Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200092, China.
Sleep Breath. 2012 Dec;16(4):1211-8. doi: 10.1007/s11325-011-0635-5. Epub 2011 Dec 22.
This study aimed to determine whether functional gastrointestinal disorders are more common among adolescents with self-reported poor sleep.
Junior middle school and senior high school students (n = 1,362) were recruited from schools in Shanghai. Students completed two questionnaires: the questionnaire for irritable bowel syndrome (IBS) in adolescents and the Pittsburgh Sleep Quality Index.
The prevalence of poor sleep was 34.29% [95% confidence interval (CI) = 31.77-36.81] and there was no significant difference between genders (P = 0.991). The tendency towards poor sleep increased with age, with age group yielding a significant effect (P = 0.001). In junior middle school and senior high school students, the propensity towards poor sleep was 30.10% (95% CI = 27.08-33.12%) and 42.11% (95% CI = 37.67-46.55%), respectively. Among students with poor sleep, the prevalence of IBS was 19.70% (95% CI = 16.09-23.31). After adjusting for age, sex, night pain, and psychological factors, IBS was significantly more common in students with poor sleep (odds ratio = 1.92; 95% CI = 1.07-2.58).
We conclude that IBS is prevalent in students with poor sleep. Poor sleep was independently associated with IBS among adolescents in Shanghai China.
本研究旨在确定自述睡眠质量差的青少年是否更常患有功能性胃肠疾病。
从上海的学校招募了初中和高中学生（n=1362）。学生完成了两份问卷：青少年肠易激综合征问卷和匹兹堡睡眠质量指数。
睡眠质量差的患病率为 34.29%（95%置信区间[CI] = 31.77-36.81），性别之间无显著差异（P=0.991）。睡眠质量差的趋势随年龄增长而增加，年龄组产生显著影响（P=0.001）。在初中和高中生中，睡眠质量差的倾向分别为 30.10%（95%CI=27.08-33.12%）和 42.11%（95%CI=37.67-46.55%）。在睡眠质量差的学生中，IBS 的患病率为 19.70%（95%CI=16.09-23.31）。在校正年龄、性别、夜间疼痛和心理因素后，睡眠质量差的学生中 IBS 明显更为常见（比值比[OR] = 1.92；95%CI=1.07-2.58）。
我们的结论是，IBS 在睡眠质量差的学生中很常见。在中国上海的青少年中，睡眠质量差与 IBS 独立相关。
