大学生不良睡眠特征与负性情绪和超重肥胖共存的关联

张丽莎; 李惠华; 张利芳; 宋永晶; 宋建才; 黄波

doi:10.16835/j.cnki.1000-9817.2025244

大学生不良睡眠特征与负性情绪和超重肥胖共存的关联

doi: 10.16835/j.cnki.1000-9817.2025244

1.
湖南大众传媒职业技术学院体育课教学部, 长沙 410100
2.
长沙师范学院体育科学学院
3.
长江大学体育与教育学院
4.
江西医学高等专科学校马克思主义学院体育教研室
5.
上饶师范学院体育学院

基金项目:

教育部人文社会科学研究青年基金项目 21YJC890045

2022年度江西省高校人文社会科学研究项目 TY22110

详细信息

作者简介:
张丽莎(1982-), 女, 湖南湘潭人, 硕士, 副教授, 主要研究方向为学生体质健康

通讯作者:
黄波, E-mail: 731255924@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 R723.14 Q428
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- 被引次数: 0
出版历程
- 收稿日期: 2025-05-08
- 修回日期: 2025-07-20
- 网络出版日期: 2025-08-30
- 刊出日期: 2025-08-25

Association of poor sleep characteristics with coexistence of negative emotions and overweight/obesity among college students

1.
Department of Physical Education, Hunan Mass Media Vocational and Technical College, Changsha 410100, Hunan Province, China

摘要

摘要: 目的分析大学生不良睡眠特征与负性情绪和超重肥胖共存的关联, 为改善大学生身心健康提供科学依据。方法 2023年11—12月, 采用方便抽样方法选取江西、湖南和湖北3省9所高校6 600名大学生, 采用抑郁-焦虑-压力量表-21(DASS-21)、失眠严重程度指数(ISI)、匹兹堡睡眠质量指数量表(PSQI)和体格检查评估受试者的负性情绪、不良睡眠特征和超重肥胖情况, 运用χ²检验和Logistic回归分析不良睡眠特征与大学生负性情绪和超重肥胖共存的影响。结果大学生不同类别负性情绪(抑郁、焦虑、压力)和超重肥胖共存检出率分别为6.1%(405名)、8.0%(529名)、3.3%(217名)。不同性别、年级、专业、母亲学历、家庭年总收入、体力活动水平以及是否独生子女和碳酸饮料消费的大学生不同类别负性情绪和超重肥胖共存检出率差异均有统计学意义(χ²=4.01~35.18, P值均 < 0.05)。Logistic回归分析结果显示, 调整性别、年级、专业、是否独生子女、母亲学历、家庭年总收入、体力活动水平、是否碳酸饮料消费因素后, 大学生不良睡眠特征与负性情绪和超重肥胖共存风险相关均有统计学意义(OR=1.41~6.65);中、差睡眠质量与女大学生不同类别负性情绪和超重肥胖共存风险的增加关联均有统计学意义(OR=1.99~4.71)(P值均 < 0.05)。结论大学生不良睡眠特征与负性情绪和超重肥胖共存存在关联。应重视大学生睡眠问题, 积极开展睡眠教育以降低负性情绪和超重肥胖共存发生风险。
- 睡眠 /
- 情绪 /
- 超重 /
- 肥胖症 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To analyze the association between poor sleep characteristics and the coexistence of negative emotions and overweight/obesity among college students, so as to provide a scientific basis for improving their physical and mental health. Methods From November to December 2023, a convenience sampling method was used to survey 6 600 college students from nine universities in Jiangxi, Hunan, and Hubei provinces. The Depression Anxiety and Stress Scale-21 (DASS-21), Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and physical examinations were employed to assess negative emotions, poor sleep characteristics, and overweight/obesity. Chi-square test and Logistic regression were used to analyze the impact of poor sleep characteristics on the coexistence of negative emotions and overweight/obesity. Results The coexistence rates of different categories of negative emotions (depression, anxiety, stress) and overweight/obesity were 6.1% (n=405), 8.0% (n=529), and 3.3% (n=217), respectively. Gender, grade level, major, maternal education level, annual family income, physical activity level, only-child status, and carbonated beverage consumption were statistically associated with the coexistence rates of different categories of negative emotions and overweight/obesity (χ²=4.01-35.18, all P < 0.05). Logistic regression analysis showed that after adjusting for gender, grade level, major, only-child status, maternal education level, annual family income, physical activity level, and carbonated beverage consumption, poor sleep characteristics were significantly associated with an increased risk of the coexistence of negative emotions and overweight/obesity (OR=1.41-6.65); moderate and poor sleep quality levels were significantly associated with an increased risk of the coexistence of different categories of negative emotions and overweight/obesity among female students (OR=1.99-4.71) (all P < 0.05). Conclusions Poor sleep characteristics are associated with the coexistence of negative emotions and overweight/obesity among college students. Greater attention should be paid to sleep issues in this population, and sleep education should be actively promoted to reduce the risk of comorbid negative emotions and overweight/obesity.
- Sleep /
- Emotions /
- Overweight /
- Obesity /
- Mental health /
- Regression analysis /
- Students
注释:

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表 1 不同组别大学生各类别负性情绪和超重肥胖共存检出率比较

Table 1. Comparison of detection rates of the coexistence different types of negative emotions with overweight and obesity among college students in different groups

组别	选项	人数	抑郁和超重肥胖共存		焦虑和超重肥胖共存		压力和超重肥胖共存
组别	选项	人数	检出人数	χ²值	检出人数	χ²值	检出人数	χ²值
性别	男	2 908	216(7.4)	15.05^**	255(8.8)	4.01^*	116(4.0)	8.04^**
	女	3 692	189(5.1)		274(7.4)		101(2.7)
年级	大一	821	36(4.4)	7.95^*	56(6.8)	6.80	18(2.2)	6.37
	大二	2 635	162(6.1)		233(8.8)		90(3.4)
	大三	1 482	87(5.9)		102(6.9)		43(2.9)
	大四	1 662	120(7.2)		138(8.3)		66(4.0)
专业	文史类	2 064	111(5.4)	8.53^*	161(7.8)	10.69^*	58(2.8)	4.72
	理工类	2 638	171(6.5)		218(8.3)		93(3.5)
	体艺类	659	31(4.7)		34(5.2)		17(2.6)
	其他类	1 239	92(7.4)		116(9.4)		49(4.0)
户籍所在地	城镇	2 827	176(6.2)	0.07	214(7.6)	1.33	101(3.6)	1.26
	农村	3 773	229(6.1)		315(8.3)		116(3.1)
独生子女	是	2 072	149(7.2)	5.83^*	195(9.4)	7.98^**	108(5.2)	35.18^**
	否	4 528	256(5.7)		334(7.4)		109(2.4)
父亲学历	小学及以下	985	65(6.6)	1.05	89(9.0)	3.96	33(3.4)	4.50
	初中	2 621	164(6.3)		217(8.3)		72(2.7)
	高中/中专	1 849	112(6.1)		145(7.8)		71(3.8)
	大学及以上	1 145	64(5.6)		78(6.8)		41(3.6)
母亲学历	小学及以下	1 702	128(7.5)	7.65	166(9.8)	11.11^*	59(3.5)	0.96
	初中	2 383	136(5.7)		184(7.7)		75(3.1)
	高中/中专	1 589	89(5.6)		120(7.6)		49(3.1)
	大学及以上	926	52(5.6)		59(6.4)		34(3.7)
家庭年总收入/万元	≤5	2 999	213(7.1)	12.49^**	269(9.0)	8.96^*	106(3.5)	5.40
	＞5~10	1 379	82(5.9)		111(8.0)		39(2.8)
	＞10~30	1 752	80(4.6)		116(6.6)		50(2.9)
	＞30	470	30(6.4)		33(7.0)		22(4.7)
体力活动水平	低	1 685	127(7.5)	7.92^*	149(8.8)	2.53	56(3.3)	0.03
	中	2 261	124(5.5)		181(8.0)		75(3.3)
	高	2 654	154(5.8)		199(7.5)		86(3.2)
是否外卖消费	是	3 109	193(6.2)	0.05	263(8.5)	1.57	107(3.4)	0.44
	否	3 491	212(6.1)		266(7.6)		110(3.2)
是否经常消费碳酸饮料	是	2 485	205(8.2)	30.90^**	248(10.0)	20.87^**	116(4.7)	23.88^**
是否经常消费碳酸饮料	否	4 115	200(4.9)		281(6.8)		101(2.5)
失眠严重等级	中重度	325	49(15.1)	101.84^**	53(16.3)	112.26^**	38(11.7)	114.72^**
	轻度	2 331	200(8.6)		270(11.6)		109(4.7)
	无症状	3 944	156(4.0)		206(5.2)		70(1.8)
入睡时间是否超过零点	是	2 101	166(7.9)	16.66^**	214(10.2)	19.69^**	90(4.3)	9.61^**
入睡时间是否超过零点	否	4 499	239(5.3)		315(7.0)		127(2.8)
每天是否睡眠时长≥7 h	是	4 532	236(5.2)	21.67^**	318(7.0)	19.56^**	126(2.8)	11.72^**
每天是否睡眠时长≥7 h	否	2 068	169(8.2)		211(10.2)		91(4.4)
睡眠质量	差	318	46(14.5)	99.48^**	50(15.7)	95.04^**	37(11.6)	116.22^**
	中	653	82(12.6)		104(15.9)		47(7.2)
	好	5 629	277(4.9)		375(6.7)		133(2.4)
注：()内数字为检出率/%；^P＜0.05，^*P＜0.01。

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表 2 大学生不良睡眠特征与不同类别负性情绪和超重肥胖共存的Logistic回归分析(n=6 600)

Table 2. Logistic regression analysis of the association between poor sleep characteristics and the coexistence of different categories of negative emotions with overweight and obesity among college students(n=6 600)

性别	睡眠情况	选项	抑郁和超重肥胖共存^a		焦虑和超重肥胖共存^b		压力和超重肥胖共存^c
性别	睡眠情况	选项	β值	OR值(95%CI)	β值	OR值(95%CI)	β值	OR值(95%CI)
男生	失眠严重等级	中重度	1.19	3.28(1.90~5.68)^**	1.03	2.81(1.65~4.80)^**	1.75	5.72(2.95~11.11)^**
		轻度	0.78	2.17(1.59~2.96)^**	0.89	2.43(1.83~3.24)^**	0.82	2.27(1.48~3.49)^**
		无症状		1.00		1.00		1.00
	入睡时间是否超过零点	是	0.03	1.03(0.74~1.42)	0.05	1.05(0.78~1.43)	-0.17	0.85(0.55~1.31)
		否		1.00		1.00		1.00
	睡眠时长≥7 h/d	否	0.18	1.20(0.86~1.68)	0.05	1.05(0.77~1.43)	-0.01	0.99(0.63~1.55)
		是		1.00		1.00		1.00
	睡眠质量	差	0.30	1.35(0.75~2.43)	0.28	1.32(0.74~2.33)	0.28	1.33(0.63~2.81)
		中	0.36	1.43(0.95~2.16)	0.48	1.62(1.11~2.37)^*	0.42	1.53(0.89~2.62)
		好		1.00		1.00		1.00
女生	失眠严重等级	中重度	0.61	1.84(1.00~3.36)^*	0.50	1.64(0.95~2.82)	0.82	2.26(1.06~4.82)^*
		轻度	0.57	1.76(1.27~2.44)^**	0.59	1.80(1.38~2.36)^**	0.82	2.27(1.42~3.64)^**
		无症状		1.00		1.00		1.00
	入睡时间是否超过零点	是	0.27	1.30(0.91~1.86)	0.41	1.50(1.12~2.02)^**	0.28	1.33(0.84~2.10)
		否		1.00		1.00		1.00
	睡眠时长≥7 h/d	否	0.13	1.14(0.79~1.63)	0.05	1.05(0.78~1.42)	0.08	1.08(0.67~1.74)
		是		1.00		1.00		1.00
	睡眠质量	差	0.86	2.36(1.36~4.09)^**	0.63	1.88(1.14~3.10)^*	1.55	4.71(2.51~8.83)^**
		中	0.82	2.27(1.51~3.40)^**	0.69	2.00(1.40~2.84)^**	1.02	2.76(1.61~4.74)^**
		好		1.00		1.00		1.00
总体	失眠严重等级	中重度	1.36	3.89(2.74~5.50)^**	1.17	3.22(2.32~4.47)^**	1.90	6.65(4.38~10.10)^**
		轻度	0.79	2.21(1.78~2.75)^**	0.83	2.29(1.90~2.77)^**	0.98	2.66(1.96~3.62)^**
		无症状		1.00		1.00		1.00
	入睡时间是否超过零点	是	0.34	1.41(1.14~1.73)^**	0.38	1.47(1.22~1.76)^**	0.30	1.34(1.02~1.78)^*
		否		1.00		1.00		1.00
	睡眠时长≥7 h/d	否	0.47	1.60(1.30~1.97)^**	0.38	1.46(1.22~1.75)^**	0.42	1.52(1.16~2.01)^**
		是		1.00		1.00		1.00
	睡眠质量	差	1.09	2.97(2.11~4.18)^**	0.89	2.45(1.77~3.38)^**	1.60	4.97(3.37~7.33)^**
		中	0.93	2.54(1.94~3.31)^**	0.91	2.49(1.96~3.15)^**	1.09	2.97(2.10~4.20)^**
		好		1.00		1.00		1.00
注：^a调整性别、年级、专业、独生子女、家庭年总收入、体力活动水平、是否经常消费碳酸饮料；^b调整性别、专业、独生子女、母亲学历、家庭年总收入、是否经常消费碳酸饮料；^c调整性别、独生子女、是否经常消费碳酸饮料；^P＜0.05，^*P＜0.01。

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