CAJ | 학술논문

目的分析大学生晚锻炼对睡眠质量的影响,为大学生合理选择锻炼方法、改善睡眠质量提供科学依据.方法采用多阶段整群随机抽样的方法,于2012年9-10月选取5997名安徽高校的大学生,通过一般情况调查表、体育活动等级量表(PARS-3)、主观强度感觉等级量表(RPE)、匹兹堡睡眠质量指数量表(PSQI)调查大学生锻炼的现状和睡眠质量.采用Kruskal-Wallis检验分析晚锻炼对睡眠质量的影响；采用多因素非条件logistic回归分析晚锻炼学生睡眠质量的影响因素.结果 5806名大学生PSQI总分中位数为5分,1030名(17.7％)大学生睡眠质量较差.单纯晚锻炼、单纯白天锻炼、白天晚上都锻炼和不锻炼组(分别为1406、1514、1244、1642名)的PSQI得分中位数均为5分,差异无统计学意义(x2 =2.80,P =0.42).相对于不锻炼者,单纯晚锻炼对睡眠质量影响的0R(95％CI)值为0.90(0.73 ～ 1.10)；相对于非常轻运动量的晚锻炼,中等和大运动量对睡眠质量影响的0R(95％CI)值分别为0.58(0.44～0.75)、0.67(0.48 ～0.93)；相对于其他运动项目,羽毛球、跳绳、慢跑对睡眠质量影响的OR(95％ CI)值分别为0.72(0.55 ～0.93)、0.38(0.21 ～0.70)、0.76(0.60 ～0.95),均为睡眠质量的有利因素.相对于小运动强度晚锻炼,中等、大和非常大运动强度对睡眠质量影响的OR (95％CI)值分别为1.68(1.13～2.52)、2.38(1.48 ～3.83)、3.18(1.72 ～5.90),为睡眠质量的不利因素.结论大学生晚锻炼对睡眠质量无影响.晚锻炼时要注意选择运动项目,可参加中等到大运动量的晚锻炼,但要避免运动强度过大.
목적 분석대학생만단련대수면질량적영향,위대학생합리선택단련방법、개선수면질량제공과학의거.방법 채용다계단정군수궤추양적방법,우2012년9-10월선취5997명안휘고교적대학생,통과일반정황조사표、체육활동등급량표(PARS-3)、주관강도감각등급량표(RPE)、필자보수면질량지수량표(PSQI)조사대학생단련적현상화수면질량.채용Kruskal-Wallis검험분석만단련대수면질량적영향；채용다인소비조건logistic회귀분석만단련학생수면질량적영향인소.결과 5806명대학생PSQI총분중위수위5분,1030명(17.7％)대학생수면질량교차.단순만단련、단순백천단련、백천만상도단련화불단련조(분별위1406、1514、1244、1642명)적PSQI득분중위수균위5분,차이무통계학의의(x2 =2.80,P =0.42).상대우불단련자,단순만단련대수면질량영향적0R(95％CI)치위0.90(0.73 ～ 1.10)；상대우비상경운동량적만단련,중등화대운동량대수면질량영향적0R(95％CI)치분별위0.58(0.44～0.75)、0.67(0.48 ～0.93)；상대우기타운동항목,우모구、도승、만포대수면질량영향적OR(95％ CI)치분별위0.72(0.55 ～0.93)、0.38(0.21 ～0.70)、0.76(0.60 ～0.95),균위수면질량적유리인소.상대우소운동강도만단련,중등、대화비상대운동강도대수면질량영향적OR (95％CI)치분별위1.68(1.13～2.52)、2.38(1.48 ～3.83)、3.18(1.72 ～5.90),위수면질량적불리인소.결론 대학생만단련대수면질량무영향.만단련시요주의선택운동항목,가삼가중등도대운동량적만단련,단요피면운동강도과대.
Objective To investigate the impact of college students' evening exercise on their sleep quality,so as to provide a scientific basis for college students to choose an appropriate method of exercise and improve their sleep quality.Methods From September to October in 2012,Multi-stage cluster random sampling method was used to select the 5997 college students in Anhui province.The status of college students' exercise and their sleep quality were investigated by the general situation questionnaire,Physical activity rating scale-3 (PARS-3),Rating of perceived exertion (RPE) and Pittsburgh sleep quality index (PSQI).Kruskal-Wallis test was used to analyze the impact of evening exercise on sleep quality andmultivariate unconditional logistic regression was used to analyze the factors of sleep quality in evening excise students.Results The median of PSQI total score among 5806 college students was 5 and 1030(17.7％) students had poor sleep quality.The median of the PSQI scores was the same (5 points) for evening exercise group,daytime exercise group,daytime and evening exercise group and non-exercise group (1406,1514,1244,1642 respectively).The difference was not statistically significant (x2 =2.80,P =0.42).Compared to non-exercise population,the OR (95％ CI) value of evening exercise' impact on sleep quality was 0.90(0.73-1.10).Compared to very light evening exercise,the OR (95％ C1) value of moderate and large amount of evening exercise' impact on sleep quality was 0.58 (0.44-0.75) and 0.67 (0.48-0.93) respectively ; Compared to other sports,the OR (95 ％ CI) value of badminton,rope skipping and jogging' impact on sleep quality was 0.72(0.55-0.93),0.38 (0.21-0.70) and 0.76(0.60-0.95)respectively and they were all protective factors of sleep quality.Compared to small exercise intensity,the OR (95％ CI)value of moderate,vigorous and very vigorous exercise intensity' impact on sleep quality was 1.68 (1.13-2.52),2.38(1.48-3.83) and 3.18 (1.72-5.90) respectively and they were harmful factors of sleep quality.Conclusion There was no impact of evening exercise on sleep quality for college students.Type of sports should be adequately chosen for evening exercise.College students can take moderate and large amount of evening exercise but should avoid activities of vigorous intensity.