摘要
目的分析大学生晚锻炼对睡眠质量的影响，为大学生合理选择锻炼方法、改善睡眠质量提供科学依据。方法采用多阶段整群随机抽样的方法，于2012年9—10月选取5997名安徽高校的大学生，通过一般情况调查表、体育活动等级量表（PARS-3）、主观强度感觉等级量表（RPE）、匹兹堡睡眠质量指数量表（PSQI）调查大学生锻炼的现状和睡眠质量。采用KruskM—Wallis检验分析晚锻炼对睡眠质量的影响；采用多因素非条件logistic回归分析晚锻炼学生睡眠质量的影响因素。结果5806名大学生PSQI总分中位数为5分，1030名（17．7％）大学生睡眠质量较差。单纯晚锻炼、单纯白天锻炼、白天晚上都锻炼和不锻炼组（分别为1406、1514、1244、1642名）的PSQI得分中位数均为5分，差异无统计学意义（χ2=2．80，P=0．42）。相对于不锻炼者，单纯晚锻炼对睡眠质量影响的OR（95％CI）值为0．90（0．73～1．10）；相对于非常轻运动量的晚锻炼，中等和大运动量对睡眠质量影响的OR（95％CI）值分别为0．58（0．44～0．75）、0．67（0．48～0．93）；相对于其他运动项目，羽毛球、跳绳、慢跑对睡眠质量影响的OR（95％CI）值分别为0．72（0．55～0．93）、0．38（0．21～0．70）、0．76（0．60～0．95），均为睡眠质量的有利因素。相对于小运动强度晚锻炼，中等、大和非常大运动强度对睡眠质量影响的OR（95％CI）值分别为1．68（1．13～2．52）、2．38（1．48～3．83）、3．18（1．72～5．90），为睡眠质量的不利因素。结论大学生晚锻炼对睡眠质量无影响。晚锻炼时要注意选择运动项目，可参加中等到大运动量的晚锻炼，但要避免运动强度过大。
Objective To investigate the impact of college students＇ evening exercise on their sleep quality, so as to provide a seientific basis for college students to choose an appropriate method of exercise and improve their sleep quality. Methods From September to October in 2012, Multi-stage cluster random sampling method was used to select the 5997 college students in Anhui province. The status of college students＇ exercise and their sleep quality were investigated by the general situation questionnaire,Physical activity rating scale-3 （ PARS-3 ） , Hating of perceived exertion （ RPE ） and Pittsburgh sleep quality index （PSQI）. Kruskal-Wallis test was used to analyze the impact of evening exercise on sleep quality andmultivariate unconditional logistic regression was used to analyze the factors of sleep quality in evening excise students. Results The median of PSQI total score among 5806 college students was 5 and 1030 （17.7%） students had poor sleep quality. The median of the PSQI scores was the same （5 points） for evening exercise group, daytime exercise group, daytime and evening exercise group and non-exercise group （ 1406,1514, 1244, 1642 respectively）. The difference was not statistically significant （χ2 = 2. 80, P = 0.42）. Compared to non-exercise population, the OR （95% CI） value of evening exercise＇ impact on sleep quality was 0. 90 （0. 73 - 1.10）. Compared to very light evening exercise, the OR （95% CI） value of moderate and large amount of evening exercise＇ impact on sleep quality was 0. 58 （0. 44 -0. 75 ） and 0. 67 （0. 48 - 0. 93 ） respectively ; Compared to other sports, the OR （95% CI） value of badminton, rope skipping and jogging＇ impact on sleep quality was 0. 72（0. 55 -0. 93） ,0. 38 （0. 21 -0. 70） and 0. 76（0. 60 -0. 95） respectively and they were all protective factors of sleep quality. Compared to small exercise intensity, the OR （95 % CI）value of moderate, vigorous and very vigorous exercise intensity＇ impact on sleep quality was 1.68 （ 1.13 -2. 52） ,2. 38 （ 1.48 - 3.83 ） and 3. 18 （ 1.72 - 5.90 ） respectively and they were harmful factors of sleep quality. Conclusion There was no impact of evening exercise on sleep quality for college students. Type of sports should be adequately chosen for evening exercise. College students can take moderate and large amount of evening exercise but should avoid activities of vigorous intensity.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2013年第6期542-546,共5页
Chinese Journal of Preventive Medicine
基金
国家自然科学基金（30972494）
关键词
睡眠
身体锻炼
回归分析
大学生
晚锻炼
Sleep
Exercise movement
Regression analysis
College students
Evening
作者简介
通信作者：陶芳标，Email：fbtao@126．com
