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睡眠时间与青少年和儿童代谢综合征相关:系统评价和荟萃分析。

Sleep duration is associated with metabolic syndrome in adolescents and children: a systematic review and meta-analysis.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.

Medical College of Soochow University, Suzhou, China.

出版信息

J Clin Sleep Med. 2023 Oct 1;19(10):1835-1843. doi: 10.5664/jcsm.10622.

Abstract

STUDY OBJECTIVES

Studies on the associations between sleep duration and metabolic syndrome in adolescents and children have reported mixed results. To shed more light on this issue, we conducted this meta-analysis by synthesizing the results of previous studies.

METHODS

Studies were retrieved from PubMed, Ovid, Cochrane, and Embase from inception to October 2021. Fixed-effects models and random-effects models were used to analyze the effects of sleep time on metabolic syndrome in adolescents.

RESULTS

Data from 7 studies, including 13,305 adolescents and children, were meta-analyzed. Compared with the control group, short sleep durations were not associated with a high prevalence of metabolic syndrome in adolescents and children using a random-effects model (odds ratio = 0.92, 95% confidence interval = 0.48-1.37, = 56.5%, = .378). Using a fixed-effects model on long sleep duration, this association was statistically significant (odds ratio = 0.57, 95% confidence interval = 0.38-0.76, = 0.0%, < .001) as a protective factor compared with shorter sleep duration.

CONCLUSIONS

Long sleep duration, instead of short sleep duration, was significantly associated with a lower prevalence of metabolic syndrome among adolescents and children.

CITATION

Xu Y, Hua J, Wang J, Shen Y. Sleep duration is associated with metabolic syndrome in adolescents and children: a systematic review and meta-analysis. . 2023;19(10):1835-1843.

摘要

研究目的

关于青少年和儿童睡眠时间与代谢综合征之间关联的研究结果不一。为了更深入地研究这个问题,我们对以往的研究结果进行了荟萃分析。

方法

从 PubMed、Ovid、Cochrane 和 Embase 数据库中检索了从建库至 2021 年 10 月的研究。使用固定效应模型和随机效应模型分析睡眠时间对青少年代谢综合征的影响。

结果

对 7 项研究的数据(共纳入 13305 名青少年和儿童)进行了荟萃分析。与对照组相比,使用随机效应模型,短睡眠时间与青少年和儿童代谢综合征的高患病率之间无关联(比值比=0.92,95%置信区间=0.48-1.37,I²=56.5%,P=.378)。使用固定效应模型分析长睡眠时间时,与较短睡眠时间相比,长睡眠时间是代谢综合征的一个保护因素,关联具有统计学意义(比值比=0.57,95%置信区间=0.38-0.76,I²=0.0%,P<0.001)。

结论

长睡眠时间与青少年和儿童代谢综合征的低患病率显著相关,而不是短睡眠时间。

引文

Xu Y, Hua J, Wang J, Shen Y. Sleep duration is associated with metabolic syndrome in adolescents and children: a systematic review and meta-analysis.. 2023;19(10):1835-1843.

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