父母教养方式和儿童体育活动与3～4岁儿童睡眠问题的关联研究

吴燕; 叶孙岳

doi:10.11852/zgetbjzz2024-0545

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中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (3) : 259-264. DOI: 10.11852/zgetbjzz2024-0545

科研论著

父母教养方式和儿童体育活动与3～4岁儿童睡眠问题的关联研究

吴燕^1,2, 叶孙岳^1,2

作者信息 +

Association of parenting styles, physical activity with sleep problems among 3 - 4 years old children

WU Yan^1,2, YE Sunyue^1,2

Author information +

文章历史 +

摘要

目的探讨父母教养方式、儿童体育活动与3～4岁儿童睡眠问题的关系,为改善幼儿睡眠问题提供依据。方法采用随机抽样方式,于2022年3—4月在嘉兴市抽取3所普通公立幼儿园的347名3～4岁儿童。以《儿童睡眠习惯问卷》总分(>41分)定义为儿童睡眠问题。采用Logistic回归模型分析父母教养方式与儿童睡眠问题的关系,采用调节效应模型分析儿童体育活动的调节作用。结果父亲和母亲的支持/参与教养行为与儿童睡眠问题呈负相关(父:OR=0.941,95%CI:0.903～0.980;母:OR=0.938,95%CI:0.901～0.977),而父亲和母亲的敌意/强制教养行为与儿童睡眠问题呈正相关(父:OR=1.034,95%CI:1.002～1.067;母:OR=1.038,95%CI:1.005～1.072)。儿童体育活动对父母敌意/强制或支持/参与教养行为与儿童睡眠问题的关联有显著调节作用(P<0.05)。结论父母积极的教养行为与3～4岁儿童睡眠问题的减少有关,父母的消极教养行为与儿童睡眠问题的增加有关,而儿童的体育活动在教养方式和儿童睡眠问题之间起调节作用,且儿童每天体育活动达到2h时,就可以缓冲父母教养方式对儿童发生睡眠问题的不良影响。3～4岁儿童的睡眠可能受益于改善父母教养方式和促进儿童体育活动水平的策略。

Abstract

Objectives To explore the relationship among parenting styles, physical activity (PA), and sleep problems in 3- to 4-year-old children, so as to provide basis for improving young children's sleep issues. Methods By random sampling, a total of 347 Chinese children aged 3 to 4 years were recruited from 3 common public kindergartens in Jiaxing City from March to April 2022. Sleep problems were defined as a total score >41 on the Children's Sleep Habits Questionnaire. Logistic regression models were used to analyze the relationship between parenting styles and children's sleep problems, and moderation effect models were employed to investigate the moderating role of children's PA. Results Supportive/involved parenting behaviors from both fathers (OR=0.941, 95%CI: 0.903 - 0.980) and mothers (OR=0.938, 95%CI: 0.901 - 0.977) were negatively associated with sleep problems, while hostile/coercive parenting behaviors from both fathers (OR=1.034, 95%CI: 1.002 - 1.067) and mothers (OR=1.038, 95%CI: 1.005 - 1.072) were positively correlated with sleep problems. Children's PA significantly moderated the associations between parents' hostile/coercive or supportive/involved parenting behaviors and children's sleep problems (P<0.05). Conclusions Positive parenting behaviors are associated with reduced sleep problems in 3- to 4-year-old children, while negative parenting behaviors are associated with increased sleep problems. Children's PA moderates the relationship between parenting styles and sleep problems, and engaging in 2 hours of PA daily can buffer the adverse effects of parenting styles on children's sleep problems. Strategies to improve parenting styles and promote PA levels among 3- to 4-year-old children may benefit their sleep.

导出引用

吴燕, 叶孙岳. 父母教养方式和儿童体育活动与3～4岁儿童睡眠问题的关联研究[J]. 中国儿童保健杂志. 2025, 33(3): 259-264 https://doi.org/10.11852/zgetbjzz2024-0545

WU Yan, YE Sunyue. Association of parenting styles, physical activity with sleep problems among 3 - 4 years old children[J]. Chinese Journal of Child Health Care. 2025, 33(3): 259-264 https://doi.org/10.11852/zgetbjzz2024-0545

中图分类号： R179

参考文献

[1] Quach JL, Nguyen CD, Williams KE, et al. Bidirectional associations between child sleep problems and internalizing and externalizing difficulties from preschool to early adolescence[J]. JAMA Pediatr, 2018, 172(2):e174363-e174363.
[2] Chaput JP, Gray CE, Poitras VJ, et al. Systematic review of the relationships between sleep duration and health indicators in the early years (0-4 years)[J]. BMC Public Health, 2017, 17(5):855.
[3] Williamson AA, Mindell JA, Hiscock H, et al. Child sleep behaviors and sleep problems from infancy to school-age[J]. Sleep Med, 2019, 63:5-8.
[4] Chen XR, Ke ZL, Chen YH, et al. The prevalence of sleep problems among children in mainland China: A Meta-analysis and systemic-analysis[J]. Sleep Med, 2021, 83:248-255.
[5] Ophoff D, Slaats MA, Boudewyns A, et al. Sleep disorders during childhood: A practical review[J]. Eur J Pediatr, 2018, 177(5):641-648.
[6] Baumrind D. Patterns of parental authority and adolescent autonomy[J]. New Dir Child Adolesc Dev, 2005(108):61-69.
[7] Ji M, An R. Parental effects on obesity, smoking, and drinking in children and adolescents: A twin study[J]. J Adolesc Health, 2022, 71(2):196-203.
[8] Tyler D, Donovan CL, Scupham S, et al. Young children's sleep problems: The impact of parental distress and parenting style[J]. J Child Fam Stud, 2019, 28(8):2098-2106.
[9] Pizzo A, Sandstrom A, Drobinin V, et al. Parental overprotection and sleep problems in young children[J]. Child Psychiatry Hum Dev, 2021, 53(6):1340-1348.
[10] Kelly RJ, Martin-Cuellar A, Bagley EJ, et al. Maternal harsh parenting, SES, and young children's sleep[J]. J Child Fam Stud, 2021, 30(6):1528-1539.
[11] Glavin EE, Ceneus M, Chanowitz M, et al. Relationships between sleep, exercise timing, and chronotype in young adults[J]. J Health Psychol, 2021, 26(13):2636-2647.
[12] Kline CE, Hillman CH, Sheppard BB, et al. Physical activity and sleep: An updated umbrella review of the 2018 Physical Activity Guidelines Advisory Committee report[J]. Sleep Med Rev, 2021, 58:101489.
[13] Chennaoui M, Arnal PJ, Sauvet F, et al. Sleep and exercise: A reciprocal issue?[J]. Sleep Med Rev, 2015, 20:59-72.
[14] Kang AW, Gans KM, Minkel J, et al. Correlates of objectively measured sleep and physical activity among Latinx 3-to-5-year old children[J]. J Pediatr Nurs, 2021, 60:40-45.
[15] Yaffe Y, Levental O. Paternal and maternal parenting style and adolescents' physical activity motivation: Indirect effects through parental physical activity related practices[J]. Curr Psychol, 2023,43:7297-7307.
[16] Moon I, Han J. Moderating effects of physical activity on the relationship between adverse childhood experiences and health-related quality of life[J]. Int J Environ Res Public Health, 2022, 19(2):668.
[17] Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J]. Brit J Sports Med, 2020, 54(24):1451-1462.
[18] Xu JC, Gao C. Physical activity guidelines for Chinese children and adolescents: The next essential step[J]. J Sport Health Sci, 2018, 7(1):120-122.
[19] 贾守梅, 汪玲, 谭晖, 等. 中文版父母行为问卷在儿童早期父母中应用的信效度检验[J].中国儿童保健杂志, 2013, 21(9):916-919.
Jia SM, Wang L, Tan H,et al. A systematic review of the relationship between parenting styles and children's physical activity[J]. Chin J Child Health Care, 2013, 21(9):916-919. (in Chinese)
[20] 李生慧, 金星明, 沈晓明, 等. 儿童睡眠习惯问卷中文版制定及测量性能考核[J]. 中华儿科杂志, 2007, 45(3):176-180.
Li SH, Jin XM, Shen XM,et al. Development and psychometric properties of the Chinese version of Children's Sleep Habits Questionnaire[J]. Chin J Pediatr, 2007, 45(3):176-180. (in Chinese)
[21] Cai J, Shen Y, Zhao Y, et al. Early-life exposure to PM2.5 and sleep disturbances in preschoolers from 551 cities of China[J]. Am J Respir Crit Care Med, 2023, 207(5):602-612.
[22] Hayes AF. Process: A versatile computational tool for mediation, moderation , and conditional process analysis[M]. New York: Guilford Press, 2012.
[23] Wang ZJ, Li W, Cui NX, et al. The association between child maltreatment and sleep disturbances among preschoolers[J]. Child Abuse Negl, 2022, 127:105525.
[24] Zhao TM, Xuan K, Liu HX, et al. The association between family function and sleep disturbances of preschool children in rural areas of China: A cross-sectional study[J]. Psychol Health Med, 2022, 28(4):895-907.
[25] Takahashi M, Adachi M, Yasuda S, et al. Prevalence of sleep problems in Japanese preschoolers in a medium-sized city: Community-based survey using the Children's Sleep Habits Questionnaire[J]. Pediatr Int, 2017, 59(6):747-750.
[26] Mindell JA, Sadeh A, Kwon R, et al. Cross-cultural differences in the sleep of preschool children[J]. Sleep Med, 2013, 14(12):1283-1289.
[27] Jeon M, Neoh MJY, Esposito G, et al. Cross-country comparison of parental reports and objective measures of sleep patterns of typically developing children and autistic children between the UK and South Korea[J]. Sleep Med, 2023, 101:162-177.
[28] Lin QM, Spruyt K, Leng Y, et al. Cross-cultural disparities of subjective sleep parameters and their age-related trends over the first three years of human life: A systematic review and meta-analysis[J]. Sleep Med Rev, 2019, 48:101203.
[29] Peng XJ, Yuan GX, Ma N. Cosleeping and sleep problems in children: A systematic review and Meta-analysis[J]. Sleep Biol Rhythms, 2019, 17(4):367-378.
[30] Uebergang LK, Arnup SJ, Hiscock H, et al. Sleep problems in the first year of elementary school: The role of sleep hygiene, gender and socioeconomic status[J]. Sleep Health, 2017, 3(3):142-147.
[31] Lewien C, Genuneit J, Meigen C, et al. Sleep-related difficulties in healthy children and adolescents[J]. BMC Pediatr, 2021, 21:82.
[32] Martinez SM, Tschann JM, Butte NF, et al. Sleep duration in Mexican American children: Do mothers' and fathers' parenting and family practices play a role?[J]. J Sleep Res, 2019, 28(4):e12784.
[33] Keys EM, Benzies KM, Kirk VG, et al. Effect of play 2 sleep on mother-reported and father-reported infant sleep: A sequential explanatory mixed-methods study of a randomized controlled trial[J]. J Clin Sleep Med, 2022, 18(2):439-452.
[34] Brown SJ, Rhee KE, Gahagan S. Reading at bedtime associated with longer nighttime sleep in Latino preschoolers[J]. Clin Pediatr, 2016, 55(6):525-531.
[35] Jones CHD, Pollard TM, Summerbell CD, et al. Could parental rules play a role in the association between short sleep and obesity in young children?[J]. J Biosoc Sci, 2014, 46(3):405-418.
[36] Rosa CC, Tebar WR, Oliveira CBS, et al. Effect of different sports practice on sleep quality and quality of life in children and adolescents: Randomized clinical trial[J]. Sports Med Open, 2021, 7(1):83.
[37] Appelqvist-Schmidlechner K, Vaara J, Häkkinen A, et al. Relationships between youth sports participation and mental health in young adulthood among finnish males[J]. Am J Health Promot, 2017, 32(7):1502-1509.