Elizabeth Beatrix, Wanda Dessie, Apriyanti Efa
Faculty of Nursing, Universitas Indonesia, Depok, West Java.
Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java.
J Public Health Res. 2021 May 31;10(s1):jphr.2021.2331. doi: 10.4081/jphr.2021.2331.
The prevalence of obesity increases year by year. Sleep quality is considered to be one of the obesity causes. The current average sleep range of children in Indonesia was 6-7 hours. This study aims to analyze whether sleep quality affects the prevalence of obesity in children.
This study used a prospective cohort as the research method. The samples consisted of 37 primary school-age children (4th-6th grade) from West Java and Sumatra, which were selected using the snowball sampling technique. The data were collected by using PSQI and sleep logs (within a month).
The statistical results showed that most of the obese children, 12 out of 19, had poor sleep quality (63.2%), while most of the non-obese children (normal),15 out of 18, had good sleep quality (83.3%). Based on the chi-square statistic, the p-value =0.011 <a (0.05) indicating that H0 was rejected, which means there was a correlation between sleep quality and obesity, with OR=8.571 (95% CI: 1.818-40.423), which means the children with poor sleep quality were likely to experience obesity 8.6 times greater than those who had good sleep quality.
This study found there were correlations between dietary intake, physical activity, sleep quality, and obesity in school-age children. The most dominant factor related to obesity in school-age children is the habitual sleep efficiency (OR=12.354).
肥胖症的患病率逐年上升。睡眠质量被认为是肥胖的原因之一。印度尼西亚儿童目前的平均睡眠时间为6 - 7小时。本研究旨在分析睡眠质量是否会影响儿童肥胖症的患病率。
本研究采用前瞻性队列研究方法。样本包括来自西爪哇和苏门答腊的37名小学适龄儿童(四年级至六年级),采用滚雪球抽样技术选取。数据通过使用匹兹堡睡眠质量指数(PSQI)和睡眠日志(在一个月内)收集。
统计结果显示,19名肥胖儿童中,大多数(12名,占63.2%)睡眠质量较差,而18名非肥胖儿童(正常)中,大多数(15名,占83.3%)睡眠质量良好。基于卡方统计,p值 = 0.011 < α(0.05),表明原假设被拒绝,这意味着睡眠质量与肥胖之间存在相关性,比值比(OR)= 8.571(95%置信区间:1.818 - 40.423),这意味着睡眠质量差的儿童患肥胖症的可能性比睡眠质量好的儿童高8.6倍。
本研究发现学龄儿童的饮食摄入、身体活动、睡眠质量和肥胖之间存在相关性。与学龄儿童肥胖相关的最主要因素是习惯性睡眠效率(OR = 12.354)。