Sleep duration and associated factors among 3-6-year-old children in Zhejiang Province

ZHANG Junfei; CHEN Qian

doi:10.16835/j.cnki.1000-9817.2021.02.027

Volume 42 Issue 2

Apr. 2021

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ZHANG Junfei, CHEN Qian. Sleep duration and associated factors among 3-6-year-old children in Zhejiang Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(2): 269-272. doi: 10.16835/j.cnki.1000-9817.2021.02.027

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ZHANG Junfei, CHEN Qian. Sleep duration and associated factors among 3-6-year-old children in Zhejiang Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(2): 269-272. doi: 10.16835/j.cnki.1000-9817.2021.02.027

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Sleep duration and associated factors among 3-6-year-old children in Zhejiang Province

doi: 10.16835/j.cnki.1000-9817.2021.02.027

ZHANG Junfei¹,
CHEN Qian^{2
,
,}

1.
Second Middle School, Suzhou(234000), Anhui Province, China

Received Date: 2020-09-21
Rev Recd Date: 2020-12-23

Available Online: 2021-04-06

Publish Date: 2021-02-25

Abstract

Abstract

Objective To explore sleep duration and associated factors among children aged 3-6 years old in Zhejiang Province. Methods A total of 7 034 children aged 3-6 years from 24 kindergartens in Zhejiang province were selected through clustered sampling method. Through parental questionnaire, child sleep duration and associated factors were colleted. Possible influencing factors of sleep insufficiency were analyzed by logistic regression model. Results The rate of insufficient sleep was 56.1%, with 57.1% for boys and 55.1% for girls in Zhejiang Province. The rate of insufficient sleep increased with the increase of age, which was 46.7%, 49.8%, 50.2%, 55.2%, 64.0%, 65.8% and 68.1% for 3.0, 3.5, 4.0, 4.5, 5.0, 5.5 and 6.0 years old group (χ²=45.71, P<0.01), respectively. The rate of insufficient sleep was 59.9%, 54.7% and 45.6% for children with <1 h/d, 1-2 h/d and ≥2 h/d outdoor physical activity (χ²=67.10, P<0.01). Multivariate Logistic regression model showed that children older than 4.5 years old, whose caregiver was other than parents, outdoor activity time< 1 h/d and 1-2 h/d, maternal education below junior middle school and senior high school were positiviely associated with sleep insufficiency. Conclusion Sleep insufficiency among preschool children is associated with multiple factors, increase of age, insufficient outdoor activity and overdose screen time in particular. The finding calls for outdoor physical activity promotion among preschool children, especially for those whose caregivers are those other than parents.
- Sleep,
- Time,
- Regression analysis,
- Child

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References(22)

References

[1]	DIETCH J R, TAYLOR D J, SMYTH J M, et al. Gender and racial/ethnic differences in sleep duration in the North Texas Heart Study[J]. Sleep Health, 2017, 3(5): 324-327. doi: 10.1016/j.sleh.2017.07.002
[2]	陈天麒, 董彬, 张文静, 等. 儿童青少年睡眠时间与速度和耐力成绩的相关性研究[J]. 北京大学学报(医学版), 2018, 50(3): 429-435. doi: 10.3969/j.issn.1671-167X.2018.03.007 CHEN T Q, DONG B, ZHANG W J, et al. Association between speed and endurance performance with sleep duration in children and adolescents[J]. J Peking University(Health Sci), 2018, 50(3): 429-435. doi: 10.3969/j.issn.1671-167X.2018.03.007
[3]	温煦, 许世全. 睡眠时间、身体活动水平与肥胖的关系初探[J]. 中国运动医学杂志, 2009, 28(4): 367-371. https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX200904004.htm WEN X, XU S Q. A Preliminary study on the relation of sleep duration and physical activity level to obesity[J]. Chin J Sports Med, 2009, 28(4): 367-371. https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX200904004.htm
[4]	沈晓明, 江帆, 李生慧, 等. 睡眠对儿童生长发育影响的研究及其应用[J]. 上海交通大学学报(医学版), 2012, 32(9): 1209-1213. doi: 10.3969/j.issn.1674-8115.2012.09.016 SHEN X M, JIANG F, LI S H, et al. Study on the effect of sleep on children's growth development and its application[J]. J Shanghai Jiaotong University(Med Sci), 2012, 32(9): 1209-1213. doi: 10.3969/j.issn.1674-8115.2012.09.016
[5]	杨少萍, 吴汉荣, 张斌, 等. 武汉市学龄前儿童睡眠障碍与气质关系的研究[J]. 中国学校卫生, 2006, 27(9): 739-740. doi: 10.3969/j.issn.1000-9817.2006.09.021 YANG S P, WU H R, ZHANG B, et al. Study on the relationship between sleep disorders and temperament among preschool children in Wuhan[J]. Chin J Sch Health, 2006, 27(9): 739-740. doi: 10.3969/j.issn.1000-9817.2006.09.021
[6]	World Health Organization. Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age[EB/OL]. [2019-06-30]. http://www.who.int/iris/handle/10665/311664.
[7]	宋逸, 张冰, 胡佩瑾, 等. 2010年全国汉族中小学生睡眠状况分析[J]. 中华预防医学杂志, 2014, 48(7): 596-601. doi: 10.3760/cma.j.issn.0253-9624.2014.07.013 SONG Y, ZHANG B, HU P J, et al. Current situation of sleeping duration in Chinese Han students in 2010[J]. Chin J Prev Med, 2014, 48(7): 596-601. doi: 10.3760/cma.j.issn.0253-9624.2014.07.013
[8]	O'BRIEN, LOUISE M. The neurocognitive effects of sleep disruption in children and adolescents[J]. Child Adolesc Psychiatr Clin North Am, 2011, 6(1): 109-116. http://www.sciencedirect.com/science/article/pii/S1556407X10001244
[9]	国家体育总局. 关于开展第五次国民体质监测的通知[S]. 2019-02-01. State General Administration of Sports. Notice on carrying out the fifth national physique monitoring[S]. 2019-02-01.
[10]	王梅, 王次林, 包奕凤, 等. 成都市2~12岁儿童睡眠时间的流行病学调查[J]. 中国实用儿科杂志, 2008, 23(3): 219-221. doi: 10.3969/j.issn.1005-2224.2008.03.021 WANG M, WANG C L, BAO Y F, et al. Survey on epidemiology of childhood sleep time of children aged 2 to 12 years in Chengdu[J]. Chin J Pract Pediatr, 2008, 23(3): 219-221. doi: 10.3969/j.issn.1005-2224.2008.03.021
[11]	LANCET T. Social media, screen time, and young people's mental health[J]. Lancet, 2019, 393(10172): 611. doi: 10.1016/S0140-6736(19)30358-7
[12]	刘玺诚, 卢秀英, 马渝燕, 等. 北京地区2~6岁儿童睡眠障碍流行病学调查[J]. 中国儿童保健杂志, 2004, 12(4): 301-303. doi: 10.3969/j.issn.1008-6579.2004.04.009 LIU X C, LU X Y, MA Y Y, et al. Epidemic survey of prevalence of children sleep disturbances aged 2-6 Years old in Beijing[J]. Chin J Child Health Care, 2004, 12(4): 301-303. doi: 10.3969/j.issn.1008-6579.2004.04.009
[13]	江帆, 颜崇淮, 吴胜虎, 等. 上海市1~6岁儿童睡眠状况的流行病学研究[J]. 中华儿科杂志, 2001, 39(5): 284-288. doi: 10.3760/j.issn:0578-1310.2001.05.009 JIANG F, YAN C H, WU S H, et al. An epidemiological study on sleep characteristics and sleep disorders in children from 1 to 6 years of age in Shanghai[J]. Chin J Pediatr, 2001, 39(5): 284-288. doi: 10.3760/j.issn:0578-1310.2001.05.009
[14]	江帆, 颜崇淮, 吴胜虎, 等. 上海市1个月至5岁儿童睡眠时间的流行病学调查[J]. 中华医学杂志, 2002, 82(11): 19-22. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYX200211005.htm JIANG F, YAN C H, WU S H, et al. Sleep time of children from 1 month to 5 years of age in Shanghai, an epidemiological study[J]. Nat Med J Chin, 2002, 82(11): 19-22. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYX200211005.htm
[15]	曲红明, 吕伶, 谢海虹, 等. 南京城市6岁以下儿童睡眠时间流行病学调查[J]. 中国儿童保健杂志, 2008, 16(1): 35-38. doi: 10.3969/j.issn.1008-6579.2008.01.014 QU H M, LYU L, XIE H H, et al. Epidemiologic survey of sleep disorder in children under 6-year old in Nanjing[J]. Chin J Child Health Care, 2008, 16(1): 35-38. doi: 10.3969/j.issn.1008-6579.2008.01.014
[16]	OGI H, NAKAMURA D, OGAWA M, et al. Associations between parents' health literacy and sleeping hours in children: a cross-sectional study[J]. Health Care (Basel), 2018, 6(2): 32. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023307/
[17]	徐小丽, 郑淑红, 金丽云. 温岭市儿童睡眠障碍调查及影响因素分析[J]. 中国妇幼健康研究, 2018, 29(7): 841-844. doi: 10.3969/j.issn.1673-5293.2018.07.005 XU X L, ZHENG S H, JIN L Y. Study on sleep disorders of children in Wenling City and its influencing factors[J]. Chin J Woman Child Health Res, 2018, 29(7): 841-844. doi: 10.3969/j.issn.1673-5293.2018.07.005
[18]	罗冬梅, 徐荣彬, 胡佩瑾, 等. 中国2014年9~18岁汉族学生睡眠不足状况及与体育锻炼的关系研究[J]. 中华流行病学杂志, 2018, 39(10): 1298-1302. doi: 10.3760/cma.j.issn.0254-6450.2018.10.002 LUO D M, XU R B, HU P J, et al. Analysis on the current situation of insufficient sleep and its association with physical exercise among Chinese Han students aged 9-18 years, in 2014[J]. Chin J Epidemiol, 2018, 39(10): 1298-1302. doi: 10.3760/cma.j.issn.0254-6450.2018.10.002
[19]	CHEUNAOUI M, AMAL P J, SAUVET F, et al. Sleep and exercise: a reciprocal issue?[J]. Sleep Med Rev, 2015, 20: 59-72. DOI: 10.1016/j.smrv.2014.06.008.
[20]	TAZAWA Y, SOUKALO A V, OKADA K, et al. Excessive playing of home computer games by children presenting unexplained symptoms[J]. J Pediatr, 1997, 130(6): 1010-1011. http://www.sciencedirect.com/science/article/pii/S0022347697702981
[21]	曹慧, 谢亮亮, 尹小刚, 等. 电视暴露和睡眠问题对18月龄儿童智能发育的影响[J]. 中国儿童保健杂志, 2016, 24(3): 282-285. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201603018.htm CAO H, XIE L L, YIN X G, et al. Influence of television exposure and sleep problems on children intellectual development at 18 months[J]. Chin J Child Health Care, 2016, 24(3): 282-285. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201603018.htm
[22]	董叔梅, 宋沅瑾, 姜艳蕊, 等. 我国4岁以下儿童看电视行为对睡眠质量影响的多中心研究[J]. 中华儿科杂志, 2015, 53(12): 907-912. doi: 10.3760/cma.j.issn.0578-1310.2015.12.008 DONG S M, SONG Y J, JIANG Y R, et al. Multi-center study on the effects of television viewing on sleep quality among children under 4 years of age in China[J]. Chin J Pediatr, 2015, 53(12): 907-912. doi: 10.3760/cma.j.issn.0578-1310.2015.12.008