Evidence map›Paper›PMID 38938171›Full record

Trial reportSleep2024

Bidirectional associations between the duration and timing of nocturnal sleep and daytime naps in adolescents differ from weekdays to weekends.

Ruth L F Leong, Liang Tian, Nicole Yu, Teck Boon Teo, Ju Lynn Ong, Michael W L Chee

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03333512 nacompletednot on this map

The Cognitive and Metabolic Effects of Sleep Restriction in Adolescents

TypeinterventionalSponsorDuke-NUS Graduate Medical SchoolRan2017 to 2018Enrolled59ConditionsSleep, Sleep RestrictionArmsNap
NCT04044885 nacompletednot on this map

Investigating the Preferred Nap Schedule for Adolescents With Adequate Sleep

TypeinterventionalSponsorDuke-NUS Graduate Medical SchoolRan2019 to 2019Enrolled54ConditionsSleepArmsNap
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ruth L F LeongCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0001-5567-2152
Liang TianCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nicole YuCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Teck Boon TeoCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ju Lynn OngCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0001-5115-4112
Michael W L CheeCentre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID 0000-0002-6087-0548

Funding

National Medical Research Council Singapore STAR19may-0001
6 · The paper itself

Abstract

STUDY

objectivesPrevious studies examining bidirectional relationships between nocturnal sleep and napping have focused on sleep duration, leaving a gap in our understanding of how sleep timing contributes. Here, we assessed the duration and timing for night sleep and daytime naps, to evaluate how the previous night's sleep influences the next day's napping, and how napping influences same-night nocturnal sleep.

methodsWe analyzed sleep diary and actigraphy data from 153 teens (males = 43.8%, mean age = 16.6 years). Participants who never napped were excluded. Nocturnal sleep-nap relationships were investigated using logistic and linear regression models separately for weekdays and weekends.

resultsParticipants napped an average of 2.3 times a week. 167 school day naps and 107 weekends were recorded. Naps were on average 82.12 ± 53.34 minutes and the average nap onset was 14:58 ± 3.78 hours. Their duration, start and end times did not significantly differ between weekdays and weekends. Nocturnal sleep duration did not predict next-day nap occurrence or duration. However, on school days, earlier wake times significantly increased the likelihood of napping that day, and advanced nap timing. On weekends, later bedtimes and wake times delayed nap timing. On school days, napping longer than one's average shortened nocturnal sleep whereas on weekends, waking from a nap later than one's average delayed bedtimes.

conclusionsEarly wake times increase the likelihood of napping and advance the time of a nap that day. Naps may be detrimental to the same night's sleep only if they are long and occur late, as these can delay bedtimes and shorten nocturnal sleep duration, especially on school days. CLINICAL TRIALS: The Cognitive and Metabolic Effects of Sleep Restriction in Adolescents (NFS4), https://clinicaltrials.gov/study/NCT03333512, ID: NCT03333512. Investigating Preferred Nap Schedules for Adolescents (NFS5), https://clinicaltrials.gov/study/NCT04044885, ID: NCT04044885.

Indexed as

ActigraphySleepAdolescentCircadian RhythmFemaleHumansMaleTime Factorsactigraphyadolescentsnaptiming

Identifiers

PMID38938171
PMCPMC11381561

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.