A follow-up study on the correlation between sleep duration and body mass index in primary and middle school students in Zhejiang Province from 2017 to 2019

ZHOU Siliang; LI Xingxiu; GU Fang; LOU Ke; DENG Rui; DONG Bin

doi:10.16835/j.cnki.1000-9817.2022.06.012

Volume 43 Issue 6

Jun. 2022

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(6): 847-850

ZHOU Siliang, LI Xingxiu, GU Fang, LOU Ke, DENG Rui, DONG Bin. A follow-up study on the correlation between sleep duration and body mass index in primary and middle school students in Zhejiang Province from 2017 to 2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(6): 847-850. doi: 10.16835/j.cnki.1000-9817.2022.06.012

Citation:

ZHOU Siliang, LI Xingxiu, GU Fang, LOU Ke, DENG Rui, DONG Bin. A follow-up study on the correlation between sleep duration and body mass index in primary and middle school students in Zhejiang Province from 2017 to 2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(6): 847-850. doi: 10.16835/j.cnki.1000-9817.2022.06.012

Citation:

ZHOU Siliang, LI Xingxiu, GU Fang, LOU Ke, DENG Rui, DONG Bin. A follow-up study on the correlation between sleep duration and body mass index in primary and middle school students in Zhejiang Province from 2017 to 2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(6): 847-850. doi: 10.16835/j.cnki.1000-9817.2022.06.012

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A follow-up study on the correlation between sleep duration and body mass index in primary and middle school students in Zhejiang Province from 2017 to 2019

doi: 10.16835/j.cnki.1000-9817.2022.06.012

1.
School of Public Health, Peking University, Beijing (100191), China

Received Date: 2021-11-01
Rev Recd Date: 2022-03-10

Available Online: 2022-06-23

Publish Date: 2022-06-25

Abstract

Abstract

Objective To understand sleep behavior among primary and middle school students and its impact on overweight and obesity changes, to provide evidence for developing obesity prevention and controlling strategies in children and adolescents. Methods Primary and middle school students from three cities in Zhejiang Province who participated in questionnaire surveys and physical measurements in both 2017 and 2019 were selected. A follow-up dataset of 605 students was developed and the relationship between sleep duration and body mass index was analyzed. Results From 2017 to 2019, BMI-Z scores for male and female participants increased by 0.24 and 0.13, respectively. BMI-Z scores increased by 0.29 in students of 9-12 years old and increased by 0.11 and 0.25 in urban and rural students, respectively (P < 0.05). The prevalence of insufficient sleep duration increased from 37.0% to 41.8% simultaneously (χ²=3.68, P=0.06). After adjusting for confounding factors, the BMI-Z score of students with insufficient sleep was 0.20 higher than those with sufficient sleep duration (P < 0.01). Compared with participants who had sufficient sleep duration from 2017 to 2019, participants whose sleep duration changed from sufficient to insufficient, and those who always had insufficient sleep duration increased by 0.23, respectively (P < 0.05). Conclusion Insufficient sleep duration is a risk factor for obesity. Shortened sleep duration is related to weight gain, and maintaining sufficient sleep duration may reduce the risk of obesity in children and adolescents.
- Sleep,
- Time,
- Body mass index,
- Regression analysis,
- Students

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References(27)

References

[1]	LEANDRA ABARCA-GÖMEZ, ABDEEN Z A, HAMID Z A, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults[J]. Lancet, 2017, 390(10113): 2627-2642. doi: 10.1016/S0140-6736(17)32129-3
[2]	World Health Organization. Obesity and overweight[EB/OL]. (2021-06-09)[2022-03-01]. http://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
[3]	王烁, 董彦会, 王政和, 等. 1985—2014年中国7~18岁学生超重与肥胖流行趋势[J]. 中华预防医学杂志, 2017, 51(4): 300-305. doi: 10.3760/cma.j.issn.0253-9624.2017.04.005 WANG S, DONG Y H, WANG Z H, et al. Trends in overweight and obesity among Chinese children of 7-18 years old during 1985-2014[J]. Chin J Prev Med, 2017, 51(4): 300-305. doi: 10.3760/cma.j.issn.0253-9624.2017.04.005
[4]	2014年全国学生体质健康调研结果[J]. 中国学校卫生, 2015, 36(12): 封底. 2014 national survey on student physical fitness and health[J]. Chin J Sch Healh, 2015, 36(12): Black Cover.
[5]	高雷, 孟佳, 李娟娟, 等. 浙江省7~22岁学生超重肥胖现况调查[J]. 预防医学, 2021, 33(12): 1215-1219. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202112004.htm GAO L, MENG J, LI J J, et al. A cross-sectional study of overweight and obesity among 7-22 year-old students in Zhejiang Province[J]. Prev Med, 2021, 33(12): 1215-1219. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202112004.htm
[6]	BRADY T M. Obesity-related hypertension in children[J]. Front Pediatr, 2017, 5: 197. doi: 10.3389/fped.2017.00197
[7]	WEIHRAUCH-BLVHER S, KARTIN K H, CHRISTINE G, et al. Current guidelines for obesity prevention in childhood and adolescence[J]. Obesity Facts, 2018, 11: 263. doi: 10.1159/000486512
[8]	孙丽姣, 刘尚红, 李静, 等. 宁夏儿童青少年睡眠时间分布特征及其与超重肥胖的关系[J]. 中国学校卫生, 2017, 38(10): 1543-1545. doi: 10.16835/j.cnki.1000-9817.2017.10.031 SUN L J, LIU S H, LI J, et al. Sleep duration and its relationship with overweight and obesity among students in Ningxia[J]. Chin J Sch Healh, 2017, 38(10): 1543-1545. doi: 10.16835/j.cnki.1000-9817.2017.10.031
[9]	GU F, ZHOU S, LOU K, et al. Lifestyle risk factors and the population attributable fractions for overweight and obesity in chinese students of Zhejiang Province[J]. Front Pediatr, 2021, 9: 734013. doi: 10.3389/fped.2021.734013
[10]	TAMBALIS K D, PANAGIOTAKOS D B, PSARRA G, et al. Insufficient sleep duration is associated with dietary habits, screen time, and obesity in children[J]. J Clin Sleep Med, 2018, 14(10): 1689-1696. doi: 10.5664/jcsm.7374
[11]	SHIN S, KIM S A, HA J, et al. Sugar-Sweetened beverage consumption in relation to obesity and metabolic syndrome among korean adults: a cross-sectional study from the 2012-2016 Korean National Health and Nutrition Examination Survey (KNHANES)[J]. Nutrients, 2018, 10(10): 1467. doi: 10.3390/nu10101467
[12]	国家卫生健康委办公厅关于印发2019年全国学生常见病和健康影响因素监测与干预工作方案的通知[EB/OL]. (2019-03-22)[2022-03-01]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac014c7d.shtml. National Health Commission of the PRC on printing and distributing the national student common diseases and health influencing factors monitoring and intervention work plan in 2019[EB/OL]. (2019-03-22)[2022-03-01]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac014c7d.shtml.
[13]	DE ONIS M, ONYANGO A W, BORGHI E, et al. Development of a WHO growth reference for school-aged children and adolescents[J]. Bull World Health Organ, 2007, 85(9): 660-667. doi: 10.2471/BLT.07.043497
[14]	HIRSHKOWITZ M, WHITON K, ALBERT S M, et al. National sleep foundation's updated sleep duration recommendations: final report[J]. Sleep Health, 2015, 1(4): 233-243. doi: 10.1016/j.sleh.2015.10.004
[15]	ZHANG Y, ZHANG X, LI J, et al. Associations of outdoor activity and screen time with adiposity: findings from rural Chinese adolescents with relatively low adiposity risks[J]. BMC Public Health, 2020, 20(1): 1769. doi: 10.1186/s12889-020-09897-7
[16]	张云婷, 马生霞, 陈畅, 等. 中国儿童青少年身体活动指南[J]. 中国循证儿科杂志, 2017, 12(6): 401-409. doi: 10.3969/j.issn.1673-5501.2017.06.001 ZHANG Y T, MA S X, CHEN C, et al. Physical activity guide for chinese children and adolescents[J]. Chin J Evid-Based Pediatr, 2017, 12(6): 401-409. doi: 10.3969/j.issn.1673-5501.2017.06.001
[17]	王玥, 孟楠. 基于Joinpoint回归分析我国成人超重、肥胖流行趋势的性别差异[J]. 中国卫生统计, 2021, 38(4): 546-548. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202104016.htm WANG Y, MENG N. Analysis of gender differences in the prevalence of overweight and obesity among adults in my country based on Joinpoint regression[J]. Chin J Health Statist, 2021, 38(4): 546-548. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202104016.htm
[18]	殷侠, 白景芝, 邱丙平. 学龄期儿童单纯性肥胖现状调查及影响因素[J]. 中国卫生工程学, 2020, 19(2): 219-220. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWX202002020.htm YIN X, BAI J Z, QIU B P. Investigation and influencing factors of simple obesity among school-age children[J]. Chin J Public Health Eng, 2020, 19(2): 219-220. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWX202002020.htm
[19]	MARYAM B, SHAYAN A, SARA S, et al. Incidence of obesity and its predictors in children and adolescents in 10 years of follow up: Tehran lipid and glucose study (TLGS)[J]. BMC Pediatr, 2018, 18(1): 245. doi: 10.1186/s12887-018-1224-6
[20]	CHEUNG P C, CUNNINGHAM S A, NARYAN K, et al. Childhood obesity incidence in the united states: a systematic review[J]. Child Obes, 2016, 12(1): 1-11. doi: 10.1089/chi.2015.0055
[21]	VAUPEL J W, YASHIN A I. Heterogeneity's ruses: some surprising effects of selection on population dynamics[J]. Am Stat, 1985, 39(3): 176-185.
[22]	DONG Y, MA Y, DONG B, et al. Geographical variation and urban-rural disparity of overweight and obesity in Chinese school-aged children between 2010 and 2014: two successive national cross-sectional surveys[J]. BMJ Open, 2019, 9(4): e025559. doi: 10.1136/bmjopen-2018-025559
[23]	Ⅲ J J, JOHNSON A M. Urban-rural differences in childhood and adolescent obesity in the united states: a systematic review and Meta-analysis[J]. Child Obes, 2015, 11(3): 233-241. https://www.cnki.com.cn/Article/CJFDTOTAL-SANE201806026.htm
[24]	BANN D, JOHNSON W, LI L, et al. Socioeconomic inequalities in childhood and adolescent body-mass index, weight, and height from 1953 to 2015: an analysis of four longitudinal, observational, British birth cohort studies[J]. Lancet Public Health, 2018, 3(4): E194-E203. doi: 10.1016/S2468-2667(18)30045-8
[25]	BOOTH M L, WAKE M, ARMSTRONG T, et al. The epidemiology of overweight and obesity among Australian children and adolescents, 1995-1997[J]. Aust N Z J Public Health, 2001, 25(2): 162-169. doi: 10.1111/j.1753-6405.2001.tb01840.x
[26]	OGILVIE R P, PATEL S R. The epidemiology of sleep and obesity[J]. Sleep Health, 2017, 3(5): 383-388. doi: 10.1016/j.sleh.2017.07.013
[27]	BOEKE C E, STORFER-ISSER A, REDLINE S, et al. Childhood sleep duration and quality in relation to leptin concentration in two cohort studies[J]. Sleep, 2014, 37(3): 613-620. doi: 10.5665/sleep.3510