Sleep Duration, Snoring Prevalence, Obesity, and Behavioral Problems in a Large Cohort of Primary School Students in Japan
Sleep Duration, Snoring Prevalence, Obesity, and Behavioral Problems in a Large Cohort of Primary School Students in Japan
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DOI：
10.1093/sleep/zsw082
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发表时间：
2017-03-01
期刊：
影响因子：
5.6
通讯作者：
Tanigawa, Takeshi
中科院分区：
文献类型：
--
作者：
Sakamoto, Naoko;Gozal, David;Tanigawa, Takeshi
研究目标：睡眠不足或睡眠不足以及打鼾（表明睡眠呼吸障碍（SDB））与学龄儿童的行为问题有关。我们通过一项大规模调查研究了日本小学生的 SDB、睡眠时间、肥胖风险和行为特征之间的关系。方法：我们对日本松山市所有 46 所公立小学的学生进行了横断面研究。儿童的父母或监护人填写了一份调查问卷，内容涵盖睡眠习惯、是否存在 SDB 风险以及行为特征。结果：总共收到 24 296 份答复（答复率为 90%）。排除不完整的回答后，我们分析了 17 769 名儿童的完整数据集。平均睡眠时间随着年龄的增长而减少，儿科 SDB 的患病率也是如此。我们发现超重/肥胖儿童出现 SDB 和睡眠不足的风险增加。在 SDB 或睡眠不足的情况下，我们观察到焦躁行为、烦躁行为和在学校注意力不集中的几率显着增加。结论：睡眠时间较短与肥胖风险增加相关，反过来，肥胖也会增加 SDB 风险。睡眠时间短和 SDB 风险均与学校行为问题显着相关。
Study Objectives: Poor or short sleep and the presence of snoring indicative of sleep-disordered breathing (SDB) have been associated with behavioral problems in school-aged children. We examined the relationship between SDB, sleep duration, obesity risk, and behavioral characteristics in Japanese elementary school students using a large-scale survey.Methods: We conducted a cross-sectional study of children enrolled in all 46 public primary schools in Matsuyama city, Japan. The children's parents or guardians completed a questionnaire that covered sleep habits, presence of SDB risk, and behavioral characteristics.Results: In total, 24 296 responses were received (90% response rate). After excluding incomplete responses, we analyzed complete datasets for 17 769 children. Mean sleep duration decreased with age, as did the prevalence of pediatric SDB. We found an increased risk for the presence of SDB and short sleep among overweight/ obese children. With SDB or short sleep, we observed significantly increased odds of restless behaviors, fidgety behaviors, and poor concentration in school.Conclusions: Shorter sleep duration was associated with increased risk of obesity, and in turn, obesity increased SDB risk. Both short sleep duration and SDB risk were significantly associated with behavioral problems in school.