[中国兰州儿童肥胖与睡眠障碍之间的关联]
[Association between obesity and sleep disorders among children in Lanzhou, China].
作者信息
Ye Xin-Hua, Chen Hong, Kang Xi-Guang, Zhang Qian
机构信息
Child Medical Care Center, First Hospital of Lanzhou University, Lanzhou 730000, China.
出版信息
Zhongguo Dang Dai Er Ke Za Zhi. 2019 Oct;21(10):987-991. doi: 10.7499/j.issn.1008-8830.2019.10.007.
OBJECTIVE
To investigate the prevalence of obesity and sleep disorders and the association between them among children in Lanzhou, China.
METHODS
The stratified cluster random sampling method was used to select 3 283 primary school students in four districts of Lanzhou of Gansu province. Physical examination and sleep questionnaire were conducted to screen out the children who met the criteria for sleep disorders or obesity as subjects. Among the 3 283 children, 200 healthy children without sleep disorders or obesity were enrolled as the control group.
RESULTS
The prevalence rate of obesity among the 3 283 children was 5.76% (189/3 283). Among these 189 obese children, 80 (42.3%) had sleep disorders. The prevalence rate of sleep disorders was 16.24% (533/3 283), and the prevalence rate of obesity among the children with sleep disorders was 24.6% (131/533). Snoring was the most common sleep disorder in obese children. The prevalence rate of obstructive sleep apnea hypopnea syndrome was 45% (36/80) among obese children with sleep disorders. The obese children had a significantly higher prevalence rate of sleep disorders than the children with normal body weight [42.3% (80/189) vs 20% (40/200), P<0.01].
CONCLUSIONS
There is a close relationship between obesity and sleep disorders in children in Lanzhou, China.
目的
调查中国兰州儿童肥胖症和睡眠障碍的患病率及其之间的关联。
方法
采用分层整群随机抽样方法，选取甘肃省兰州市四个区的3283名小学生。进行体格检查和睡眠问卷调查，筛选出符合睡眠障碍或肥胖症标准的儿童作为研究对象。在这3283名儿童中，选取200名无睡眠障碍和肥胖症的健康儿童作为对照组。
结果
3283名儿童中肥胖症患病率为5.76%（189/3283）。在这189名肥胖儿童中，80名（42.3%）有睡眠障碍。睡眠障碍患病率为16.24%（533/3283），有睡眠障碍的儿童中肥胖症患病率为24.6%（131/533）。打鼾是肥胖儿童中最常见的睡眠障碍。有睡眠障碍的肥胖儿童中阻塞性睡眠呼吸暂停低通气综合征患病率为45%（36/80）。肥胖儿童的睡眠障碍患病率显著高于正常体重儿童[42.3%（80/189）对20%（40/200），P<0.01]。
结论
中国兰州儿童的肥胖症与睡眠障碍之间存在密切关系。
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