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J Adolesc ; 94(3): 488-492, 2022 04.
Article in English | MEDLINE | ID: covidwho-1733889


INTRODUCTION: Early school start times adversely influence adolescents' sleep duration. Late school start times and remote learning are associated with longer sleep durations. We leveraged a highly variable school schedule adopted after the first SARS-CoV-2 wave in Uruguay to study the influence of a hybrid mode of instruction (in-person/remote) with irregular school start times on adolescents' sleep. METHODS: Objective sleep on school nights (120 observations) was determined using accelerometry recordings of 15 high-school students (3 males 15-17 years old). We used mixed-effects regressions to explore the influence of the mode of instruction (in-person/remote) and school start time on adolescents' sleep patterns (onset, end, and duration). RESULTS: An irregular individual regime of 2-6 school days per week, either in-person or remote, and with irregular start times (range: 07:30-12:00) were observed during the studied period. Remote learning delayed sleep end by 48 ± 9 min and increased sleep duration by 36 ± 12 min. In addition, 1 h delay in school start time delayed sleep end in 36 ± 4 min and increased sleep duration in 34 ± 5 min. CONCLUSIONS: A strong linear association of the mode of instruction and the school start time with participants' sleep was observed: Only waking time was associated with both school start time and mode of instruction, and sleep duration increased when students were taught remotely and when school started later. These results add evidence to the effectiveness of delaying school start time to improve adolescents' sleep. However, these efforts may not overcome the influence of a very late circadian orientation, as observed in Uruguayan adolescents.

COVID-19 , SARS-CoV-2 , Adolescent , Humans , Male , Schools , Sleep , Students
Obesity (Silver Spring) ; 30(5): 1015-1026, 2022 05.
Article in English | MEDLINE | ID: covidwho-1669604


OBJECTIVE: This study aimed to assess the effects of the COVID-19 pandemic on weight loss, physical activity, and sleep in adults with overweight or obesity participating in a 39-week weight-loss intervention. METHODS: Participants (n = 81, 85% female, mean [SD] age 38.0 [7.8] years, BMI 34.1 [5.7] kg/m2 ) were enrolled in 3 separate cohorts. Cohorts 1 and 2 were studied prior to the pandemic (pre-COVID cohorts). Cohort 3 (COVID cohort) transitioned to a virtual intervention at week 6, when "stay-at-home" orders were implemented in Colorado. Weight was assessed at baseline, week 12, and week 39 with clinic scales before the pandemic and home scales during the pandemic. Diet was assessed with Likert scales at weeks 4, 8, and 12. Physical activity and sleep were assessed at baseline and week 12 with actigraphy. RESULTS: Participants in the COVID cohort reported greater dietary adherence (p = 0.004) and lost more weight than those in the pre-COVID cohorts at week 12 (-7.7 [3.3] kg vs. -3.7 [3.0] kg, p < 0.001) and week 39 (-8.5 [4.4] kg vs. -2.8 [4.6] kg, p < 0.001). Energy intake did not differ between cohorts (p = 0.51). The COVID cohort increased both sedentary time while awake and time in bed at night. CONCLUSIONS: Although the pandemic caused disruptions for the COVID cohort, participants still achieved weight loss with continued behavioral support.

COVID-19 , Adult , Female , Humans , Male , Obesity/epidemiology , Obesity/therapy , Overweight/epidemiology , Pandemics , Weight Loss
Curr Biol ; 30(14): R797-R798, 2020 07 20.
Article in English | MEDLINE | ID: covidwho-592063


Sleep health has multiple dimensions including duration, regularity, timing, and quality [1-4]. The Coronavirus 2019 (COVID-19) outbreak led to Stay-at-Home orders and Social Distancing Requirements in countries throughout the world to limit the spread of COVID-19. We investigated sleep behaviors prior to and during Stay-at-Home orders in 139 university students (aged 22.2 ± 1.7 years old [±SD]) while respectively taking the same classes in-person and remotely. During Stay-at-Home, nightly time in bed devoted to sleep (TIB, a proxy for sleep duration with regard to public health recommendations [5]) increased by ∼30 min during weekdays and by ∼24 mins on weekends and regularity of sleep timing improved by ∼12 min. Sleep timing became later by ∼50 min during weekdays and ∼25 min on weekends, and thus the difference between weekend and weekday sleep timing decreased - hence reducing the amount of social jetlag [6,7]. Further, we find individual differences in the change of TIB devoted to sleep such that students with shorter TIB at baseline before the first COVID-19 cases emerged locally had larger increases in weekday and weekend TIB during Stay-at-Home. The percentage of participants that reported 7 h or more sleep per night, the minimum recommended sleep duration for adults to maintain health [5] - including immune health - increased from 84% to 92% for weekdays during Stay-at-Home versus baseline. Understanding the factors underlying such changes in sleep health behaviors could help inform public health recommendations with the goal of improving sleep health during and following the Stay-at-Home orders of the COVID-19 pandemic.

Communicable Disease Control , Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Sleep , Students , COVID-19 , Chronobiology Disorders/physiopathology , Circadian Rhythm , Colorado/epidemiology , Humans , Pandemics , Universities