Curtin School of Allied Health, Curtin University, Perth, WA, Australia.
Movement Physiology Laboratory, University of Witwatersrand, Johannesburg, South Africa.
Acta Paediatr. 2021 Aug;110(8):2435-2444. doi: 10.1111/apa.15911. Epub 2021 May 26.
Sleep behaviour is correlated and causally related to physical and mental health. Limited longitudinal data exist on the associations of poor sleep behaviour in childhood and adolescence with adult health. Parent-reported sleep behaviours from 1993 participants of the Raine Study (at ages 5, 8, 10, 14, 17) were used to determine sleep trajectories (using latent class growth analysis).
Measures of physical and mental health were compared between sleep trajectories using generalised linear models (at age 20).
Three sleep trajectories were identified as follows: 43% of participants belonged to a trajectory with 'consistently minimal' sleep problems, 49% showed some 'declining' in reporting of sleep problems incidence and 8% had 'persistent' sleep problems. Participants in the 'consistently minimal' trajectory had better physical and mental health outcomes at age 20 compared to those in the 'declining' and 'persistent' trajectories. For example, 'consistently minimal' participants had significantly lower body fat percentage (mean difference: -3.89% (95% CI: -7.41 to -0.38)) and a higher (better) SF-12 mental component score (mean difference: 4.78 (95% CI: 2.35-7.21)) compared to participants in the 'persistent' trajectory.
Poor sleep behaviour across childhood and adolescent years is related to poorer physical and mental health in young adulthood.
睡眠行为与身心健康密切相关，并具有因果关系。关于儿童和青少年时期不良睡眠行为与成年后健康之间的关联，目前仅有有限的纵向数据。本研究使用 Raine 研究（参与者年龄为 5、8、10、14 和 17 岁时）中 1993 名家长报告的睡眠行为数据，通过潜在类别增长分析来确定睡眠轨迹。
使用广义线性模型（在 20 岁时）比较不同睡眠轨迹之间的身心健康测量指标。
确定了三种睡眠轨迹：43%的参与者属于“始终保持最小睡眠问题”的轨迹，49%的参与者报告睡眠问题发生率“逐渐减少”，8%的参与者则存在“持续”的睡眠问题。与“逐渐减少”和“持续”轨迹的参与者相比，“始终保持最小睡眠问题”轨迹的参与者在 20 岁时具有更好的身心健康结果。例如，“始终保持最小睡眠问题”的参与者的体脂百分比明显较低（平均差异：-3.89%（95%置信区间：-7.41 至-0.38）），SF-12 心理成分评分更高（平均差异：4.78（95%置信区间：2.35-7.21））。
整个儿童和青少年时期的不良睡眠行为与成年早期的身心健康较差有关。
