Institute of Social Medicine and Medical Ethics, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia
Department of Health Psychology and Research Methodology, Faculty of Medicine, Pavol Jozef Stafarik University in Kosice, Kosice, Slovakia.
Inj Prev. 2024 Mar 20;30(2):153-160. doi: 10.1136/ip-2023-044936.
Sleep has been identified as an important factor in relation to physical activity-related injury (PARI) in adolescents. The study aimed to explore associations between sleep duration, sleep problems and PARI among Slovak adolescents in three different settings: sports clubs, leisure time and schools.
We analysed data from the cross-sectional Health Behaviour in School-aged Children study conducted in 2022 on a representative sample of 10 163 Slovak adolescents aged from 10.5 to 18.3 (mean age 13.4 (SD=1.5); 50.9% boys). Data were collected through self-administered online questionnaires completed by respondents in schools during the classes. Multiple logistic regression models were used to assess associations between sleep duration during schooldays and weekends, sleep problems and PARI in sports clubs, leisure time and schools.
Adolescents with normal sleep duration during schooldays and those who reported no problems with falling asleep, waking up at night and day sleepiness had a higher chance of not being injured during PA in sports clubs, leisure time and schools compared with adolescents with short sleep duration and sleep problems. Sufficient sleep duration during the weekend increased the probability of not having PARI in leisure time and schools, with the strongest association between long sleep duration and PARI in leisure time.
Good sleep quality and sufficient sleep duration were found to play a protective role in relation to PARI in adolescents. The findings suggest implementing sleep interventions in PARI prevention programmes, which must be considered a key component of adolescent PA promotion.
睡眠已被确定为与青少年与体力活动相关损伤(PARI)相关的一个重要因素。本研究旨在探索斯洛伐克青少年在运动俱乐部、休闲时间和学校三种不同环境中睡眠持续时间、睡眠问题与 PARI 之间的关联。
我们分析了 2022 年在斯洛伐克开展的具有代表性的健康行为在学龄儿童研究中的横断面数据,该研究纳入了 10503 名年龄在 10.5 至 18.3 岁之间(平均年龄 13.4(SD=1.5);50.9%为男性)的青少年。数据通过受访者在学校课堂上在线填写自我管理问卷收集。采用多因素逻辑回归模型评估了青少年在上学日和周末的睡眠持续时间、睡眠问题与在运动俱乐部、休闲时间和学校进行的体力活动相关损伤之间的关联。
与睡眠持续时间较短和存在睡眠问题的青少年相比,在上学日和周末睡眠正常且入睡、夜间醒来和白天困倦无问题的青少年在运动俱乐部、休闲时间和学校进行的体力活动中受伤的可能性较低。周末充足的睡眠持续时间增加了在休闲时间和学校进行体力活动无损伤的概率,且与在休闲时间进行的体力活动相关损伤与长睡眠持续时间之间的关联最强。
研究发现良好的睡眠质量和充足的睡眠持续时间与青少年 PARI 呈负相关。这些发现表明,在 PARI 预防计划中实施睡眠干预措施是必要的,这必须被视为青少年体力活动促进的关键组成部分。