Association between sleep duration and overweight: the importance of parenting
Association between sleep duration and overweight: the importance of parenting
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DOI：
10.1038/ijo.2012.119
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发表时间：
2012-10-01
影响因子：
4.9
通讯作者：
Renders, C. M.
中科院分区：
文献类型：
--
作者：
de Jong, E.;Stocks, T.;Renders, C. M.
目的：睡眠时间与儿童超重有关，但睡眠时间的决定因素尚不清楚。其目的是调查睡眠时间和儿童超重调整家庭特征和不健康的行为之间的关联，探索睡眠时间的决定因素，并确定与睡眠competitiveactivity.METHOD：在2006年进行了一项横断面研究，其中4072名4-13岁的儿童在城市的兹沃勒，荷兰。在这些儿童中，可以获得有关身高、体重和腰围的测量数据，以及来自父母问卷的有关社会人口特征、儿童睡眠时间、营养、体育活动和久坐行为的数据。在2011年，使用逻辑和线性回归分析研究了相关性，调整了潜在的混杂因素。结果：4-8岁男孩的睡眠时间短与超重相关（比值比（OR）：3.10; 95%置信区间（CI）：1.15-8.40），9-13岁男孩（OR：4.96; 95%CI：1.35-18.16）和9-13岁女孩（OR：4.86; 95%CI：1.59-14.88）。在4-8岁的女孩中，没有发现统计学上的显著关联。睡眠时间短的决定因素是吃饭时看电视，未经允许就吃糖果，与照顾者不活跃以及就寝时间较晚。对于所有的孩子，短睡眠时间与更多的电视观看和电脑use.CONCLUSIONS：睡眠时间和超重之间的关联是不能解释的社会人口变量，喝含糖饮料和吃零食。父母在刺激最佳睡眠时间方面起着关键作用。提高父母的技能和知识，为孩子提供更多的结构，并可能增加睡眠时间，可能有助于预防超重。
OBJECTIVE: Sleep duration has been related to overweight in children, but determinants of sleep duration are unclear. The aims were to investigate the association between sleep duration and childhood overweight adjusted for family characteristics and unhealthy behaviours, to explore determinants of sleep duration and to determine with sleep competing activities.METHOD: A cross-sectional study was carried out in 2006 among 4072 children aged 4-13 years in the city of Zwolle, The Netherlands. In these children, data were available on measured height, weight and waist circumference, and from a parental questionnaire, on socio-demographic characteristics, child's sleep duration, nutrition, physical activity and sedentary behaviour. Associations were studied in 2011 using logistic and linear regression analyses, adjusted for potential confounders.RESULTS: Short sleep duration was associated with overweight for 4-8-year-old boys (odds ratio (OR): 3.10; 95% confidence interval (CI): 1.15-8.40), 9-13-year-old boys (OR: 4.96; 95% CI: 1.35-18.16) and 9-13-year-old girls (OR: 4.86; 95% CI: 1.59-14.88). Among 4-8-year-old girls no statistically significant association was found. Determinants for short sleep duration were viewing television during a meal, permission to have candy without asking, not being active with their caregiver and a late bedtime. For all children, short sleep duration was strongly associated with more television viewing and computer use.CONCLUSIONS: Association between sleep duration and overweight is not explained by socio-demographic variables, drinking sugared drinks and eating snacks. Parents have a key role in stimulating optimal sleep duration. Improving parenting skills and knowledge to offer children more structure, and possibly with that, increase sleeping hours, may be promising in prevention of overweight.