摘要
目的分析河南省7~18岁儿童青少年睡眠时长与超重肥胖的关系,为有效控制超重肥胖提供支持。方法采用分层整群随机抽样方法,于2019年随机抽取河南省内8个市18 823名学生为研究对象,进行问卷调查和体格检查。采用χ2检验、秩和检验、单因素方差分析及Logistic回归分析模型进行数据分析。结果本次调查对象中,正常组有11 185人,超重有4 415人,肥胖有3 223人。男生有10 073人,女生有8 750人,调查对象的平均年龄(11.6±4.1)岁,平均睡眠时长为(8.19±1.27)h/d,不同体重3组之间的性别、年龄及睡眠时长的差异均有统计学意义(均有P<0.001)。男生和女生的超重和肥胖检出率随着睡眠时长的减少而增加(均有P趋势<0.05),且在不同睡眠时长下男生的超重和肥胖检出率高于女生(均有P<0.05)。在小学、初中及高中人群分别进行多变量Logistic回归分析模型分析,结果发现随着睡眠时间的减少,儿童青少年发生超重肥胖的风险增加(均有P<0.05)。结论睡眠不足是河南省儿童青少年超重肥胖的危险因素,保证充足的睡眠时长有利于减少超重肥胖的发生。
Objective To analyze the relationship between sleep duration and overweight/obesity among children and adolescents aged 7-18 in Henan Province,in order to provide support for effective control of overweight and obesity.Methods Questionnaire survey and physical examination were conducted among 18823 students with a stratified cluster sampling method in eight cities of Henan Province in 2019.Chi-square test,rank sum test,One-way Analysis of Variance and Logistic regression model were used for data analysis.Results Among the respondents,11185 were with normal weight,4415 were with overweight and 3223 were with obesity.There were 10073 boys and 8750 girls.The average age of the respondents was(11.6±4.1)years old and the average sleep time was(8.19±1.27)h/d.The difference in gender,age and sleep duration among the three groups were statistically significant(all P<0.001).The detection of overweight and obesity among boys and girls increased with the decrease of sleep duration(all Ptrend<0.05),and the detection of overweight and obesity in boys was higher than that of girls under different sleep duration(all P<0.05).Multivariate Logistic regression analysis was performed on the population of elementary school,junior high school and high school population respectively,the results showed that with the decrease of sleep time,the risk of overweight and obesity in children and ado-lescents increased(all P<0.05).Conclusions Insufficient sleep is a risk factor of overweight and obesity among children and adolescents in Henan Province.Adequate sleep duration can reduce the incidence of overweight and obesity.
作者
王一然
黄晓培
严惠侯
玉玮
张耀东
WANG Yi-ran;HUANG Xiao-pei;YAN Hui;HOU Yu-wei;ZHANG Yao-dong(Children's Hospital Affiliated to Zhengzhou University,Henan Children's Hospital,Zhengzhou Children's Hospital,Henan Key Laboratory of Children’s Genetics and Metabolic Diseases,Zhengzhou 450018,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2021年第3期306-310,358,共6页
Chinese Journal of Disease Control & Prevention
基金
世界健康基金会科研项目(AFINS-HOPE-2013-07)。
关键词
睡眠时长
超重肥胖
儿童青少年
Sleep duration
Overweight obesity
Children and adolescents
