Association between the consumption of milk tea beverage and insomnia symptoms among college students
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摘要:
目的 了解大学生奶茶及其他含糖饮料消费现状和失眠情况,并分析两者间关联,为促进大学生睡眠质量提供参考。 方法 2023年9—11月,采用方便抽样方法从上海市、江西省、湖北省、山西省四省(市)抽取7所高校15 440名大学生进行调查,采用自编问卷和失眠严重程度指数量表分别调查大学生奶茶及其他含糖饮料消费情况和失眠症状。采用χ2检验及Cochran-Armitage趋势χ2检验进行大学生失眠症状单因素分析,运用多因素Logistic回归分析推断奶茶及其他含糖饮料消费与失眠症状的关联强度。 结果 大学生失眠症状检出率为40.83%。每周不同奶茶消费频次和各类含糖饮料(果汁、茶类、奶类、碳酸、乳酸、功能饮料、咖啡)消费频次与大学生失眠症状检出率的趋势均存在关联(χ趋势2值分别为38.38,47.66,74.16,32.44,65.78,38.71,35.94,91.59,P值均<0.01)。多因素Logistic回归分析结果显示,相比无奶茶消费个体,存在奶茶消费行为的大学生失眠症状发生风险均增加(OR=1.24);每周中低频次(1~3,4~5次)奶茶消费大学生相比无奶茶消费大学生失眠症状发生风险更高(OR值分别为1.20,1.54);此外,每次奶茶消费量与大学生失眠症状均存在关联(1 501~2 999 mL,OR=1.22;≥3 000 mL,OR=1.36);其他含糖饮料消费也与大学生失眠症状存在关联(OR=1.10~1.55)(P值均<0.05)。 结论 奶茶及其他含糖饮料消费与大学生失眠症状存在关联。高校应开展饮食健康教育讲座,以改善大学生睡眠质量。 Abstract:Objective To investigate the association between consumption of milk tea beverages and other sugary beverages with insomnia symptoms among college students, so as to the provide reference for promoting sleep quality among college students. Methods From September to November 2023, a convenience sampling method was used to select 15 440 college students from seven universities in Shanghai, Jiangxi Province, Hubei Province, and Shanxi Province. A self-developed questionnaire and the Insomnia Severity Index were used to assess milk tea beverage consumption, other sugary beverages and insomnia symptoms. Univariate analysis of insomnia symptoms among college students was performed using Chi-square tests and Cochran-Armitage trend χ2 tests. Multivariate Logistic regression analysis was conducted for the association between milk tea and other sugary beverage consumption with insomnia symptoms. Results The detection rates of insomnia symptoms among college students was 40.83%. The frequency of consumption of different milk tea and various sugary drinks (juice, tea, milk, sodas, yogurt, functional drinks, coffee) per week was related to the detection trend rate of insomnia symptoms of college students (χtrend2=38.38, 47.66, 74.16, 32.44, 65.78, 38.71, 35.94, 91.59, P<0.01). Multivariate analysis indicated that compared to individuals with no milk tea consumption, college students engaging in milk tea consumption had a significantly increased risk of insomnia symptoms (OR=1.24, P<0.05). Students consuming milk tea at low to moderate frequencies (1-3, 4-5 times per week) showed a higher risk of insomnia symptoms compared to those with no consumption (OR=1.20, 1.54, P<0.05). Furthermore, higher levels of milk tea consumption were significantly associated with insomnia symptoms (1 501-2 999 mL, OR=1.22; ≥3 000 mL, OR=1.36), and the consumption of other sugary beverages were also associated with insomnia symptoms of college students (OR=1.10-1.55) (P<0.05). Conclusions There is a relationship between consumption of milk tea beverage other sugary beverages with insomnia symptoms among college students. Colleges should regularly conduct dietary health education seminars to improve sleep quality among college students. -
Key words:
- Beverages /
- Fees and charges /
- Sleep disorders /
- Mental health /
- Regression analysis /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同人口学特征大学生失眠症状检出率比较
Table 1. Comparison of the detection rates of insomnia symptoms among college students with different demographic characteristics
人口学指标 选项 人数 检出人数 χ2值 P值 性别 男 6 171 2 322(37.6) 43.61 < 0.01 女 9 269 3 982(43.0) 年级 大一 9 040 3 226(35.7) 249.83 < 0.01 大二 3 022 1 432(47.4) 大三 2 066 963(46.6) 大四 1 312 683(52.1) 户籍所在地 城镇 6 457 2 547(39.4) 8.79 < 0.01 农村 8 983 3 757(41.8) 独生子女 是 4 569 1 785(39.1) 8.33 < 0.01 否 10 871 4 519(41.6) 父亲职业 公务员 1 743 685(39.3) 29.37 < 0.01 工人 2 106 861(40.9) 农民 1 788 811(45.4) 公司职员 456 160(35.1) 商人 3 263 1 267(38.8) 其他 6 084 2 520(41.4) 母亲职业 公务员 1 438 571(39.7) 27.10 < 0.01 工人 1 111 441(39.7) 农民 1 655 748(45.2) 公司职员 514 208(40.5) 商人 4 114 1 578(38.4) 其他 6 608 2 758(41.7) 家庭结构 双亲家庭 13 617 5 480(40.2) 16.57 < 0.01 重组家庭 600 272(45.3) 单亲家庭 1 044 474(45.4) 其他 179 78(43.6) 自评家庭经济
状况很差 757 396(52.3) 187.74 < 0.01 较差 2 808 1 403(50.0) 一般 10 183 3 917(38.5) 较好 1 482 514(34.7) 很好 210 74(35.2) 营养状况 消瘦 1 061 433(40.8) 0.70 0.87 正常 10 886 4 433(40.7) 超重 1 982 806(40.7) 肥胖 1 511 632(41.8) 体力活动水平 高水平 3 948 1 578(40.0) 2.64 0.27 中水平 4 379 1 775(40.5) 低水平 7 113 2 951(41.5) 是否经常外卖
消费是 9 959 4 250(42.7) 39.57 < 0.01 否 5 481 2 054(37.5) 注: ()内数字为检出率%。 表 2 大学生奶茶及其他含糖饮料消费情况与失眠症状的关联
Table 2. Association between college students' consumption of milk tea and other sugary beverages and insomnia symptoms
组别 人数 检出人数 χ2/χ趋势2值 是否奶茶消费 是 8 430 3 632(43.1) 39.09 否 7 010 2 672(38.1) 每周奶茶消费频次a ≥6 143 50(35.0) 38.38 4~5 213 130(61.0) 1~3 8 074 3 452(42.8) 0 7 010 2 672(38.1) 每次奶茶消费量a/mL ≥3 000 3 056 1 397(45.7) 56.19 1 501~2 999 4 625 1 958(42.3) 1~1 500 749 277(37.0) 0 7 010 2 672(38.1) 每周果汁饮料消费频次a ≥6 501 209(41.7) 47.66 4~5 660 343(52.0) 1~3 5 390 2 347(43.5) 0 8 889 3 405(38.3) 每周茶类饮料消费频次a ≥6 619 278(44.9) 74.16 4~5 988 485(49.1) 1~3 5 893 2 575(43.7) 0 7 940 2 966(37.4) 每周奶类饮料消费频次a ≥6 723 281(38.9) 32.44 4~5 1 746 816(46.7) 1~3 5 827 2 506(43.0) 0 7 144 2 701(37.8) 每周碳酸饮料消费频次a ≥6 467 188(40.3) 65.78 4~5 655 363(55.4) 1~3 4 630 2 063(44.6) 0 9 688 3 690(38.1) 每周乳酸饮料消费频次a ≥6 468 185(39.5) 38.71 4~5 569 300(52.7) 1~3 3 624 1 630(45.0) 0 10 779 4 189(38.9) 每周功能饮料消费频次a ≥6 405 163(40.2) 35.94 4~5 335 212(63.3) 1~3 1 523 702(46.1) 0 13 177 5 227(39.7) 每周咖啡饮料消费频次a ≥6 525 225(42.9) 91.59 4~5 745 416(55.8) 1~3 2 970 1 386(46.7) 0 11 200 4 277(38.2) 注: a趋势检验为Cochran-Armitage检验;()内数字为检出率/%。P值均<0.01。 表 3 大学生奶茶及其他含糖饮料消费情况与失眠症状的Logistic回归分析[n=15 440,OR值(95%CI)]
Table 3. Logistic regression analysis of the association between college students' consumption of milk tea and other sugary beverages and insomnia symptoms[n=15 440, OR(95%CI)]
自变量 模型1 模型2 是否奶茶消费 是 1.23(1.15~1.31)** 1.24(1.16~1.33)** 否 1.00 1.00 每周奶茶消费频次 ≥6 0.56(0.38~1.83) 0.47(0.31~1.70) 4~5 1.66(1.24~2.23)** 1.54(1.14~2.08)** 1~3 1.18(1.10~1.26)** 1.20(1.12~1.29)** 0 1.00 1.00 每次奶茶消费量/mL ≥3 000 1.37(1.26~1.49)** 1.36(1.25~1.49)** 1 501~2 999 1.19(1.11~1.29)** 1.22(1.13~1.32)** 1~1 500 0.95(0.82~1.11) 0.96(0.82~1.13) 0 1.00 1.00 每周茶类饮料消费频次 ≥6 1.45(1.13~1.87)** 1.55(1.20~2.01)** 4~5 1.08(0.92~1.27) 1.14(0.97~1.34) 1~3 1.10(1.01~1.19)* 1.13(1.04~1.22)** 0 1.00 1.00 每周奶类饮料消费频次 ≥6 0.83(0.67~1.03) 0.90(0.72~1.12) 4~5 1.13(1.00~1.27)* 1.17(1.04~1.32)** 1~3 1.07(0.99~1.16) 1.10(1.02~1.20)* 0 1.00 1.00 每周碳酸饮料消费频次 ≥6 0.94(0.68~1.29) 0.90(0.65~1.25) 4~5 1.43(1.18~1.73)** 1.42(1.17~1.73)** 1~3 1.14(1.05~1.23)** 1.12(1.03~1.22)** 0 1.00 1.00 每周功能饮料消费频次 ≥6 1.00(0.68~1.48) 0.90(0.60~1.33) 4~5 1.53(1.14~2.05)** 1.38(1.02~1.87)* 1~3 0.97(0.85~1.10) 0.95(0.84~1.08) 0 1.00 1.00 每周咖啡饮料消费频次 ≥6 1.37(1.04~1.81)* 1.39(1.04~1.84)* 4~5 1.52(1.28~1.81)** 1.49(1.25~1.78)** 1~3 1.23(1.12~1.34)** 1.23(1.12~1.35)** 0 1.00 1.00 注:模型1未调整混杂因素;模型2调整性别、年级、户籍所在地、独生子女、父亲职业、母亲职业、家庭结构、自评家庭经济状况、是否经常外卖消费因素。*P<0.05,**Pc0.01。 -
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