儿童睡眠质量的亲子关系：体力活动是混杂因素吗？EPI-FAMILY 健康研究。

Parent-child associations of sleep quality: is physical activity a confounder? The EPI-FAMILY health study.

机构信息

Universidade Estadual Paulista (UNESP). Departamento de Educação Física, Presidente Prudente, SP, Brazil.

Universidade do Norte do Paraná (UNOPAR), Londrina, PR, Brazil.

出版信息

Sleep Med. 2024 Apr;116:51-55. doi: 10.1016/j.sleep.2024.02.036. Epub 2024 Feb 25.

DOI:10.1016/j.sleep.2024.02.036

PMID:38428342

Abstract

INTRODUCTION

The incidence of sleep deprivation has increased in pediatric populations, however, the relationship with physical activity (PA) remains uncertain and lacks evidence. Although some studies have shown that parents' lifestyle habits can influence this process, one point that requires further clarification in the literature is whether parents' sleep quality is linked to that of their children and whether parents' physical activity could play an important role in these possible relationships.

OBJECTIVES

To investigate the relationship of sleep quality between parents and children and verify the role of physical activity in this association.

METHODS

This is a cross-sectional study. Sleep quality was assessed using the Mini Sleep Questionnaire. The amount of sleep was estimated by the number of hours slept. PA domains (occupational activities, leisure, and active commuting) were assessed using the Baecke questionnaire, while moderate to vigorous PA (MVPA) was assessed with an accelerometer. Socioeconomic status was obtained through a questionnaire. The relationship of sleep quality between parents and children was carried out using hierarchical models with Binary Logistic Regression, where the factors were inserted one by one (1. unadjusted model; 2. sociodemographic variables; 3. children's PA; 4. parents' PA).

RESULTS

The study sample consisted of 102 children and adolescents (6-17 years), 92 mothers, and 69 fathers. Poor sleep quality of mothers was associated with their children's sleep quality (OR = 3.95; 95%CI = 1.33-11.38; P = 0.013). After inserting mothers' PA intensity into the final model, the associations remained significant (OR = 8.05; 1.33-48.59; P = 0.023). No relationship was observed between poor sleep quality of fathers and their children's sleep quality.

CONCLUSION

The relationship between poor sleep quality of mothers and that of their children remained significant, regardless of confounding variables.

摘要

介绍

儿科人群中睡眠不足的发生率有所增加，但与体力活动（PA）的关系尚不确定，且缺乏证据。尽管一些研究表明父母的生活方式习惯会影响这一过程，但文献中仍有一点需要进一步澄清，即父母的睡眠质量是否与子女的睡眠质量有关，以及父母的体力活动是否在这些可能的关系中发挥重要作用。

目的

调查父母和子女之间的睡眠质量关系，并验证体力活动在这种关联中的作用。

方法

这是一项横断面研究。使用 Mini Sleep Questionnaire 评估睡眠质量。睡眠时间通过睡眠时间估计。使用 Baecke 问卷评估体力活动领域（职业活动、休闲和积极通勤），使用加速度计评估中等到剧烈体力活动（MVPA）。社会经济状况通过问卷获得。使用二元逻辑回归的层次模型进行父母和子女之间睡眠质量的关系分析，其中逐个插入因素（1. 未调整模型；2. 社会人口统计学变量；3. 儿童 PA；4. 父母 PA）。

结果

研究样本包括 102 名 6-17 岁的儿童和青少年、92 名母亲和 69 名父亲。母亲睡眠质量差与子女睡眠质量差有关（OR=3.95；95%CI=1.33-11.38；P=0.013）。在将母亲 PA 强度插入最终模型后，关联仍然显著（OR=8.05；1.33-48.59；P=0.023）。父亲睡眠质量差与子女睡眠质量差之间没有关系。