Sleep Hygiene Intervention and its Effectiveness in Reduction of Insomnia and Obesity among Undergraduate Medical Students
Introduction: Adequate amount and quality of sleep is the basic need for any human. Children and adolescents requires atleast eight to nine hours of sleep per night. Insomnia results in both mental and physical health consequences, diminished productivity, accident proneness, increased medic...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2022-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/16727/55304_CE[Nik]_F(SHU)_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdf |
| Summary: | Introduction: Adequate amount and quality of sleep is the
basic need for any human. Children and adolescents requires
atleast eight to nine hours of sleep per night. Insomnia results
in both mental and physical health consequences, diminished
productivity, accident proneness, increased medical utilisation
and elevated risk of psychiatric disorders. Sleep hygiene
intervention is a behavioral intervention to improve sleep quality.
Aim: To determine the effectiveness of sleep hygiene intervention
programme in reduction of insomnia and obesity among
undergraduate medical students.
Materials and Methods: This interventional study was conducted
at Tagore Medical College and Hospital, Chennai, India, January
2019 to May 2019, among 602 undergraduate medical students.
Study was conducted in two phases, in phase 1, participants
were surveyed for Insomnia Severity Index (ISI) scoring and
Body Mass Index (BMI). Those with ISI scores between 8-21
and BMI ≥30 kg/m2 were eligible for phase 2. In phase 2 using, stratified random sampling total 100 subjects, 50 each for control
and intervention group was selected. Periodical sleep hygiene
intervention was given for intervention group, insisting to follow
10 simple non pharmacological behavioral measures. Follow-up
assessment of weight (kg) and ISI scoring was done. Paired t-test,
repeated measures Analysis of Variance (ANOVA) and Bonferine
Posthoc test was done to identify the statistical significance using
Statistical Package for Social Sciences (SPSS) version 20.0.
Results: Among the 100 participants in phase II, 29 were
females in both control and intervention group. The prevalence
of Subthreshold insomnia 289 (48%) was higher. Over 4 month
period comparison, intervention group had better reduction in
weight {(62.48±10.62 kg to 51.48±6.88 kg) vs (61.58±10.35 kg
to 62.48±10.66 kg)} and insomnia severity (13.70±3.62 to
10.34±2.43) vs (12.56±3.78 to 13.70±3.63) than control group.
Conclusion: Simple non pharmacological intervention seems to
have greater benefits in improving sleep hygiene and reducing
obesity.
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| ISSN: | 2249-782X 0973-709X |