摘要
目的探讨大学生不同睡眠特征与心血管代谢风险的关联,为促进大学生身体健康提供参考依据。方法采用随机整群抽样方法,于2019年4—5月在安徽省合肥市和江西省上饶市2所高校共1179名大学一年级学生中开展问卷调查和体检(包括血压、腰围和血脂指标等),纳入729名问卷信息和体检资料完整的大学生进行分析。采用匹兹堡睡眠质量指数量表(PSQI)和失眠严重程度指数量表(ISI)调查大学生睡眠行为,采用清晨型与夜晚型量表-5项(MEQ-5)评价睡眠时型。使用腰围、平均动脉压、高密度脂蛋白胆固醇(×-1)、甘油三酯和胰岛素抵抗指数的标准化性别特异性Z分数的总和得出心血管代谢风险评分。使用秩和检验比较不同人口统计学特征大学生心血管代谢风险评分差异,使用广义线性模型比较大学生不同睡眠特征与心血管代谢风险评分的关联。结果大学生心血管代谢风险评分为-0.32(-2.03,1.58)。在吸烟、健康状况及体力活动水平变量中,大学生心血管代谢风险评分差异均有统计学意义(t/F值分别为-3.41,12.88,51.07,P值均<0.01)。广义线性模型结果显示,夜晚型偏好时型(B=1.89,95%CI=1.02~3.49)、有失眠症状(B=3.25,95%CI=1.79~5.90)及过短或过长睡眠时长(B=1.92,95%CI=1.21~3.05)与大学生心血管代谢风险评分均呈正相关(P值均<0.05)。结论大学生不良睡眠模式与心血管代谢风险的发生呈正相关。应积极改变大学生睡眠行为,进而降低心血管疾病的发生风险。
Objective To describe the association of different sleep characteristics and cardiometabolic risk among college students,so as to provide reference for health promotion of college students.Methods By random cluster sampling method,a questionnaire survey and physical examination including blood pressure,waist circumference and blood lipid indicators,which were conducted in April and May of 2019 among a total of 1179 college students from the first grade in two universities in Hefei City of Anhui Province and Shangrao City of Jiangxi Province.A total of 729 college students with valid questionnaires were included into analysis.The Pittsburgh Sleep Quality Index(PSQI)and Insomnia Severity Index(ISI)were used to investigate sleep behavior,and the Morning And Evening Questionnaire-5(MEQ-5)was used to investigate sleep characteristics.The cardiometabolic risk score was derived using the sum of the standardized sexspecific Zscores of waist circumference,mean arterial pressure,HDL cholesterol(multiplied by-1),triglycerides,and insulin resistance index.The ranksum tests were used to compare differences in cardiometabolic risk scores across demographic characteristics.Generalized linear models were used to compare the association of different sleep characteristics with cardiometabolic risk scores among college students.Results The average cardiovascular metabolic risk score of college students was-0.32(-2.03,1.58).There were statistically significant differences in cardiovascular metabolic risk scores among college students in variables such as smoking,health status,and physical activity levels(t/F=-3.41,12.88,51.07,P<0.01).The results of the generalized linear model showed that nighttime preference(B=1.89,95%CI=1.02-3.49),insomnia symptoms(B=3.25,95%CI=1.79-5.90),and short or long sleep duration(B=1.92,95%CI=1.21-3.05)were positively correlated with the cardiovascular metabolic risk score of college students(P<0.05).Conclusions Poor sleep patterns among college students are positively correlated with the risk of cardiovas
作者
曹钰璇
陶舒曼
邹立巍
杨娅娟
谢阳
李婷婷
张丹
曲杨
翟爽
陶芳标
伍晓艳
CAO Yuxuan;TAO Shuman;ZOU Liwei;YANG Yajuan;XIE Yang;LI Tingting;ZHANG Dan;QU Yang;ZHAI Shuang;TAO Fangbiao;WU Xiaoyan(Department of Maternal with Child and Adolescent Health,School of Public Health,Anhui Medical University,Hefei(230032),Anhui Province,China;不详)
出处
《中国学校卫生》
CAS
北大核心
2024年第1期25-29,共5页
Chinese Journal of School Health
基金
国家自然科学基金项目(82373592,82173542)。
关键词
睡眠
心血管系统
代谢
学生
Sleep
Cardiovascular system
Metabolism
Students
