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Impact of commuting distance and school timing on sleep of school students

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DOI: 10.1007/s41105-017-0091-0

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Sleep Biol. Rhythms
DOI 10.1007/s41105-017-0091-0

ORIGINAL ARTICLE

Impact of commuting distance and school timing on sleep


of school students
Rohit Kumar Pradhan1 · Niharika Sinha1 

Received: 6 May 2016 / Accepted: 8 February 2017


© Japanese Society of Sleep Research 2017

Abstract  The insufficiency of sleep has become a wide- Introduction


spread problem. The global development and rise of meg-
acities have resulted in a drastic change in the life style of Adolescence, transition between childhood and adulthood,
modern man. Increase in the daily commuting distance of is a learning phase in an individual. Several behavioral,
a worker is a consequence of such development that has psychological, and developmental changes accompany-
become a potential cause of reduced duration of sleep in ing this stage prepare an individual to face the future chal-
the population. The problem of sleep deprivation persists lenges of life. Though the changes occurring at this stage
across individuals of all age groups. An adolescent whose are crucial for sustaining life, these changes bring a lot of
sleep requirement is higher than the adults and pre-adoles- differences in the sleep and wake patterns. At this time
cent children is also not an exception. The phase of ado- when the requirement of sleep is higher, the change of life
lescence is associated with the delayed bedtime and earlier style due to social activities, availability of increasing num-
wake time due to the early morning schools. In this regard, ber of entertainment modes, late night studies, and the rigid
it is important to know the factors that contribute towards schedule of schools to complete daily home assignments
sleep reduction in adolescents. Long travelling distance restrict them to go to bed at a later time. This tendency of
from home to school is one such factor. This study signifies delayed sleep in adolescent is reported to effect the total
the combinatorial effect of daily commuting distance and sleep time of adolescents with difficulty in awakening in
school timing on the sleep duration of an adolescent study- the morning and falling asleep in the night [1]. Alongside,
ing in morning and dayshift schools. Findings of the pre- the necessity of waking up early in the morning due to
sent investigations revealed that commuting distance and early school start timings gives rise to shorter sleep dura-
school timings have profound effect on sleep of adolescent tion among school going adolescents, whereas the average
school students. The average sleepiness score of morning sleep requirement during adolescence phase is more than
shift students is more than normal sleepiness level suggest- adults and is about 8.5–10  h per night [2]. In adults, it is
ing a chronic sleep deprivation among this group and ren- well documented that a chronic sleep deprivation may lead
dering them to higher risk of excessive daytime sleepiness. to excessive daytime sleepiness (EDS) among general pop-
ulation [3]. Since long-term chronic sleep restriction during
Keywords  Long distance commutation · Sleep duration · the critical adolescence phase is known to cause chronic
School timing · Morning shift · Adolescents · EDS fatigue [1], increased daytime sleepiness, and reduction
in sustaining alertness [4, 5], delaying of school start time
has been suggested in earlier studies [6, 7] conducted on
developed countries. A number of research highlighting the
impact of school start timing on sleep behavior of adoles-
cent students in developed nations of the world are availa-
* Rohit Kumar Pradhan
rkp299@gmail.com
ble. However, study on the impact of school timing on sleep
habits of students living in developing countries is scanty
1
Pandit Ravishankar Shukla University, Raipur, India and completely lacking for Indian students. Furthermore,

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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

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Sleep Biol. Rhythms

Table 1  Correlation coefficient Variables Shift Group level


matrix for relationship between
daily commuting distance and Morning Day
sleep variables in students of
a bc
morning (n = 84) and dayshift Sleep duration (weekdays) (7.08 ± 0.88) −0.391 (8.87 ± 1.43) 0.065 (7.92 ± 1.52) −0.280c
(n = 84) schools Sleep duration (weekends) (8.46 ± 1.26) 0.175 (9.21 ± 1.63) 0.069 (8.84 ± 1.50) 0.048
Waketime (weekdays) (5:23 ± 00:31) −0.257d (6:59 ± 01:05) −0.035 (06:11 ± 01:10) −0.269c
Waketime (weekends) (7:15 ± 01:11) 0.133 (7:55 ± 01:26) 0.226d (07:35 ± 01:21) −0.011
Bedtime (weekdays) (10:19 ± 00:45) 0.153 (10:08 ± 01:11) 0.046 (10:14 ± 00:59) 0.069
Bedtime (weekends) (10:38 ± 01:18) −0.031 (09:51 ± 02:37) −0.105 (10:14 ± 02:05) 0.072
Sleep latency (weekdays) (12.67 ± 8.75) −0.176 (14.59 ± 9.07) −0.168 (13.63 ± 8.93) −0.192c
Sleep latency (weekends) (19.18 ± 17.11) −0.162 (21.74 ± 17.38) −0.145 (20.46 ± 17.24) −0.134
ESS score (7.30 ± 3.04) −0.042 (6.13 ± 4.04) 0.120 (6.71 ± 3.61) 0.017

ESS Epworth sleepiness scale


a
 (Mean ± SD)
b
 r value
c
 Correlation is significant at 0.01 level
d
 Correlation is significant at 0.05 level

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).

Wake time Stress level (stress score)

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).

Sleepiness level (ESS score)


BMI
Assessment of sleepiness level among school students was
done by utilizing Epworth Sleepiness Scale (ESS score). Body mass index of morning shift and dayshift school
The sleepiness level of morning shift students was signifi- students was found to be 19.58 ± 2.00 and 18.33 ± 1.31,
cantly higher (p = 0.040) than dayshift students. The ESS respectively. Statistical analysis of data revealed that the
score of morning shift school students and dayshift school difference between two groups is significant at the level of
students was found to be 7.30  ± 3.04 and 6.13  ± 4.04, p = 0.000. Regression analysis of data revealed a significant
respectively. The ESS score of students was also found to inverse relation between sleep duration and body mass of
have a positive correlation with the commuting distance the students irrespective of school timings (r  =  −0.271;
though not statistically significant (Table  1). The percent- p = 0.000) (Fig.  4). However, commuting distance did not
age of excessive daytime sleepiness (EDS) among school show any effect on body mass of the students (Table 2).

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Sleep Biol. Rhythms

Table 2  Impact of shift Variable Factor ANOVA summary


(morning or day) and
commuting distance (short, F value df p value
intermediate, and long) on sleep
behavior of adolescent school Sleep duration (weekdays) Shift 75.511 1, 166 0.000
students Commuting distance 2.553 2, 166 0.081
Shift × commuting distance 0.963 2, 166 0.384
Sleep duration (weekends) Shift 4.818 1, 166 0.030
Commuting distance 0.129 2, 166 0.879
Shift × commuting distance 1.083 2, 166 0.341
Bedtime (weekdays) Shift 2.332 1, 166 0.129
Commuting distance 0.141 2, 166 0.868
Shift × commuting distance 1.454 2, 166 0.237
Bedtime (weekends) Shift 1.436 1, 166 0.232
Commuting distance 0.173 2, 166 0.841
Shift × commuting distance 2.586 2, 166 0.078
Waketime (weekdays) Shift 101.232 1, 166 0.000
Commuting distance 2.970 2, 166 0.054
Shift × commuting distance 0.040 2, 166 0.961
Waketime (weekends) Shift 4.102 1, 166 0.044
Commuting distance 0.885 2, 166 0.415
Shift × commuting distance 1.458 2, 166 0.236
Sleep latency (weekdays) Shift 0.087 1, 166 0.769
Commuting distance 1.250 2, 166 0.289
Shift × commuting distance 0.041 2, 166 0.959
Sleep latency (weekends) Shift 0.069 1, 166 0.793
Commuting distance 0.405 2, 166 0.668
Shift × commuting distance 0.554 2, 166 0.576
Sleepiness score Shift 4.276 1, 166 0.040
Commuting distance 0.590 2, 166 0.556
Shift × commuting distance 0.173 2, 166 0.841
Stress score Shift 7.205 1, 166 0.008
Commuting distance 1.087 2, 166 0.34
Shift × commuting distance 0.002 2, 166 0.998
Body mass index Shift 13.209 1, 166 0.000
Commuting distance 0.331 2, 166 0.719
Shift × commuting distance 1.467 2, 166 0.234

Bold indicates that p values are significant

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)

20 study also indicates that a chronic sleep reduction among


15
morning shift students is elevating their sleepiness level
during daytime. ESS score of 6 or less has been reported
10 as normal sleepiness level among general human popula-
5 tions [3]. The average sleepiness score of 7.3 among morn-
ing shift students is more than normal sleepiness level sug-
0
gesting a chronic sleep deprivation among this group and
0 2 4 6 8 10 12 14
Sleep duraon (hours)
rendering them to higher risk of EDS. It is reported that
chronic sleep deprivation results in EDS [3]. Furthermore,
Fig. 4  Association between sleep duration and body mass index chronic sleep deprivation is also reported to cause increase
in BMI [3, 25–27] and stress level [28]; a higher accumula-
tion of biomass and elevated stress level among morning
Discussion shift students may be attributable to this chronic sleep dep-
rivation. It is well documented that obesity among school
The sleep need of an adolescent, which is higher than going adolescent of developed countries has increased
adults and pre pubertal children, is influenced by several significantly in the recent past. In this study, detection of
factors. School timing is one of the major known factors heightened correlations between sleep duration and body
that regulate the sleep wake timings of an adolescent and mass index of the students irrespective of their school tim-
considerable research has been done to find out the impact ing indicates that increasing biomass among adolescent
of school timing on an adolescent sleep [15–22]. Although students due to sleep deprivations is not restricted to the
sleep duration of adult is reported to be affected by com- developed country only and may become a national con-
muting distance, there is only one study that highlights the cern for other parts of the world in future.
association between daily commuting distance and sleep The study could not detect any significant difference
duration of a school going adolescent. However, there is a in the bedtime of morning and dayshift school students
complete lack of information on Indian students either on which suggests that going to bed timing among school stu-
the impact of school timing or on the effect of commuting dents seems to be unaffected by school start timing. It also
distance. This study aimed at studying the effect of long appears from the study that wake up time of students var-
distance commutation as a risk factor for an overall sleep ies both as a function of school start time and the commut-
reduction in school students of early morning and later ing distance. From the findings of this study, it is clear that
school timings. the sleep duration of school students is not only effected by
When the sleep–wake timings of the school students as a school start timing, but commuting distance also plays a
function of school start timing were computed, a significant significant role in determining their night sleep length.
difference in the sleep duration was observed. The average Considering the fact that the morning shift school stu-
time spent on sleeping by morning shift school students dents have approximately 2 h less sleep duration than that

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Sleep Biol. Rhythms

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