摘要
背景睡眠时长与大学生健康密切相关,但关于大学生最佳睡眠时长尚无定论,同时缺乏睡眠时长与中医体质的量效关系研究。目的探究大学生睡眠时长与中医体质的关系,为大学生睡眠时长的健康教育提供参考。方法2019年1—6月,采用立意抽样结合滚雪球抽样法对北京中医药大学、哈尔滨工业大学(威海)、北京大学、西北工业大学等143所高校在读生进行现场问卷调查。采用中医体质量表-41条目简短版(CCMQ-41)评估大学生中医体质状况,自行设计的一般情况调查表测查大学生的社会人口学信息和生活行为方式。以睡眠时长为自变量,中医体质得分为因变量,控制相关混杂变量,采用限制性立方样条模型拟合多元线性回归模型分析睡眠时长与中医体质状况的剂量-反应关系。结果本次调查共收集有效问卷1003份,有效回收率为98.2%。Pearson相关分析结果显示,睡眠时长与气郁质得分呈负相关(r=-0.067,P=0.034)。控制混杂因素后的多元线性回归分析结果显示,睡眠时长与9种中医体质得分之间不存在线性相关关系(P>0.05)。剂量-反应关系结果显示,平和质得分最高点、偏颇体质得分(特禀质除外)最低点的睡眠时长约为8 h;当睡眠时长>8.5 h时,平和质得分呈现降低趋势,气虚质、气郁质得分有增加趋势(P值均<0.05)。结论综合考虑体质整体健康状况,大学生每日最佳睡眠时长约为8 h;同时应控制睡眠时长不大于8.5 h,以防增加偏颇体质发生的可能。
Background Sleep duration of the undergraduates are closely related to their health,but there is no conclusion about the best sleep duration for undergraduates.And there is a lack of research about the dose-response relationship between sleep duration and Traditional Chinese Medicine(TCM)constitution.Objective To explore the relationship between sleep duration and TCM constitution for undergraduates,and to provide reference for their health education about sleep duration.Methods This study used a combination of purposeful sampling and snowball sampling methods to conduct on-site questionnaire survey on students from 143 universities including Beijing University of Chinese Medicine,Harbin Institute of Technology(Weihai),Peking University,Northwestern Polytechnical University from January to June 2019.We used the Constitution in Chinese Medicine Questionnaire of 41-item(CCMQ-41)to assess the TCM constitution of undergraduates,and used a selfdesigned questionnaire to measure socio-demographic information and lifestyle behaviors.This study used the restricted cubic spline fitting multiple linear regression model to analyze the dose-response relationship between sleep duration and TCM constitution with taking sleep duration as the independent variable and TCM constitution score as the dependent variable,and controlling for related confounding variables.Results This study collected 1003 valid questionnaires.The response rate was 98.2%.Pearson correlation analysis showed that the sleep duration was negatively correlated with the score of qi depression(r=-0.067,P=0.034).After controlling for confounders,multiple linear regression analysis showed that there was no linear relationship between sleep duration and TCM constitution scores(P>0.05).The dose-response relationship analysis showed that the highest point of gentleness score and the lowest point of biased constitutions score(except specific diathesis)had a sleep duration of about 8 h.When the sleep duration was>8.5 h,the gentleness score showed a tendency to decrease
作者
马方晖
朱燕波
刘雯琼
吴新瑞
张千
赵心源
李玉琼
龙利群
陈皮皮
MA Fanghui;ZHU Yanbo;LIU Wenqiong;WU Xinrui;ZHANG Qian;ZHAO Xinyuan;LI Yuqiong;LONG Liqun;CHEN Pipi(School of Management,Beijing University of Chinese Medicine,Beijing 102488,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China)
出处
《中国全科医学》
CAS
北大核心
2023年第6期718-724,733,共8页
Chinese General Practice
基金
北京中医药大学重点攻关项目(2020-JYB-ZDGG-073)
北京中医药大学成果转化专项课题(2019-XJCGZH-018)
科技部基础性工作专项(2013FY114400-5)。
关键词
中医体质
睡眠
最佳睡眠时长
大学生
健康状况
TCM constitution
Sleep
Best sleep duration
Undergraduates
Health status
