Actigraphy-assessed sleep during school and vacation periods: a naturalistic study of restricted and extended sleep opportunities in adolescents

J Sleep Res. 2014 Feb;23(1):107-17. doi: 10.1111/jsr.12080. Epub 2013 Sep 2.

Abstract

School-related sleep restriction in adolescents has been identified by studies comparing weekday and weekend sleep. This study compared weekday and vacation sleep to assess restricted and extended sleep opportunities. One-hundred and forty-six adolescents (47.3% male) aged 16.2 ± 1.0 years (M ± SD) from the general community wore an actigraph continuously for 4 weeks: the last week of a school term (Time-E), the following 2-week vacation, and the first week of the next term. Self-reported sleep was assessed for each of the three time intervals, and chronotype was assessed using the Morningness-Eveningness Questionnaire at Time-E. Daily actigraphy bedtime, rise-time, time-in-bed, total sleep time, sleep onset latency, sleep efficiency, and % wake after sleep onset were analysed using latent growth curve modelling. The removal of school-related sleep restriction was associated with an abrupt delay in sleep timing and increase in sleep duration. Subsequently, bedtime and rise-time showed further linear delays throughout the vacation, while changes in time-in-bed were non-significant. Sleep onset latency increased linearly, peaking in the middle of the second vacation week. Across the first vacation week, total sleep time and sleep efficiency linearly decreased, while % wake after sleep onset increased. These changes stabilized during the second vacation week. Older age and eveningness were associated with later bedtime and rise-time, whilst females had longer time-in-bed, total sleep time and sleep onset latency. Compared with school days, sleep during the vacation was characterized by later timing, longer duration, lower quality and greater variability. Recovery from school-related sleep restriction appeared to be completed within the 2 weeks of naturalistic extended sleep.

Keywords: adolescence; latent growth curve modelling; sleep duration; sleep recovery; sleep variability; vacation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Actigraphy
  • Adolescent
  • Appointments and Schedules
  • Female
  • Holidays*
  • Humans
  • Male
  • Schools*
  • Self Report
  • Sleep / physiology*
  • Sleep Deprivation / physiopathology
  • Surveys and Questionnaires
  • Time Factors
  • Victoria