Center of Studies in Physical Activity Measurements, School of Medicine and Health Sciences, Universidad del Rosario, Bogotá D.C, Colombia.
Research Center in Physical Activity, Health, and Leisure, Faculty of Sport, University of Porto, Porto, Portugal.
Ital J Pediatr. 2018 Jan 15;44(1):9. doi: 10.1186/s13052-018-0451-7.
There is increasing recognition that sleep is a risk factor for metabolic syndrome (MetS). The aim of the present study was to analyze the relationship between self-reported sleep duration, sleep-related problems and the presence of MetS in children and adolescents from Bogotá, D.C., Colombia.
This is a cross-sectional analysis from the FUPRECOL study (2014-15). Participants included 2779 (54.2% girls) youth from Bogota (Colombia). MetS was defined as the presence of ≥3 of the metabolic abnormalities (hyperglycemia, hypertriglyceridemia, low high-density lipoprotein cholesterol [HDL-c], hypertension, and increased waist circumference) according to the criteria of de Ferranti/Magge and colleges. Self-reported sleep duration and sleep-related problems were assessed with the BEARS questionnaire.
Logistic regression analysis showed that boys who meet recommended duration of sleep had a decreased risk of elevated blood glucose levels (Odds Ratio [OR] = 0.71, 95%CI [0.40-0.94]; p = 0.031) compared to boys who have short-long sleep duration. Also, compared to young without sleep problems, excessive sleepiness during the day was related to low HDL-c levels in boys (OR = 1.36, 95%CI [1.02-1.83]; p = 0.036) and high triglyceride levels in girls (OR = 1.28, 95%CI [1.01-1.63]; p = 0.045). Girls with irregular sleep patterns had decreased HDL-c levels (OR = 0.71, 95%CI [0.55-0.91]; p = 0.009).
Recommended sleep duration was associated with a decreased risk of elevated fasting glucose levels in boys, and sleep problems was related to lower HDL-c in girls and higher triglyceride levels in boys. These findings suggested the clinical importance of improving sleep hygiene to reduce metabolic risk factors in children and adolescents.
越来越多的人认识到睡眠是代谢综合征（MetS）的一个危险因素。本研究的目的是分析来自哥伦比亚波哥大的儿童和青少年中自我报告的睡眠时间、与睡眠相关的问题与 MetS 之间的关系。
这是 FUPRECOL 研究（2014-15 年）的一项横断面分析。参与者包括来自波哥大（哥伦比亚）的 2779 名（54.2%为女孩）青少年。MetS 按照 de Ferranti/Magge 等人的标准定义为存在≥3 种代谢异常（高血糖、高三酰甘油血症、低高密度脂蛋白胆固醇 [HDL-c]、高血压和腰围增加）。自我报告的睡眠时间和与睡眠相关的问题使用 BEARS 问卷进行评估。
Logistic 回归分析显示，符合推荐睡眠时间的男孩发生血糖升高的风险降低（比值比 [OR] = 0.71，95%置信区间 [0.40-0.94]；p = 0.031），与睡眠时间短-长的男孩相比。此外，与无睡眠问题的年轻人相比，白天过度嗜睡与男孩的低 HDL-c 水平相关（OR = 1.36，95%置信区间 [1.02-1.83]；p = 0.036）和女孩的高三酰甘油水平相关（OR = 1.28，95%置信区间 [1.01-1.63]；p = 0.045）。睡眠模式不规则的女孩 HDL-c 水平降低（OR = 0.71，95%置信区间 [0.55-0.91]；p = 0.009）。
推荐的睡眠时间与男孩空腹血糖升高的风险降低有关，而睡眠问题与女孩的 HDL-c 降低和男孩的三酰甘油水平升高有关。这些发现表明，改善睡眠卫生对于降低儿童和青少年的代谢危险因素具有重要的临床意义。
