Graduate School, Chongqing Medical University, Chongqing, 400016, China.
Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400010, China.
Sci Rep. 2017 Aug 29;7(1):9813. doi: 10.1038/s41598-017-10230-3.
Recent studies have reported inconsistent results regarding the association between sleep problems and injury risk among juveniles. Moreover, the extent of this risk remains largely unexplored. Thus, a systematic review and meta-analysis was conducted by our team to determine whether sleep problems increase the incidence of injuries among juveniles. PubMed, PsycINFO, Embase, and Cochrane Library databases were searched for relevant studies that explored the association between sleep problems and injury risk and have been published before July 2016. Multivariate adjusted odds ratio (OR) and associated 95% confidence intervals (CIs) were extracted and pooled using random-effects models. A total of 10 observational studies involving 73,418 participants were identified. Meta-analysis findings suggested that juveniles with sleep problems held a 1.64 times higher risk of injury than that of juveniles without sleep problems (OR: 1.64, 95% CI: 1.44-1.85). This relationship was also supported by subgroup analyses, which were based on different countries and study designs. The current evidence indicates that sleep problems are significantly associated with injury risk among juveniles. Sleep problems are highly important for young people; hence, sleep researchers and occupational physicians should focus on this aspect. Nevertheless, high-quality and adequately powered observational studies are still needed.
最近的研究报告称，睡眠问题与青少年受伤风险之间的关系结果不一致。此外，这种风险的程度在很大程度上尚未得到探索。因此，我们的团队进行了系统的回顾和荟萃分析，以确定睡眠问题是否会增加青少年受伤的发生率。我们检索了 PubMed、PsycINFO、Embase 和 Cochrane Library 数据库，以确定探讨睡眠问题与受伤风险之间关系的相关研究，并在 2016 年 7 月之前发表。使用随机效应模型提取并汇总了多变量调整后的比值比（OR）和相关的 95％置信区间（CI）。共确定了 10 项涉及 73418 名参与者的观察性研究。荟萃分析结果表明，有睡眠问题的青少年受伤的风险比没有睡眠问题的青少年高 1.64 倍（OR：1.64，95％CI：1.44-1.85）。这一关系也得到了基于不同国家和研究设计的亚组分析的支持。目前的证据表明，睡眠问题与青少年受伤风险显著相关。睡眠问题对年轻人非常重要；因此，睡眠研究人员和职业医生应关注这一方面。然而，仍需要高质量和充分有力的观察性研究。
