Volume 46 Issue 2
Feb.  2025
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PENG Chan, LI Fan, LI Yanyan, LI Yan, XIONG Jingfan, YAO Ping. Association between vitamin D levels and sleep in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 239-243. doi: 10.16835/j.cnki.1000-9817.2025050
Citation: PENG Chan, LI Fan, LI Yanyan, LI Yan, XIONG Jingfan, YAO Ping. Association between vitamin D levels and sleep in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 239-243. doi: 10.16835/j.cnki.1000-9817.2025050

Association between vitamin D levels and sleep in children and adolescents

doi: 10.16835/j.cnki.1000-9817.2025050
  • Received Date: 2024-08-23
  • Rev Recd Date: 2024-12-08
  • Available Online: 2025-03-05
  • Publish Date: 2025-02-25
  •   Objective  To explore the association between vitamin D levels and sleep in children and adolescents, so as to provide a reference for promoting the sleep health of children and adolescents.  Methods  From October to December, 2021, 4 827 primary and middle school students aged 6-17 in Shenzhen were selected by multistage cluster random sampling method, and their demographic information, family background, lifestyle and sleep status were obtained by face-to-face questionnaire survey, and their fasting venous blood in the morning was collected to detect the serum 25(OH)D level. The relationship between serum vitamin D level and sleep characteristics was analyzed by binary Logistic regression, and stratified analysis was carried out according to gender.  Results  The proportion of vitamin D deficiency was 41.1%, and the proportion of sleep deficiency was 19.4%. With the increase of vitamin D level, daily sleep duration of children and adolescents tended to increase (r=0.10, P<0.01). After adjusting for covariates such as gender and age, it was found that children and adolescents with insufficient vitamin D levels were more likely to experience sleep insufficiency, social jetlag, and late sleep on weekdays, with ORs being 1.32(95%CI=1.12-1.56), 1.35(95%CI=1.19-1.54), and 1.26(95%CI=1.05-1.52)(P<0.05). Sex-stratified analysis showed that, among boys, vitamin D deficiency was associated with sleep deficiency, social jetlag, and late bedtime on weekdays and weekends[OR(95%CI)=1.42(1.14-1.77), 1.25(1.04-1.49), 1.39(1.06-1.82), 1.86(1.19-2.92), P<0.05]. In girls, however, serum vitamin D levels were only associated with social jetlag with OR being 1.47 (95%CI=1.21-1.79, P<0.05).  Conclusion  Vitamin D levels are associated with various sleep characteristics in children and adolescents, with this association being more pronounced among boys.
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