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医护人员睡眠质量差和超重/肥胖:一项横断面研究。

Poor sleep quality and overweight/obesity in healthcare professionals: a cross-sectional study.

机构信息

Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

Department of General Surgery, Dongli District Traditional Chinese Medicine Hospital, Tianjin, China.

出版信息

Front Public Health. 2024 May 30;12:1390643. doi: 10.3389/fpubh.2024.1390643. eCollection 2024.

Abstract

OBJECTIVE

This study aimed to analyze the relationship between the sleep quality of healthcare professionals and the incidence of overweight and obesity, exploring the potential impact of sleep quality on the onset of overweight and obesity in order to provide a scientific basis for formulating effective health intervention measures.

METHODS

A convenience sampling method was used to conduct a survey on the sleep characteristics and obesity status among healthcare professionals at Peking Union Medical College Hospital and Tianjin Dongli District Traditional Chinese Medicine Hospital. The survey was conducted via online questionnaires, which included demographic data, the Pittsburgh Sleep Quality Index (PSQI), height, weight, and related sleep, exercise, and dietary habits. Univariate and multivariate logistic regression analyses were applied to study the relationship between sleep quality and overweight/obesity among healthcare professionals.

RESULTS

A total of 402 questionnaires were distributed, with a 100% retrieval rate, yielding 402 valid questionnaires. The average body mass index of the 402 participants was 23.22 ± 3.87 kg/m^2. Among them, 144 cases were overweight or obese, accounting for 35.8% (144/402) of the total. The prevalence of poor sleep quality among healthcare professionals was 27.4% (110/402), with an average PSQI score of 8.37 ± 3.624. The rate of poor sleep quality was significantly higher in the overweight and obese group compared to the normal weight group (36.1% vs. 22.5%, = 0.003). The multivariate analysis indicated that gender, marital status, lower education level, sleep duration (odds ratio [OR] =1.411, 95% confidence interval [CI] 1.043-1.910, = 0.026), and sleep disturbances (OR = 1.574, 95%CI 1.123-2.206, = 0.008) were significant risk factors for overweight and obesity among healthcare professionals.

CONCLUSION

Overweight or obese healthcare professionals had poorer sleep quality compared to those with a normal weight. Sleep duration and sleep disorders were identified as independent risk factors for overweight or obesity in healthcare professionals. Increasing sleep duration and improving sleep disorders may play a positive role in controlling overweight and obesity among healthcare professionals.

摘要

目的

本研究旨在分析医护人员睡眠质量与超重和肥胖发生率之间的关系,探讨睡眠质量对超重和肥胖发生的潜在影响,为制定有效的健康干预措施提供科学依据。

方法

采用便利抽样法,对北京协和医院和天津市东丽区中医医院医护人员的睡眠特征和肥胖状况进行调查。通过在线问卷进行调查,内容包括人口统计学资料、匹兹堡睡眠质量指数(PSQI)、身高、体重及相关睡眠、运动和饮食习惯。采用单因素和多因素 logistic 回归分析研究医护人员睡眠质量与超重/肥胖的关系。

结果

共发放问卷 402 份,回收率 100%,有效问卷 402 份。402 名参与者的平均体质指数为 23.22±3.87kg/m^2。其中超重或肥胖 144 例,占总数的 35.8%(144/402)。医护人员睡眠质量差的发生率为 27.4%(110/402),PSQI 平均得分为 8.37±3.624。超重或肥胖组睡眠质量差的发生率明显高于体重正常组(36.1%比 22.5%, =0.003)。多因素分析显示,性别、婚姻状况、受教育程度较低、睡眠时间(比值比[OR] =1.411,95%置信区间[CI] 1.043-1.910, =0.026)和睡眠障碍(OR=1.574,95%CI 1.123-2.206, =0.008)是医护人员超重和肥胖的显著危险因素。

结论

与体重正常者相比,超重或肥胖的医护人员睡眠质量较差。睡眠时间和睡眠障碍是医护人员超重或肥胖的独立危险因素。增加睡眠时间和改善睡眠障碍可能对控制医护人员超重和肥胖起到积极作用。

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