related Quality of Life and Being an Immigrant Among Adolescents, and the Role of Socioeconomic and Health-Related Difficulties," IJERPH, MDPI, vol. 11(2), pages 1-21, January.
    2. Kriti, Vikram & Feinian, Chen & Desai, Sonalde, 2018. "Mothers' work patterns and Children's cognitive achievement: Evidence from the India Human Development survey," MPRA Paper 111169, University Library of Munich, Germany.
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    Cited by:

    1. Serena Malloggi & Francesca Conte & Giorgio Gronchi & Gianluca Ficca & Fiorenza Giganti, 2020. "Prevalence and Determinants of Bad Sleep Perception among Italian Children and Adolescents," IJERPH, MDPI, vol. 17(24), pages 1-15, December.

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