中学生睡眠质量与心肺耐力的关系  

Association between sleep quality and cardiorespiratory fitness among secondary school students

作　　者：曾理[1] 曹伟 尹小俭[3] 王进贤 吴慧攀[5] ZENG Li;CAO Wei;YIN Xiaojian;WANG Jinxian;WU Huipan(School of Sports Science and Engineering,East China University of Science and Technology,Shanghai(200237),China;不详)

机构地区：[1]华东理工大学体育科学与工程学院,上海200237 [2]上海应用技术大学体育教育部 [3]华东师范大学体育与健康学院 [4]中北大学体育学院 [5]太原工业学院儿童青少年健康促进研究中心

出　　处：《中国学校卫生》2025年第3期372-376,381,共6页Chinese Journal of School Health

基　　金：国家自然科学基金资助项目(82373595)。

摘　　要：目的探讨中学生睡眠质量与心肺耐力的关系,为促进中国青少年身心健康全面发展提供参考。方法于2023年9—12月,在上海、苏州、太原、婺源、兴义、乌鲁木齐分别采用分层整群随机抽样法抽取5713名13~18岁中学生,采用匹兹堡睡眠质量指数量表(PSQI)结合心肺耐力测试的方法对中学生的睡眠质量和心肺耐力水平进行评估,采用Pearson相关和多元线性回归分析睡眠质量与心肺耐力的关系。结果中学生睡眠质量差的报告率为33.7%(1926/5713),13~18岁女生的PSQI评分均高于男生(χ^(2)值分别为1.60,12.78,15.62,3.04,10.09,13.65,P值均<0.05)。中学生20 m往返跑(20 m SRT)为40(27,51)次,VO2max为46.27(40.84,51.30)mL/(kg·min),各年龄段女生20 m SRT与VO2max均低于男生(Z=-15.27~-6.41,-18.06~-14.07,P值均<0.05)。男生心肺耐力(VO2max)与睡眠时间和催眠药物评分呈负相关(r值分别为-0.032,-0.005),女生VO2max与睡眠时间、日间功能障碍评分均呈负相关(r值分别为-0.028,-0.008)(P值均<0.05)。控制相关变量后,线性回归分析显示,中学生PSQI总分与VO2max呈负相关(β=-0.347,P<0.01)。结论中学生睡眠质量越好,心肺耐力水平越高。促进中学生睡眠质量有利于改善其心肺耐力水平。Objective To explore the association between sleep quality and cardiorespiratory fitness among secondary school students,so as to provide a reference for promoting the overall development of physical and mental health of Chinese adolescents.Methods From September to December 2023,5713 secondary school students aged 13 to 18 years were selected by the stratified cluster random sampling method from Shanghai,Suzhou,Taiyuan,Wuyuan,Xingyi,and Urumqi,respectively.Sleep quality and cardiorespiratory fitness level of secondary school students were evaluated by Pittsburgh Sleep Quality Index(PSQI)combined with cardiorespiratory fitness test,and the association between sleep quality and cardiorespiratory fitness was analyzed by Pearson's correlation and multivariate linear regression.Results The report rate of poor sleep quality among secondary school students was 33.7%(1926/5713).The PSQI scores of girls aged 13-18 years were higher than those of boys(χ^(2)=1.60,12.78,15.62,3.04,10.09,13.65)(P<0.05).The 20 m SRT of secondary school students was 40(27,51)times,and the VO2max was 46.27(40.84,51.30)mL/(kg·min).The 20 m SRT and VO2max of girls of all ages were lower than those of boys(Z=-15.27 to-6.41,-18.06 to-14.07,P<0.05).Cardiorespiratory fitness(VO2max)was negatively correlated with sleep duration and hypnotic medication scores in boys(r=-0.032,-0.005);VO2max was negatively correlated with sleep duration and daytime dysfunction scores in girls(r=-0.028,-0.008)(P<0.05).After controlling the related variables,linear regression analysis showed that the total PSQI score was negatively correlated with VO2max among secondary school students(β=-0.347,P<0.01).Conclusions Secondary school students with better sleep quality have higher levels of cardiorespiratory fitness.Sleep quality should be promoted to improve cardiorespiratory fitness levels in secondary school students.

关 键 词：睡眠 心脏 肺 精神卫生 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] Q428[医药卫生—公共卫生与预防医学] R540.47[生物学—神经生物学]