成年人群睡眠与肥胖的关联研究  

Association between sleep and obesity in adults

作　　者：杨洋 何田静[2] 祝淑珍[2] 张岚[2] 黄希宝 YANG Yang;HE Tianjing;ZHU Shuzhen;ZHANG Lan;HUANG Xibao(School of Public Health,Wuhan University,Wuhan,Hubei 430071,China;Hubei Center for Disease Control and Prevention,Wuhan,Hubei 430079,China)

机构地区：[1]武汉大学公共卫生学院,湖北武汉430071 [2]湖北省疾病预防控制中心,湖北武汉430079

出　　处：《预防医学》2023年第2期116-120,共5页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的分析成年人群睡眠与超重肥胖、中心性肥胖的关系,为改善成年人群睡眠质量和预防肥胖提供依据。方法收集2020年湖北省成年居民慢性病及其危险因素监测项目的人口学信息、身高、体重、腰围和睡眠状况等资料,描述性分析居民睡眠、超重肥胖和中心性肥胖情况;采用多因素logistic回归模型分析睡眠与超重肥胖、中心性肥胖的关联。结果纳入17789人,年龄为(56.21±13.05)岁,女性占61.50%。睡眠时间为(7.18±1.56)h/d。打鼾/窒息/憋气7019人,占39.46%;入睡困难6108人,占34.34%;夜间觉醒≥2次8064人,占45.33%;服用安眠药268人,占1.51%;早醒并难以重新入睡6267人,占35.23%。检出超重肥胖8960例,占50.37%;中心性肥胖6148例,占34.56%。多因素logistic回归分析结果显示,睡眠时间<7 h/d(OR=1.081,95%CI:1.007~1.159)、打鼾/窒息/憋气(OR=2.367,95%CI:2.222~2.521)、夜间觉醒≥2次(OR=1.106,95%CI:1.028~1.191)与超重肥胖存在统计学关联;睡眠时间>8 h/d(OR=0.834,95%CI:0.761~0.913)、打鼾/窒息/憋气(OR=2.153,95%CI:2.019~2.297)、夜间觉醒≥2次(OR=1.193,95%CI:1.105~1.288)与中心性肥胖存在统计学关联。结论睡眠时间以及打鼾/窒息/憋气、夜间觉醒等睡眠行为与超重肥胖和中心性肥胖有关。Objective To examine the associations of sleep with overweight/obesity and central obesity in adults,so as to provide insights into improving sleep quality and preventing obesity in adults.Methods Demographics,height,body weight,waist circumstance and sleep status were collected from the Hubei Provincial Surveillance Program for Adult Chronic Diseases and Their Risk Factors in 2020.Subjects’sleep condiction,overweight/obesity and central obesity were descriptively analyzed.The associations of sleep with overweight/obesity and central obesity were examined using a multivariable logistic regression model.Results A total of 17789 participants were recruited,with an average age of(56.21±13.05)years,61.50%women,and mean duration of(7.18±1.56)h/d.There were 7019 participants with snoring/asphyxia/suffocation(39.46%),6108 participants with sleep difficulty(34.34%),8064 participants with night waking at least twice(45.33%),268 participants taking hypnotics(1.51%),and 6267 participants with early morning awakening and difficulty in sleep again(35.23%),and there were 8960 participants with overweight/obesity(50.37%)and 6148participants with central obesity(34.56%).Multivariable logistic regression analysis showed that sleep duration of<7 h/d(OR=1.081,95%CI:1.007-1.159),snoring/asphyxia/suffocation(OR=2.367,95%CI:2.222-2.521),and night waking at least twice(OR=1.106,95%CI:1.028-1.191)significantly correlated with overweight/obesity,and sleep duration of>8 h/d(OR=0.834,95%CI:0.761-0.913),snoring/asphyxia/suffocation(OR=2.153,95%CI:2.019-2.297),and night waking at least twice(OR=1.193,95%CI:1.105-1.288)were statistically associated with central obesity.Conclusion Sleep duration,snoring/asphyxia/suffocation and night waking are associated with overweight/obesity and central obesity.

关 键 词：睡眠 超重 肥胖 中心性肥胖 

分 类 号：R195[医药卫生—卫生统计学]