华南预防医学2024,Vol.50Issue(2) :104-108,114.DOI:10.12183/j.scjpm.2024.0104

广东省儿童青少年不同时间段睡眠不足与超重肥胖的关系研究

Association between insufficient sleep at different time periods and overweight/obesity among children and adolescents in Guangdong Province

黄董伊 洪晓敏 蒋琦 李诗祺 陈子慧 张丹桃 李志锋 张晓明 田艳萍 纪桂元 吴为
华南预防医学2024,Vol.50Issue(2) :104-108,114.DOI:10.12183/j.scjpm.2024.0104

广东省儿童青少年不同时间段睡眠不足与超重肥胖的关系研究

Association between insufficient sleep at different time periods and overweight/obesity among children and adolescents in Guangdong Province

黄董伊 1洪晓敏 2蒋琦 2李诗祺 1陈子慧 2张丹桃 2李志锋 2张晓明 3田艳萍 3纪桂元 2吴为4
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作者信息

  • 1. 南方医科大学公共卫生学院,广东广州 510515;广东省疾病预防控制中心广东省公共卫生研究院
  • 2. 广东省疾病预防控制中心广东省公共卫生研究院
  • 3. 新疆生产建设兵团第二师疾病预防控制中心
  • 4. 南方医科大学公共卫生学院,广东广州 510515;广东省疾病预防控制中心广东省公共卫生研究院;新疆生产建设兵团第二师疾病预防控制中心
  • 折叠

摘要

目的 分析广东省儿童青少年不同时间段睡眠不足与超重肥胖的关系,为超重肥胖防控提供科学依据.方法 采用多阶段分层随机抽样方法,在广东省13个市区/县抽取6~17岁儿童青少年进行问卷调查和体格测量,采用logistic回归模型分析不同时间段睡眠不足与超重肥胖的关系.结果 广东省3 575名儿童青少年纳入研究,共检出超重肥胖431例,超重肥胖检出率为12.06%(其中超重率6.80%,肥胖率5.26%),一周日均、上学日均和周末日均的睡眠不足报告率分别为47.50%、54.41%和24.17%.Logistic回归分析结果显示,上学和周末均睡眠不足与儿童青少年超重肥胖的发生相关(OR=1.45).分层分析发现,女生(OR=1.63)、小学生(OR=1.53)和农村学生(OR=2.52)在上学和周末均睡眠不足时会增加超重肥胖风险.结论 广东省儿童青少年睡眠不足较为普遍,将女生、小学生和农村学生作为重点人群,同时保障上学和周末期间的睡眠时间有助于降低超重肥胖的发生.

Abstract

Objective To analyze the association between insufficient sleep at different time periods and over-weight/obesity among children and adolescents in Guangdong Province,and to provide scientific basis for the prevention and control of overweight and obesity.Methods A multi-stage stratified random sampling method was used to select chil-dren and adolescents aged 6-17 years from 13 cities and counties in Guangdong Province for questionnaire survey and physical measurement.logistic regression was used to analyze the association between insufficient sleep at different time pe-riods and overweight/obesity among children and adolescents.Results A total of 431 cases of overweight/obesity were de-tected among 3 575 children and adolescents,with a prevalence rate of 12.06%(among which 6.80%were overweight and 5.26%were obesity).The reported rates of insufficient sleep were 47.50%,54.41%and 24.17%,respectively,on week-days,school days and weekends.logistic regression analysis showed that insufficient sleep during both school days and weekends was associated with overweight and obesity in children and adolescents(OR=1.45).Stratified analysis found that girls(OR=1.63),primary school students(OR=1.53),and rural students(OR=2.52)were at increased risk of overweight and obesity when they had insufficient sleep during both school days and weekends.Conclusions Insufficient sleep is common among children and adolescents in Guangdong Province.More attention should be paid to girls,primary school stu-dents,and rural students,and ensuring sufficient sleep time during both school days and weekends can help reduce the oc-currence of overweight and obesity.

关键词

睡眠时间/睡眠不足/超重/肥胖/儿童/青少年

Key words

Sleep duration/Insufficient sleep/Overweight/Obesity/Children/Adolescent

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基金项目

广东省医学科学技术研究项目(A2021452)

广东省重点领域研发计划(2019B020230001)

出版年

2024
华南预防医学
广东省疾病预防控制中心 中华预防医学会

华南预防医学

CSTPCD
影响因子:1.061
ISSN:1671-5039
参考文献量22
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