摘要
目的了解成年人群肥胖与失眠的关联,为成年人群控制肥胖和改善睡眠质量提供依据。方法采用多阶段整群随机抽样方法,抽取深圳市龙岗区的16个社区,选择年龄≥18岁的社区常住居民为调查对象。采用自制问卷收集调查对象的性别、年龄、文化程度和婚姻状况等资料,并计算体质指数(BMI),采用失眠严重程度指数量表(ISI)评估睡眠状况,采用多因素logistic回归模型分析肥胖与失眠的关联。结果发放问卷10434份,回收有效问卷9425份,回收有效率为90.33%。其中男性3448人,占36.58%;女性5977人,占63.42%。年龄以18~<45岁为主,6940人占73.63%。体重过低778人,占8.25%;体重正常5522人,占58.59%;超重2209人,23.44%;肥胖916人,占9.72%。检出失眠1149例,检出率为12.19%。其中轻度失眠839人,占8.90%;中度失眠247人,占2.62%;重度失眠63人,占0.67%。多因素logistic回归分析结果显示,肥胖与失眠存在统计学关联(OR=2.179,95%CI:1.824~2.603)。结论肥胖和失眠之间存在统计学关联,应加强对居民的体重管理和睡眠健康教育。
Objective To investigate the association between obesity and insomnia among adults,so as to provide insights into obesity control and sleep health improvements among adult populations.Methods Sixteen communities were randomly sampled from Longgang District,Shenzhen City using a multistage cluster sampling method,and permanent residents at ages of 18 years and older living in these communities were recruited as study subjects.Subjects’gender,age,educational level and marital status were collected using a self-designed questionnaire,and the body mass index(BMI)was calculated.The sleep quality was evaluated using the Insomnia Severity Index(ISI),and the correlation between obesity and insomnia was evaluated using a multivariable logistic regression model.Results A total of 10434 questionnaires were allocated,and 9425 valid questionnaires were recovered,with an effective recovery rate of 90.33%.The respondents included 3448 men(36.58%)and 5977 women(63.42%),and 6940 respondents(73.63%)were at ages of 18 to 44 years.There were 778 respondents with underweight(8.25%),5522 with normal weight(58.59%),2209 with overweight(23.44%)and 916 with obesity(9.72%).Among all respondents,1149 respondents were detected with insomnia,with a detection rate of 12.19%,including 839 subjects with mild insomnia(8.90%),247 subjects moderate insomnia(2.62%)and 63 subjects with severe insomnia(0.67%).Multivariable logistic regression analysis showed a statistically significant correlation between obesity and insomnia(OR=2.179,95%CI:1.824-2.603).Conclusions There is a significant correlation between obesity and insomnia.Body weight management and sleep health education shall be intensified among adults.
作者
刘惟蜻
王承敏
曾环思
张星
王训强
熊瑛
LIU Weiqing;WANG Chengmin;ZENG Huansi;ZHANG Xing;WANG Xunqiang;XIONG Ying(Department of Psychosomatic Medicine,Shenzhen Kangning Hospital,Shenzhen,Guangdong 518100,China;Longgang Center for Chronic Disease Control,Shenzhen,Guangdong 518172,China)
出处
《预防医学》
2022年第4期366-370,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
广东省医学科研基金项目(B2021035)
广东省高水平临床重点专科(深圳市配套建设经费)资助项目(SZGSP013)
深圳市医学重点学科建设经费资助项目(SZXK041)。
关键词
肥胖
失眠
睡眠质量
obesity
insomnia
sleep quality
