2010年与2020年沈阳市3~6岁儿童睡眠时间与超重肥胖的变化及相互关系

丁雅洁; 路柯; 张宁馨; 孙琦; 魏薇; 闻德亮; 贾丽红

doi:10.16462/j.cnki.zhjbkz.2023.01.020

2010年与2020年沈阳市3~6岁儿童睡眠时间与超重肥胖的变化及相互关系

doi: 10.16462/j.cnki.zhjbkz.2023.01.020

丁雅洁^{1, 3},
路柯^{1, 3},
张宁馨^{1, 3},
孙琦¹,
魏薇¹,
闻德亮^{2, 3},
贾丽红^{1, 3, ,}

1.
110122 沈阳，中国医科大学公共卫生学院儿少卫生与妇幼保健学教研室
2.
110122 沈阳，中国医科大学健康科学研究院
3.
110122 沈阳，辽宁省肥胖与糖脂代谢疾病重点实验室

基金项目:

国家自然科学基金 82073575

详细信息

通讯作者:
贾丽红，E-mail: lhjia@cmu.edu.cn

中图分类号: R179
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- 被引次数: 0
出版历程
- 收稿日期: 2021-08-26
- 修回日期: 2022-02-08
- 网络出版日期: 2023-02-09
- 刊出日期: 2023-01-10

Changes and correlation between sleep time and overweight and obesity of children aged 3-6 years in Shenyang in 2010 and 2020

DING Ya-jie^{1, 3},
LU Ke^{1, 3},
ZHANG Ning-xin^{1, 3},
SUN Qi¹,
WEI Wei¹,
WEN De-liang^{2, 3},
JIA Li-hong^{1, 3
, ,}

1.
Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang 110122, China
2.
Institute of Health Sciences, China Medical University, Shenyang 110122, China
3.
Key Laboratory of Obesity and Glycolipid Metabolism Diseases of Liaoning Province, Shenyang 110122, China

Funds:

National Natural Science Foundation of China 82073575

More Information

Corresponding author: JIA Li-hong, E-mail: lhjia@cmu.edu.cn

摘要

摘要: 目的描述2010年和2020年沈阳市3~6岁儿童超重肥胖变化情况，探讨睡眠时间与超重肥胖之间的关系，为今后开展儿童肥胖防制工作提供参考依据。方法采用方便抽样方法，2020年在沈阳市抽取6所幼儿园，在知情同意情况下，对全体儿童进行身高和体重测量，同时对家长进行问卷调查。比较2010年在同一区10所幼儿园儿童的身高体重数据及调查问卷中所需要的内容，统计分析10年间儿童睡眠时间和超重肥胖的变化情况并探讨睡眠时间对儿童超重肥胖发生的影响。结果 2020年参与调查的3~6岁儿童共623人。2010年共574名3~6岁儿童的调查问卷被采用。与2010年比较，2020年3~6岁儿童的年龄和性别差异均无统计学意义(均有P＞0.05)；2020年儿童身高、体重以及BMI均明显增加(均有P＜0.05)。2020年儿童肥胖检出率(14.9%)明显高于2010年(10.5%，P＜0.05)。多因素logistic回归分析模型分析结果显示，2010年睡眠时间＜8 h组的儿童超重检出率是正常儿童的2.51倍(95% CI: 1.22~5.19)，其肥胖检出率是正常儿童的2.78倍(95% CI: 1.17~6.23)。2020年睡眠时间8~9 h组的儿童超重检出率是正常儿童的2.71倍(95% CI: 1.34~5.48)，其肥胖检出率是正常儿童的2.25倍(95% CI: 1.09~4.67)。结论 2010―2020年，沈阳市3~6岁儿童的超重肥胖率呈明显增加趋势。2010年儿童睡眠时间＜8 h和2020年睡眠时间在8~9 h的儿童超重肥胖的风险增加。
- 儿童 /
- 肥胖 /
- 超重 /
- 睡眠时间
Abstract: Objective To describe the changes in overweight and obesity among children aged 3-6 in Shenyang from 2010 to 2020, and exploring the relationship between sleep time and overweight and obesity, to provide a reference for prevention and treatment of childhood obesity in the future. Methods The convenience sampling method was adopted to select children aged 3-6 from 6 kindergartens in Shenyang City in 2020. With informed consent, height and weight measurements were taken from all children, and a questionnaire was administered to parents. The data including height, weight and questionaire from children in 10 kindergartens in the same district in 2010 were compared. The changes in children's sleep duration and overweight obesity during the 10 years were statistically analyzed and the effect of sleep duration on the occurrence of overweight obesity in children was explored. Results A total of 623 children aged 3-6 years participated in the survey in 2020. In 2010, a total of 574 children aged 3-6 years were investigated. Compared with 2010, there is no statistical difference in age and sex composition of children in 2020 (all P > 0.05). The height, weight, and BMI of children aged 3-6 years in 2020 were higher than those in 2010 (all P < 0.05), and the detection rate of obesity in 2020 (14.9%) was significantly higher than that in 2010 (10.5%, P < 0.05). Multivariate logistic regression showed that the children who slept less than 8h and 8-9h had an increased risk of overweight and obesity. In 2010, the detection rate of overweight and obesity of children who slept less than 8 hours was 2.51 times (95% CI: 1.22-5.19) and 2.78 times (95% CI: 1.17-6.23) than that of normal children, respectively. In 2020, the overweight detection rate of children in the sleep 8-9 h group was 2.71 times (95% CI: 1.34-5.48) and 2.25 times (95% CI: 1.09-4.67) than that of normal children. Conclusions Overweight and obesity rates among children aged 3-6 years in Shenyang show a significant increase in the ten years from 2010 to 2020. Children who sleep < 8 h in 2010 and 8-9 h in 2020 are at increased risk of overweight and obesity.
- Children /
- Obesity /
- Overweight /
- Sleep Duration

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表 1 2010年和2020年沈阳市3~6岁儿童基本特征[n(%)]

Table 1. Basic characteristics of children aged 3-6 years in Shenyang in 2010 and 2020 [n(%)]

变量	2010年	2020年	χ²值	P值
性别			0.102	0.749
男	290(50.5)	309(49.6)
女	284(49.5)	314(50.4)
年龄(岁)			6.485	0.090
3	120(20.9)	158(25.4)
4	222(38.7)	249(40.0)
5	149(25.9)	249(40.0)
6	83(14.5)	88(14.1)
平均睡眠时间(h)			43.123	＜0.001
＜8	78(13.6)	28(4.5)
8~＜9	105(18.3)	83(13.3)
9~＜10	220(38.3)	316(50.7)
≥10	171(29.8)	196(31.5)
出生体重(kg)			16.346	＜0.001
低出生体重	8(1.4)	32(5.1)
正常	479(83.4)	522(83.8)
巨大儿	87(15.2)	69(11.1)
母亲妊娠年龄(岁)			57.973	＜0.001
＜25	67(11.7)	61(9.8)
25~＜30	380(66.2)	296(47.5)
≥30	127(22.1)	266(42.7)
父亲文化程度			0.166	0.684
高中及以下	130(22.6)	135(21.7)
大学大专及以上	444(77.4)	488(78.3)
母亲文化程度			2.107	0.147
高中及以下	137(23.9)	127(20.4)
大学大专及以上	437(76.1)	496(79.6)
合计	574(100)	623(100)
身高(x±s, m)	1.08±0.08	1.10±0.09	3.911	＜0.001
体重(x±s, kg)	18.17±3.32	19.72±4.93	6.407	＜0.001
BMI(x±s, kg/m²)	15.61±2.38	16.26±3.18	3.986	＜0.001

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表 2 2010年和2020年沈阳市3~6岁不同性别年龄儿童超重肥胖情况[n(%)]

Table 2. Overweight and obesity among children of different genders and ages between 3-6 years in Shenyang in 2010 and 2020 [n(%)]

年份(年)	变量	分组	正常	超重	肥胖	合计	χ²值	P值
2010	性别	男	192(66.2)	65(22.4)	33(11.4)	290(50.5)	9.390	0.009
		女	219(77.1)	38(13.4)	27(9.5)	284(49.5)
	年龄(岁)	3	70(58.3)	26(21.7)	24(20.0)	120(20.9)	53.285	＜0.001
		4	141(63.5)	47(21.2)	34(15.3)	222(38.7)
		5	129(86.6)	19(12.8)	1(0.7)	149(25.9)
		6	71(85.5)	11(13.3)	1(1.2)	83(14.5)
		合计	411(71.6)	103(17.9)	60(10.5)	574(100.0)
2020	性别	男	207(70.0)	51(16.5)	51(16.5)	309(49.6)	2.622	0.270
		女	229(72.9)	43(13.7)	42(13.4)	314(50.4)
	年龄(岁)	3	128(81.0)	18(11.4)	12(7.6) ^a	158(25.4)	22.877	0.001
		4	176(70.7)	38(15.3)	35(14.1)	249(40.0)
		5	73(57.0)	23(18.0)	32(25.0) ^a	128(20.5)
		6	59(67.0)	15(17.0)	14(15.9)^a	88(14.1)
		合计	436(70.0)	94(15.1)	93(14.9) ^a	623(100.0)
注：^a与2010年比较，P＜0.05。

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表 3 2010年和2020年不同睡眠时间组的超重肥胖检出率[n(%)]

Table 3. The detection rate of overweight and obesity in different sleep time groups in 2010 and 2020 [n(%)]

年份(年)	睡眠时间(h)	正常	超重	肥胖	合计	χ²值	P值
2010	＜8	42(53.8)	20(25.6)	16(20.5)	78(13.6)	19.990	0.003
	8~＜9	71(67.6)	23(21.9)	11(10.5)	105(18.3)
	9~＜10	163(74.1)	37(16.8)	20(9.1)	220(38.3)
	≥10	135(78.9)	23(13.5)	13(7.6)	171(29.8)
	合计	411(71.6)	103(17.9)	60(10.5)	574(100)
2020	＜8	22(78.6)	1(3.6)	5(17.9)	28(4.5)	14.568	0.024
	8~＜9	45(54.2)	20(24.1)	18(21.7)	83(13.3)
	9~＜10	226(71.5)	47(14.9)	43(13.6)	316(50.7)
	≥10	143(73.0)	26(13.3)	27(13.8)	196(31.5)
	合计	436(70.0)	94(15.1)	93(14.9)	623(100)

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表 4 2010年超重和肥胖的多因素logistic回归分析模型

Table 4. Multivariate logistic regression of overweight and obesity in 2010

年份(年)	BMI(kg/m²)	睡眠时间(h)	β值	Wald值	OR (95% CI)值^a	P值
2010	超重	≥10	0.00 ^b
		9~＜10	0.32	1.12	1.37(0.76~2.46)	0.289
		8~＜9	0.53	2.47	1.71(0.88~3.32)	0.116
		＜8	0.92	6.21	2.51(1.22~5.19)	0.013
	肥胖	≥10	0.00 ^b
		9~＜10	0.35	0.40	1.42(0.66~3.09)	0.372
		8~＜9	0.41	0.46	1.51(0.62~3.69)	0.366
		＜8	1.02	0.44	2.78(1.17~6.23)	0.021
2020	超重	≥10	0.00 ^b
		9~＜10	0.13	0.22	1.14(0.66~1.96)	0.636
		8~＜9	1.00	7.67	2.71(1.34~5.48)	0.006
		＜8	-1.17	1.24	0.31(0.04~2.43)	0.265
	肥胖	≥10	0.00 ^b
		9~＜10	-0.67	0.06	0.94(0.54~1.63)	0.812
		8~＜9	0.81	4.75	2.25(1.09~4.67)	0.029
		＜8	0.34	0.35	1.40(0.46~4.22)	0.553
注：^a调整年龄、性别、出生体重、母亲妊娠年龄、父亲出生体重、母亲出生体重后的OR值; ^b作为参考。

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变量	2010年	2020年	χ²值	P值
性别			0.102	0.749
男	290(50.5)	309(49.6)
女	284(49.5)	314(50.4)
年龄(岁)			6.485	0.090
3	120(20.9)	158(25.4)
4	222(38.7)	249(40.0)
5	149(25.9)	249(40.0)
6	83(14.5)	88(14.1)
平均睡眠时间(h)			43.123	＜0.001
＜8	78(13.6)	28(4.5)
8~＜9	105(18.3)	83(13.3)
9~＜10	220(38.3)	316(50.7)
≥10	171(29.8)	196(31.5)
出生体重(kg)			16.346	＜0.001
低出生体重	8(1.4)	32(5.1)
正常	479(83.4)	522(83.8)
巨大儿	87(15.2)	69(11.1)
母亲妊娠年龄(岁)			57.973	＜0.001
＜25	67(11.7)	61(9.8)
25~＜30	380(66.2)	296(47.5)
≥30	127(22.1)	266(42.7)
父亲文化程度			0.166	0.684
高中及以下	130(22.6)	135(21.7)
大学大专及以上	444(77.4)	488(78.3)
母亲文化程度			2.107	0.147
高中及以下	137(23.9)	127(20.4)
大学大专及以上	437(76.1)	496(79.6)
合计	574(100)	623(100)
身高(x±s, m)	1.08±0.08	1.10±0.09	3.911	＜0.001
体重(x±s, kg)	18.17±3.32	19.72±4.93	6.407	＜0.001
BMI(x±s, kg/m²)	15.61±2.38	16.26±3.18	3.986	＜0.001

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2010年与2020年沈阳市3~6岁儿童睡眠时间与超重肥胖的变化及相互关系

doi: 10.16462/j.cnki.zhjbkz.2023.01.020

通讯作者:
贾丽红，E-mail: lhjia@cmu.edu.cn

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Changes and correlation between sleep time and overweight and obesity of children aged 3-6 years in Shenyang in 2010 and 2020

Corresponding author: JIA Li-hong, E-mail: lhjia@cmu.edu.cn

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2010年与2020年沈阳市3~6岁儿童睡眠时间与超重肥胖的变化及相互关系

doi: 10.16462/j.cnki.zhjbkz.2023.01.020

通讯作者: 贾丽红，E-mail: lhjia@cmu.edu.cn

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Changes and correlation between sleep time and overweight and obesity of children aged 3-6 years in Shenyang in 2010 and 2020

Corresponding author: JIA Li-hong, E-mail: lhjia@cmu.edu.cn

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出版历程

目录

通讯作者:
贾丽红，E-mail: lhjia@cmu.edu.cn