睡眠时长和久坐行为对儿童青少年超重肥胖的联合作用

doi:10.11852/zgetbjzz2024-1164

摘要/Abstract

摘要： 目的探究睡眠时长和久坐行为与超重肥胖的联合关系,为防控儿童青少年超重肥胖提供科学依据。方法 2023年9月—2024年1月采用多阶段分层整群随机抽样法抽取部分广州市中小学生799人。中小学生健康体检、问卷调查用于数据资料收集,超重肥胖根据WS/T 586-2018《学龄儿童青少年超重与肥胖筛查》进行判别,采用χ²检验比较不同组别间的差异,睡眠时长、久坐行为与儿童少年超重肥胖之间的关联使用二元Logistic回归分析。结果广州市7~19岁中小学生超重肥胖检出率为16.5%(132/799);在控制混杂因素后,与参照组“睡眠充足&久坐≤8h/d”组相比,“睡眠不足&久坐≤8h/d”组(OR=1.799,95%CI:1.077~3.004)与“睡眠不足&久坐＞8h/d”组(OR=1.931,95%CI:1.077~3.459)的超重肥胖风险较其增高。结论睡眠时长和久坐行为与儿童青少年超重肥胖存在联合关系。儿童青少年处于生长发育的关键时期,应保证充足的睡眠时间,减少久坐时间,预防超重肥胖的发生发展。

关键词: 睡眠时长, 超重肥胖, 久坐行为, 儿童青少年

Abstract: Objective To investigate the combined associations of sleeping time and sedentary behaviour with overweight and obesity, in order to provide a scientific basis for the prevention and control of overweight and obesity in children and adolescents. Methods A multi-stage stratified cluster random sampling method was used to select primary and secondary school students in Guangzhou City from September 2023 to January 2024, finally 799 students were enrolled. Data collection was carried out through physical examination data and questionnaires, with the data classified according to the "Screening for overweight and obesity among school-age children and adolescents" (WS/T 586-2018), categorizing individuals into either overweight/obese or non-overweight/obese groups. χ² test was used to compare the differences between different groups, while the binary Logistic regression was used to analyze the association of sedentary behaviour and sleeping time with overweight and obesity in children and adolescents. Results The rate of overweight and obesity among children and adolescents aged 7 to 19 years in Guangzhou City was 16.5%(132/799). After controlling for confounding factors, compared with the reference group adequate sleep & sedentary time ≤ 8h/d group, the risk of overweight and obesity was higher in the inadequate sleep & sedentary time ≤8h/d group (OR=1.799, 95%CI: 1.077 - 3.004) and the inadequate sleep & sedentary time > 8h/d group (OR=1.931, 95%CI: 1.077 - 3.459). Conclusions There is a combined correlation of sleep duration and sedentary behavior with overweight-obesity among children and adolescents. As children and adolescents are in a critical period of growth and development, it is important to ensure sufficient sleep time and reduce sedentary time to prevent the occurrence and development of overweight-obesity in this population.

Key words: sleeping time, overweight and obesity, sedentary behavior, children and adolescents

中图分类号:

R179

王韵, 曾霞. 睡眠时长和久坐行为对儿童青少年超重肥胖的联合作用[J]. 中国儿童保健杂志, 2025, 33(5): 514-519.

WANG Yun, ZENG Xia. Association of sleeping time and sedentary behavior with overweight and obesity in children and adolescents[J]. Chinese Journal of Child Health Care, 2025, 33(5): 514-519.

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