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Advanced Neurology                                                     PSG findings in young poor sleepers



            sleep quality becomes particularly pronounced among   self-reported measures for assessing sleep quality. While
            young adult males, a demographic experiencing increasing   subjective measures such as sleep questionnaires provide
            rates of sleep disturbances globally. Poor sleep health among   valuable insights into perceived sleep quality, they may
            this group constitutes a pressing public health concern,   not accurately reflect objective sleep architecture and
            with mounting evidence demonstrating its far-reaching   may underrepresent the extent and nature of actual sleep
            consequences on academic performance, occupational   disturbances.  This subjective-objective discrepancy has
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            functioning, and long-term health trajectories.    been documented across various populations but remain
              Recent epidemiological studies have revealed alarming   inadequately explored in young male adults with poor
            prevalence rates of poor sleep quality among younger   subjective sleep quality.
            populations. Research indicates that 47.1% of university   Polysomnography (PSG) represents the gold standard
            students experience poor sleep quality, with young   for comprehensive, objective sleep assessment, providing
            males representing a particularly vulnerable subgroup.    detailed  information  about  sleep  architecture,  including
                                                          2
            In the United States, the National Sleep Foundation’s   sleep stages, transitions, and various physiological
                                                                                     9,10
            comprehensive “2011 Sleep in America Poll” revealed that   parameters during  sleep.  However, there  exists
            22% of young men aged 19–29 reported poor sleep quality,   a significant dearth of polysomnographic research
            while only 12.9% characterized their sleep as optimal.    specifically examining young adult males with poor
                                                          3
            Similarly, data from the Canadian Community Health   subjective sleep quality. Most existing studies investigating
            Survey demonstrated that 8.1% of males aged 20–34   sleep disturbances in young adults rely predominantly
            experience sleep troubles at least 3 days/week.  European   on self-reported questionnaires, creating a substantial
                                                 4
            studies, including the Healthy Students, Healthy Saarland   knowledge gap regarding the actual objective sleep
            (GHS) survey from Germany, reported sleep problems in   characteristics of this population.
            24.7% of male university students, indicating the global   The potential discrepancy between subjective sleep
            scope of this health challenge. 5                  reports and objective polysomnographic measures carries
              The etiology of poor sleep quality in young male   important clinical implications. If significant differences
            adults is multifactorial, encompassing academic stress,   exist between how young males perceive their sleep quality
            social lifestyle factors, insufficient physical activity,   and their actual sleep architecture, this could inform
            and detrimental health behaviors, including smoking,   more targeted and effective therapeutic interventions.
            alcohol consumption, and poor dietary habits. In   Understanding these relationships could lead to improved
            addition, psychological factors such as anxiety and   diagnostic approaches, more personalized treatment
            depression significantly contribute to sleep disturbances   strategies, and better outcomes for young adults
            in this population.  The transition to adulthood,   experiencing sleep difficulties.
                             6,7
            characterized by increased independence, changing social   The present study addresses this critical research gap
            environments, and academic or occupational pressures,   by conducting a comprehensive comparative analysis of
            further contributes to sleep disruption. Technology use,   polysomnographic sleep parameters in young adult males
            particularly evening screen exposure and irregular sleep-  with  poor  subjective  sleep  quality  against  established
            wake schedules, further compounds these challenges.  normative  values.  By  comparing  findings  to  established

              In young adult populations, particularly young   normative data from age-  and gender-matched healthy
            men, sleep disturbances represent more than isolated   individuals, this research provides crucial insights into the
            symptoms, correlating with increased risk of developing   specific nature and extent of objective sleep disturbances
            mood disorders, cognitive impairments, and engagement   in young males reporting poor sleep quality. This approach
            in  negative  health  behaviors  such  as  increased  alcohol   allows for a more nuanced understanding of sleep
            consumption and smoking.  Sleep deprivation in this   architecture alterations in this population.
                                   6
            demographic has been associated with decreased academic
            performance,  impaired  decision-making  capabilities,   2. Materials and methods
            increased risk-taking behaviors, and compromised   2.1. Study design and ethical considerations
            immune function. Understanding the patterns and    This  cross-sectional  observational  study  was  conducted
            dynamics of sleep disturbance in this demographic is vital   from May 2023 to August 2023 at the sleep laboratory of
            for developing targeted preventive measures and evidence-  the Center for Physiotherapy and Rehabilitation Sciences,
            based management strategies.                       Jamia Millia Islamia, New Delhi, India. The study protocol
              A critical limitation in current sleep research among   received approval from the Institutional Ethics Committee
            young adults lies in the predominant reliance on traditional   (IEC)  of  Jamia  Millia  Islamia  University  (Proposal  No.:


            Volume 4 Issue 4 (2025)                         67                               doi: 10.36922/an.8614
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