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青少年睡眠剥夺:与健康问题及健康相关生活质量的相关性

Sleep deprivation in adolescents: correlations with health complaints and health-related quality of life.

作者信息

Paiva Teresa, Gaspar Tania, Matos Margarida G

机构信息

CENC - Sleep Medicine Centre and University of Lisbon, Lisbon, Portugal.

Centre of Malaria and Tropical Diseases, Lusíada University of Lisbon, Lisbon, Portugal.

出版信息

Sleep Med. 2015 Apr;16(4):521-7. doi: 10.1016/j.sleep.2014.10.010. Epub 2015 Jan 20.

Abstract

OBJECTIVES

The present study aimed to evaluate the influences of sleep duration, sleep deprivation, and weekend variability of sleep upon other adolescents' features, namely those related to health and health-related quality of life.

METHODS

The Health Behaviour in School-Aged Children (HBSC) survey is based on a self-completed questionnaire. The participants in the present study were 3476 students (53.8% were girls) in the 8th and 10th grades at school; the mean age was 14.9 years (range 12.5-19.0). Subjective sleep duration during the weeknights and weekends was collected; sleep deprivation (SD) was considered whenever the difference was greater than 3 h. Health complaint frequency and health-related quality of life (with the Kidscreen 10) were collected.

RESULTS

Sleep deprivation was present in 18.9% of the students. It was negatively correlated with sleep duration on weeknights. There were no gender differences, but SD increased with age and grade. Higher school grades were mainly associated with fatigue. A considerable number of adolescents had sleep problems (37.2%); 25.5% had difficulties in sleep initiation, which was more prevalent in adolescents with SD. The sleep duration on weeknights was decreased in the SD group. The average health-related quality of life was reduced in adolescents with SD. The frequency of health complaint was higher is adolescents with SD. Girls had significantly more health complaints than boys, with special focus on headaches.

CONCLUSIONS

Sleep deprivation is associated with the perception of health-related quality of life and perceived physical and mental health.

摘要

目的

本研究旨在评估睡眠时间、睡眠剥夺以及周末睡眠变异性对其他青少年特征的影响,即那些与健康及健康相关生活质量有关的特征。

方法

学龄儿童健康行为(HBSC)调查基于一份自我填写的问卷。本研究的参与者为3476名8年级和10年级的学生(53.8%为女生);平均年龄为14.9岁(范围12.5 - 19.0岁)。收集了工作日夜晚和周末的主观睡眠时间;当差异大于3小时时,视为存在睡眠剥夺(SD)。收集了健康投诉频率和健康相关生活质量(使用儿童健康问卷10项版)。

结果

18.9%的学生存在睡眠剥夺。它与工作日夜晚的睡眠时间呈负相关。不存在性别差异,但睡眠剥夺随年龄和年级增加。较高的学业成绩主要与疲劳相关。相当数量的青少年存在睡眠问题(37.2%);25.5%的青少年入睡困难,这在存在睡眠剥夺的青少年中更为普遍。睡眠剥夺组工作日夜晚的睡眠时间减少。存在睡眠剥夺的青少年的平均健康相关生活质量降低。存在睡眠剥夺的青少年的健康投诉频率更高。女孩的健康投诉明显多于男孩,尤其以头痛为重点。

结论

睡眠剥夺与对健康相关生活质量的感知以及身心健康的感知相关。

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