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Thursday, January 28, 2021
Study links neighborhood conditions to adolescent sleep loss
Insufficient sleep decreases brain wave activity associated with cognition.
Conditions such as loud noise and few trees in neighborhoods seem to affect how much sleep adolescents get, according to a study in the journal Sleep. In a second study, researchers measured young people’s brainwaves to observe the troublesome effects of sleep loss on memory and cognitive function.
The findings were reported by two scientific teams funded by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health.
According to the Centers for Disease Control and Prevention, about six out of 10 (57.8%) middle school students and seven out of 10 (72.7%) high school students in the United States do not get the recommended amount of sleep on school nights, increasing their risk for future chronic disease development. Studies have shown a link between insufficient sleep and a higher risk of obesity, diabetes, depression, anxiety, and increased risk-taking behaviors in adolescents.
In the new residential environment study, which involved 110 adolescents, the researchers found that just small increases in neighborhood noise had a negative effect on sleep. In scientific terms, each standard deviation above average noise levels was linked to a 16-minute delay in falling sleep and 25% lower odds of sleeping at least eight hours per night. When the researchers looked at the effects of green space, however, they found that the teens who lived in neighborhoods with just one standard deviation above the average number of trees fell asleep 18 minutes earlier and experienced more favorable sleep times overall.
“For adolescents, the harms of insufficient sleep are wide-ranging and include impaired cognition and engagement in antisocial behavior,” said study author Stephanie L. Mayne, Ph.D., assistant professor of pediatrics at Children’s Hospital of Philadelphia and the Perelman School of Medicine of the University of Pennsylvania. “This makes identifying strategies to prevent and treat the problem critical. Our findings suggest that neighborhood noise and green space may be important targets for interventions.”
To record their sleep times and duration, the students in Mayne’s study wore wrist actigraphy watches for 14 days in both eighth and ninth grades. Their home addresses were mapped to show sound levels, tree canopy cover, and housing and population density. The researchers then considered sex, race, parental education, household income and size, and neighborhood poverty to reach their conclusions.
In the second study, a team of researchers at the University of California (UC) Sleep Lab in Davis showed how sleep loss associated with reduced time in bed affected the brain waves of 77 adolescents aged 10 to 16. This study was part of the lab’s longitudinal investigation of brain changes in adolescence, as measured by electroencephalogram (EEG).
The researchers predefined three different sleep schedules – four consecutive nights of seven, 8.5 or 10 hours of time in bed – and participants adhered to one of them each year. They slept with electrodes attached to their scalps to capture brain activity.
“Modest sleep restriction produced strong changes in the brain waves, which may explain how sleep loss impairs adolescents’ cognitive function,” said study author Ian G. Campbell, Ph.D., a professor in UC Davis’s psychiatry and behavioral sciences department. “We were surprised by the magnitude of the effect.”
Reducing time in bed from 10 to seven hours for four consecutive nights decreased sleep duration on the fourth night by 23%, but all-night sigma activity, which is important in memory consolidation and cognitive performance, went down by 40%.
During sleep, the brain replays, analyzes information, learns, and restores itself, all processes that sustain physical and mental health and overall performance. According to the researchers, the EEG changes in response to even modest reductions of the adolescents’ time in bed indicate insufficient sleep recovery.
“These two studies provide a snapshot of the research we fund to understand the harms of sleep deficiency and its causes,” said Marishka Brown, director of the National Center on Sleep Disorders Research, NHLBI. “They contribute objectively measured evidence of how modifiable environmental factors, such as housing and neighborhood conditions, impair sleep in adolescents and how that lack of sleep can literally be seen on the brain.”
About the National Heart, Lung, and Blood Institute (NHLBI): NHLBI is the global leader in conducting and supporting research in heart, lung, and blood diseases and sleep disorders that advances scientific knowledge, improves public health, and saves lives. For more information, visit http://www.nhlbi.nih.gov.
About the National Institutes of Health (NIH): NIH, the nation's medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit www.nih.gov.
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Campbell, I., et al. Effects of sleep restriction on the sleep electroencephalogram of adolescents. Sleep. January 2020. https://doi.org/10.1093/sleep/zsaa280
Mayne, S., et al. Associations of the Residential Built Environment with Adolescent Sleep Outcomes. Sleep. January 2020. https://doi.org/10.1093/sleep/zsaa276