.png)
The Calamity Among Medical Students: Sleep Deprivation and Dry Eye Disease
Abstract
Background: Medical students’ burden upon academic and professional duties often blinded them from attending to themselves. Piling works and nightshifts interfere ferociously with their self-care behavior, including adequate sleep. The matter not only disrupts concentration and consciousness but also tolls the eye by reducing tear secretion. Hence, the present study urgently assesses sleep quality and dry eye disease (DED) among medical students.
Methods: The cross-sectional study observed 172 eyes among medical students in Indonesia. We assessed sleep quality and dry eye disease through Pittsburgh Sleep Quality Index and Schirmer test. Independent statistician analyzed the data with chi-square.
Result: From the eligible samples, there is a dominancy of females (55.8%) with poor sleep quality (55.2%). There is no significant difference in DED or sleep quality across gender though they lean toward females. Contrarily, poor sleepers significantly correspond to 2.96 times more risk of DED than an adequate sleeper.
Conclusions: Medical students’ well-being is crucial. Aside from the academic burden, institutions and individuals shall strongly emphasize better sleep habits and eye care.
Keywords
DOI: http://dx.doi.org/10.19166/med.v10i2.7015
Full Text:
PDFReferences
1. Suni E. How Much Sleep Do We Really Need?. 2021.
2. Azad MC, Fraser K, Rumana N, Abdullah AF, Shahana N, Hanly PJ, et al. Sleep Disturbances among Medical Students: A Global Perspective. J Clin Sleep Med. 2015 Jan 15;11(01):69–74. https://doi.org/10.5664/jcsm.4370
3. Corrêa C de C, Oliveira FK de, Pizzamiglio DS, Ortolan EVP, Weber SAT. Sleep quality in medical students: a comparison across the various phases of the medical course. J Bras Pneumol. 2017 Aug;43(4):285–9. https://doi.org/10.1590/s1806-37562016000000178
4. Morales J, Yáñez A, Fernández-González L, Montesinos-Magraner L, Marco-Ahulló A, Solana-Tramunt M, et al. Stress and autonomic response to sleep deprivation in medical residents: A comparative cross-sectional study. Romigi A, editor. PLoS One. 2019 Apr 4;14(4):e0214858. https://doi.org/10.1371/journal.pone.0214858
5. Lao XQ, Liu X, Deng H-B, Chan T-C, Ho KF, Wang F, et al. Sleep Quality, Sleep Duration, and the Risk of Coronary Heart Disease: A Prospective Cohort Study With 60,586 Adults. J Clin Sleep Med. 2018 Jan 15;14(01):109–17. https://doi.org/10.5664/jcsm.6894
6. Golden MI, Meyer JJ, Patel BC. Dry Eye Syndrome. Treasure Island (FL): StatPearls Publishing LLC; 2021.
7. Stapleton F, Alves M, Bunya VY, Jalbert I, Lekhanont K, Malet F, et al. TFOS DEWS II Epidemiology Report. Ocul Surf. 2017 Jul;15(3):334–65. https://doi.org/10.1016/j.jtos.2017.05.003
8. Supiyaphun C, Jongkhajornpong P, Rattanasiri S, Lekhanont K. Prevalence and risk factors of dry eye disease among University Students in Bangkok, Thailand. Bencharit S, editor. PLoS One. 2021 Oct 1;16(10):e0258217. https://doi.org/10.1371/journal.pone.0258217
9. Aggarwal S, Galor A. What’s new in dry eye disease diagnosis? Current advances and challenges. F1000Research. 2018 Dec 19;7:1952. https://doi.org/10.12688/f1000research.16468.1
10. Rouen PA, White ML. Dry Eye Disease. Home Healthc Now. 2018 Mar;36(2):74–83. https://doi.org/10.1097/NHH.0000000000000652
11. Kawashima M, Uchino M, Yokoi N, Uchino Y, Dogru M, Komuro A, et al. The association of sleep quality with dry eye disease: the Osaka study. Clin Ophthalmol. 2016 Jun;1015. https://doi.org/10.2147/OPTH.S99620
12. Prakasa AB. Hubungan Tingkat Stress dengan Derajat Kualitas Tidur pada Mahasiswa Fakultas Kedokteran Universitas Lampung. Universitas Lampung; 2016.
13. Jin Cho K, Kyu Kim H, Ho Lim M, Soon Baek H. Depression, ADHD, Job Stress and Sleep Problems with Dry Eye Disease in Korea. J Psychiatry. 2015;18(6). https://doi.org/10.4172/2378- 5756.1000331
14. Manzar MD, Moiz JA, Zannat W, Spence DW, Pandi-Perumal SR, BaHammam AS, et al. Validity of the Pittsburgh Sleep Quality Index in Indian University Students. Oman Med J. 2015 May 15;30(3):193–202. https://doi.org/10.5001/omj.2015.41
15. Alim IZ. Test Validity and Reliability of The Instrument Pittsburgh Sleep Quality Index Indonesia Language Version. Universitas Indonesia; 2015.
16. Matossian C, McDonald M, Donaldson KE, Nichols KK, MacIver S, Gupta PK. Dry Eye Disease: Consideration for Women’s Health. J Women’s Heal. 2019 Apr;28(4):502–14. https://doi.org/.1089/jwh.2018.7041
17. L ML, Z FL, A SP, P WSL. The Influence of Estrogen on Dry Eye Prevalence in Women. J Clin Ophthalmol Eye Disord. 2021;5(1):1–4.
18. Cavdar E, Ozkaya A, Alkin Z, Ozkaya HM, Babayigit MA. Changes in tear film, corneal topography, and refractive status in premenopausal women during menstrual cycle. Contact Lens Anterior Eye. 2014 Jun;37(3):209–12. https://doi.org/10.1016/j.clae.2013.11.005
19. Liu C, Liang K, Jiang Z, Tao L. Sex hormone therapy’s effect on dry eye syndrome in postmenopausal women. Medicine (Baltimore). 2018 Oct;97(40):e12572. https://doi.org/10.1097/MD.0000000000012572
20. Vajda C, Czernin M, Matzer F, Schenkeli E, Lorenzoni N, Fazekas C. Gender related difference in sleep quality and tire dness in Austrian medical students. Eur J Public Health. 2017 Nov 1;27(suppl_3). https://doi.org/10.1093/eurpub/ckx186.258
21. Fatima Y, Doi SAR, Najman JM, Mamun A Al. Exploring Gender Difference in Sleep Quality of Young Adults: Findings from a Large Population Study. Clin Med Res. 2016 Dec 10;14(3–4):138–44. https://doi.org/10.3121/cmr.2016.1338
22. Cusmano DM, Hadjimarkou MM, Mong JA. Gonadal Steroid Modulation of Sleep and Wakefulness in Male and Female Rats Is Sexually Differentiated and Neonatally Organized by Steroid Exposure. Endocrinology. 2014 Jan 1;155(1):204–14. https://doi.org/10.1210/en.2013-1624
23. Brown AMC, Gervais NJ. Role of Ovarian Hormones in the Modulation of Sleep in Females Across the Adult Lifespan. Endocrinology. 2020 Sep 1;161(9). https://doi.org/10.1210/endocr/bqaa128
24. Plante DT, Goldstein MR. Medroxyprogesterone acetate is associated with increased sleep spindles during non-rapid eye movement sleep in women referred for polysomnography. Psychoneuroendocrinology. 2013 Dec;38(12):3160–6. https://doi.org/10.1016/j.psyneuen.2013.08.012
25. Tang J, Liao Y, Kelly BC, Xie L, Xiang Y-T, Qi C, et al. Gender and Regional Differences in Sleep Quality and Insomnia: A General Population-based Study in Hunan Province of China. Sci Rep. 2017 May 6;7(1):43690. https://doi.org/10.1038/srep43690
26. Lee YB, Koh JW, Hyon JY, Wee WR, Kim JJ, Shin YJ. Sleep Deprivation Reduces Tear Secretion and Impairs the Tear Film. Investig Opthalmology Vis Sci. 2014 Jun 6;55(6):3525. https://doi.org/10.1167/iovs.14-13881
Refbacks
- There are currently no refbacks.
Copyright (c) 2022 Anastasia Johanna Salim, Jonathan Salim, Josiah x Josiah Irma
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
MEDICINUS is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Copyright © Fakultas Kedokteran | Universitas Pelita Harapan | Lippo Karawaci, Tangerang, Indonesia, 15811 . All rights reserved. p-ISSN 1978-3094 | e-ISSN 2622-6995