Association of problem behavior with sleep problem and gastroesophageal reflux symptom
Association of problem behavior with sleep problem and gastroesophageal reflux symptom
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问题行为与睡眠问题和胃食管反流症状的关联
DOI：
10.1111/ped.12201
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发表时间：
2014
期刊：
影响因子：
1.4
通讯作者：
Shouichi Miyawaki
中科院分区：
文献类型：
--
作者：
Katsuyoshi Sakaguchi;Takakazu Yagi;Aya Maeda;Kunihiro Nagayama;Sawako Uehara;Youko Saito;Kyouko Kanematsu;Shouichi Miyawaki
研究背景目前很少有大规模的流行病学研究探讨睡眠问题、胃食管反流病（GERD）症状、生活方式和饮食习惯与青少年问题行为（PB）之间的关系。本研究的目的是评估这些因素之间的关联在日本adolescents.MethodsA横断面调查的1840名初中学生进行问卷调查。使用儿科症状自评量表（PSC）将受试者分为PB组或正常行为（NB）组。比较睡眠相关因素、睡眠磨牙症、生活方式和饮食习惯以及GERD症状的评分。Logistic回归分析，以确定PB的相关因素。结果平均受试者年龄为13.3 ± 1.8岁。PB组睡眠潜伏期明显延长，GERD症状评分明显升高（P< 0.001）。此外，PB组更有可能在晚餐时间经历母亲的缺席，不吃早餐，并且在晚餐时间与家人交谈<30分钟。PB组的夜间磨牙症、30分钟内入睡困难、噩梦、睡眠质量低、白天嗜睡和白天缺乏动力的频率显著较高。低睡眠质量的感觉有最强的关联与PB，调整后的比值比为12.88（95%置信区间：8.99-18.46）。结论PB在青少年与睡眠问题，包括夜磨牙症，以及生活方式和饮食习惯和胃食管反流病症状。
BackgroundThere are few large‐scale epidemiologic studies examining the associations between sleep problems, gastroesophageal reflux disease (GERD) symptoms, lifestyle and food habits and problem behaviors (PB) in adolescents. The aim of this study was to evaluate the associations among these factors in Japanese adolescents.MethodsA cross‐sectional survey of 1840 junior high school students was carried out using questionnaires. The subjects were classified into PB or normal behavior (NB) groups using the Pediatric Symptom Checklist (PSC). The scores of the sleep‐related factors, sleep bruxism, lifestyle and food habits, and GERD symptoms were compared. Logistic regression analysis was used to determine the factors related to PB.ResultsMean subject age was 13.3 ± 1.8 years. The PB group had significantly longer sleep latency and higher GERD symptom score (P< 0.001). Furthermore, the PB group was significantly more likely to experience absence of the mother at dinner time, skip breakfast, and have <30 min of conversation among family at dinner time. The PB group had significantly higher frequencies of sleep bruxism, difficulty falling asleep within 30 min, nightmares, feeling of low sleep quality, daytime somnolence, and daytime lack of motivation. Feelings of low sleep quality had the strongest association with PB, with an adjusted odds ratio of 12.88 (95% confidence interval: 8.99–18.46).ConclusionsPB in adolescents are associated with sleep problems, including sleep bruxism, as well as lifestyle and food habits and GERD symptoms.