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Sleep Biol. Rhythms
it has also been observed that sleep behavior of general daytime sleepiness. For the assessment of stress level, the
population especially in urban area is intrinsically asso- stress questionnaire of Ministry of Social Security, National
ciated with daily commuting distance. It has been docu- Solidarity and Reform Institutions (http://www.gov.mu/
mented that long distance commutation not only increases portal/sites/suicideprevention/file/student) for students
the stress level [8–10] but also leads to sleep deprivation [14] was utilized which consist 20 questions pertaining to
[11] among daily commuters. Similarly, students who student’s social, financial, and academic problems. Stress
have to daily commute a long distance from their home to score of 0–20 represents a “good control over stress”, stress
school have been found to spend less time in bed leading to score of 21–40 represents “low level of stress”, stress score
restricted sleep among school students pursuing their stud- of 41–60 represents a “medium level of stress”, and stress
ies in morning schools [12]. However, barring this single score of 61–80 represents “high level of stress”.
study to the best of our knowledge, there is no report which SPSS software (version 16 for windows) was used for
enlightens the impact of commuting distance on sleep hab- statistical analysis. ANOVA was performed to determine
its of students, although it can safely be hypothesized that variances in different groups. Correlation and regression
long commuting distance may result in sleep deprivation were performed to study the association between different
and deterioration of sleep quality among adolescent school parameters.
students leading to excessive daytime sleepiness.
This study is an attempt to investigate the impact of
school timings and commuting distance on sleep habits of Results
two group of urban school going Indian adolescents stu-
dents, one having early morning school timing and another Table 1 summarizes the correlation of commuting distance
having later school timings. with sleep duration, bed timing, the wake up timings, sleep
latency and sleepiness level in students of morning shift,
dayshift schools, and in the students of both shifts grouped
Materials and method together. Result of the impact of school timing (7:30 AM
and 11:00 AM) and commuting distance (short, intermedi-
Apparently healthy subjects (mean age 14.22 ± 0.06) were ate, and long) on these parameters analyzed through two-
selected randomly from morning shift (school start tim- way ANOVA have been summarized in Table 2.
ing 7:30 AM) and dayshift schools (school start timing
11:00 AM) located in Raipur (CG, India). A total of 84 Sleep duration
morning shift school students (46 girls and 38 boys) and 84
dayshift school students (28 girls and 56 boys) studying in The sleep duration in the weekdays of morning shift school
class 9th participated in this study. The study was carried students was found to be significantly lower (7.08 ± 0.88 h)
out by administering questionnaire for sleeping habits and than that of the dayshift school students (8.87 ± 1.43 h) at
stress. Excessive daytime sleepiness (EDS) was determined p = 0.000. The weekend sleep duration of morning shift
through Epworth Sleepiness Scale (ESS) instrument. school students was also found to be significantly lower
Questionnaires were distributed directly to the partici- (8.46 ± 1.26 h) than that of the dayshift school students
pants in the free time and completely filled questionnaires (9.21 ± 1.63 h) at p = 0.001. Sleep duration in weekdays
were collected back from them. Questionnaire included and weekends was not found to vary as a function of com-
biographical information, sleep habits (bedtime and wake- muting distance in each group (Table 2), however, when
time) during weekdays and in the weekends, time spent the data were subjected for regression analysis through
on bed before the actual onset of sleep (sleep latency), and SPSS yielded significant association between the travelling
their health status. Body mass index (kg/m2) was calcu- distance and weekdays sleep duration of school students
lated using self reported height and weight. Questionnaire irrespective of school timings (Fig. 1).
also included the information regarding their residential
address. On the basis of this address, travelling distance Bedtime
of student was computed. Depending upon the distance of
each participant’s home to school, the participants were There was no significant difference between morning
categorized as long distance commuters (≥5 km), interme- and dayshift school students regarding their bedtime dur-
diate distance commuters (>3–<5 km), and short distance ing weekdays. However, the bedtime in the weekends
commuters (≤3 km). was found to differ significantly among morning and day-
Epworth sleepiness scale [13] was used to measure shift school students (F1, 166 = 6.116, p = 0.014). Morn-
sleepiness level among students. Students having ESS score ing shift school students were found to have later bedtime
of 10 or more were categorized as suffering from excessive (10:38 ± 1:18) in the weekends as compared to dayshift
13
Sleep Biol. Rhythms
school students (09:51 ± 2:37). However, no variation in students was found to be 23.81% in morning shift and
bedtime was observed as a function of commuting distance 22.62% in dayshift students.
in both the shifts (Table 2).
Waketime of morning shift school students in the weekdays Analysis of the data depicts that morning shift school stu-
was found to be significantly earlier (5:23 ± 0:31) than that dents have higher stress than the dayshift school students.
of the dayshift school students (6:59 ± 01:05). Similarly, The level of stress in morning shift school students was
the wake up time of morning shift school students during found to be significantly higher (31.18 ± 10.06) than that
weekend was also found significantly earlier (7:15 ± 01:11) of dayshift school students (25.77 ± 11.43) at p = 0.008. No
than the dayshift school students (7:55 ± 01:26). The wake such variation was observed in the stress score as a func-
up time was also found to vary as a function of commut- tion of commuting distance (Table 2).
ing distance among students (Table 2). Furthermore, a sig-
nificant negative correlation (r = −0.269; p = 0.009) was Sleep latency
found between the wake time and the commuting distance
in students irrespective of school timing during weekdays Sleep latency in the weekdays as well as weekends was not
(Fig. 2). However, when the association between wake up found to vary as a function of school start time and com-
time and commuting distance was examined separately, a muting distance. Furthermore, results indicate a statisti-
significant association was detected only in morning shift cally significant inverse relation between sleep latency and
school students (Table 1). commuting distance (r = −0.192, p = 0.014) (Fig. 3).
13
Sleep Biol. Rhythms
14 10:48
y = -0.1504x + 8.426 09:36
12 y = -0.0035x + 0.2701
R² = 0.0768 08:24 R² = 0.0412
Sleep duraon (hours)
10
07:12
Wakeup me
8 06:00
6 04:48
03:36
4
02:24
2
01:12
0 00:00
0 2 4 6 8 10 12 0 2 4 6 8 10 12
Commung distance (km) Commung distance (km)
Fig. 1 Association between weekdays sleep duration and daily trav- Fig. 2 Association between weekdays waketime and commuting dis-
elling distance irrespective of school timing tance irrespective of school timing
13
Sleep Biol. Rhythms
35
y = -0.6072x + 15.694 was found to be significantly less than average sleep dura-
30 R² = 0.0367 tion of dayshift school students during weekdays as well
as weekends. It was also noticed that sleep duration of stu-
Sleep latency (minutes)
25
dents is affected by their daily travelling time spent to reach
20
the school. Statistical analysis of data revealed that sleep
15 duration of school students has a negative correlation with
10 the commuting distance irrespective of their school timings
which supports our hypothesis that long distance commuta-
5
tion may significantly reduces the duration of sleep in stu-
0
dents. Reduction in sleep duration of morning shift school
0 2 4 6 8 10 12
Commung distance (km) students during weekdays is almost double than in the
weekends. An inverse relation of sleep duration and sleep
Fig. 3 Association between weekdays sleep latency and daily travel- latency with the daily commuting distance implies that long
ling distance irrespective of school timing distance commutation significantly reduces the duration of
sleep and decreases the sleep latency period. Reduction in
sleep latency due to sleep deprivation has been stated in
30 earlier report [23]. Students studying in dayshift schools
y = -0.3077x + 21.408 were found to have approximately 9 h of optimum sleep
25 R² = 0.0681
recommended for adolescents [24]. Further, result of this
Body mass index (kg/m²)
13
Sleep Biol. Rhythms
of the dayshift students, dayshift would be the most favora- 10. Hansson E, Mattisson K, Björk J, Östergren PO, Jakobsson
ble school timing for adolescent students. Therefore, delay- K. Relationship between commuting and health outcomes in a
cross-sectional population survey in southern Sweden. BMC
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2 h especially for higher secondary school students could 11. Kagemaya T, Nishikido N, Kobayashi T, Kurokawa Y, Kaneko
be beneficial. This study emphasizes the need to carry out T, Kabuto M. Long commuting time, extensive overtime and
such studies on a longitudinal basis to quantify the long- sympathodominant state assessed in terms of short term heart
rate variability among male white collar workers in the Tokyo
term effects of long distance commutation on a daily basis megalopolis. Ind Health. 1998;36:209–17.
among school students. 12. Pereira EF, Moreno C, Louzada FM. Increased commuting to
school time reduces sleep duration in adolescents. Chronobiol
Compliance with ethical standards Int. 2014;31(1):87–94.
13. Johns MW. A new method for measuring daytime sleepiness: the
Funding This study was funded by Chhattisgarh Council of Sci- Epworth Sleepiness Scale. Sleep. 1991;14:540–5.
ence and Technology (CGCOST), Raipur (Grant No. 8043/CCOST/ 14. Stress questionnaire for students. Ministry of Social Security,
MRP/13, Raipur dated 27/12/2013). National Solidarity and Reform Institutions. http://www.gov.mu/
portal/sites/suicideprevention/file/student. Accessed 8 Jan 2013.
15. Wahistrom K. Changing times: findings from the first longi-
Conflict of interest On behalf of all authors, the corresponding au- tudinal study of later high school start times. NASSP Bull.
thor states that there is no conflict of interest. 2002;86(633):3–21.
16. Owens J, Drobnich D, Baylor A, Lewin D. School start time
Ethical approval All procedures performed in studies involving change: an in-depth examination of school districts in the US.
human participants were in accordance with the ethical standards of the Mind Brain Educ. 2014;8(4):182–213.
institutional research committee (IEC Ref No. 017/IEC/PRSU/2013 17. O’Malleya EB, O’Malleya MB. School start time and its impact
dated April 15, 2013) and with the 1964 Helsinki declaration and its on learning and behavior. Sleep Psychiatr Disord Child And
later amendments or comparable ethical standards. Adolesc. 2008;79.
18. Lamberg L. High schools find later start time helps students’
Informed consent Informed consent was obtained from all individ- health and performance. JAMA. 2009;301(21):2200–1.
ual participants included in the study. 19. Singh R, Sharma R, Suri JC, Kapoor R, Das S. Effect of early
school timings on mood and performance of students. Indian J
Sleep Med. 2010;5(3):88–94.
20. Dotto L. Sleep stages, memory and learning. CMAJ.
1996;154(8):1193–6.
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