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Browsing by Subject "Kronotyyppi"

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  • Suikki, Tiina (2020)
    Introduction: Individual’s physiological functions and behavior are controlled by biological and social rhythms, as well light-dark-rhythm. The biological, intrinsic circadian rhythm is synchronized to follow the 24-hour day by external cues, mainly by light-dark-rhythm. Despite the synchronizing, there are inter-individual changes in this rhythm partly due the genetics. Chronotype expresses these differences and can vary from extreme morning type to extreme evening type. In addition, social rhythms, such as work schedules, control behavior as well. Sometimes these biological and social rhythms are not aligned causing social jet lag (SJL). From SJL can be distinguished two different phenomena; sleep debt caused by changes in sleep-awake-rhythm and the misalignment between biological and social rhythm without the effect of sleep debt. Especially evening types have been considered to suffer more of SJL and therefore, SJL has been thought to explain adverse health outcomes, such as obesity, and unhealthy behavior, such as poor quality of total diet, of evening types. However, the amount of previous studies considering the association between SJL and quality of the diet and prevalence of obesity of different chronotypes is scarce. Objectives: The objectives were to study the association between chronotype and SJL, as well the association between SJL and quality of the diet evaluated by Baltic Sea Diet Score and obesity by chronotypes in Finnish adult population. The purpose was also to study differences of two SJL formulas, of which are meant to distinguish the sleep debt and misalignment between biological and social rhythms. There are not previous studies to examine the differences between these two formulas. Methods: This study is a cross-sectional study based on two national population-based studies (FINRISK 2012, DILGOM 2014) which included 6779 men and women aged 25─74 years. Chronotype was evaluated by shortened Morningness-Eveningness Questionnaire (MEQ) and it was categorised into three group (morning, intermediate, evening). SJL was calculated by the original SJL formula and the sleep corrected SJL formula and was categorised into three groups by the degree of SJL (< 1h, ≥ 1h, < 2h and ≥ 2h). Participants’ habitual food consumption was evaluated by validated food frequency questionnaire (FFQ) and the quality of the diet by Baltic Sea Diet Score (BSDS). Body weight, height and waist circumference (WC) was measured by study personnel and BMI was calculated (kg/m2). Analysis of covariance (ANCOVA) followed by Bonferroni multiple comparison post hoc test and logistic regression were used to analyse the differences between the lowest (< 1h) and the highest (≥ 2h) SJL groups by chronotypes. Results: Among evening types were more participants in the SJL-group of at least 2 h by both of SJL formulas compared to morning types (p < 0.001). Participants in the highest SJL group (≥ 2 h) tended to have lower adherence to Baltic Sea Diet, however this association was statistically significant only among morning types (p = 0.006) as SJL was calculated by the sleep corrected formula. Participants in the lowest SJL-group consumed more berries, fruits and cereals and less alcohol compared to the participants in the highest SJL-group, but those were significant findings only among morning types (< 0.05). Participants in the highest SJL group were more obese measured by BMI and WC compared to the lowest SJL group (< 1 h) only among morning types (BMI, p = 0.016; WC, p = 0.012) by the sleep corrected SJL formula. Among evening types, there were not differences between SJL groups considering the obesity measurements. Results were similar about nutrition and obesity when SJL was calculated by the original SJL formula. Conclusion: Evening types suffer more of SJL, but it does not seem to be relevant for the quality of the diet or obesity as it is among morning types of which SJL is associated to the quality of the diet and prevalence of obesity. However, sleep debt does not seem to explain these findings.
  • Suikki, Tiina (2020)
    Introduction: Individual’s physiological functions and behavior are controlled by biological and social rhythms, as well light-dark-rhythm. The biological, intrinsic circadian rhythm is synchronized to follow the 24-hour day by external cues, mainly by light-dark-rhythm. Despite the synchronizing, there are inter-individual changes in this rhythm partly due the genetics. Chronotype expresses these differences and can vary from extreme morning type to extreme evening type. In addition, social rhythms, such as work schedules, control behavior as well. Sometimes these biological and social rhythms are not aligned causing social jet lag (SJL). From SJL can be distinguished two different phenomena; sleep debt caused by changes in sleep-awake-rhythm and the misalignment between biological and social rhythm without the effect of sleep debt. Especially evening types have been considered to suffer more of SJL and therefore, SJL has been thought to explain adverse health outcomes, such as obesity, and unhealthy behavior, such as poor quality of total diet, of evening types. However, the amount of previous studies considering the association between SJL and quality of the diet and prevalence of obesity of different chronotypes is scarce. Objectives: The objectives were to study the association between chronotype and SJL, as well the association between SJL and quality of the diet evaluated by Baltic Sea Diet Score and obesity by chronotypes in Finnish adult population. The purpose was also to study differences of two SJL formulas, of which are meant to distinguish the sleep debt and misalignment between biological and social rhythms. There are not previous studies to examine the differences between these two formulas. Methods: This study is a cross-sectional study based on two national population-based studies (FINRISK 2012, DILGOM 2014) which included 6779 men and women aged 25─74 years. Chronotype was evaluated by shortened Morningness-Eveningness Questionnaire (MEQ) and it was categorised into three group (morning, intermediate, evening). SJL was calculated by the original SJL formula and the sleep corrected SJL formula and was categorised into three groups by the degree of SJL (< 1h, ≥ 1h, < 2h and ≥ 2h). Participants’ habitual food consumption was evaluated by validated food frequency questionnaire (FFQ) and the quality of the diet by Baltic Sea Diet Score (BSDS). Body weight, height and waist circumference (WC) was measured by study personnel and BMI was calculated (kg/m2). Analysis of covariance (ANCOVA) followed by Bonferroni multiple comparison post hoc test and logistic regression were used to analyse the differences between the lowest (< 1h) and the highest (≥ 2h) SJL groups by chronotypes. Results: Among evening types were more participants in the SJL-group of at least 2 h by both of SJL formulas compared to morning types (p < 0.001). Participants in the highest SJL group (≥ 2 h) tended to have lower adherence to Baltic Sea Diet, however this association was statistically significant only among morning types (p = 0.006) as SJL was calculated by the sleep corrected formula. Participants in the lowest SJL-group consumed more berries, fruits and cereals and less alcohol compared to the participants in the highest SJL-group, but those were significant findings only among morning types (< 0.05). Participants in the highest SJL group were more obese measured by BMI and WC compared to the lowest SJL group (< 1 h) only among morning types (BMI, p = 0.016; WC, p = 0.012) by the sleep corrected SJL formula. Among evening types, there were not differences between SJL groups considering the obesity measurements. Results were similar about nutrition and obesity when SJL was calculated by the original SJL formula. Conclusion: Evening types suffer more of SJL, but it does not seem to be relevant for the quality of the diet or obesity as it is among morning types of which SJL is associated to the quality of the diet and prevalence of obesity. However, sleep debt does not seem to explain these findings.
  • Vuorela, Anna (2019)
    Aims. Sleep is very important for brain maturation in adolescence. However, the youth doesn’t often sleep enough. In adolescence evening preference in circadian rhythm becomes more common. This evening-type chronotype is often inconsistent with environment, such as early school mornings. In the long run this can lead into sleep deprivation which can then lead into low vitality, deficits in attention sustaining or some health problems for example. Also, evening-chronotype is associated with lower vitality, depressive and anxiety symptoms or health issues in adolescence. In adolescence it is also common to have unsteadiness of emotions. The aim of this study is to examine the associations between circadian rhythm and chronotype, vitality and emotions in adolescence. Additionally, the differences between genders in chronotype are also examined. Methods. 329 16–19-years old adolescents (69.9% girls) participated in the study for a week. The data used was from a Finnish cohort study SleepHelsinki!. The circadian rhythm and chronotype were assessed with actigraphy. Vitality and emotions were assessed three times in a day with a mobile application PsyMate™ which is based on Experience Sampling Method. The associations were examined with linear mixed models. Results and conclusions. In adolescence the circadian rhythm of girls is on average earlier than boys. Daytime low vitality is associated with less positive and more negative emotions in the same day. The association between low vitality and less positive emotions gets more intense as the study goes further. Chronotype as a continuous variable is not associated with daytime emotions or vitality in adolescence. Chronotype that is divided into three same sized groups is associated with daytime vitality as earlier chronotype is associated with lower daytime vitality. In adolescence the association between vitality and emotions should be paid attention to more, because vitality is something you might influence on with enough sleep. Guaranteeing higher vitality can also in the long run prevent mental health disorders since higher vitality could help stabilize emotions.
  • Lehto, Minna-Maria (2019)
    Aims. Adolescence is a vulnerable developmental stage to develop psychiatric disorders and circadian rhythm regulation difficulties (CRRDs). Studies investigating the associations of them are scarce. The aim of this study is to examine the association of CRRDs and psychiatric disorders, and whether the association is mediated by chronotype. CRRDs include late bedtimes, alteration in sleep duration and variation in standard deviations (SD) of bedtimes and sleep duration on weekdays and weekends. Gender differences are also examined. Methods. The data was from a Finnish cohort study SleepHelsinki! Study participants were 16‒18-year-old adolescents (n=317, 69.7% girls). CRRDs and chronotype were assessed with actigraph. Psychiatric disorders were assessed with The Mini-International Neuropsychiatric Interview. Statistical analyses used were logistic regression and mediation analysis. Results and Conclusions. Variations in means and SDs of bedtimes on weekdays, and alterations in SDs of bedtimes on weekends were associated with increased risk of depression. Alterations in mean bedtimes on weekdays and on weekends were associated with increased risk of suicidality, and alterations in SDs of bedtimes and sleep duration on weekdays were associated with increased risk of suicidality and antisocial personality disorder. CRRDs were not associated with anxiety disorders. Chronotype mediated the association between mean bedtimes on weekends and antisocial personality disorder. Allowing flexible schedules at school and work could support adolescents’ development, help studying and prevent CRRDs and psychiatric disorders in adolescence.