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Investigation on the awareness of sleep medicine in a university of traditional Chinese medicine
Abstracts/Sleep Medicine 16 (2015) S2–S199
graduate middle school and enter high school. To improve problems that lay in adolescents’ sleep, schools will need to make plans. http://dx.doi.org/10.1016/j.sleep.2015.02.151
Self-reported sleep duration and levels of inflammatory markers: Similarities and differences across genders R. Leong, J. Lo, M. Chee Centre for Cognitive Neuroscience, Neuroscience and Behavioral Disorders Program, Duke-NUS Graduate Medical School, Singapore
Introduction: Existing studies are equivocal regarding the associations between self-reported sleep duration and levels of inflammatory markers in men and women. Here, we characterized the gender-specific relationship between self-reported sleep duration and fibrinogen, high-sensitivity C-reactive protein (hsCRP), and interleukin-6 (IL-6) in relatively healthy Chinese older adults. Materials and methods: The sample consisted of 74 older adults (mean ± SD of age = 70.7 ± 6.5 years; 38 males) from the SingaporeLongitudinal Aging Brain Study. In Phase 4 of the study (November 2011 to April 2013), their self-reported sleep duration was assessed with the Pittsburgh Sleep Quality Index (PSQI). Levels of fibrinogen, hs-CRP, and IL-6 were assessed via venous blood samples. Hierarchical regression analyses were performed to examine whether the associations between self-reported sleep duration and the three inflammatory markers were moderated by gender. Age was included as a covariate. Results: The average of self-reported sleep duration was 6.5 h (SD = 1.1; range = 3.0–8.5), and fibrinogen 3.2 g/l (SD = 0.6; range = 2.2–4.7), hs-CRP 1.1 mg/l (SD = 1.2; range = 0.2–6.5), and IL-6 2.1 pg/ml (SD = 0.2; range = 2.0–3.2). Controlling for age, regression analyses revealed that the level of fibrinogen was higher in women than in men (p = 0.03). There was a borderline nonsignificant effect of sleep duration on fibrinogen (p = 0.07). Interestingly, the interaction between gender and self-reported sleep duration was also borderline non-significant (p = 0.06), indicating that in women, levels of fibrinogen tended to increase with shorter sleep duration (partial r = −0.33, p = 0.06 after controlling for age). No such association was found for men (partial r = 0.14, p = 0.41). Neither the main effect of sleep duration, gender nor the gender × sleep duration interaction was significant for hs-CRP (p > 0.20) or IL-6 (p > 0.35). Conclusion: Among relatively healthy Chinese older adults, the association between short self-reported sleep duration and higher levels of inflammatory markers tended to be more prominent in women than in men and for fibrinogen than for hs-CRP and IL-6. A limitation of this study is small sample size and hence, insufficient power. Acknowledgements: This work was supported by the Biomedical Research Council, Singapore: BMRC 04/1/36/19/372 and the National Medical Research Council Singapore (STaR/0004/ 2008). http://dx.doi.org/10.1016/j.sleep.2015.02.152
Investigation on the awareness of sleep medicine in a university of traditional Chinese medicine Y. Lu, Y. Sun, Y. Ma, H. Li, Y. Chang, Y. Tong, S. Sun Guang’anmen Hospital, China Academy of Chinese Medical Sciences, China
S61
Introduction: Numerous publications have emphasized the importance and necessity of sleep medicine in traditional Chinese medicine (TCM) and its education. However, it remains unclear whether sleep medicine has gained enough attention in TCM education. This survey was conducted to TCM students, aiming to evaluate their knowledge and awareness on sleep medicine. Materials and methods: Forty-seven fifth-year medical students from Beijing University of Chinese Medicine were enrolled in this study. A nine-item questionnaire was designed to collect information, including (1) sleep stages, (2) the definition of sleep, (3) names of sleep diseases that they know, (4) names of facilities for sleep monitoring instrument, (5) their access to knowledge on sleep medicine, (6) the relationship between the sleep diseases and other diseases, (7) academic associationss/societies of sleep medicine. Results: About sleep stages, 36.2% of the participants thought they probably knew it, and 63.8% did not know it at all. For the definition of sleep, only 4.3% of the participants knew a little, and 94.7% did not know it at all. In terms of sleep disorders, 17% could name at least three names correctly, 38.3% and 29.8% could name only two and one correct names respectively. For sleep devices, only 19.1% of the people knew it and other people did not. Upon investigating their knowledge access to sleep medicine: 44.7% of the people referred to textbooks, 27.7% to extracurricular books, 14.9% to the Internet, 12.8% to mass media, 8.5% to courses of practice, and 6.4% of the people never acquired knowledge on sleep medicine. For the relationship between the sleep disorders and other diseases, 8.5% of them only knew the association with hypertension, 46.8% were aware of the association, but could not name it specifically, and 42.6% of the people did not know it at all. All of the pariticipants did not know any academic associations/societies of sleep medicine. Conclusion: Study indicates that TCM students learn little knowledge on sleep disorders from systematical education. To arouse students’ awareness on sleep disorders, we suggest medical schools cooperating with academic associations and providing students with diverse access to obtaining sleep-related knowledge on campus, like establishing elementary courses or holding seminars. http://dx.doi.org/10.1016/j.sleep.2015.02.153
Validation study of the Filipino version of the children’s sleep habits questionnaire K. Mabilangan, M. Moral-Valencia University of Santo Tomas Hospital Section of Child Neurology, Philippines
Introduction: Sleep disorders is probably one of the significant underdiagnosed condition that can lead to substantial morbidity in children. It is therefore important to evaluate sleep habits and possible sleep disorders among children in clinical practice. Thus, there is a need for a screening tool that can be understood by most Filipinos. Materials and methods: The CSHQ was forward translated to Filipino, synthesized and back-translated to an English version. An expert committee reviewed the pre-final Filipino version and was pilot tested. Validation analysis was done thereafter. Results: A total of 300 children of varying age groups were included in the study. Results showed that the Filipino version of CSHQ was accurate, reliable and internally consistent as a measurement of a child’s sleeping profile. The Filipino CSHQ was also able to distinguish if a child has sleeping problems based on a high CSHQ score. Conclusion: The translated version of CSHQ was as effective as the original English questionnaire in determining the sleep habits of children. This version can be a valuable instrument in other sleeprelated studies for children in the future.
graduate middle school and enter high school. To improve problems that lay in adolescents’ sleep, schools will need to make plans. http://dx.doi.org/10.1016/j.sleep.2015.02.151
Self-reported sleep duration and levels of inflammatory markers: Similarities and differences across genders R. Leong, J. Lo, M. Chee Centre for Cognitive Neuroscience, Neuroscience and Behavioral Disorders Program, Duke-NUS Graduate Medical School, Singapore
Introduction: Existing studies are equivocal regarding the associations between self-reported sleep duration and levels of inflammatory markers in men and women. Here, we characterized the gender-specific relationship between self-reported sleep duration and fibrinogen, high-sensitivity C-reactive protein (hsCRP), and interleukin-6 (IL-6) in relatively healthy Chinese older adults. Materials and methods: The sample consisted of 74 older adults (mean ± SD of age = 70.7 ± 6.5 years; 38 males) from the SingaporeLongitudinal Aging Brain Study. In Phase 4 of the study (November 2011 to April 2013), their self-reported sleep duration was assessed with the Pittsburgh Sleep Quality Index (PSQI). Levels of fibrinogen, hs-CRP, and IL-6 were assessed via venous blood samples. Hierarchical regression analyses were performed to examine whether the associations between self-reported sleep duration and the three inflammatory markers were moderated by gender. Age was included as a covariate. Results: The average of self-reported sleep duration was 6.5 h (SD = 1.1; range = 3.0–8.5), and fibrinogen 3.2 g/l (SD = 0.6; range = 2.2–4.7), hs-CRP 1.1 mg/l (SD = 1.2; range = 0.2–6.5), and IL-6 2.1 pg/ml (SD = 0.2; range = 2.0–3.2). Controlling for age, regression analyses revealed that the level of fibrinogen was higher in women than in men (p = 0.03). There was a borderline nonsignificant effect of sleep duration on fibrinogen (p = 0.07). Interestingly, the interaction between gender and self-reported sleep duration was also borderline non-significant (p = 0.06), indicating that in women, levels of fibrinogen tended to increase with shorter sleep duration (partial r = −0.33, p = 0.06 after controlling for age). No such association was found for men (partial r = 0.14, p = 0.41). Neither the main effect of sleep duration, gender nor the gender × sleep duration interaction was significant for hs-CRP (p > 0.20) or IL-6 (p > 0.35). Conclusion: Among relatively healthy Chinese older adults, the association between short self-reported sleep duration and higher levels of inflammatory markers tended to be more prominent in women than in men and for fibrinogen than for hs-CRP and IL-6. A limitation of this study is small sample size and hence, insufficient power. Acknowledgements: This work was supported by the Biomedical Research Council, Singapore: BMRC 04/1/36/19/372 and the National Medical Research Council Singapore (STaR/0004/ 2008). http://dx.doi.org/10.1016/j.sleep.2015.02.152
Investigation on the awareness of sleep medicine in a university of traditional Chinese medicine Y. Lu, Y. Sun, Y. Ma, H. Li, Y. Chang, Y. Tong, S. Sun Guang’anmen Hospital, China Academy of Chinese Medical Sciences, China
S61
Introduction: Numerous publications have emphasized the importance and necessity of sleep medicine in traditional Chinese medicine (TCM) and its education. However, it remains unclear whether sleep medicine has gained enough attention in TCM education. This survey was conducted to TCM students, aiming to evaluate their knowledge and awareness on sleep medicine. Materials and methods: Forty-seven fifth-year medical students from Beijing University of Chinese Medicine were enrolled in this study. A nine-item questionnaire was designed to collect information, including (1) sleep stages, (2) the definition of sleep, (3) names of sleep diseases that they know, (4) names of facilities for sleep monitoring instrument, (5) their access to knowledge on sleep medicine, (6) the relationship between the sleep diseases and other diseases, (7) academic associationss/societies of sleep medicine. Results: About sleep stages, 36.2% of the participants thought they probably knew it, and 63.8% did not know it at all. For the definition of sleep, only 4.3% of the participants knew a little, and 94.7% did not know it at all. In terms of sleep disorders, 17% could name at least three names correctly, 38.3% and 29.8% could name only two and one correct names respectively. For sleep devices, only 19.1% of the people knew it and other people did not. Upon investigating their knowledge access to sleep medicine: 44.7% of the people referred to textbooks, 27.7% to extracurricular books, 14.9% to the Internet, 12.8% to mass media, 8.5% to courses of practice, and 6.4% of the people never acquired knowledge on sleep medicine. For the relationship between the sleep disorders and other diseases, 8.5% of them only knew the association with hypertension, 46.8% were aware of the association, but could not name it specifically, and 42.6% of the people did not know it at all. All of the pariticipants did not know any academic associations/societies of sleep medicine. Conclusion: Study indicates that TCM students learn little knowledge on sleep disorders from systematical education. To arouse students’ awareness on sleep disorders, we suggest medical schools cooperating with academic associations and providing students with diverse access to obtaining sleep-related knowledge on campus, like establishing elementary courses or holding seminars. http://dx.doi.org/10.1016/j.sleep.2015.02.153
Validation study of the Filipino version of the children’s sleep habits questionnaire K. Mabilangan, M. Moral-Valencia University of Santo Tomas Hospital Section of Child Neurology, Philippines
Introduction: Sleep disorders is probably one of the significant underdiagnosed condition that can lead to substantial morbidity in children. It is therefore important to evaluate sleep habits and possible sleep disorders among children in clinical practice. Thus, there is a need for a screening tool that can be understood by most Filipinos. Materials and methods: The CSHQ was forward translated to Filipino, synthesized and back-translated to an English version. An expert committee reviewed the pre-final Filipino version and was pilot tested. Validation analysis was done thereafter. Results: A total of 300 children of varying age groups were included in the study. Results showed that the Filipino version of CSHQ was accurate, reliable and internally consistent as a measurement of a child’s sleeping profile. The Filipino CSHQ was also able to distinguish if a child has sleeping problems based on a high CSHQ score. Conclusion: The translated version of CSHQ was as effective as the original English questionnaire in determining the sleep habits of children. This version can be a valuable instrument in other sleeprelated studies for children in the future.