初中生睡眠质量与肥胖的相关性分析  

Relationship between sleep quality and two types of obesity in junior school students

作　　者：任艳峰[1] 翟强[1] 王素珍[1] 

机构地区：[1]潍坊医学院公共卫生学院,山东261053

出　　处：《中国学校卫生》2015年第9期1316-1318,共3页Chinese Journal of School Health

基　　金：国家自然科学基金项目(81473071);山东省自然科学基金资助课题项目(ZR2013HM045);潍坊市科技发展计划项目(201301076)

摘　　要：目的探讨初中生睡眠质量与不同肥胖类型之间的相关性,为预防儿童青少年肥胖提供科学依据。方法对随机整群抽取的852名潍坊市初中生进行匹兹堡睡眠质量指数量表（Pittsburgh Sleep Quality Index,PSQI）问卷调查,并测量初中生的身高、胸围和体重。结果不同睡眠时间组（〉7 h和≤7 h）的BMI分别为（20.29±3.57）kg/m2和（21.56±3.63）kg/m2,WHtR分别为（0.44±0.05）和（0.47±0.26）,差异均有统计学意义（P值均〈0.05）。是否睡眠障碍组BMI分别为（20.11±3.47）kg/m2和（20.84±4.08）kg/m2,WHtR分别为（0.44±0.05）和（0.48±0.33）,差异均有统计学意义（P值均〈0.05）。调整了年龄、性别等因素的多元Logistic回归分析中,初中生睡眠质量与BMI[OR（95%CI）=1.33（0.92~1.92）]和WHtR[OR（95%CI）=1.53（1.11~2.17）]关联均存在统计学意义（P值均〈0.05）。在控制BMI后,睡眠质量与WHtR的关联有统计学意义（P〈0.01）。结论初中生睡眠质量与两种类型肥胖均相关,和向心性肥胖的关联性较强。改善初中生睡眠质量有助于预防儿童青少年肥胖。Objective To explore the relationship between sleep quality and two types of obesity in junior school students, and to provide scientific evidence for obesity prevention. Methods A total of 852 junior school students cluster-sampled were investigated with Pittsburgh Sleep Quality Index（PSQI）. Height,weight and waist circumference were examined. Results Both sleep duration and disturbance was correlated with body mass index （ BMI） and waist/height （ WHtR）. Sleep latency was related to WHtR. The total sleep quality was associated with BMI and WHtR in muhivariable logistic regression analyses. Sleep quality was related to WHtR in partial correlation analyses after BMI was controlled. Conclusion Sleep quality is related to two types of obesity in junior school students,especially central obesity. The improving of sleep quality will help to reduce obesity prevalence in children and adolescents.

关 键 词：睡眠异常 肥胖症 回归分析 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] R395.6[医药卫生—公共卫生与预防医学]