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身体活动、体重和肝功能是增加韩国成年人失眠指数的因素:一项横断面分析。

Physical activity, body weight, and liver function as factors increasing Insomnia index among Korean adults: a cross-sectional analysis.

机构信息

College of General Education, Kookmin University, Seoul, 02707, Republic of Korea.

Waseda Institute for Sport Sciences, Waseda University, Saitama, 341-0018, Japan.

出版信息

Sleep Breath. 2024 Dec;28(6):2639-2645. doi: 10.1007/s11325-024-03094-1. Epub 2024 Aug 26.

Abstract

BACKGROUND

This study aimed to elucidate the relationship between physical activity, body weight, liver function, and insomnia in Korean adults, thereby providing a foundation for health promotion strategies.

METHODS

We recruited 11,645 adults (8,051 males and 3,594 females). Participants underwent assessments using the Korean version of the Insomnia Severity Index, measures of physical activity (PA), anthropometric data (body weight, height, body mass index [BMI], and waist circumference [WC]), and liver function (alanine aminotransferase, aspartate aminotransferase [AST], and gamma-glutamyl transferase).

RESULTS

One-way ANOVA revealed significant differences among male groups in height (p < .001), weight (p = .036), BMI (p = .002), diastolic blood pressure (p = .008), AST (p = .036), recreational PA (p = .026), moderate PA (p < .01), vigorous PA (p < .01), and moderate-to-vigorous PA (p < .001). Similarly, significant differences were found among female groups in height (p < .001), weight (p = .001), BMI (p = .006), WC (p = .013), moderate PA (p < .001), vigorous PA (p < .001), and moderate-to-vigorous PA (p < .001).

CONCLUSION

To prevent insomnia, it is essential to enhance physical activity and manage factors related to body weight and liver function, such as BMI, WC, and AST. Increasing moderate-to-vigorous physical activity is particularly crucial, as it has a substantial positive impact on reducing body weight and improving liver function.

摘要

背景

本研究旨在阐明韩国成年人的体力活动、体重、肝功能与失眠之间的关系,为健康促进策略提供基础。

方法

我们招募了 11645 名成年人(8051 名男性和 3594 名女性)。使用韩国版失眠严重程度指数、体力活动(PA)测量、人体测量数据(体重、身高、体重指数[BMI]和腰围[WC])和肝功能(丙氨酸氨基转移酶、天门冬氨酸氨基转移酶[AST]和γ-谷氨酰转移酶)对参与者进行评估。

结果

单因素方差分析显示,男性组在身高(p < .001)、体重(p = .036)、BMI(p = .002)、舒张压(p = .008)、AST(p = .036)、娱乐性 PA(p = .026)、中等强度 PA(p < .01)、高强度 PA(p < .01)和中高强度 PA(p < .001)方面存在显著差异。同样,女性组在身高(p < .001)、体重(p = .001)、BMI(p = .006)、WC(p = .013)、中等强度 PA(p < .001)、高强度 PA(p < .001)和中高强度 PA(p < .001)方面也存在显著差异。

结论

为预防失眠,增强体力活动并管理与体重和肝功能相关的因素(如 BMI、WC 和 AST)至关重要。增加中高强度体力活动尤为重要,因为它对减轻体重和改善肝功能有显著的积极影响。

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