中学生睡眠质量与超重肥胖的关联

胡正春; 陈福乐; 皋萍; 尹小俭; 吴慧攀; 张婷; 王喆; 郭亚茹; 郭俊凤

doi:10.16835/j.cnki.1000-9817.2025183

中学生睡眠质量与超重肥胖的关联

doi: 10.16835/j.cnki.1000-9817.2025183

胡正春¹,
陈福乐²,
皋萍^3, ,,
尹小俭^{4, 5},
吴慧攀⁶,
张婷⁷,
王喆⁸,
郭亚茹⁵,
郭俊凤⁹

1.
宁波大学科学技术学院，浙江慈溪 315300
2.
广西职业师范学院体育教学部
3.
上海应用技术大学体育教育部
4.
华东理工大学体育科学与工程学院
5.
华东师范大学体育与健康学院
6.
太原工业学院儿童青少年健康促进研究中心
7.
宿州学院体育学院
8.
太原市第十二中学校
9.
南宁沛鸿民族中学

基金项目:

国家自然科学基金资助项目 82373595

详细信息

作者简介:
胡正春(1978-)，男，安徽合肥人，硕士，副教授，主要研究方向为体质与健康科学

通讯作者:
皋萍，E-mail: gaoping012345@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 R723.14 Q428
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- 被引次数: 0
出版历程
- 收稿日期: 2025-02-07
- 修回日期: 2025-04-01
- 网络出版日期: 2025-07-04
- 刊出日期: 2025-06-25

Association of sleep quality with overweight and obesity among middle school students

HU Zhengchun¹,
CHEN Fule²,
GAO Ping^{3
, ,},
YIN Xiaojian^{4, 5},
WU Huipan⁶,
ZHANG Ting⁷,
WANG Zhe⁸,
GUO Yaru⁵,
GUO Junfeng⁹

1.
College of Science and Technology, Ningbo University, Cixi (315300), Zhejiang Province, China

摘要

摘要: 目的探讨中学生睡眠质量和超重肥胖的关联，为改善青少年睡眠健康提供参考依据。方法 2023年9—12月，采用分层整群随机抽样方法在上海、苏州、太原、婺源、兴义、乌鲁木齐6个地区选取5 713名13~18岁初、高中学生作为研究对象，采用匹兹堡睡眠质量指数对其进行睡眠质量调查，并进行身高、体重测量，采用世界卫生组织儿童青少年生长发育标准评价其营养状况。采用χ²检验和Logistic回归分析对中学生睡眠质量和营养状况的关联进行分析。结果女生睡眠质量不达标检出率为38.4%，男生为29.2%，差异有统计学意义(χ²=54.08，P < 0.01)；中学生营养状况正常组的睡眠质量不达标检出率为34.2%，超重组、肥胖组和消瘦组检出率分别为38.3%，43.7%和26.0%，不同营养状况中学生睡眠质量不达标检出率差异有统计学意义(χ²=68.15，P < 0.01)。Logistic回归分析结果显示，在控制心理健康和体力活动后，肥胖组中学生睡眠质量不达标检出率是正常组的1.30倍(OR=1.30，95%CI=1.06~1.59，P < 0.01)。结论中学生睡眠质量与超重肥胖具有相关性，且存在性别差异。应根据不同性别特点制定相应的干预政策。
- 睡眠 /
- 超重 /
- 肥胖症 /
- 回归分析 /
- 学生
Abstract: Objective To explore relationship of sleep quality with overweight and obesity among middle school students, so as to provide a reference basis for improving adolescent sleep health. Methods From September to December 2023, 5 713 middle school students aged 13 to 18 were selected by stratified cluster random sampling method in six regions, including Shanghai, Suzhou, Taiyuan, Wuyuan, Xingyi and Urumqi. Sleep quality survey was conducted on middle school students by Pittsburgh Sleep Quality Index. Height and weight were measured, and World Health Organization's standards for growth and development of children and adolescents was used to evaluate their nutritional status. Both χ² test and Logistic regression analysis were used to analyze the association between sleep quality and nutritional status of middle school students. Results The non-compliance detection rate of sleep quality was 38.4% among girls, but 29.2% among boys, and the difference was of statistical significance(χ²=54.08, P < 0.01). The detection rate of substandard sleep quality was 34.2% in the group with normal nutritional status, 38.3% in the group with overweight, 43.7% in the group with obesity and 26.0% in the group with emaciation, and the difference in the rates of substandard sleep quality among middle school students of different nutritional status was statistically significant (χ²=68.15, P < 0.01). Logistic regression analysis showed that, after controlling for mental health and physical activity, the detection rate of substandard sleep quality in the obese groups was 1.30 times higher than that in the normal group, respectively(OR=1.30, 95%CI=1.06-1.59, P < 0.01). Conclusions Sleep quality is correlated with overweight and obesity among middle school students, and there are gender differences. Intervention policies should be formulated according to the characteristics of different genders.
- Sleep /
- Overweight /
- Obesity /
- Regression analysis /
- Students
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表 1 不同营养状况中学生睡眠质量不达标检出率比较

Table 1. Comparison of detection rates of substandard sleep quality among middle school students with different nutritional status

性别	营养状况	统计值	初中		高中		合计
性别	营养状况	统计值	人数	检出人数	人数	检出人数	人数	检出人数
男	消瘦		443	88(19.9)	182	58(31.9)	625	146(23.4)
	正常		858	214(24.9)	620	226(36.5)	1 478	440(29.8)
	超重		276	72(26.1)	215	89(41.4)	491	161(32.8)
	肥胖		161	47(29.2)	153	55(35.9)	314	102(32.5)
		χ²值		7.52		3.92		15.24
		P值		0.06		0.27		＜0.01
女	消瘦		507	122(24.1)	242	89(36.8)	749	211(28.2)
	正常		818	255(31.2)	680	324(47.6)	1 498	579(38.7)
	超重		204	93(45.6)	158	73(46.2)	362	166(45.9)
	肥胖		112	65(58.0)	84	56(66.7)	196	121(61.7)
		χ²值		66.21		23.29		86.80
		P值		＜0.01		＜0.01		＜0.01
合计	消瘦		950	210(22.1)	424	147(34.7)	1 374	357(26.0)
	正常		1 676	469(28.0)	1 300	550(42.3)	2 976	1 019(34.2)
	超重		480	165(34.4)	373	162(43.4)	853	327(38.3)
	肥胖		273	112(41.0)	237	111(46.8)	510	223(43.7)
		χ²值		48.58		11.84		68.15
		P值		＜0.01		＜0.01		＜0.01
注：( )内数字为检出率/%。

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表 2 中学生睡眠质量相关因素Logistic回归分析(n=5 713)

Table 2. Logistic regression analysis of related factors of substandard sleep quality among middle school students (n=5 713)

模型	自变量	β值	OR值(95%CI)	P值
模型1	正常		1.00
	消瘦	-0.39	0.67(0.59~0.78)	＜0.01
	超重	0.18	1.19(1.02~1.40)	0.04
	肥胖	0.40	1.49(1.23~1.81)	＜0.01
模型2	正常		1.00
	消瘦	-0.33	0.69(0.60~0.80)	＜0.01
	超重	0.02	1.12(0.96~1.33)	0.15
	肥胖	0.06	1.30(1.06~1.59)	＜0.01

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