摘要
目的了解6-16岁儿童青少年睡眠情况，探讨儿童青少年睡眠状况与高血压之问的关联。方法2017年11月至2018年1月，采用整群抽样的方法，在北京市东城、房山、密云以及通州区选择30所学校（包括8所小学，21所中学和1所12年制学校），将小学1-4年级，初中1年级和高中1年级的6-16岁学生全部纳入研究。排除标准为由于外伤等原因不适于参加体检的学生，最终共纳入13471名研究对象。采用问卷调查和体检的方法，收集睡眠情况、血压水平等相关信息。采用多因素logistie回归模型分析睡眠状况与高血压发生风险的关联。结果儿童青少年睡眠时长为（8．4±1．1）h／d，高血压检出率为15．0％（2021／13471）。张口呼吸、流口水、打鼾、憋气发生率分别为28．4％（3823／13471）、23．6％（3184／13471）、18．7％（2513／13471）、2．8％（378／13471）。调整性别、年龄、是否张口呼吸、是否流口水、是否打鼾、是否憋气、睡眠时长和入睡时间点的混杂影响后，睡眠中打鼾（OR=1．49，95％CI：1．32-1．69）和睡眠时长为5．0-6．9la（OR=1．53，95％CI：1．28-1．81）与高血压有关。结论打鼾、睡眠时长较短与儿童青少年高血压的发生具有相关性，提示充分重视儿童青少年的睡眠状况，能够预防和控制高血压的流行。
Objective To investigate the sleep status in children and adolescents and explore the relationship between the sleep and high blood pressure in them. Methods Data was from the Schoolbased Cardiovascular and Bone Health Promotiow Program （SCVBH） in Beijing. And 13 471 children and adolescents aged 6-16 years were selected from grades 1 to 4 in 8 primary schools, grade 1 in 21 middle schools and senior grade 1 in one twelve-year education school in Dongcheng, Fangshan, Miyun and Tongzhou Districts of Beijing during 2017-2018 by using a cluster sampling method. Self-reported questionnaires were used to collect the demographic characteristics, lifestyle habits of children and adolescents. The blood pressure was measured by electronic sphygmomanometer. Muhiple logistic regression model was used to analyze the association between sleep and hypertension risk. Results The sleep duration was （8.4＋ 1.1） hours. The prevalence of high blood pressure was 15.0%（2 021/13 471）. The incidence of mouth breathing, slobber, snoring, and suffocate was 28.4%（3 823/13 471）, 23.6%（3 184/13 471） and 18.7%（2 513/13 471）, 2.8%（378/ 13 471） respectively. After adjusting for age, gender, snoring, mouth breaking, slobber, suffocate, the time for bed and sleep duration, we found that snoring and sleep duration （5.0-6.9 h） were both associated with high blood pressure （0R=1.49, 95%CI： 1.32-1.69; 0R=1.53, 95%CI： 1.28-1.81）. Conclusion Snoring and sleep duration were positively associated with high blood pressure in this study. Interventions focusing on sleep status should be developed to reduce the incidence of high blood pressure in children and adolescents.
作者
黄贵民
侯冬青
高爱钰
朱忠信
郁兆仓
林宁翔
常素英
米杰
Huang Guimin;Hou Dongqing;Gao Aiyu;Zhu Zhongxin;Yu Zhaocang;LinNingxiang;Chang Suying;Mi Jie(Department of Epidemiology,Capital Institute of Pediatrics,Beijing 100020,China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2018年第11期1136-1139,共4页
Chinese Journal of Preventive Medicine
基金
国家重点研发计划项目（2016YFCl300100、2016YFC0900602）
联合国儿童基金会项目（20171.2.3.6）
关键词
儿童
高血压
睡眠
打鼾
横断面研究
Children
High blood pressure
Sleep
Snoring
Cross-sectional study
作者简介
通信作者：米杰，Email：Jiemj@vip．163．com
