Koinis-Mitchell Daphne, Rosario-Matos Nicolás, Ramírez Rafael R, García Pedro, Canino Glorisa J, Ortega Alexander N
Department of Psychiatry and Human Behavior and Bradely/Hasbro Research Center, Warren Alpert Medical School of Brown University, 1 Hoppin Street, Coro West, Suite 204, Providence, RI, 02903, USA.
Behavioral Sciences Research Institute, UPR-Medical Sciences Campus, San Juan, PR, USA.
J Clin Psychol Med Settings. 2017 Mar;24(1):59-73. doi: 10.1007/s10880-017-9483-1.
Adolescents from Puerto Rican backgrounds are found to have higher rates of obesity than adolescents from other ethnic groups in the US. The objective of this study is to examine whether sleeping the recommended number of hours and depression or anxiety disorder are independently related to risk for obesity in a sample of Island Puerto Rican adolescents, and whether the association between sleep and obesity is moderated by depression or anxiety disorder.
Data from the study were derived from the third wave of an island wide probability sample of Puerto Rican youth residing on the Island, 10-25 years of age (N = 825), with a response rate of 79.59%. The current study focuses on youth 10 to 19 years of age (n = 436).
In this sample, youth who slept less than the recommended number of hours (defined as 7-9 h per night) had a significantly increased risk for obesity and were three times as likely to be obese. Youth who met criteria for a depressive/anxiety disorder were almost 2.5 times as likely to be obese. However, the presence of an anxiety/depressive disorders did not moderate the association between sleeping the recommended number of hours and risk for obesity.
Sleeping less than the recommended number of hours may be an important risk factor for obesity status in Island Puerto Rican youth. These findings suggest that attention to healthy sleep behaviors and a sleep environment that promotes high quality sleep may be important for Puerto Rican adolescents at risk for obesity.
研究发现，具有波多黎各背景的青少年肥胖率高于美国其他种族的青少年。本研究的目的是检验在波多黎各岛青少年样本中，睡眠时间达到推荐时长以及是否患有抑郁症或焦虑症是否与肥胖风险独立相关，以及睡眠与肥胖之间的关联是否受抑郁症或焦虑症的调节。
该研究的数据来自对居住在波多黎各岛、年龄在10 - 25岁的波多黎各青少年进行的全岛概率抽样的第三波调查（N = 825），应答率为79.59%。本研究聚焦于10至19岁的青少年（n = 436）。
在这个样本中，睡眠时间少于推荐时长（定义为每晚7 - 9小时）的青少年肥胖风险显著增加，肥胖的可能性是其他人的三倍。符合抑郁/焦虑症标准的青少年肥胖的可能性几乎是其他人的2.5倍。然而，焦虑/抑郁障碍的存在并未调节睡眠时间达到推荐时长与肥胖风险之间的关联。
睡眠时间少于推荐时长可能是波多黎各岛青少年肥胖状况的一个重要风险因素。这些发现表明，关注健康的睡眠行为以及促进高质量睡眠的睡眠环境对于有肥胖风险的波多黎各青少年可能很重要。
