武汉市20-26月龄幼儿睡眠状况与认知发育水平的相关性研究  

Study on Correlation Between Sleep Status and Cognitive Development levelof Children Aged 20-26 Months in Wuhan

作　　者：罗蒙蒙 陈红梅[2] 周慧 曾执 散思怡 邓一粲 夏玮 李媛媛 张红菱[1] LUO Mengmeng(School of Medicine and Health,Wuhan Polytechnic University,Wuhan,Hubei,430040,China)

机构地区：[1]武汉轻工大学医学与健康学院,湖北武汉430040 [2]武昌理工学院健康与护理学院,湖北武汉430299 [3]华中科技大学公共卫生学院国家环境卫生重点实验室,湖北武汉430030

出　　处：《医学与社会》2023年第5期75-80,共6页Medicine and Society

基　　金：国家自然科学基金资助项目,编号为91743103。

摘　　要：目的:了解20-26月龄幼儿睡眠与认知发育状况,探讨幼儿睡眠状况与认知发育水平的相关性。方法:从武汉市健康宝贝出生队列中,筛选出1447例20-26月龄幼儿为研究对象,采用队列自编问卷和简易婴幼儿睡眠问卷收集幼儿的睡眠资料及其父母的一般人口学资料,采用Bayley婴幼儿发育量表对幼儿认知发育进行评估,采用线性回归模型分析各睡眠参数对幼儿认知发育的影响。结果:调查对象的平均智力发育指数和运动发育指数分别为(107.00±18.82)、(104.16±18.33)。夜晚睡眠时长12h以上(P<0.001)和夜间睡眠比(P=0.036)是幼儿智力发育的保护因素;入睡潜伏期是幼儿认知发育的危险因素(P<0.01);夜醒时长是幼儿运动发育的危险因素(P<0.001)。结论:幼儿睡眠状况与认知发育水平之间存在相关性,应保证幼儿足够的夜晚睡眠时长,重视入睡和夜醒时间较长的幼儿,以促进其认知发育。Objective:To investigate the sleep and cognitive development of children aged 20-26 months and to explore the correlation between sleep status and cognitive development level.Methods:A total of 1447 children aged 20-26 months were screened from the Wuhan healthy baby birth cohort,and the sleep data of the children and the general demographic data of their parents were collected by cohort self-compiled questionnaire and simple infant sleep questionnaire,and the Bayley infant development scale was used to evaluate the cognitive development of children.The linear regression model was used to analyze the influence of sleep parameters on children's cognitive development.Results:The mean mental development index and psychomotor development index of the survey participants were(107.00±18.82)and(104.16±18.33),respectively.Night sleep duration above 12h(P<0.001)and nighttime sleep ratio(P=0.036)were protective factors of children's intellectual development.The latent period of falling asleep was a risk factor for cognitive development in young children(P<0.01).Night awakening time was a risk factor for motor development in young children(P<0.001).Conclusion:There is a correlation between sleep status and cognitive development level in young children,and it is necessary to ensure that children have sufficient sleep time at night,and attach great importance to children who fall asleep and wake up for a long time to promote their cognitive development.

关 键 词：认知发育 睡眠状况 幼儿 武汉 

分 类 号：R193.2[医药卫生—卫生事业管理]