中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (9): 787-789.

• 科研论著 • 上一篇    下一篇

青春前期儿童睡眠时间与体脂指标的相关性研究

姜艳蕊1, 陈文娟1,孙莞绮1,王燕1,李生慧2,沈晓明2,江帆1   

  1. 1 上海交通大学医学院附属上海儿童医学中心发育行为儿科 转化医学研究所发育行为研究室 教育部和上海市环境与儿童健康重点实验室,上海 200127;
    2 上海交通大学医学院附属新华医院 教育部和上海市环境与儿童健康重点实验室,上海 200127
  • 收稿日期:2012-08-15 发布日期:2012-09-06 出版日期:2012-09-06
  • 通讯作者: 江帆,E-mail: fanjiang@shsmu.edu.cn
  • 作者简介:姜艳蕊(1987-),女,山东人,硕士研究生在读,主要研究方向为儿童睡眠与肥胖的流行病学调查及机制研究
  • 基金资助:
    科技部973培育项目(2010CB535000);国家自然科学基金(81172685);上海市科委启明星(10QA1404800);上海市教委曙光计划(11SG19);上海市教委学生健康促进工程重大决策咨询课题(HJTY-2010-A09);AFINS-HOPE科研基金(AFINS-HOPE-2011025);圣元国际集团科研基金项目资助。

Association between sleep duration and adiposity among Chinese preadolescents

JIANG Yan-rui1,CHEN Wen-juan1,SUN Wan-qi1,WANG Yan1,LI Sheng-hui2,SHEN Xiao-ming2,JIANG Fan1   

  1. 1 Department of Developmental and Behavioral Pediatrics,Shanghai Children's Medical Center Affliated with Shanghai Jiaotong University School of Medicine,Shanghai 200127,China;
    2 Shanghai Institute for Pediatric Research,Shanghai Xinhua Hospital Affliated with Shanghai Jiaotong University School of Medicine,Shanghai Key Laboratory of Children's Environmental Health,Shanghai 200127,China
  • Received:2012-08-15 Online:2012-09-06 Published:2012-09-06

摘要: 【目的】 研究上海青春前期儿童睡眠时间与体脂指标的相关性,为改善儿童睡眠质量与肥胖的发展提供依据。 【方法】 采用分层整群随机抽样方法,抽取上海市10所小学的五年级学生1 588名进行社会经济状况、睡眠问卷调查以及体格测量,测量指标包括身高、体重、腰围、臀围以及皮下脂肪等,并进一步计算体质指数(body mass index,BMI)及BMI和腰围的Z值,腰围/身高比和体脂百分比。被选儿童中,男童的比例为52.08%(827名),年龄(10.82±0.39)(9.42~14.08)岁。 【结果】 肥胖的发生率为11.9% (男生15.0%,女生 8.5%,P<0.001)。在校正了肥胖的高危因素后,与睡眠时间≥10 h的儿童相比,睡眠时间不足9 h的儿童有显著较高的BMI、BMI Z值,腰围,腰围Z值,腰围/身高比及体脂百分比(P<0.05)。 【结论】 青春前期儿童睡眠时间不足与体脂指标显著相关。采取措施改善儿童的睡眠状况可能有助于遏止肥胖迅速发展。

关键词: 青春前期, 睡眠时间, 体脂指标, 肥胖

Abstract: 【Objective】 To investigate the association between sleep duration and adiposity among Chinese preadolescents. 【Methods】 Totally 1 588 fifth-grade students were sampled by stratified cluster random sampling from 10 primary schools of Shanghai.Socioeconomic status and sleep duration were from parental or self reported questionnaires.Height,weight,body mass index (BMI),waist circumference,Z scores of BMI and waist circumference,waist -height ratio and body fat percentage were assessed.Among children participated,boys accounted for 52.08 %( 827).The mean age o f the sample was 10.82±0.39 years old (9.42~14.08). 【Results】 The prevalence of obesity overall was 11.9% (boys 15.0%,girls 8.5%,P<0.001).Compared with those who slept ≥10 h,those who slept < 9 hours had a significantly higher BMI,BMI Z score,waist,waist Z score,waist/height ratio and body fat percentage after adjusting for potential confounders. 【Conclusion】 Short sleep duration was significantly associated with higher adiposity indices in Chinese adolescents,suggesting this may be a modifiable risk factor for adiposity.

Key words: preadolescent, sleep duration, adiposity, obesity

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