Association Between Exposure to Outdoor Artificial Light at Night and Sleep Disorders Among Children in China.
Association Between Exposure to Outdoor Artificial Light at Night and Sleep Disorders Among Children in China.
复制标题
中国儿童夜间暴露于户外人造光与睡眠障碍之间的关系
DOI：
10.1001/jamanetworkopen.2022.13247
复制
发表时间：
2022-05-02
影响因子：
13.8
通讯作者：
Dong GH
中科院分区：
文献类型：
--
作者：
Wang LB;Gong YC;Fang QL;Cui XX;Dharmage SC;Jalaludin B;Knibbs LD;Bloom MS;Guo Y;Lin LZ;Zeng XW;Yang BY;Chen G;Liu RQ;Yu Y;Hu LW;Dong GH
夜间人造光（ALAN）与中国儿童的睡眠障碍有关吗？在这项包含 201 994 名中国儿童健康研究参与者的横断面研究中，户外 ALAN 暴露水平较高的儿童睡眠得分较高，出现睡眠障碍症状的几率也较高。儿童的年龄改变了户外 ALAN 与睡眠评分和睡眠障碍的关联，并且这种关联在 12 岁以下的儿童中通常更强。这些发现表明，减少中国的室外光污染量可以减轻儿童睡眠障碍的严重程度。这项横断面研究调查了中国儿童一般人群夜间暴露于户外人造光与睡眠障碍之间的关联。健康的睡眠对于儿童的身心健康具有重要作用。然而，很少有研究调查夜间户外人造光 (ALAN) 与儿童睡眠障碍之间的关联。探讨户外 ALAN 暴露与儿童睡眠障碍之间的关联。这项基于人群的横断面研究是全国儿童健康研究的一部分，第一阶段于2012年4月1日至2013年6月30日，第二阶段于2016年5月1日至2018年5月31日在中国14个城市的55个区进行。该分析包括 201 994 名 2 至 18 岁的儿童和青少年。数据分析时间为 2022 年 2 月 20 日至 3 月 21 日。从卫星图像数据中获得每个参与者居住地址 500 m 范围内的室外 ALAN 暴露量（以纳瓦/平方厘米/球面度为单位），分辨率约为 500 m。睡眠障碍采用中文版儿童睡眠障碍量表进行测量。使用广义线性混合模型来估计户外 ALAN 与睡眠评分和睡眠障碍的关联。该研究纳入了 201 994 名儿童和青少年（平均 [SD] 年龄，11.3 [3.2] 岁；106 378 名男孩 [52.7%]），其中 7166 名（3.5%）有睡眠障碍症状。研究参与者的户外 ALAN 暴露范围为 0.02 至 113.48 nW/cm2/sr。与户外 ALAN 暴露的最低五分位数 (Q1) 相比，较高的五分位数暴露 (Q2-Q5) 与总睡眠评分增加相关，第 2 季度增加 0.81 (95% CI, 0.66-0.96)，第 3 季度增加 0.83 (95% CI, 0.68-0.97)，第 3 季度增加 0.62 (95% CI, 0.46-0.77)。第 4 季度为 0.53（95% CI，0.36-0.70）。较高的五分位数暴露也与睡眠障碍的比值比相关，第二季度为 1.34 (95% CI, 1.23-1.45)，第三季度为 1.43 (95% CI, 1.32-1.55)，第四季度为 1.31 (95% CI, 1.21-1.43)，第四季度为 1.25 (95% CI, 1.21-1.43)。 1.14-1.38）在第五季度。睡眠障碍亚型也观察到类似的关联。此外，12 岁以下儿童的影响估计更大。这项横断面研究的结果表明，居住在室外 ALAN 水平较高地区的儿童中，睡眠障碍更为普遍，而且这种关联在 12 岁以下的儿童中普遍更为强烈。这些发现进一步表明，有效控制户外ALAN可能是改善儿童睡眠质量的重要措施。
Is artificial light at night (ALAN) associated with sleep disorders in Chinese children? In this cross-sectional study including 201 994 participants from the National Chinese Children Health Study, children with high levels of outdoor ALAN exposure had increased sleep scores and increased odds of sleep disorder symptoms. Children’s age modified the associations of outdoor ALAN with sleep score and sleep disorders, and the associations were generally stronger in children younger than 12 years. These findings suggest that reducing the amount of outdoor light pollution in China could reduce the severity of sleep disorders among children. This cross-sectional study investigates the associations between exposure to outdoor artificial light at night and sleep disorders among a general population of Chinese children. Healthy sleep has an important role in the physical and mental health of children. However, few studies have investigated the association between outdoor artificial light at night (ALAN) and sleep disorders in children. To explore the associations between outdoor ALAN exposure and sleep disorders in children. This population-based cross-sectional study, part of the National Chinese Children Health Study, was conducted from April 1, 2012, to June 30, 2013, in the first stage and from May 1, 2016, to May 31, 2018, in the second stage in 55 districts of 14 cities in China. This analysis included 201 994 children and adolescents aged 2 to 18 years. Data were analyzed from February 20 to March 21, 2022. Outdoor ALAN exposure (in nanowatts per centimeters squared per steradian) within 500 m of each participant’s residential address obtained from the satellite imagery data, with a resolution of approximately 500 m. Sleep disorders were measured by the Chinese version of the Sleep Disturbance Scale for Children. Generalized linear mixed models were used to estimate the associations of outdoor ALAN with sleep scores and sleep disorders. The study included 201 994 children and adolescents (mean [SD] age, 11.3 [3.2] years; 106 378 boys [52.7%]), 7166 (3.5%) of whom had sleep disorder symptoms. Outdoor ALAN exposure of study participants ranged from 0.02 to 113.48 nW/cm2/sr. Compared with the lowest quintile (Q1) of outdoor ALAN exposure, higher quintiles of exposure (Q2-Q5) were associated with an increase in total sleep scores of 0.81 (95% CI, 0.66-0.96) in Q2, 0.83 (95% CI, 0.68-0.97) in Q3, 0.62 (95% CI, 0.46-0.77) in Q4, and 0.53 (95% CI, 0.36-0.70) in Q5. Higher quintiles of exposure were also associated with odds ratios for sleep disorder of 1.34 (95% CI, 1.23-1.45) in Q2, 1.43 (95% CI, 1.32-1.55) in Q3, 1.31 (95% CI, 1.21-1.43) in Q4, and 1.25 (95% CI, 1.14-1.38) in Q5. Similar associations were observed for sleep disorder subtypes. In addition, greater effect estimates were found among children younger than 12 years. The findings of this cross-sectional study suggest that sleep disorders are more prevalent among children residing in areas with high levels of outdoor ALAN and the associations are generally stronger in children younger than 12 years. These findings further suggest that effective control of outdoor ALAN may be an important measure for improving the quality of children’s sleep.
登录
查看更多内容
青少年的睡眠是否比以前更少、更差？
DOI：
10.1016/j.lanwpc.2021.100167
发表时间：
2021-06
期刊：
The Lancet regional health. Western Pacific
影响因子：
--
作者：
Chan NY;Li SX;Wing YK
通讯作者：
Wing YK
影响因子：
5.8
作者：
Crowley, Stephanie J.;Cain, Sean W.;Carskadon, Mary A.
通讯作者：
Carskadon, Mary A.
DOI：
10.1056/nejmra1802337
发表时间：
2021-02-11
期刊：
The New England journal of medicine
影响因子：
--
作者：
Allada R;Bass J
通讯作者：
Bass J
影响因子：
4.1
作者：
Hirshkowitz, Max;Whiton, Kaitlyn;Hillard, Paula J. Adams
通讯作者：
Hillard, Paula J. Adams
DOI：
10.1046/j.1365-8711.2001.04882.x
发表时间：
2001-12-11
影响因子：
4.8
作者：
Cinzano, P;Falchi, F;Elvidge, CD
通讯作者：
Elvidge, CD