Andreoli CPP, Martino MMF 45 ORIGINAL ARTICLE Academic performance of night-shift students and its relationship with the sleep-wake cycle Desempenho acadêmico dos alunos do turno noturno e suas relações com o ciclo vigília-sono Carla Parada Pazinatto Andreoli1, Milva Maria Figueiredo De Martino2 ABSTRACT Objectives: The assessment of student achievement in the teaching-learning is a constant concern of the study professors. Actually the night shift is a reality in favor of the persons seeking qualification for a position in the labor market. This study aimed to evaluate the academic performance and correlate with the indices of student achievement and sleep patterns. Methods: Participants were college students from the University Center Herminio Ometto, UNIARARAS, SP, (n = 139) with a mean age of 23.59 years. Were used: a questionnaire to gather personal information and professional evaluation of sleep-wake cycle (sleep diaries), validated by Benedito-Silva et al. (1990). For the analysis of academic performance, we used the Scheduled System Assessment (SPA). Results: The sleep patterns were statistically different between groups (Mann-Whitney) for the variables bedtime (p < 0.001), bedtime (p <0.001), time to wake up (p <0.001) and duration nap (p = 0.009). As for academic performance, students in the daytime period had higher mean values when compared with the group the night. Conclusion: The group of diurnal periods showed better academic performance in comparison with that of the night. The later the hour of waking, the lower academic performance, suggesting the effect of nighttime sleep and deficits. The sleep quality was better for the group of the day. Keywords: educational measurement, sleep, students. RESUMO Objetivos: A avaliação do rendimento do aluno no processo ensino-aprendizagem é uma preocupação constante dos professores. Atualmente, estudar no turno noturno é uma realidade favorável às pessoas que buscam qualificação profissional para ocupar uma posição no mercado de trabalho. Este estudo buscou analisar o desempenho acadêmico e correlacionar com os índices de aproveitamento dos alunos e os padrões do sono. Métodos: Participaram estudantes universitários do Centro Universitário Herminio Ometto, Uniararas, SP, (n = 139), com média de idade de 23,59 anos. Foram utilizados: questionário para coleta de informações pessoais e profissionais e Avaliação do Ciclo vigilia-sono (Diários do sono) validado por Benedito-Silva et al. (1990). Para a análise de desempenho acadêmico, foi utilizado o Sistema Programado de Avaliação (SPA). Resultados: Os padrões de sono foram estatisticamente diferentes entre as turmas (teste de Mann-Whitney) para as variáveis hora de deitar (p < 0.001), hora de dormir (p < 0.001), hora de acordar (p < 0.001) e duração de cochilo (p = 0.009).Quanto ao desempenho acadêmico, os estudantes do período diurno obtiveram valores médios maiores quando se comparou com o grupo do noturno. Conclusão: O grupo de período diurno demonstrou melhor desempenho acadêmico em comparação com o do noturno. Quanto mais tarde a hora de acordar, menor foi o desempenho acadêmico, o que sugere o efeito do horário noturno e dos déficits de sono. A qualidade de sono foi melhor para o grupo do diurno. Descritores: avaliação educacional, estudantes, sono. INTRODUCTION The assessment of student achievement in the teaching-learning process is a constant concern for teachers. Part of teaching is checking and judging student performance to assess learning outcomes, which reflect teachers’ efficacy and professional ability(1). Traditionally, the word “assessment” means judgment, classification and exclusion, especially in an educational context, and it invariably evokes stressful situations, often filled with prejudices and injustices(2). Through daily observation and interaction with undergraduate students, it is evident that they exhibit different characteristics depending on their year of study. On the one hand, there is a population that participates and interacts with the subject matter; on the other hand, there are people with much less desire to participate in school activities. Some students sleep in class or to leave before the end of the lesson and these behaviors are more common among students of the night, since most of them work at day and studying in the night. Increasing access to higher education worldwide has been an important goal since the second half of the twentieth century. Working students who are already engaged in the job market demand higher education as a means of socioeconomic improvement(3). Another factor related to students’ academic performance is the impact of their class schedule on their sleep-wake cycle and other biological rhythms. Signs of sleep-wake cycle irregularities or partial sleep deprivation include decreased alertness and concentration while performing school activities at night. Disturbance of the sleep-wake cycle can cause behavioral and mood changes, such as increased irritability and anxiety, daytime sleepiness and increased duration of sleep on weekends(4,5). Study performed at Centro Universitário Hermínio Ometto - Uniararas. 1 Centro Universitário Hermínio Ometto – UNIARARAS – Araras (SP), Brazil. 2 Departamento de Enfermagem - Faculdade de Ciências Médicas – UNICAMP – Campinas (SP), Brazil. Corresponding author: Carla Parada Pazinatto Andreoli. Av. Dv. Maximiliano Baruto, 500. Araras - SP. CEP: 13607-339. E-mail: [email protected] Received: 29/10/2010. Accepted: 12/10/2011. Sleep Sci. 2012;5(2):45-48 68 - Academic performance of night-shift students and its relationship with the sleep-wake cycle.indd 45 13/07/2012 17:37:38 46 Academic performance of night-shift students and its relationship with the sleep-wake cycle The aim of this study is to correlate indices of student performance with aspects of the sleep pattern to test whether these factors affect academic performance. MATERIALS AND METHOD Students enrolled in the first and second years of the Aesthetics Technology course at the Hermínio Ometto University Center (n = 139), with a mean age of 23.59 years, attending morning (n = 53) and night classes (n = 86), were invited to participate in the present study. The study met the ethical guidelines of the Committee on Ethics and Scientific Merit of the Hermínio Ometto University Center – UNIARARAS. The study was approved and registered at the Committee on Ethics and Research (CEP) under protocol nº. 582/2007. All participants were asked to sign a free and informed consent form. The following tools were used for data collection: a questionnaire for collecting personal and professional data and a questionnaire for the assessment of the sleep-wake cycle (sleep diary) from the Multidisciplinary Group on Development and Biological Rhythms, ICB/USP(6). The Programmed System of Assessment (PSA) was used to assess academic performance. The PSA is a tool developed internally by the academic institution, consisting of six questions on current issues, six questions on interdisciplinary topics and twenty-eight questions specific to each course. Students were selected according to their work and study shifts (morning or night). Sleep data were logged in the sleep diary each morning after nighttime sleep throughout a four-week period. The subjects were asked to fill out the questionnaires on personal and professional data before beginning the sleep diary. These data were collected inside the classroom. The students answered the questionnaires and returned them immediately after filling them out. RESULTS There was a predominance of females in the sample (99.28%), and they were 20 to 29 years old (43.88%), were mostly single (75.54%) and had no children (84.89%). The majority (62.32%) reported holding a job while attending school. Approximately half (53.24%) were using some kind of medication (Table 1). These students commuted to work in private company transportation because most did not have their own means of transportation (56.83%) (Table 1). When comparing morning and night students, statistically significant results were obtained using the MannWhitney U-test for bedtime (p < 0.001), sleep onset time (p < 0.001), wake-up time (p < 0.001) and duration of naps (p = 0.009) (Table 2). When comparing age groups, statistically significant differences were obtained using the Kruskal-Wallis H-test for number of children (p < 0.001), work experience (p < 0.001), PSA score (p < 0.005) and duration of sleep (p<0.001) (Table 3). Table 1. Demographic characteristics of the sample. Araras – SP, 2008 (n=139). Characteristic N Percentage AGE (YEARS) < 20 61 43.88 20-29 56 40.29 ≥ 30 22 15.83 Female 138 99.28 Male 1 0.72 Single 105 75.54 Married 25 17.99 Gender Marital Status Divorced 7 5.04 Other 2 1.44 None 118 84.89 One 11 7.91 Two 7 5.04 Three 3 2.16 Number of Children Employed Yes 87 62.59 No 52 37.41 Yes 74 53.24 No 65 46.76 Use of Medications Own Transportation Yes 60 43.17 No 79 56.83 As shown in Figure 1, there were significant correlations between academic performance (PSA score) and age, number of children, work experience and wake-up time. Among the morning group, a statistically significant association was found between number of children and PSA score using Spearman’s Correlation Coefficient. Participants with fewer children showed greater academic achievement as measured by the PSA, with an average score above five (Figure 1a). Moreover, a statistically significant correlation was found between work experience and PSA score for the morning students through Spearman’s Correlation Coefficient. Students with approximately five years of work experience showed below-average scores after adjustment for work (Figure 1b). A statistically significant correlation was observed between work experience and PSA score in night students using Spearman’s Correlation Coefficient. Students with more work experience showed better academic performance and above-average grades (Figure 1c). When relating wake-up time to PSA score, it was evident that students who woke up earlier had better academic performance (Figure 1d). Sleep Sci. 2012;5(2):45-48 68 - Academic performance of night-shift students and its relationship with the sleep-wake cycle.indd 46 13/07/2012 17:37:38 Andreoli CPP, Martino MMF 47 Table 2. Descriptive and comparative analysis of individual characteristics, sleep pattern and PSA score between morning and night classes. Araras – SP, 2008. Morning Class Night Class Variable p – Value n Mean s.d. n Mean s.d. * Age 53 25.06 10.13 86 22.69 5.69 0.991 Nº. Children 53 0.32 0.75 86 0.20 0.57 0.318 Time 25 7.52 7.25 58 5.35 6.24 0.217 Commuting 52 86.48 57.52 86 116.10 62.91 0.004 * PSA score 52 5.63 1.20 85 5.56 0.99 0.710 Bedtime 51 23.78 0.88 80 24.59 0.95 < 0.001 * Sleep onset time 51 24.16 0.93 80 24.92 0.93 < 0.001 * Latency 51 0.38 0.22 80 0.34 0.20 0.130 Quality of nighttime sleep 51 7.37 1.59 80 7.19 1.13 0.170 Wake-up time 51 7.59 1.33 80 8.46 2.17 < 0.001 * Sleep duration 51 7.18 0.76 80 7.19 0.88 0.959 Feels awake 51 6.48 1.83 80 6.20 1.40 0.197 0.78 0.009 * Nap 44 1.69 0.73 62 1.38 p-value refers to the Mann-Whitney U-test for comparing variables between classes (morning vs. night). Table 3. Comparison between the numerical variables of sleep pattern and PSA scores by age group. Araras - SP, 2008. Variable / age group * < 20 20 - 29 30 p* n Mean s.d. n Mean s.d. n Mean s.d. Children 61 0.20 1.29 56 0.11 0.37 22 1.18 1.10 <0.001 Time 25 1.62 1.25 41 5.04 4.24 17 14.76 7.85 <0.001 Commuting 60 1.62 1.11 56 1.91 1.03 22 1.67 0.81 0.181 PSA score 60 5.36 1.07 55 5.62 1.04 21 6.18 0.93 <0.005 Bedtime 56 24.27 0.99 53 24.39 0.78 22 23.97 1.41 0.479 Sleep onset time 56 24.60 1.01 53 24.74 0.75 22 24.39 1.42 0.396 Latency 56 0.33 0.20 53 0.35 0.23 22 0.41 0.20 0.286 Quality of nighttime sleep 56 7.61 1.13 53 6.98 1.42 22 7.05 1.40 0.100 Wake-up time 56 7.99 1.21 53 7.81 0.90 22 8.62 4.08 0.154 Duration of sleep 56 7.58 0.81 53 7.03 0.70 22 6.56 0.73 <0.001 Feels awake 56 6.57 1.47 53 6.12 1.62 22 6.11 1.72 0.360 Nap 44 1.65 0.88 46 1.44 0.72 16 1.33 0.58 Significant differences for the Kruskal-Wallis H-test for comparing variables between age groups (Dunn’s post-hoc test; p < 0.05). Figure 1. Statistically significant results (Spearman’s Correlation) for the relation of PSA score to number of children, work experience and wake-up time for morning and night classes. 0.495 DISCUSSION This study was conducted with students attending morning or nighttime higher education classes. This population represents the part of the student body that has opted for courses that address new trends in the job market, which is becoming increasingly selective, demanding and flexible. Unemployment is an inevitable consequence of the current lack of worker training and problem-solving skills. In terms of individual characteristics, there was a predominance of females in our sample, in line with data obtained by the National Institute of Studies and Research (Inep)(7). It has been noted that females are strongly represented in higher education courses in both public and private institutions. There was a predominance of single students with no children because the study population was young. Furthermore, it was noted that the students attending night classes were younger, indicating that the most participants Sleep Sci. 2012;5(2):45-48 68 - Academic performance of night-shift students and its relationship with the sleep-wake cycle.indd 47 13/07/2012 17:37:39 48 Academic performance of night-shift students and its relationship with the sleep-wake cycle hold a job in addition to their schoolwork. The young age range in this study represents a general student profile that features, above all, a motivation to perform and achieve certain goals through enthusiastic action, emotion, energy, joy and pleasure from being able to do what they enjoy in the best possible way at their present moment in life(8-10). Students attending night classes went to bed later than students attending morning classes, and the difference between the groups was statistically significant. This difference can be explained by the groups’ work hours because students attending night classes arrive home from school later and therefore go to bed later. The variable of sleep onset time also showed a statistically significant difference between students attending night classes and those attending morning classes. This difference can be characterized by the time when students arrive home, have dinner and get ready to sleep, which is later for students attending night classes. It may also take night students longer to unwind from their exhausting daily activities of work and studying. A statistically significant difference in commute times was observed for the students attending night classes, which may be caused by students who do not hold jobs. Students attending night classes reported a longer commuting time between their residence and the university because they lived in a different municipality than the students who attended morning classes and thus had to travel every day to attend class. Another study has reported a similar finding(11). Although the government makes efforts to protect its citizens, everyday commuting difficulties caused by traffic and transportation delays, together with inadequate nutrition and urban violence, result in impairment of students’ physical, psychological and emotional health, which will certainly influence their academic performance(11). However, not everything that derives from being a worker who also attends school is negative; on the contrary, these students gain significant experience from their contact with the working world and from experiencing different forms of socioeconomic insertion(12). The research analyzed whether the participants showed indications that they were performing poorly, such as lack of interest, motivation or commitment, poor discipline, insufficient study habits, low level of knowledge, difficulties in interpretation and reasoning, or a focus solely on getting a grade. It is clear that it is possible for students to demonstrate good academic performance regardless of the quality of their study skills. CONCLUSION Based on these data, it was possible to conclude that students aged ≥ 30 years who have children and more experience showed better academic performance and higher mean PSA scores. When comparing students in morning and night classes, the morning students had the higher scores. Younger students studied at night, unlike those from older age groups. It was concluded that students attending night classes go to sleep later than those attending morning classes, and they are also late risers. Morning students have a habit of taking naps, whereas night students are unable to take naps because of their work schedules. Quality of sleep was higher for morning students. Later wake-up times were associated with lower academic performance, which suggests an effect of night shift work and sleep deficits. REFERENCES 1. Haydt RC. Avaliação do processo Ensino-Aprendizagem. São Paulo: Ática; 2004. 2. Nori MTM. A aprendizagem e o papel do professor. São Paulo: SENAC - Centro de Tecnologia e Gestão Educacional; 2003. 3. Martins CB. Uma reforma necessária Educação e Sociedade. Campinas: Papirus; 2006. p.1001-20. 4. Alapin I, Fichten CS, Libman E, Creti L, Bailes S, Wright J. How is good and poor sleep in older adults and college students related to daytime sleepiness, fatigue, and ability to concentrate? J Psychosom Res. 2000;49(5):381-90. 5. Lima PF, Medeiros AL, Araujo JF. Sleep-wake pattern of medical students: early versus late class starting time. 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