银川市学龄儿童青少年睡眠时间与血脂异常的关系  

Association between sleep duration and dyslipidemia in school-age children and adolescents,Yinchuan

作　　者：李凯凯 贾磊娜 刘秀英 张玲 丁文清 LI Kai-kai;JIA Lei-na;LIU Xiu-ying;ZHANG Ling;DING Wen-qing(School of Public Health and Management,Ningxia Medical University,Yinchuan,Ningxia 750004,China)

机构地区：[1]宁夏医科大学公共卫生与管理学院

出　　处：《现代预防医学》2019年第11期1965-1968,1999,共5页Modern Preventive Medicine

基　　金：国家自然科学基金(81660565);宁夏高等学校一流学科建设(公共卫生与预防医学学科)资助项目(NXYLXK2017B08)

摘　　要：目的了解银川市学龄儿童青少年睡眠时间的分布状况,并分析睡眠时间与血脂异常的关系。方法采用现况研究,共抽取银川市1 662名6~18岁学龄儿童青少年为研究对象,对其进行体格检查、问卷调查和实验室检测。结果男、女各年龄组中随着年龄的增长睡眠时间<6. 8h呈上升趋势,差异有统计学意义(男:χ^2=213. 019,女:χ^2=269. 115,均P <0. 001)。睡眠时间<6. 8h与7. 9~9. 0h相比,睡眠时间<6. 8h的血脂异常检出率较高,且睡眠时间<6. 8h的血脂异常检出率是7. 9~9. 0h的1. 5(95%CI:1. 0~2. 2)倍,差异有统计学意义(χ^2=4. 094,P <0. 05)。睡眠时间<6. 8h的儿童青少年患血脂异常的风险是睡眠时间≥9h的2. 31(95%CI:1. 19~4. 51)倍,差异有统计学意义(χ^2=6. 078,P <0. 05);进一步调整年龄、性别和BMI后,上述现象依然存在,睡眠时间<6. 8h的儿童青少年患血脂异常的风险是睡眠时间≥9h的2. 00(95%CI:1. 02~3. 93)倍,差异有统计学意义(χ^2=4. 052,P <0. 05)。结论学龄儿童青少年睡眠时间不足随着年龄的增长呈上升的趋势,且睡眠时间不足与血脂代谢异常有关。Objective To understand the distribution of sleep duration among school-age children and adolescents in Yinchuan City,and to analyze the association between sleep duration and dyslipidemia. Methods The prevalence study design was used to select 1 662 children and adolescents aged 6-18 years from Yinchuan City as subjects,and all subjects completed physical examinations,questionnaires and laboratory tests. Results The number of people whose sleep duration < 6. 8 h increased with age in both male and female age groups,with statistically significant differences( boy:χ^2= 213. 019,girls:χ^2=269. 115,all P < 0. 001). Compared with those whose sleep duration was 7. 9-9. 0 h,the detection rate of dyslipidemia was higher when the sleep duration was < 6. 8 h,and the detection rate of dyslipidemia was 1. 5( 95% CI: 1. 0 2. 2) times of that of7. 9-9. 0 h,and the differences were statistically significant(χ^2= 4. 094,P < 0. 05). Children and adolescents who slept for less than 6. 8 h were 2. 31( 95% CI: 1. 19 4. 51) times more likely to develop dyslipidemia than those who slept for more than 9 h,with statistically significant differences(χ^2= 6. 078,P < 0. 05). After further adjustment of age,gender and BMI,the above phenomenon still exists. Children and adolescents who slept less than 6. 8 h had a 2. 00( 95% CI: 1. 02 3. 93) times higher risk of dyslipidemia than those who slept more than 9 h,and the difference was statistically significant(χ^2= 4. 052,P < 0. 05). Conclusion The lack of sleep duration in children and adolescents tends to increase with age,and the reduction of sleep duration is related to abnormal lipid metabolism.

关 键 词：儿童青少年 睡眠时间 血脂异常 

分 类 号：R179[医药卫生—妇幼卫生保健]