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Updated: Jul 10, 2026

Human Circadian Phenotyping and Diurnal Performance Testing in the Real World
Published on: April 7, 2020
Daytime sleepiness and associated factors in Japanese school children
Alexandru Gaina1, Michikazu Sekine, Shimako Hamanishi
1Department of Welfare Promotion and Epidemiology, Faculty of Medicine, University of Toyama, Toyama, Japan. alga@med.u-toyama.ac.jp
Insights
Daytime sleepiness is common in Japanese junior high students, linked to poor sleep habits, low physical activity, and high media use. Promoting healthy sleep and lifestyle choices is crucial for improving student well-being.
Area of Science:
- Pediatric Health
- Sleep Medicine
- Public Health
Background:
- Daytime sleepiness is a prevalent issue among school-aged children.
- Factors influencing sleepiness in adolescents require further investigation.
- Understanding the relationship between lifestyle and sleepiness is vital for targeted interventions.
Purpose of the Study:
- To investigate the prevalence of daytime sleepiness in Japanese junior high school students.
- To examine the association between daytime sleepiness and sleep-wake patterns, eating habits, physical activity, and media consumption.
- To identify key factors contributing to sleepiness in this population.
Main Methods:
- A cross-sectional survey was conducted among 9,261 junior high school students in Toyama prefecture, Japan.
- Data collected included self-reported daytime sleepiness, sleep-wake patterns, dietary habits, physical activity levels, and media usage.
- Statistical analyses were performed to determine associations between variables.
Main Results:
- Over 70% of students reported experiencing sleepiness often or almost always.
- Girls reported higher rates of sleepiness than boys.
- Sleepiness was associated with reduced sleep time, higher body mass index, snacking habits, sleep disturbances, sedentary behavior, and increased media use.
- A dose-response relationship was observed between sleepiness and sleep disturbances, physical activity, and media use.
Conclusions:
- Sleep insufficiency is a primary driver of daytime sleepiness in Japanese junior high school children.
- Interventions should focus on promoting adequate sleep duration and quality.
- Encouraging regular physical activity and limiting screen time are recommended strategies to combat daytime sleepiness.
Objective:
To examine daytime sleepiness and sleepiness interrelationship with sleep-wake patterns, eating habits, physical activity, and TV/video game time.
Study Design:
A cross-sectional survey with 9,261 school children (mean age of 12.8 years) from 93 junior high schools in Toyama prefecture, Japan.
Results:
The main outcome measures were daytime sleepiness during schooldays and sleepiness interrelationship with sleep-wake patterns, eating habits, physical activity, and visual media use. A total of 2,328 children (25.2%) reported sleepiness almost always and 4,401 (47.6%) sleepiness often. Regarding sex difference, a higher proportion of girls reported sleepiness in comparison to boys (79% vs 66%, P < .001). Higher body mass index values were associated with the presence of sleepiness. In girls with preferences for daily snack (versus those who reported no snack) sleepiness presented significantly (P < .001) higher values. Reduced sleep time was significantly associated with sleepiness. The prevalence of sleepiness did not significantly differ among groups who had 7.5 hours sleep or more. A dose-response relation was found between sleepiness and sleep disturbances, physical activity, and media use time.
Conclusions:
Sleep insufficiency represents a main cause for daytime sleepiness in Japanese junior high school children. Proper sleep habits, high physical activity level, and limited TV viewing time should be promoted among school children.
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