ASSOCIATION OF EXCESSIVE MOBILE PHONE USAGE WITH SLEEP QUALITY AND FATIGUE SEVERITY: AN EPIDEMIOLOGIC SURVEY IN SAUDI POPULATION

Main Article Content

Thamir Al-khlaiwi
Syed Shahid Habib

Abstract

OBJECTIVE: To determine the effect of mobile phone usage on sleep quality and fatigue severity through standard questionnaires in Saudi Arabia mobile phone users.


METHODS: This cross-sectional study was conducted in Riyadh, Saudi Arabia on 251 mobile phone users from September 2019 to January 2020. Volunteer mobile phone users aging 15-65 years were selected by nonprobability convenience sampling technique from the Riyadh city community. The subjects were interviewed about the knowledge, attitude and practice of mobile phone use and were assessed through Pittsburg Sleep Quality index (PSQI) and Fatigue severity scale (FSS). Spearman’s correlations and Linear regression were applied for statistical analysis through SPSS V.22.


 


RESULTS: Mean age of study participates was 32.43±12.8 years. There was a significant increase in PSQI and FSS with the increase daily mobile usage. When participants exceeded one-hour daily usage, PSQI (<1h=3.75, 1-2 h=5.78, >2h=6.85, p= 0.001) and FSS (<1h= 2.25, 1-2h= 3.17, >2h= 3.61, p=0.008) exceeded acceptable scores. Moreover, placing mobile phone inside bedroom was associated with the increase of PSQI (Near Pillow=6.93, Inside Bed=6.16, Outside bed=5.75, p=0.001) and FSS (Near Pillow=3.65, Inside Bed=3.39, Outside Bed=2.58, p= 0.008). There was a significant increase in PSQI (Near Pillow=6.93, Inside Bed=6.16, Outside bed=5.75, p=0.001) and FSS (Near Pillow=3.65, Inside Bed=3.39, Outside Bed=2.58, p= 0.008) its location inside bedrooms. Significant correlation was observed between high PSQI and FSS with daily usage (r=0.213, p=0.001 & r=0.171, p=0.01 respectively).


CONCLUSION: Inappropriate and excessive mobile phone usage is associated with poor sleep quality and excessive fatigue in Saudi Arabian population.

Article Details

How to Cite
Al-khlaiwi, T., and S. S. Habib. “ASSOCIATION OF EXCESSIVE MOBILE PHONE USAGE WITH SLEEP QUALITY AND FATIGUE SEVERITY: AN EPIDEMIOLOGIC SURVEY IN SAUDI POPULATION”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 13, no. 2, June 2021, pp. 60-5, doi:10.35845/kmuj.2021.20531.
Section
Original Articles

References

Chapman, DP, Croft JB, Liu Y, Perry GS, Presley-Cantrell LR, Ford ES. Excess Frequent Insufficient Sleep in American Indians/Alaska Natives. J Environ Public Health 2013;2013:259645. https://doi.org/10.1155/2013/259645.

Matsumoto T, Chin K. Prevalence of sleep disturbances: Sleep disordered breathing, short sleep duration, and non-restorative sleep. Respir Investig 2019;57(3):227-37. https://doi.org/10.1016/j.resinv.2019.01.008

Exelmans L, den Bulck JV. Bedtime mobile phone use and sleep in adults Soc Sci Med 2016;148:93-101. https://doi.org/10.1016/j.socscimed.2015.11.037

Bhat S, Pinto-Zipp G, Upadhyay H, Polos PG. To sleep, perchance to tweet”: in-bed electronic social media use and its associations with insomnia, daytime sleepiness, mood, and sleep duration in adults. Sleep Health 2018;4(2):166-73. https://doi.org/10.1016/j.sleh.2017.12.004

Chattu VK, Manzar M, Kumary S, Burman D, Spence DW, Pandi-Perumal SR. The global problem of insufficient sleep and its serious public health implications. Healthcare (Basal) 2019;7(1):1. https://doi.org/10.3390/healthcare7010001

Ferguson SA, Appleton SL, Reynolds AC, Gill TK, Taylor AW, McEvoy RD, et al. Making errors at work due to sleepiness or sleep problems is not confined to non-standard work hours: results of the 2016 Sleep Health Foundation national survey. Chronobiol Int 2019;36(6):758-69. https://doi.org/10.1080/07420528.2019.157

Dewi, RK, Efendi F, Has EMM, Gunawan J. Adolescents’ smartphone use at night, sleep disturbance and depressive symptoms. Int J Adolesc Med Health 2018;33(2):20180095 https://doi.org/10.1515/ijamh-2018-0095

Garmy P, Ward TM. Sleep habits and nighttime texting among adolescents. J Sch Nurs 2018;34(2):121-7. https://doi.org/10.1177/1059840517704964.

Woods HC, Scott H. Sleepyteens: Social media use in adolescence is associated with poor sleep quality, anxiety, depression, and low self-esteem. J Adolesc 2016;51:41-9. https://doi.org/10.1016/j.adolescence.2016.05.008

Grover K, Pecor K, Malkowski M, Kang L, Machado S, Lulla R, Heisey D, Ming X. Effects of instant messaging on school performance in adolescents. J Child Neurol 2016 Jun;31(7):850-7. https://doi.org/10.1177/0883073815624758

Short MA, Gradisar M, Lack LC, Wright HR. The impact of sleep on adolescent depressed mood, alertness and academic performance. J Adolesc 2013;36(6):1025-33. https://doi.org/10.1016/j.adolescence.2013.08.007

Mohammadbeigi A, Absari R, Valizadeh F, Saadati M, Sharifimoghadam S, Ahmadi A, et al. Sleep quality in medical students; the impact of over-use of mobile cell-phone and social networks. J Res Health Sci 2016;16(1):46-50.

Hale L, Guan S. Screen time and sleep among school aged children and adolescents: a systematic literature review. Sleep Med Rev 2015;21:50-8. https://doi.org/ 10.1016/j.smrv.2014.07.007

Al-Khlaiwi T, Meo SA. Association of mobile phone radiation with fatigue, headache, dizziness, tension and sleep disturbance in Saudi population. Saudi Med J 2004;25(6), 732–6.

Xie YJ, Cheung DSK, Loke AY, Nogueira BL, Liu KM, Leung AY, et al. Relationships between television viewing, computer and mobile phone usage and sleep quality in a chinese population: a community-based cross-sectional study. J Med Internet Res 2020;22(7):e18095. https://doi.org/ 10.2196/18095

Hong W, Liu R, Ding Y, Sheng X, Zhen R. Mobile phone addiction and cognitive failures in daily life: the mediating roles of sleep duration and quality and the moderating role of trait self-regulation. Addict Behav 2020;107:106383. https://doi.org/ 10.1016/j.addbeh.2020.106383

Liu X, Luo Y, Liu ZZ, Yang Y, Liu J, Jia CX. Prolonged mobile phone use is associated with poor academic performance in adolescents. Cyberpsychol Behav Soc Netw 2020;23(5):303-11. https://doi.org/ 10.1089/cyber.2019.0591

Meo SA, Al-Drees, AM. Mobile phone related hazards and subjective hearing and vision symptoms in the Saudi population. Int J Occup Med Environ Health 2005;18(1):53-7.

Meo SA, Alsubaie Y, Almubarak Z, Almutawa H, AlQasem Y, Hasanato RM. Association of exposure to radio-frequency electromagnetic field radiation (RF-EMFR) generated by mobile phone base stations with glycated hemoglobin (HbA1c) and risk of type 2 diabetes mellitus. Int J Environ Res Public Health 2015;12(11):14519-28. https://doi.org/10.3390/ijerph121114519

Chetty-Mhlanga S, Fuhrimann S, Eeftens M, Basera W, Hartinger S, Dalvie MA, Röösli M. Different aspects of electronic media use, symptoms and neurocognitive outcomes of children and adolescents in the rural Western Cape region of South Africa. Environ Res 2020;184:109315. https://doi.org/ 10.1016/j.envres.2020.109315

Al-khlaiwi TM, Habib SS, Meo SA, Alqhtani MS, Ogailan AA. The association of smart mobile phone usage with cognitive function impairment in Saudi adult population. Pak J Med Sci 2020;36(7):1628-33. https://doi.org/10.12669/pjms.36.7.2826

Deniz O, Kaplan S, Selçuk M, Terzi M, Altun G, Yurt K, et al. Effects of short and long term electromagnetic fields exposure on the human hippocampus. J Microsc Ultrastruct 2019;5(4)-191-7. https://doi.org/10.1016/j.jmau.2017.07.001

Saikhedkar N, Bhatnagar M, Jain A, Sukhwal P, Sharma C, Jaiswal N. Effects of mobile phone radiation (900 MHz radiofrequency) on structure and functions of rat brain. Neurol Res 2014;36(12):1072-9. https://doi.org/10.1179/1743132814Y.0000000392

Tettamanti G, Auvinen A, Åkerstedt T, Kojo K, Ahlbom A, Heinävaara S, et al. Long-term effect of mobile phone use on sleep quality: results from the cohort study of mobile phone use and health (COSMOS). Environ Int 2020;140:105687. https://doi.org/ 10.1016/j.envint.2020.105687