Study on sleep conditions of children aged 2 to 3 years in Haidian district,Beijing

doi:10.11852/zgetbjzz2018-1402

Abstract

Abstract: Objective To find out sleep problems and provide reference for sleep improvement among children in Haidian district by analyzing their sleep conditions. Methods Questionnaires were filled out by caregivers of children.Sleep patterns,sleep problems and the effect of sleep patterns on sleep problems were analyzed. Results Totally 891 children aged (35.38±2.77) months on average were enrolled into the study.There were no significant differences on bedtime,wake time,sleep latency and nighttime sleep duration between boys and girls(P＞0.05).Bedtime and wake time were earlier in weekdays than in weekends.The incidence rate of total sleep problems was 82.0%(731/891),with 2.4% and 66.4% in each dimension of sleep problems.Parasomnia was more likely to occur in girls than boys.Moreover,the incidence of sleep problems in each dimension was significantly different in groups classified by nighttime sleep duration.The incidence rates of total sleep problems and most dimensions of sleep problems were higher in <9 h and ≥11 h groups than those in 9-<10 h and 10-<11 h groups(P＜0.05). Conclusion Sleep conditions are not satisfying in Haidian children and need to be improved.

Key words: sleep patterns, sleep problems, children

摘要： 目的通过对海淀区儿童睡眠状况的分析,找出该地区儿童睡眠方面的问题,并为儿童睡眠的改善提供参考依据。方法对被调查儿童看护人进行问卷调查,分析其睡眠模式、睡眠问题以及睡眠模式对睡眠问题的影响。结果本研究共纳入891名儿童,平均月龄为(35.38±2.77)个月。被调查儿童就寝时间、晨醒时间、入睡潜伏期和夜晚睡眠时长性别差异均无统计学意义(P＞0.05),平时就寝时间和晨醒时间均早于周末。总体睡眠问题的发生率为82.0%(731/891),各维度睡眠问题发生率在2.4%~66.4%之间,女童的异态睡眠发生率高于男童。将被调查儿童按照夜晚睡眠时长分组,各维度睡眠问题的发生率均存在组间差异,时长＜9 h或≥11 h组的儿童总体及多数维度睡眠问题的发生率均高于9~＜10 h和10~＜11 h组(P＜0.05)。结论海淀区儿童睡眠状况不佳,需加以改善。

关键词: 睡眠模式, 睡眠问题, 儿童

CLC Number:

R740

WANG Man-li, CHANG Xin-lei, AN Lin, ZHOU Yu. Study on sleep conditions of children aged 2 to 3 years in Haidian district,Beijing[J]. journal1, 2019, 27(6): 613-616.

王曼丽, 常新蕾, 安琳, 周钰. 北京市海淀区2~3岁儿童睡眠状况分析[J]. 中国儿童保健杂志, 2019, 27(6): 613-616.

References

[1] Tikotzky L, de Marcas G, Har-Toov J, et al.Sleep and phys ical growth in infants during the first 6 months[J].J Sleep Res, 2010, 19(1): 103-110.
[2] 吴至凤,邓虹燕,李骁,等.睡眠影响婴幼儿认知发育的机制研究[J].癫痫杂志, 2017, 3(4): 329-332.
[3] Eguchi K,Pickering TG,Schwarlt JE,et al.Short sleep duration is an independent predictor of cardiovascular events in Japanese hypertensive patients [J].Arch Intern Med, 2008, 168(20): 2225-2231.
[4] 陈彤颖,陈靖宇,冀萍,等.国内外婴幼儿睡眠状况研究进展[J].中国妇幼健康研究, 2016, 27(7):892-894.
[5] Mindell JA, Sadeh A, Wiegand B, et al.Cross-cultural differences in infant and toddler sleep [J].Sleep Med, 2010, 11(3): 274-280.
[6] 吴墨源,黄婷红.中国儿童睡眠障碍报告率的Meta分析[J].重庆第二师范学院学报, 2015, 28(6): 162-165,168.
[7] Owens JA,Spirito A, McGuinn M.The children′s sleep habits questionnaire: psychometric properties of a survey instrument for school-aged children [J].Sleep, 2000, 23(8): 1043-1051.
[8] Byars KC, Yeomans-Maldonado G, Noll JG.Parental functioning and pediatric sleep disturbance: an examination of factors associated with parenting stress in children clinically referred for evaluation of insomnia [J].Sleep Med, 2011,12(9): 898-905.
[9] Byars K, Apiwattanasawee P,Leejakpai A, et al.Behavioral sleep disturbances in children clinically referred for evaluation of obstructive sleep apnea [J].Sleep Med, 2011, 12(2): 163-169.
[10] Wang GH, Xu GX,Liu ZJ, et al.Sleep patterns and sleep disturbances among Chinese school-aged children: prevalence and associated factors [J].Sleep Medicine, 2013, 14(1): 45-52.
[11] 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.
[12] WS/T 579-2017. 0岁-5岁儿童睡眠卫生指南[S].北京: 国家卫生和计划生育委员会, 2017.
[13] 刘志军,王广海,杜方,等.贵州城市3～6岁儿童睡眠模式调查研究[J].中国儿童保健杂志, 2018, 26(2):192-195.
[14] Blair PS, Humphreys JS, Gringras P, et al.Childhood sleep duration and associated demographic characteristics in an English cohort[J].Sleep, 2012, 35(3):353-360.
[15] 王惠珊,黄小娜,蒋竞雄,等.中国城市0~5岁儿童睡眠时间流行病学调查[J].中国儿童保健杂志,2006, 14(4):354-356.
[16] McDonald L, Wardle J, Llewellyn CH, et al.Predictors of shorter sleep in early childhood [J].Sleep Med, 2014, 15(5): 536-540.
[17] 谢海虹,郭锡熔,曲红明,等.南京市3～6岁儿童睡眠问题流行病学调查[J].中国儿童保健杂志,2012,20(9):794-796.
[18] Sadeh A, Mindell JA, Luedtke K, et al.Sleep and sleep ecology in the first 3 years: a web-based study[J].J Sleep Res, 2009, 18(1): 60-73.
[19] Simola P, Niskakangas M, Liukkonen K, et al.Sleep problems and daytime tiredness in finnish preschool-aged children-a community survey[J].Child Care Health Dev, 2010, 36(6): 805-811.
[20] 刘智胜,孙丹.儿童异态睡眠[J].中国实用儿科杂志,2010,25(9):665-668.
[21] 黄广文,马敏,张建华,等.长沙市两个行政区2~6岁儿童睡眠问题与家庭环境关系初步研究[J].中国儿童保健杂志,2007, 15(1):42-44.
[22] 王广海,邓玉娇,姜艳蕊,等.重视神经发育障碍儿童睡眠障碍[J].中国实用儿科杂志, 2016, 31(10):730-734.