Objective To understand the sleep status of middle school students in Urumqi and its correlation with overweight and obesity, in order to provide support for effective control of overweight and obesity in middle school students. Methods A total of 8 242 middle school students from 20 secondary schools in Urumqi were randomly selected to investigate their sleep status from March to April 2016, and their relationship with overweight and obesity was analyzed. Results The sleep quality score of middle school students in Urumqi was 4.97±2.48; The detection rate of sleep quality problems was 28.44%, and it was significantly lower in boys (26.36%) than that in girls (30.43%) (χ2=16.66, P<0.01).The average sleep time of middle school students was (8.18±1.16) h/d, and the detection rate of sleep insufficiency was 48.24%.The overweight/obesity rate of middle school students was 15.47%, and it was significantly higher in boys, urban areas, junior high schools (χ2=191.04,11.21,44.36, P<0.01).Multiple regression analysis showed that gender, age, sleep time were related to body mass index (BMI) in secondary students (P<0.05).Sleep time was negatively correlated with BMI, while age was positively correlated with BMI.Logistic regression analysis showed that sleep time insufficiency in middle school boys was a risk factor for overweight and obesity (OR=1.23, 95%CI:1.04-1.47,P=0.02), boys′ sleep quality was not found correlated with overweight and obesity.Meanwhile, there was no statistical relationship between sleep quality and overweight and obesity in girls. Conclusions There is a close relationship between sleep time and BMI in middle school students.Insufficient sleep of boys may be a risk factor for overweight and obesity.
Key words
overweight and obesity /
adolescents /
sleep time /
correlation analysis
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References
[1] 杨丽丽,席波.济南市城区6～17岁儿童青少年超重和肥胖流行现状[J].中国儿童保健杂志,2017,25(11):1108-1112.
[2] 席波.加强儿童青少年肥胖防控 降低成年期慢性疾病风险[J].中国学校卫生,2017,38(11):1601-1603.
[3] 葛晓燕,刘正淑.青少年健康素养与肥胖相关风险因素探讨分析[J].重庆医学,2017,46(30):4236-4239.
[4] 林晓斐.《中国居民营养与慢性病状况报告(2015年)》发布[J].中医药管理杂志,2015,23(13):79.
[5] Fatima Y,Doi SAR,Mamun AA.Longitudinal impact of sleep on overweight and obesity in children and adolescents:a systematic review and biasadjusted metaanalysis[J].Obes Rev,2015,16(2):137-149.
[6] 陶勇浩,倪玲玲,严双琴,等.睡眠状况与学龄前儿童执行功能的关联性研究[J].中国儿童保健杂志,2016,24(12):1237-1240.
[7] 刘贤臣,唐茂芹.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,29(2):103-107.
[8] Lund HG,Reider BD,Whiting AB,et al.Sleep patterns andpredictors of disturbed sleep in a large population of college students[J].Adoles Health,2010,46(2):124-132.
[9] 教育部体育卫生与艺术教育司,全国学生体质与健康调研组.2014年全国学生体质与健康调研工作手册[M].北京:全国学生体质与调研组,2014:17-24,41-48.
[10] 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数分类标准[J].中国流行病学杂志,2004,25(2):97-102.
[11] Meng W,Zhong JM,Hao W,et al.Breakfast consumption and it sassociations with health-related behaviors among school-aged adolescents:a cross-sectional study in Zhejiang province,China[J].Int J Envir Res Publ Health,2016,13(8):761.
[12] 罗娴,李伟霞,张斌.青少年失眠状况和睡眠质量及二者相关性分析[J].中国现代神经疾病杂志,2017,17(9):660-664.
[13] 王茹婧,李虹,倪士光,等.家庭功能对流动青少年睡眠质量的影响:一个条件过程模型[J].中国临床心理学杂志,2017,25(4):704-708.
[14] 石文惠,翟屹,李伟荣,等.我国八省份6～12 岁儿童上学日睡眠状况分析[J].中华流行病学杂志,2015,36(5):450-454.
[15] Motivala SJ,Tomiyama AJ,Ziegler M,et al.Nocturnal levelsof ghrelin and leptin and sleep in chronic insomnia[J].Psychoneuro-endocrinology,2009,34(4):540-545.
[16] Wu Y,Gong Q,Zou Z,et al.Short sleep duration and obesity among children:a systematic review and meta-analysis of prospective studies[J].Obes Res Clin Pract,2017,11(2):140-150.
[17] 刘玺诚.儿童睡眠与睡眠障碍现状与进展[J].中国儿童保健杂志,2012,20(9):773-775.
[18] 杨心玫,邱晶青,李虹,等.流动青少年睡眠质量与父母教养方式[J].中国临床心理学杂志,2017,25(4):719-723.
[19] Wong MM,Brower KJ,Zucker RA.Sleep problems,suicidalideation,and self-harm behaviors in adolescence[J].J Psychiatr Res,2011,45(4):505-511.
[20] 高猛,李雨辰,张伟.父母冲突与儿童青少年心理健康:自我概念的中介作用[J].中国当代儿科杂志,2017,19(4):446-451.
[21] 马颖,林穗方,蒋琳,等.广东三城市青少年睡眠时间运动情况与超重肥胖的相关性[J].中国学校卫生,2017,38(3):338-340.
[22] 刘明霞,徐通.睡眠问题对注意缺陷多动障碍儿童的影响[J].中国儿童保健杂志,2017,25(5):486-489.
[23] 王军利.身体规训与生成:青少年体育锻炼不足的学校体育实践反思[J].中国青年研究,2018,30(1):113-119.
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