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[儿童和青少年的速度与耐力表现和睡眠时间之间的关联]

[Association between speed and endurance performance with sleep duration in children and adolescents].

作者信息

Chen T Q, Dong B, Zhang W J, Gao D S, Dong Y H, Ma J, Ma Y H

机构信息

The Institute of Child and Adolescent Health,Peking University,Beijing 100191, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2018 Jun 18;50(3):429-435.

Abstract

OBJECTIVE

To analyze the association between sleep duration and athletic performance, and provide scientific basis to improve the 50 m and endurance performance in children and adolescents.

METHODS

All the 119 462 subjects aged 9-15 years in both genders were sampled from 2014 National Physical Fitness and Health Surveillance by using stratified random cluster sampling method, to measure the height, weight, 50 meters and endurance performance and investigate sleep duration with questionnaire. Their body mass indexes (BMI) were calculated and the students' 50 m, endurance run scores and sleep durations were assessed. Binary Logistic regression was used to analyze the difference between the different sleep groups, and multifactor Logistic regression was used to analyze the relationship between the sleep condition and athletic performance.

RESULTS

The prevalence of insufficient sleep was 94.67% in the total subjects, the prevalence was higher among the girls (95.26%)than the boys (94.09%, χ=80.99, P<0.001), and higher among the urban (95.41%) than the rural students(93.93%, χ=128.48, P<0.001).The children with sufficient sleep had better performance in 50 m and endurance run scores( χ=10.10, P<0.01; χ=21.76, P<0.001). Logistic regression analysis after controlling the gender, area, grade and BMI showed that children with adequate sleep showed better results(OR=1.14, 95%CI=1.05-1.23, P<0.01; OR=1.21, 95%CI=1.11-1.31, P<0.001). As for gender, the excellent rates of 50 m and endurance run scores in the boys with adequate sleep were higher (P<0.001), but there were no significant difference in 50 m and endurance run excellent rates in the girls of different sleep conditions. The excellent rates of 50 m and endurance run in the urban children and the endurance rate in the rural children and adolescents with adequate sleep were higher than those with insufficient sleep (P<0.01) while there were no significant difference in the 50 m excellent rates between the different sleep groups in rural areas. The 50 m and endurance run excellent rates of the children and adolescents with adequate sleep in each grade were higher than those of the children in the same grade with insufficient sleep (P<0.001, and the rest P<0.05). Children and adolescents with normal BMI and overweight who slept well had better performance in 50 m (P<0.05). The endurance run excellent rate of children and adolescents with adequate sleep in each BMI group was higher than that in children and adolescents with insufficient sleep in the same BMI group (P<0.01, P<0.01, P<0.05, P<0.05). The children and adolescents were divided into different groups according to the sleep duration,the one who slept less than 7 hours had lower 50 m excellent rate than the other groups with longer sleeping duration (P<0.01) and the rate in the ones who slept more than 9 hours was the highest (P<0.001).The endurance excellent rate in the children and adolescents who slept more than 9 hours was significantly higher than that in the other groups (P<0.001).There was no significant dose-response relationship in excellent rates and sleep durations.

CONCLUSION

The prevalence of insufficient sleep has increased, and the sleep condition in children and adolescents is severe. Children and adolescents with sufficient sleep have better athletic performance, so we should strengthen the prevention and control of the lack of sleep in children and adolescents.

摘要

目的

分析睡眠时间与运动能力之间的关联,为提高儿童青少年50米跑和耐力成绩提供科学依据。

方法

采用分层随机整群抽样方法,从2014年全国学生体质与健康调研中抽取119462名9至15岁的学生,测量其身高、体重、50米跑和耐力成绩,并通过问卷调查睡眠时间。计算其体重指数(BMI),评估学生的50米跑、耐力跑成绩和睡眠时间。采用二元Logistic回归分析不同睡眠组间的差异,采用多因素Logistic回归分析睡眠状况与运动能力的关系。

结果

总样本中睡眠不足的发生率为94.67%,女生(95.26%)高于男生(94.09%,χ=80.99,P<0.001),城市学生(95.41%)高于农村学生(93.93%,χ=128.48,P<0.001)。睡眠充足的儿童在50米跑和耐力跑成绩方面表现更好(χ=10.10,P<0.01;χ=21.76,P<0.001)。在控制性别、地区、年级和BMI后进行Logistic回归分析,结果显示睡眠充足的儿童成绩更好(OR=1.14,95%CI=1.05-1.23,P<0.01;OR=1.21,95%CI=1.11-1.31,P<0.001)。就性别而言,睡眠充足的男生50米跑和耐力跑成绩的优秀率更高(P<0.001),但不同睡眠状况的女生在50米跑和耐力跑优秀率方面无显著差异。睡眠充足的城市儿童50米跑和耐力跑优秀率以及农村儿童和青少年耐力跑优秀率均高于睡眠不足者(P<0.01),而农村不同睡眠组间50米跑优秀率无显著差异。各年级睡眠充足的儿童和青少年50米跑和耐力跑优秀率均高于同年级睡眠不足的儿童(P<0.001,其余P<0.05)。BMI正常和超重且睡眠良好的儿童和青少年在50米跑方面表现更好(P<0.05)。各BMI组中睡眠充足的儿童和青少年耐力跑优秀率均高于同BMI组睡眠不足的儿童和青少年(P<0.01,P<0.01,P<0.05,P<0.05)。根据睡眠时间将儿童和青少年分组,睡眠时间少于7小时的儿童50米跑优秀率低于其他睡眠时间较长的组(P<0.01),睡眠时间超过9小时的组优秀率最高(P<0.001)。睡眠时间超过9小时的儿童和青少年耐力跑优秀率显著高于其他组(P<0.001)。优秀率与睡眠时间之间无显著的剂量反应关系。

结论

睡眠不足发生率呈上升趋势,儿童青少年睡眠状况严峻。睡眠充足的儿童青少年运动能力更好,应加强对儿童青少年睡眠不足问题的防控。

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