Personalising circadian hygiene educational initiatives aimed at university students-"He who has ears to hear, let him hear"

J Sleep Res. 2024 Dec;33(6):e14194. doi: 10.1111/jsr.14194. Epub 2024 Mar 14.

Abstract

The aim of the present study was to characterise "early drop-outs" (n = 3185) out of a group of university students (n = 7766) engaged in an ongoing circadian education initiative, to evaluate its efficacy and direct its developments. The initiative is aimed at improving sleep timing/quality through one of two sets of circadian hygiene advice covering the timing of sleep, meals, exercise and light exposure, and it has already been shown to have a positive effect on sleep timing. This second, interim analysis confirmed the high prevalence of disturbed night sleep and social jetlag amongst students at Padova University. Three-thousand, one-hundred and eighty-five (41.0%) students were early drop-outs. These were more commonly males (46.4 versus 37.6%; χ2 = 58, p < 0.0001), had later sleep-wake habits, more daytime sleepiness and worse night sleep quality. Chronotype distribution was also different, with a slight but significantly higher proportion of extremely evening/evening types amongst early drop-outs (χ2 = 10, p < 0.05). These results suggest that the more evening the student, the lower their likelihood of choosing/being able to follow circadian advice.

Keywords: academic performance; chronotype; circadian education; sleep; university students.

MeSH terms

  • Adolescent
  • Adult
  • Circadian Rhythm* / physiology
  • Exercise / physiology
  • Female
  • Health Education / methods
  • Humans
  • Male
  • Sleep / physiology
  • Sleep Hygiene / physiology
  • Sleep Quality
  • Students* / psychology
  • Students* / statistics & numerical data
  • Universities
  • Young Adult