Department of Internal Medicine, School of Medicine, Kangwon National University, Chuncheon, Korea.
Department of Biomedical Sciences, University of North Dakota, School of Medicine and Health Sciences, Grand Forks, ND, USA.
J Korean Med Sci. 2018 Dec 17;33(53):e345. doi: 10.3346/jkms.2018.33.e345. eCollection 2018 Dec 31.
This study aimed to investigate associations between self-reported sleep duration and general and abdominal obesity in Korean adults stratified according to gender and age.
Data from 41,805 adults, 18-110 years of age, collected by the Korea National Health and Nutrition Examination Survey (KNHANES) in 2007 and 2015, were analyzed. Multivariable logistic regression was used to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for obesity and abdominal obesity by sleep duration after controlling for sociodemographic and lifestyle variables.
Among individuals 30-49 years of age, there was an increased AOR for obesity only for sleep duration ≤ 5 hour/day compared with sleep duration 6 to 8 hour/day, both in men (OR, 1.25; 95% CI, 1.02-1.54) and women (OR, 1.56; 95% CI, 1.29-1.90), after controlling for covariates. Regarding women, there was increased AOR for abdominal obesity for sleep duration ≤ 5 hour/day (OR, 1.45; 95% CI, 1.18-1.78) and ≥ 9 hour/day (OR, 1.38; 95% CI, 1.09-1.76) compared with sleep duration 6 to 8 hour/day. However, for elderly individuals (≥ 65 years), there was a negative association between sleep duration ≤ 5 hour/day and obesity, but not with abdominal obesity, in both men and women.
This study demonstrated a significant association between sleep duration and obesity, which varied according to gender and age.
本研究旨在调查在韩国成年人中,根据性别和年龄分层,自我报告的睡眠时长与一般和腹部肥胖之间的关联。
对 2007 年和 2015 年韩国国家健康和营养检查调查(KNHANES)收集的 41805 名 18-110 岁成年人的数据进行了分析。在控制了社会人口统计学和生活方式变量后,使用多变量逻辑回归来计算肥胖和腹部肥胖的校正比值比(AOR)和 95%置信区间(CI),并根据睡眠时长进行分析。
在 30-49 岁的人群中,与睡眠时长 6-8 小时/天相比,睡眠时长≤5 小时/天的男性(OR,1.25;95%CI,1.02-1.54)和女性(OR,1.56;95%CI,1.29-1.90)肥胖的 AOR 均增加,在控制了协变量后。对于女性,与睡眠时长 6-8 小时/天相比,睡眠时长≤5 小时/天(OR,1.45;95%CI,1.18-1.78)和≥9 小时/天(OR,1.38;95%CI,1.09-1.76)的 AOR 增加与腹部肥胖相关。然而,对于老年人群(≥65 岁),男性和女性的睡眠时长≤5 小时/天与肥胖呈负相关,但与腹部肥胖无关。
本研究表明,睡眠时长与肥胖之间存在显著关联,这种关联因性别和年龄而异。