| 研究生: |
劉怡宣 Liou, Yi-Shiuan |
|---|---|
| 論文名稱: |
國中生睡眠行為、身體質量指數與學習表現的關聯:以電子設備使用為中介變數的探討 The Association among Sleep Behavior, Body Mass Index, and Academic Performance in Junior High School Students: An Investigation with Electronic Device Usage as an Intermediate Variable |
| 指導教授: |
黃滄海
Huang, Tsang-Hai |
| 學位類別: |
碩士 Master |
| 系所名稱: |
管理學院 - 運動健康與休閒管理碩士在職專班 Continuing Graduate Program in Sport, Health and Leisure Management |
| 論文出版年: | 2024 |
| 畢業學年度: | 112 |
| 語文別: | 中文 |
| 論文頁數: | 72 |
| 中文關鍵詞: | 睡眠 、3C產品使用 、網路社群媒體 、學業成績 、肥胖 |
| 外文關鍵詞: | Sleep, 3C product usage, Social media, Academic performance, Obesity |
| 相關次數: | 點閱:164 下載:15 |
| 分享至: |
| 查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
目的:本研究主要的目的在探討國中生電子設備使用的時間長度、身體質量和學業成績表現之相關。方法:以台南市國中生為母群體,於某國中採隨機抽樣,於國三23班抽取8班,共170名國三學生,回收有效問卷共計160份,佔施測問卷的94.11%,以青少年睡眠習慣問卷、兒童日間嗜睡問卷以及問卷調查:兒童3C 產品使用與上網行為調查為量表蒐集資料。問卷指標之間以描述性統計,並針對問卷的各指標使用皮爾森積差相關和單因子變異數分析 (one-way ANOVA) 進行資料處理和分析,以探討國中青少年睡眠行為、睡眠品質、生活行為與身體質量指數之相關。結果:一、參與受測的國中生男女比例為各50%,約81%的參與者自己擁有手機,上課日使用3C產品時長,超過3小時以上者佔33%,2到未滿3小時者佔28.5%,1到未滿2小時者佔21%,其餘的(未滿30分鐘或沒在使用)者佔16%。二、參與者每天使用3C產品的時長會對身高、睡眠週末週間變異量、睡眠品質、睡眠節律分數以及日間嗜睡分數有顯著影響。三、家長有無規範小孩使用3C產品的時長對參與者的週間睡眠量有顯著影響。結論:本研究所調查的台南市國中生普遍自己擁有手機,且長時間使用3C產品對睡眠品質、身高、睡眠型態以及學業成績表現等有顯著影響。建議加強對青少年的3C產品使用教育與睡眠健康管理和相關的衛教宣導。
The main purpose of this study is to explore the correlation between the duration of electronic device use, body mass index (BMI), and academic performance among junior high school students. Methods: Using a random sampling method, 8 classes were selected from Grade 9 in a certain junior high school in Tainan City, totaling 170 students. A total of 160 valid questionnaires were collected, representing 94.11% of the survey respondents. Data were collected using surveys to investigate adolescent sleep habits, daytime sleepiness, and a questionnaire on children's 3C product usage and internet behavior. Descriptive statistics, Pearson correlation, and one-way ANOVA were used for data processing and analyses. Results: (1) Among the participating junior high school students, the gender ratio was 50% male and 50% female. Approximately 81% of participants owned their own mobile phones. On school days, 33% of participants used 3C products for more than three hours, 28.5% for 2 to less than 3 hours, 21% for 1 to less than 2 hours, and the remaining 16% used them for less than 30 minutes or not at all. (2) The daily duration of 3C product usage by participants significantly affected their height, weekday and weekend sleep variability, sleep quality, sleep regularity scores, and daytime sleepiness scores. (3) Whether parents regulated their children's duration of 3C product usage had a significant impact on the participants' weekday sleep duration. Conclusions: Junior high school students in Tainan generally own mobile phones, and prolonged use of 3C products is significantly correlated with sleep quality, height, sleep patterns, and academic performance. It is recommended to enhance education on 3C product usage and promote sleep health management and related health education among adolescents.
王志寰、楊建銘、黃玉書(2010)。兒童青少年睡眠問題。台灣醫學,14(4),420-430。
呂謂正(2009)。國中生網路成癮與青少年憂鬱症之相關研究-以新竹縣市國中生為例〔未出版之碩士論文〕。中原大學心理研究所。
游青霏(2007)。睡眠與情緒, 學校適應和青少年偏差行為之相關研究〔未出版之碩士論文〕。國立成功大學教育研究所。
Abe, T., Hagihara, A., & Nobutomo, K. (2010). Sleep patterns and impulse control among japanese junior high school students. Journal of Adolescence, 33(5), 633-641.
Abid, R., Ammar, A., Maaloul, R., Souissi, N., & Hammouda, O. (2021). Effect of covid-19-related home confinement on sleep quality, screen time and physical activity in tunisian boys and girls: a survey. International Journal of Environmental Research and Public Health, 18(6), 3065.
Alotaibi, A. D., Alosaimi, F. M., Alajlan, A. A., & Abdulrahman, K. A. B. (2020). The relationship between sleep quality, stress, and academic performance among medical students. Journal of Family and Community Medicine, 27(1), 23-28.
Andrade, M. M., Benedito-Silva, A. A., Domenice, S., Arnhold, I. J., & Menna-Barreto, L. (1993). Sleep characteristics of adolescents: A longitudinal study. Journal of Adolescent Health, 14(5), 401-406.
Arora, T., Choudhury, S., & Taheri, S. (2015). The relationships among sleep, nutrition, and obesity. Current Sleep Medicine Reports, 1, 218-225.
Bacaro, V., Carpentier, L., & Crocetti, E. (2023). Sleep well, study well: A systematic review of longitudinal studies on the interplay between sleep and school experience in adolescence. International Journal of Environmental Research and Public Health, 20(6), 4829.
Baglioni, C., Spiegelhalder, K., Lombardo, C., & Riemann, D. (2010). Sleep and emotions: A focus on insomnia. Sleep Medicine Reviews, 14(4), 227-238.
Bartel, K. A., Gradisar, M., & Williamson, P. (2015). Protective and risk factors for adolescent sleep: A meta-analytic review. Sleep Medicine Reviews, 21, 72-85.
Bayon, V., Leger, D., Gomez-Merino, D., Vecchierini, M.-F., & Chennaoui, M. (2014). Sleep debt and obesity. Annals of Medicine, 46(5), 264-272.
Bixler, E. (2009). Sleep and society: An epidemiological perspective. Sleep Medicine, 10, S3-S6.
Blakemore, S.-J. (2010). The developing social brain: Implications for education. Neuron, 65(6), 744-747.
Boeke, C. E., Storfer-Isser, A., Redline, S., & Taveras, E. M. (2014). Childhood sleep duration and quality in relation to leptin concentration in two cohort studies. Sleep, 37(3), 613-620.
Bohnert, M., & Gracia, P. (2023). Digital use and socioeconomic inequalities in adolescent well‐being: Longitudinal evidence on socioemotional and educational outcomes. Journal of Adolescence, 95(6), 1179-1194.
Borbély, A. A. (1982). A two process model of sleep regulation. Human Neurobiology, 1(3), 195-204.
Bruni, O., Sette, S., Fontanesi, L., Baiocco, R., Laghi, F., & Baumgartner, E. (2015). Technology use and sleep quality in preadolescence and adolescence. Journal of Clinical Sleep Medicine, 11(12), 1433-1441.
Carroll, M., Flegal, K., Kit, B., & Flegal, K. (2013). Prevalence of obesity among adults: United states, 2011–2012. NCHS Data Brief, 131, 1-8.
Carskadon, M. A. (1990). Patterns of sleep and sleepiness in adolescents. Pediatrician, 17(1), 5-12.
Carskadon, M. A. (2011). Sleep in adolescents: The perfect storm. Pediatric Clinics, 58(3), 637-647.
Carskadon, M. A., Acebo, C., Richardson, G. S., Tate, B. A., & Seifer, R. (1997). An approach to studying circadian rhythms of adolescent humans. Journal of Biological Rhythms, 12(3), 278-289.
Carskadon, M. A., Vieira, C., & Acebo, C. (1993). Association between puberty and delayed phase preference. Sleep, 16(3), 258-262.
Carskadon, M. A., Wolfson, A. R., Acebo, C., Tzischinsky, O., & Seifer, R. (1998). Adolescent sleep patterns, circadian timing, and sleepiness at a transition to early school days. Sleep, 21(8), 871-881.
Casey, B. J., Getz, S., & Galvan, A. (2008). The adolescent brain. Developmental Review, 28(1), 62-77.
Chaput, J.-P. (2014). Sleep patterns, diet quality and energy balance. Physiology & Behavior, 134, 86-91.
Chaput, J. P., Després, J. P., Bouchard, C., & Tremblay, A. (2007). Short sleep duration is associated with reduced leptin levels and increased adiposity: Results from the quebec family study. Obesity, 15(1), 253-261.
Chen, M. C., Burley, H. W., & Gotlib, I. H. (2012). Reduced sleep quality in healthy girls at risk for depression. Journal of Sleep Research, 21(1), 68-72.
Christofaro, D. G. D., De Andrade, S. M., Mesas, A. E., Fernandes, R. A., & Farias Junior, J. C. (2016). Higher screen time is associated with overweight, poor dietary habits and physical inactivity in brazilian adolescents, mainly among girls. European Journal of Sport Science, 16(4), 498-506.
Daniel, S. J. (2020). Education and the covid-19 pandemic. Prospects, 49(1), 91-96.
Dinges, D. F., Pack, F., Williams, K., Gillen, K. A., Powell, J. W., Ott, G. E., Aptowicz, C., & Pack, A. I. (1997). Cumulative sleepiness, mood disturbance, and psychomotor vigilance performance decrements during a week of sleep restricted to 4–5 hours per night. Sleep, 20(4), 267-277.
Do, Y. K., Shin, E., Bautista, M. A., & Foo, K. (2013). The associations between self-reported sleep duration and adolescent health outcomes: What is the role of time spent on internet use? Sleep Medicine, 14(2), 195-200.
Dunster, G. P., de la Iglesia, L., Ben-Hamo, M., Nave, C., Fleischer, J. G., Panda, S., & de la Iglesia, H. O. (2018). Sleepmore in seattle: Later school start times are associated with more sleep and better performance in high school students. Science Advances, 4(12), eaau6200.
El Halal, C. d. S., & Nunes, M. L. (2019). Sleep and weight-height development. Jornal de Pediatria, 95, S2-S9.
Ernst, M., Pine, D. S., & Hardin, M. (2006). Triadic model of the neurobiology of motivated behavior in adolescence. Psychological Medicine, 36(3), 299-312.
Evers, K., Chen, S., Rothmann, S., Dhir, A., & Pallesen, S. (2020). Investigating the relation among disturbed sleep due to social media use, school burnout, and academic performance. Journal of Adolescence, 84, 156-164.
Frederick, C. B., Snellman, K., & Putnam, R. D. (2014). Increasing socioeconomic disparities in adolescent obesity. Proceedings of the National Academy of Sciences, 111(4), 1338-1342.
Fredriksen, K., Rhodes, J., Reddy, R., & Way, N. (2004). Sleepless in chicago: Tracking the effects of adolescent sleep loss during the middle school years. Child Development, 75(1), 84-95.
Giannotti, F., Cortesi, F., Sebastiani, T., & Ottaviano, S. (2002). Circadian preference, sleep and daytime behaviour in adolescence. Journal of Sleep Research, 11(3), 191-199.
Gonnissen, H., Hulshof, T., & Westerterp‐Plantenga, M. (2013). Chronobiology, endocrinology, and energy‐and food‐reward homeostasis. Obesity Reviews, 14(5), 405-416.
Grandner, M. A., Chakravorty, S., Perlis, M. L., Oliver, L., & Gurubhagavatula, I. (2014). Habitual sleep duration associated with self-reported and objectively determined cardiometabolic risk factors. Sleep Medicine, 15(1), 42-50.
Gruber, R., Saha, S., Somerville, G., Boursier, J., & Wise, M. S. (2020). The impact of covid-19 related school shutdown on sleep in adolescents: A natural experiment. Sleep Medicine, 76, 33-35.
Guo, X., Zheng, L., Wang, J., Zhang, X., Zhang, X., Li, J., & Sun, Y. (2013). Epidemiological evidence for the link between sleep duration and high blood pressure: A systematic review and meta-analysis. Sleep Medicine, 14(4), 324-332.
Hysing, M., Harvey, A. G., Linton, S. J., Askeland, K. G., & Sivertsen, B. (2016). Sleep and academic performance in later adolescence: Results from a large population‐based study. Journal of Sleep Research, 25(3), 318-324.
Karsay, K., Schmuck, D., Stevic, A., & Matthes, J. (2023). Sleeping with the smartphone: A panel study investigating parental mediation, adolescents’ tiredness, and physical well-being. Behaviour & Information Technology, 42(11), 1833-1844.
Klingenberg, L., Sjödin, A., Holmbäck, U., Astrup, A., & Chaput, J. P. (2012). Short sleep duration and its association with energy metabolism. Obesity Reviews, 13(7), 565-577.
Knutson, K. L., Spiegel, K., Penev, P., & Van Cauter, E. (2007). The metabolic consequences of sleep deprivation. Sleep Medicine Reviews, 11(3), 163-178.
Kruger, A. K., Reither, E. N., Peppard, P. E., Krueger, P. M., & Hale, L. (2014). Do sleep-deprived adolescents make less-healthy food choices? British Journal of Nutrition, 111(10), 1898-1904.
Kryger, M. H., Roth, T., & Dement, W. C. (2010). Principles and practice of sleep medicine e-book: Expert consult-online and print. Elsevier Health Sciences.
Laberge, L., Petit, D., Simard, C., Vitaro, F., Tremblay, R. E., & Montplaisir, J. (2001). Development of sleep patterns in early adolescence. Journal of Sleep Research, 10(1), 59-67.
LeBourgeois, M. K., Hale, L., Chang, A.-M., Akacem, L. D., Montgomery-Downs, H. E., & Buxton, O. M. (2017). Digital media and sleep in childhood and adolescence. Pediatrics, 140(2), 92-96.
Léger, D., Du Roscoat, E., Bayon, V., Guignard, R., Pâquereau, J., & Beck, F. (2011). Short sleep in young adults: Insomnia or sleep debt? Prevalence and clinical description of short sleep in a representative sample of 1004 young adults from france. Sleep Medicine, 12(5), 454-462.
Levenson, J. C., Shensa, A., Sidani, J. E., Colditz, J. B., & Primack, B. A. (2017). Social media use before bed and sleep disturbance among young adults in the united states: A nationally representative study. Sleep, 40(9), zsx113.
Liu, X. (2004). Sleep and adolescent suicidal behavior. Sleep, 27(7), 1351-1358.
Locard, E., Mamelle, N., Billette, A., Miginiac, M., Munoz, F., & Rey, S. (1992). Risk factors of obesity in a five year old population. Parental versus environmental factors. International Journal of Obesity and Related Metabolic Disorders: Journal of The International Association for The Study of Obesity, 16(10), 721-729.
Markwald, R. R., Melanson, E. L., Smith, M. R., Higgins, J., Perreault, L., Eckel, R. H., & Wright Jr, K. P. (2013). Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proceedings of The National Academy of Sciences, 110(14), 5695-5700.
Martin, C. A., Hiscock, H., Rinehart, N., Heussler, H. S., Hyde, C., Fuller-Tyszkiewicz, M., McGillivray, J., Austin, D. W., Chalmers, A., & Sciberras, E. (2020). Associations between sleep hygiene and sleep problems in adolescents with ADHD: A cross-sectional study. Journal of Attention Disorders, 24(4), 545-554.
McKeever, P. M., Dodd, R., & O’Sullivan, D. M. (2022). Delayed high school start times and graduation and attendance rates over 4 years: The impact of race and socioeconomics. Journal of Clinical Sleep Medicine, 18(11), 2537-2543.
Meeus, W. (2016). Adolescent psychosocial development: A review of longitudinal models and research. Developmental Psychology, 52(12), 1969.
Mezick, E. J., Wing, R. R., & McCaffery, J. M. (2014). Associations of self-reported and actigraphy-assessed sleep characteristics with body mass index and waist circumference in adults: Moderation by gender. Sleep Medicine, 15(1), 64-70.
Mindell, J. A., Meltzer, L. J., Carskadon, M. A., & Chervin, R. D. (2009). Developmental aspects of sleep hygiene: Findings from the 2004 national sleep foundation sleep in america poll. Sleep Medicine, 10(7), 771-779.
Nedeltcheva, A. V., Kilkus, J. M., Imperial, J., Kasza, K., Schoeller, D. A., & Penev, P. D. (2009). Sleep curtailment is accompanied by increased intake of calories from snacks. The American Journal of Clinical Nutrition, 89(1), 126-133.
Negru‐Subtirica, O., Damian, L. E., Pop, E. I., & Crocetti, E. (2023). The complex story of educational identity in adolescence: Longitudinal relations with academic achievement and perfectionism. Journal of Personality, 91(2), 299-313.
Olds, T., Blunden, S., Petkov, J., & Forchino, F. (2010). The relationships between sex, age, geography and time in bed in adolescents: A meta-analysis of data from 23 countries. Sleep Medicine Reviews, 14(6), 371-378.
Owens, J. A., Belon, K., & Moss, P. (2010). Impact of delaying school start time on adolescent sleep, mood, and behavior. Archives of Pediatrics & Adolescent Medicine, 164(7), 608-614.
Paruthi, S., Brooks, L. J., D'Ambrosio, C., Hall, W. A., Kotagal, S., Lloyd, R. M., Malow, B. A., Maski, K., Nichols, C., & Quan, S. F. (2016). Consensus statement of the american academy of sleep medicine on the recommended amount of sleep for healthy children: Methodology and discussion. Journal of Clinical Sleep Medicine, 12(11), 1549-1561.
Pinyerd, B., & Zipf, W. B. (2005). Puberty—timing is everything! Journal of Pediatric Nursing, 20(2), 75-82.
Pyper, E., Harrington, D., & Manson, H. (2016). The impact of different types of parental support behaviours on child physical activity, healthy eating, and screen time: A cross-sectional study. BMC Public Health, 16(1), 1-15.
Ramachandran, A., Chamukuttan, S., Shetty, S. A., Arun, N., & Susairaj, P. (2012). Obesity in asia–is it different from rest of the world. Diabetes/Metabolism Research and Reviews, 28, 47-51.
Richter, S. A., Ferraz‐Rodrigues, C., Schilling, L. B., Camargo, N. F., & Nunes, M. L. (2023). Effects of the covid‐19 pandemic on sleep quality in children and adolescents: A systematic review and meta‐analysis. Journal of Sleep Research, 32(1), e13720.
Romeo, R. D. (2010). Adolescence: A central event in shaping stress reactivity. Developmental Psychobiology: The Journal of The International Society for Developmental Psychobiology, 52(3), 244-253.
Saunders, T. J., McIsaac, T., Campbell, J., Douillette, K., Janssen, I., Tomasone, J. R., Ross-White, A., Prince, S. A., & Chaput, J.-P. (2022). Timing of sedentary behaviour and access to sedentary activities in the bedroom and their association with sleep quality and duration in children and youth: A systematic review. Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice, 42(4), 139.
Shochat, T., Cohen-Zion, M., & Tzischinsky, O. (2014). Functional consequences of inadequate sleep in adolescents: A systematic review. Sleep medicine reviews, 18(1), 75-87.
Shochat, T., Flint‐Bretler, O., & Tzischinsky, O. (2010). Sleep patterns, electronic media exposure and daytime sleep‐related behaviours among Israeli adolescents. Acta Paediatrica, 99(9), 1396-1400.
Short, M. A., Gradisar, M., Lack, L. C., & Wright, H. R. (2013). The impact of sleep on adolescent depressed mood, alertness and academic performance. Journal of Adolescence, 36(6), 1025-1033.
Smith, C., de Wilde, T., Taylor, R. W., & Galland, B. C. (2020). Prebedtime screen use in adolescents: A survey of habits, barriers, and perceived acceptability of potential interventions. Journal of Adolescent Health, 66(6), 725-732.
Sorensen, C. W. (1994). Success and education in south korea. Comparative Education Review, 38(1), 10-35.
Spaeth, A. M., Dinges, D. F., & Goel, N. (2014). Sex and race differences in caloric intake during sleep restriction in healthy adults. The American Journal of Clinical Nutrition, 100(2), 559-566.
Spiegel, K., Leproult, R., & Van Cauter, E. (1999). Impact of sleep debt on metabolic and endocrine function. The Lancet, 354(9188), 1435-1439.
Spiegel, K., Tasali, E., & Penev, P. (2004). Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Ann Intern Med, 141(11), 845.
Spiegel, K., Tasali, E., Penev, P., & Cauter, E. V. (2004). Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Annals of Internal Medicine, 141(11), 846-850.
Taheri, S., Lin, L., Austin, D., Young, T., & Mignot, E. (2004). Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Medicine, 1(3), e62.
Taylor, D. J., Jenni, O. G., Acebo, C., & Carskadon, M. A. (2005). Sleep tendency during extended wakefulness: Insights into adolescent sleep regulation and behavior. Journal of Sleep Research, 14(3), 239-244.
Taylor, D. J., Vatthauer, K. E., Bramoweth, A. D., Ruggero, C., & Roane, B. (2013). The role of sleep in predicting college academic performance: Is it a unique predictor? Behavioral Sleep Medicine, 11(3), 159-172.
Uhlhaas, P. J., Roux, F., Singer, W., Haenschel, C., Sireteanu, R., & Rodriguez, E. (2009). The development of neural synchrony reflects late maturation and restructuring of functional networks in humans. Proceedings of the National Academy of Sciences, 106(24), 9866-9871.
Van Dongen, H. P., Maislin, G., Mullington, J. M., & Dinges, D. F. (2003). The cumulative cost of additional wakefulness: Dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep, 26(2), 117-126.
Verhoeven, M., Poorthuis, A. M., & Volman, M. (2019). The role of school in adolescents’ identity development. A literature review. Educational Psychology Review, 31, 35-63.
Weiss, A., Xu, F., Storfer-Isser, A., Thomas, A., Ievers-Landis, C. E., & Redline, S. (2010). The association of sleep duration with adolescents' fat and carbohydrate consumption. Sleep, 33(9), 1201-1209.
Wheaton, A. G., Chapman, D. P., & Croft, J. B. (2016). School start times, sleep, behavioral, health, and academic outcomes: A review of the literature. Journal of School Health, 86(5), 363-381.
Wheaton, A. G., Jones, S. E., Cooper, A. C., & Croft, J. B. (2018). Short sleep duration among middle school and high school students—united states, 2015. Morbidity and Mortality Weekly Report, 67(3), 85.
Widome, R., Berger, A. T., Iber, C., Wahlstrom, K., Laska, M. N., Kilian, G., Redline, S., & Erickson, D. J. (2020). Association of delaying school start time with sleep duration, timing, and quality among adolescents. JAMA Pediatrics, 174(7), 697-704.
Yang, C.-K., Kim, J. K., Patel, S. R., & Lee, J.-H. (2005). Age-related changes in sleep/wake patterns among korean teenagers. Pediatrics, 115(1), 250-256.