Sleep disruption in medicine students and its relationship with impaired academic performance: A systematic review and meta-analysis

Sleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at assessing the prevalence of sleep disruption in medical students and its relationship with academic performance. PubMed, Web of Sciences, EBSCO and SciELO...

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Vydáno v:Sleep medicine reviews Ročník 53; s. 101333
Hlavní autoři: Seoane, Hernan A., Moschetto, Leandra, Orliacq, Francisco, Orliacq, Josefina, Serrano, Ezequiel, Cazenave, María Inés, Vigo, Daniel E., Perez-Lloret, Santiago
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Elsevier Ltd 01.10.2020
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ISSN:1087-0792, 1532-2955, 1532-2955
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Abstract Sleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at assessing the prevalence of sleep disruption in medical students and its relationship with academic performance. PubMed, Web of Sciences, EBSCO and SciELO databases searches allowed to retrieve 41 papers with data about the prevalence of sleep deprivation, 20 of which also contained data on its association with academic performance. Poor sleep quality was reported by 5646 out of 14,170 students in 29 studies (39.8%, 95% confidence interval = 39.0–40.6%), insufficient sleep duration by 3762/12,906 students in 28 studies (29.1%, 23.3–29.9%) and excessive diurnal sleepiness by 1324/3688 students in 13 studies (35.9%, 34.3–37.4). Academic grades correlated significantly with sleep quality scores (r, 95% CI = 0.15, 0.05–0.26, random-effects model; p = 0.002, n = 10,420 subjects, k = 15 studies) and diurnal sleepiness (r = −0.12, −0.19/−0.06 under the fixed effects model, p < 0.001, n = 1539, k = 6), but not with sleep duration (r = 0.03, −0.12/0.17 under the random-effects model, p = 0.132, n = 2469, k = 9). These findings advocate for an urgent intervention aiming at improving sleep quality among medical students as a way of increasing academic achievements and, ultimately, the quality of health care.
AbstractList Sleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at assessing the prevalence of sleep disruption in medical students and its relationship with academic performance. PubMed, Web of Sciences, EBSCO and SciELO databases searches allowed to retrieve 41 papers with data about the prevalence of sleep deprivation, 20 of which also contained data on its association with academic performance. Poor sleep quality was reported by 5646 out of 14,170 students in 29 studies (39.8%, 95% confidence interval = 39.0-40.6%), insufficient sleep duration by 3762/12,906 students in 28 studies (29.1%, 23.3-29.9%) and excessive diurnal sleepiness by 1324/3688 students in 13 studies (35.9%, 34.3-37.4). Academic grades correlated significantly with sleep quality scores (r, 95% CI = 0.15, 0.05-0.26, random-effects model; p = 0.002, n = 10,420 subjects, k = 15 studies) and diurnal sleepiness (r = -0.12, -0.19/-0.06 under the fixed effects model, p < 0.001, n = 1539, k = 6), but not with sleep duration (r = 0.03, -0.12/0.17 under the random-effects model, p = 0.132, n = 2469, k = 9). These findings advocate for an urgent intervention aiming at improving sleep quality among medical students as a way of increasing academic achievements and, ultimately, the quality of health care.Sleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at assessing the prevalence of sleep disruption in medical students and its relationship with academic performance. PubMed, Web of Sciences, EBSCO and SciELO databases searches allowed to retrieve 41 papers with data about the prevalence of sleep deprivation, 20 of which also contained data on its association with academic performance. Poor sleep quality was reported by 5646 out of 14,170 students in 29 studies (39.8%, 95% confidence interval = 39.0-40.6%), insufficient sleep duration by 3762/12,906 students in 28 studies (29.1%, 23.3-29.9%) and excessive diurnal sleepiness by 1324/3688 students in 13 studies (35.9%, 34.3-37.4). Academic grades correlated significantly with sleep quality scores (r, 95% CI = 0.15, 0.05-0.26, random-effects model; p = 0.002, n = 10,420 subjects, k = 15 studies) and diurnal sleepiness (r = -0.12, -0.19/-0.06 under the fixed effects model, p < 0.001, n = 1539, k = 6), but not with sleep duration (r = 0.03, -0.12/0.17 under the random-effects model, p = 0.132, n = 2469, k = 9). These findings advocate for an urgent intervention aiming at improving sleep quality among medical students as a way of increasing academic achievements and, ultimately, the quality of health care.
Sleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at assessing the prevalence of sleep disruption in medical students and its relationship with academic performance. PubMed, Web of Sciences, EBSCO and SciELO databases searches allowed to retrieve 41 papers with data about the prevalence of sleep deprivation, 20 of which also contained data on its association with academic performance. Poor sleep quality was reported by 5646 out of 14,170 students in 29 studies (39.8%, 95% confidence interval = 39.0-40.6%), insufficient sleep duration by 3762/12,906 students in 28 studies (29.1%, 23.3-29.9%) and excessive diurnal sleepiness by 1324/3688 students in 13 studies (35.9%, 34.3-37.4). Academic grades correlated significantly with sleep quality scores (r, 95% CI = 0.15, 0.05-0.26, random-effects model; p = 0.002, n = 10,420 subjects, k = 15 studies) and diurnal sleepiness (r = -0.12, -0.19/-0.06 under the fixed effects model, p < 0.001, n = 1539, k = 6), but not with sleep duration (r = 0.03, -0.12/0.17 under the random-effects model, p = 0.132, n = 2469, k = 9). These findings advocate for an urgent intervention aiming at improving sleep quality among medical students as a way of increasing academic achievements and, ultimately, the quality of health care.
Sleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at assessing the prevalence of sleep disruption in medical students and its relationship with academic performance. PubMed, Web of Sciences, EBSCO and SciELO databases searches allowed to retrieve 41 papers with data about the prevalence of sleep deprivation, 20 of which also contained data on its association with academic performance. Poor sleep quality was reported by 5646 out of 14,170 students in 29 studies (39.8%, 95% confidence interval = 39.0–40.6%), insufficient sleep duration by 3762/12,906 students in 28 studies (29.1%, 23.3–29.9%) and excessive diurnal sleepiness by 1324/3688 students in 13 studies (35.9%, 34.3–37.4). Academic grades correlated significantly with sleep quality scores (r, 95% CI = 0.15, 0.05–0.26, random-effects model; p = 0.002, n = 10,420 subjects, k = 15 studies) and diurnal sleepiness (r = −0.12, −0.19/−0.06 under the fixed effects model, p < 0.001, n = 1539, k = 6), but not with sleep duration (r = 0.03, −0.12/0.17 under the random-effects model, p = 0.132, n = 2469, k = 9). These findings advocate for an urgent intervention aiming at improving sleep quality among medical students as a way of increasing academic achievements and, ultimately, the quality of health care.
SummarySleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at assessing the prevalence of sleep disruption in medical students and its relationship with academic performance. PubMed, Web of Sciences, EBSCO and SciELO databases searches allowed to retrieve 41 papers with data about the prevalence of sleep deprivation, 20 of which also contained data on its association with academic performance. Poor sleep quality was reported by 5646 out of 14,170 students in 29 studies (39.8%, 95% confidence interval = 39.0–40.6%), insufficient sleep duration by 3762/12,906 students in 28 studies (29.1%, 23.3–29.9%) and excessive diurnal sleepiness by 1324/3688 students in 13 studies (35.9%, 34.3–37.4). Academic grades correlated significantly with sleep quality scores ( r, 95% CI = 0.15, 0.05–0.26, random-effects model; p = 0.002, n = 10,420 subjects, k = 15 studies) and diurnal sleepiness ( r = −0.12, −0.19/−0.06 under the fixed effects model, p < 0.001, n = 1539, k = 6), but not with sleep duration ( r = 0.03, −0.12/0.17 under the random-effects model, p = 0.132, n = 2469, k = 9). These findings advocate for an urgent intervention aiming at improving sleep quality among medical students as a way of increasing academic achievements and, ultimately, the quality of health care.
ArticleNumber 101333
Author Cazenave, María Inés
Orliacq, Josefina
Vigo, Daniel E.
Perez-Lloret, Santiago
Moschetto, Leandra
Serrano, Ezequiel
Orliacq, Francisco
Seoane, Hernan A.
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  fullname: Seoane, Hernan A.
  organization: School of Medical Sciences, Universidad Católica Argentina, Buenos Aires, Argentina
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  surname: Moschetto
  fullname: Moschetto, Leandra
  organization: School of Medical Sciences, Universidad Católica Argentina, Buenos Aires, Argentina
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  surname: Orliacq
  fullname: Orliacq, Francisco
  organization: School of Medical Sciences, Universidad Católica Argentina, Buenos Aires, Argentina
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  fullname: Orliacq, Josefina
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  organization: School of Medical Sciences, Universidad Católica Argentina, Buenos Aires, Argentina
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  givenname: Daniel E.
  surname: Vigo
  fullname: Vigo, Daniel E.
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  organization: School of Medical Sciences, Universidad Católica Argentina, Buenos Aires, Argentina
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Keywords Medicine students
Diurnal somnolence
Academic performance
Sleep disruption
Language English
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Snippet Sleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at assessing the...
SummarySleep disruption severely impairs learning ability, affecting academic performance in students. This systematic review and meta-analysis aimed at...
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SubjectTerms Academic performance
Academic Success
Disorders of Excessive Somnolence - epidemiology
Diurnal somnolence
Humans
Medicine students
Neurology
Sleep Deprivation - epidemiology
Sleep disruption
Sleep Medicine
Students, Medical - statistics & numerical data
Title Sleep disruption in medicine students and its relationship with impaired academic performance: A systematic review and meta-analysis
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https://dx.doi.org/10.1016/j.smrv.2020.101333
https://www.ncbi.nlm.nih.gov/pubmed/32485517
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