Shuteye Time Compared With Bedtime: Misclassification of Sleep in Adolescent Females
Abstract
Short sleep duration is associated with poorer outcomes for adolescents; however, sleep duration is often assessed (either by questionnaire or device) using self-reported bedtime (i.e., the time a person goes to bed). With sedentary activities, such as screen time, being common presleep in-bed behaviors, the use of “bedtime” may introduce error to the estimates of sleep duration. It has been proposed that self-reported “shuteye time” (i.e., the time a person starts trying to go to sleep) is used instead of bedtime. This study aimed to compare the bedtimes and shuteye times of a sample of 15- to 18-year-old female adolescents recruited from 13 high schools across New Zealand. The influence on sleep duration estimates and associations with healthy lifestyle habits was also examined. Sleep data were collected from 136 participants using actigraphy and self-report. On average, 52 min (95% confidence interval [43, 60] min) of sedentary time was misclassified as sleep when bedtime was used instead of shuteye time with actigraph data. Mean bedtimes on weekdays and weekends were 9:56 p.m. (SD = 58 min) and 10:40 p.m. (SD = 77 min), respectively. The relationship between bedtime and shuteye time was not linear—indicating that bedtime cannot be used as a proxy for shuteye time. Earlier shuteye times were more strongly associated with meeting fruit and vegetable intake and sleep and physical activity guidelines than earlier bedtimes. Using bedtime instead of shuteye time to estimate sleep duration may introduce substantial error to estimates of both sleep and sedentary time.
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The study had objective measures of sleep via accelerometry and objectively measured screen time from getting into bed until shut-eye using infrared night vision video cameras.
“We had objective measures of sleep via accelerometry and objectively measured screen time from getting into bed until shut-eye (the shut-eye latency period) using infrared night vision video cameras, a bedtime period often missed or mischaracterized in sleep research.49,50”
From Screen Use at Bedtime and Sleep Duration and Quality Among Youths (2024) · cites this paper as [50]
Bedtime is not synonymous with attempts to sleep straightaway in the modern world.
“Examining the interval from retiring to bed until attempting sleep (shut-eye latency) separately from bedtime is important, as bedtime is not synonymous with attempts to sleep straightaway in the modern world.41”
From Screen Use at Bedtime and Sleep Duration and Quality Among Youths (2024) · cites this paper as [41]
Cites
Development of a WHO growth reference for school-aged children and adolescents
de Onis, M. (2007) · Bulletin of the World Health Organization · doi:10.2471/blt.07.043497 · Cited by 8,826 · see citing works
Self-Reported and Measured Sleep Duration: How Similar Are They?
Lauderdale, D. S., Knutson, K. L., Yan, L. L., Liu, K., & Rathouz, P. J. (2008) · Epidemiology · doi:10.1097/ede.0b013e318187a7b0 · Cited by 1,565 · see citing works
Activity-Based Sleep-Wake Identification: An Empirical Test of Methodological Issues
Sadeh, A., Sharkey, M., & Carskadon, M. A. (1994) · Sleep · doi:10.1093/sleep/17.3.201 · Cited by 1,487 · see citing works
Carson, V., Hunter, S., Kuzik, N., Gray, C. E., Poitras, V. J., Chaput, J.-P., Saunders, T. J., Katzmarzyk, P. T., Okely, A. D., Connor Gorber, S., et al. (2016) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2015-0630 · Cited by 1,380 · see citing works
Calibration of Accelerometer Output for Children
Freedson, P. S., POBER, D. M., & Janz, K. F. (2005) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000185658.28284.ba · Cited by 1,106 · see citing works
Chaput, J.-P., Gray, C. E., Poitras, V. J., Carson, V., Gruber, R., Olds, T., Weiss, S. K., Connor Gorber, S., Kho, M. E., Sampson, M., et al. (2016) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2015-0627 · Cited by 898 · see citing works
Children’s sleep and health: A meta-review
Matricciani, L., Paquet, C., Galland, B., Short, M., & Olds, T. (2019) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2019.04.011 · Cited by 453 · see citing works
Twenge, J. M., Krizan, Z., & Hisler, G. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.08.013 · Cited by 303 · see citing works
Pedišić, Ž., Dumuid, D., & Olds, T. (2017) · Victoria University Research Repository (Victoria University) · Cited by 248 · see citing works
Insufficient Sleep Duration Is Associated With Dietary Habits, Screen Time, and Obesity in Children
Tambalis, K. D., Panagiotakos, D. B., Psarra, G., & Sidossis, L. S. (2018) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7374 · Cited by 174 · see citing works
Asarnow, L. D., McGlinchey, E., & Harvey, A. G. (2014) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2013.09.004 · Cited by 160 · see citing works
Assessing sleep using hip and wrist actigraphy
Slater, J. A., Botsis, T., Walsh, J. H., King, S., Straker, L. M., & Eastwood, P. R. (2015) · Sleep and Biological Rhythms · doi:10.1111/sbr.12103 · Cited by 159 · see citing works
Bedtime, shuteye time and electronic media: sleep displacement is a two-step process.
Exelmans, L., & Van den Bulck, J. (2017) · Journal of Sleep Research · doi:10.1111/jsr.12510 · Cited by 106 · see citing works
Smith, C. P., Galland, B. C., Taylor, R. W., & Meredith-Jones, K. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00958 · Cited by 93 · see citing works
Self-citationSmith, C. P., de Wilde, T., Taylor, R. W., & Galland, B. C. (2020) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2019.12.007 · Cited by 40 · see citing works
Self-citationAssociation of sleep duration and snack consumption in children and adolescents: The CASPIAN‐V study
Mozafarian, N., Heshmat, R., Ataie‐Jafari, A., Motlagh, M. E., Ziaodini, H., Shafiee, G., Taheri, M., Mansourian, M., Qorbani, M., & Kelishadi, R. (2020) · Food Science & Nutrition · doi:10.1002/fsn3.1471 · Cited by 37 · see citing works
Sleep Duration and Weight-Related Behaviors among Adolescents
Widome, R., Lenk, K. M., Laska, M. N., Erickson, D. J., Iber, C., Kilian, G., & Wahlstrom, K. L. (2019) · Childhood Obesity · doi:10.1089/chi.2018.0362 · Cited by 30 · see citing works
Peddie, M. C., Ranasinghe, C., Scott, T., Heath, A. M., Horwath, C. C., Gibson, R. S., Brown, R. C., Houghton, L. A., & Haszard, J. J. (2020) · JMIR Research Protocols · doi:10.2196/17310 · Cited by 22 · see citing works
Self-citationTye, L., Scott, T., Haszard, J. J., & Peddie, M. C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17176346 · Cited by 17 · see citing works
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1 of the 20 references couldn’t be matched to a known paper.
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Bauducco, S., Pillion, M., Bartel, K., Reynolds, C., Kahn, M., & Gradisar, M. (2024) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2024.101933 · Cited by 102 · see citing works
Screen Use at Bedtime and Sleep Duration and Quality Among Youths
Brosnan, B., Haszard, J. J., Meredith-Jones, K. A., Wickham, S.-R., Galland, B. C., & Taylor, R. W. (2024) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2024.2914 · Cited by 69 · see citing works
Self-citationHale, L. E., Hartstein, L. E., & Ceranoglu, T. A. (2024) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2024.07.032 · Cited by 2 · see citing works
Importance of characterising sleep breaks within the 24-h movement behaviour framework
Sabia, S., Yerramalla, M. S., & Liu-Ambrose, T. Y. L. (2022) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-021-01241-5 · Cited by 2 · see citing works
Yan, X., Ma, Z., Zhang, Y., Zhou, Y., & Wang, C. (2026) · Health Communication · doi:10.1080/10410236.2026.2724342
- Authors
- Haszard, J. J., Scott, T., Smith, C., & Peddie, M. C.
- Affiliations
- University of Otago (NZ)
- Venue
- Journal for the Measurement of Physical Behaviour
- Publisher
- Human Kinetics
- Published
- 2021-06-01
- Volume
- 4
- Issue
- 2
- Pages
- 137-142
- ISSN
- 2575-6605 (ISSN-L)
- 2575-6613
- OpenAlex
- W3155225474
- Cited by
- 5
- References
- 20
- Citations by year
- 2026: 1 · 2024: 3 · 2022: 1
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal for the Measurement of Physical Behaviour (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- bedtime, sleep duration, misclassification, sedentary behavior, screen time, adolescents, actigraphy, self-reported sleep, sleep timing, fruit and vegetable intake, physical activity, healthy lifestyle habits
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