Almulla Aisha Abdalla, Zoubeidi Taoufik
Community Nutrition Department, Tawam Hospital, Abu Dhabi Health Services Company (SEHA), Abu Dhabi, United Arab Emirates.
Department of Analytics in the Digital Era, United Arab Emirates University, Abu Dhabi, United Arab Emirates.
Int J Adolesc Med Health. 2021 Jul 26;34(2):31-40. doi: 10.1515/ijamh-2021-0041.
To assess the prevalence of overweight, obesity and Insufficient Sleep Duration (ISD) and to investigate their relationship with related lifestyle factors among school-aged students. Obesity in childhood and adolescence is a serious health concern as it may have long term risk for overweight and obesity in adulthood.
This is a cross-sectional study of 1,611 students aged between 10 and 18 years from Al Ain city, United Arab Emirates. Data were collected using a multistage stratified random sampling method using a validated questionnaire and the level of significance was set at p<0.05.
The prevalence of overweight and obesity was 42.4%. ISD was 36.6% among students. Higher BMI was significantly related to being a male and inactive (95% CI=0.03-0.23), daily coffee consumption (95% CI=0.03-0.1), older age (95% CI=0.01-0.02), less average sleep duration (95% CI=-0.02 to -0.003) and spending more time on TV/videogames (95% CI=0.01-0.07). The likelihood of ISD was significantly lower among students who consumed breakfast daily (OR=0.58, 95% CI=0.41-0.83), spent less time on smart devices (OR=0.63, 95% CI=0.47-0.84), and never consumed energy drinks or soft drinks (OR=2.64, 95% CI=1.13-6.16, OR=2.02, 95% CI=1.24-3.29, respectively).
The prevalence of overweight and obesity among school-aged students is high. ISD and related lifestyle factors are significantly associated with overweight and obesity. Study findings emphasize the need to address and implement successful strategies for a healthy lifestyle starting from early childhood to combat the increasing rates of overweight and obesity in adulthood.
评估超重、肥胖及睡眠时长不足（ISD）的患病率，并调查学龄学生中这些情况与相关生活方式因素之间的关系。儿童期和青春期肥胖是一个严重的健康问题，因为它可能会增加成年后患超重和肥胖症的长期风险。
这是一项对阿拉伯联合酋长国艾因市1611名年龄在10至18岁之间的学生进行的横断面研究。采用多阶段分层随机抽样方法，通过一份经过验证的问卷收集数据，显著性水平设定为p<0.05。
超重和肥胖的患病率为42.4%。学生中ISD的患病率为36.6%。较高的体重指数与男性、不活跃（95%可信区间=0.03 - 0.23）、每日饮用咖啡（95%可信区间=0.03 - 0.1）、年龄较大（95%可信区间=0.01 - 0.02）、平均睡眠时间较短（95%可信区间=-0.02至-0.003）以及花更多时间看电视/玩电子游戏（95%可信区间=0.01 - 0.07）显著相关。在每天吃早餐的学生中，ISD的可能性显著较低（比值比=0.58，95%可信区间=0.41 - 0.83），花在智能设备上的时间较少（比值比=0.63，95%可信区间=0.47 - 0.84），并且从不饮用能量饮料或软饮料（比值比分别为2.64，95%可信区间=1.13 - 6.16；2.02，95%可信区间=1.24 - 3.29）。
学龄学生中超重和肥胖的患病率很高。ISD及相关生活方式因素与超重和肥胖显著相关。研究结果强调，有必要从幼儿期开始就采取并实施成功的健康生活方式策略，以应对成年期超重和肥胖率不断上升的问题。
