CAJ | 학술논문

目的探讨青少年睡眠时间、饮食模式与超重/肥胖的相关关系.方法对初中生睡眠时间、饮食模式、体力活动和视频时间等采用问卷调查,同时收集体格数据,分析睡眠时间和饮食模式对超重/肥胖的影响.结果徐州市区初中男生超重率为23.5％,肥胖率为22.5％;女生超重率为18.1％,肥胖率为11.9％.男生睡眠不足(＜8 h/d)为28.1％,女生睡眠不足为33.0％.多因素logistic回归分析显示男生睡眠时间＜7 h/d是超重/肥胖发生的危险因素,OR=1.72(95％CI:1.08 ～ 2.74),而女生睡眠时间和超重/肥胖的关系不显著.调整了年龄、父母文化程度、自评家庭收入、体力活动、看视频时间及超重/肥胖变量后,男生睡眠时间＜7 h/d者零食类食物摄入频次增加,OR=1.69(95％CI:1.10～2.73).结论睡眠减少为初中男生超重/肥胖发生的独立危险因素,且男性青少年睡眠减少可导致零食类食物摄入增加.提示男生零食类食物摄入过多在睡眠减少和超重/肥胖关系中的联结作用.
목적 탐토청소년수면시간、음식모식여초중/비반적상관관계.방법 대초중생수면시간、음식모식、체력활동화시빈시간등채용문권조사,동시수집체격수거,분석수면시간화음식모식대초중/비반적영향.결과 서주시구초중남생초중솔위23.5％,비반솔위22.5％;녀생초중솔위18.1％,비반솔위11.9％.남생수면불족(＜8 h/d)위28.1％,녀생수면불족위33.0％.다인소logistic회귀분석현시남생수면시간＜7 h/d시초중/비반발생적위험인소,OR=1.72(95％CI:1.08 ～ 2.74),이녀생수면시간화초중/비반적관계불현저.조정료년령、부모문화정도、자평가정수입、체력활동、간시빈시간급초중/비반변량후,남생수면시간＜7 h/d자령식류식물섭입빈차증가,OR=1.69(95％CI:1.10～2.73).결론 수면감소위초중남생초중/비반발생적독립위험인소,차남성청소년수면감소가도치령식류식물섭입증가.제시남생령식류식물섭입과다재수면감소화초중/비반관계중적련결작용.
Objective To describe the relationships between sleep duration,dietary patterns and overweight/obesity among adolescents in Xuzhou,and to develop prevention and intervention strategies for adolescent-obesity.Methods Data of 3 103 boys and girls from 5 junior high schools were analyzed.Self-reported information on duration of sleep,dietary patterns,physical activities and time spent on watching video/audio program were assessed and physique data was also collected.Descriptive statistics,multiple liner regression and logistic regression models were used.Results The prevalence rates on overweight and obesity in boys were 23.5％ and 22.5％,and in girls were 18.1％ and 11.9％,respectively.Proportions of insufficient sleep (＜ 8 h/d) in boys appeared 28.1％ and in girls as 33.0％.From logistic regression analysis revealed that there appeared risk on the prevalence of overweight and obesity in boys who had sleep duration ＜7 h/d [OR(95％CI):1.72 (1.08-2.74)],but no significant association was found between duration of sleep and overweight/ obesity in girls.After adjusting on age,levels of parental education,family income,physical activities,time spent on watching video/audio programs,and weight status,boys who had sleep duration less than 7 h/d would have the odds ratio of 1.69 (1.10-2.73),for the likelihood of increasing the frequency of eating snacks compared to their counterparts who had sleep duration of ≥8 h/d.Conclusion The Shortened duration of sleep seemed an independent risk factor on overweight/ obesity among male adolescents,and it was associated with the increased frequency of eating snacks.Data from our study showed that the dietary patterns might play a role in the association between duration of sleep and overweight/obesity,among male adolescents.