Sleep hygiene and sleep quality among yoga and naturopathy medical students in India: a multisite cross-sectional study
Year: 2025
Type: article
Study design: Observational Study
Abstract: Introduction: Poor sleep quality and sleep hygiene among medical students is a concern, with limited data on students from alternative medical systems. Methods: This cross-sectional study assessed 1,151 undergraduate yoga and naturopathy medical students from 10 Indian colleges. A structured questionnaire was used to collect sociodemographic and lifestyle data, while sleep quality, sleep hygiene, depression, anxiety, stress, and Internet addiction were evaluated using the Pittsburgh Sleep Quality Index (PSQI), the Sleep Hygiene Index (SHI), the Depression Anxiety Stress Scale (DASS-21), and the Internet Addiction Test (IAT). Logistic regression models were employed to compute adjusted odds ratios (AORs) as measures of association. Results: The average SHI and PSQI scores were 22.49 (±6.34) and 6.52 (±3.01), respectively. Poor sleep quality was reported by 59.8 and 24.7% had poor sleep hygiene. Severe depression (AOR = 5.15) and anxiety (AOR = 2.31) were linked to poor sleep hygiene, while severe stress (AOR = 0.55) was associated with poor sleep quality. Family residence was linked to lower odds of poor sleep hygiene (AOR = 0.14 for male participants, AOR = 0.26 for female participants) and better sleep quality (AOR = 1.46). Poor sleep hygiene was associated with sugary beverage consumption (AOR = 2.02), fried/packaged foods (AOR = 5.06 weekly, AOR = 8.52 daily), Internet addiction (AOR = 21.87 for male participants, AOR = 9.57 for female participants), and late device use (AOR = 3.80 for female participants). Discussion: Despite early exposure to lifestyle principles, yoga and naturopathy students experience poor sleep quality. Contributing factors include poor sleep hygiene, anxiety, stress, unhealthy eating habits, and Internet addiction. Targeted interventions are needed to improve sleep hygiene and overall wellbeing.
Source: Frontiers in Sleep
Authors: Karishma Silwal, Prakash Babu Kodali, Hemanshu Sharma, Nair Dhiren Ajit, Abhay M. Shankaregowda, Renjish Mohanan, M. Jerin Subha, K. Vibhas, S. Sivaraman, Kinjal Bhalavat, V. R. Dhilip, Jyoti Nair, Vanitha Shetty, A. N. Vineetha, Dhanya U. M. Kumar, Rakesh Gupta, Ayswarya Rohini Pandian, Vakeel Khan, Pradeep M. K. Nair
Language: English
Topic: Sleep and related disorders
Subfield: Experimental and Cognitive Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $2,353
OpenAlex ID: W4409308215