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青少年的睡眠状况及其与肥胖和心肺适能的关联。

Sleep profiles and their associations with adiposity and cardiorespiratory fitness among adolescents.

作者信息

Bakalár Peter, Janda David, Kostičová Michaela, Kopčáková Jaroslava, Kolarčik Peter, Badura Petr, Gába Aleš

机构信息

Faculty of Sports, University of Prešov, Prešov, Slovakia.

Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czechia.

出版信息

Acta Paediatr. 2025 Jun;114(6):1152-1160. doi: 10.1111/apa.17537. Epub 2024 Dec 9.

Abstract

AIM

This study aimed to identify sleep profiles in a representative sample of Slovak adolescents and investigate their associations with adiposity indicators and cardiorespiratory fitness.

METHODS

Data from the 2022 Health Behaviour in School-aged Children (HBSC) study conducted in Slovakia were analysed. Survey questions on sleep duration and problems from the entire HBSC sample (n = 8906) were used to identify sleep profiles. Associations with adiposity indicators and cardiorespiratory fitness were investigated in a subsample of 924 adolescents (average age 13.3 ± 1.48; 56.2% boys) who completed the HBSC survey, bioimpedance analysis, and 20-metre shuttle run test.

RESULTS

Three sleep profiles were identified-optimal sleepers, optimal sleepers with sporadic sleep problems and poor sleepers. Crude models showed that poor sleepers had significantly higher body fat percentage and fat mass index, along with lower cardiorespiratory fitness, compared to optimal sleepers. After adjustment, only the association between sleep profiles and cardiorespiratory fitness remained significant.

CONCLUSION

The observed associations between sleep profiles and cardiorespiratory fitness may help better target future intervention resources towards adolescents with low cardiorespiratory fitness levels.

摘要

目的

本研究旨在确定斯洛伐克青少年代表性样本中的睡眠模式,并调查其与肥胖指标和心肺适能的关联。

方法

对2022年在斯洛伐克进行的学龄儿童健康行为(HBSC)研究的数据进行分析。使用来自整个HBSC样本(n = 8906)关于睡眠时间和问题的调查问题来确定睡眠模式。在完成HBSC调查、生物电阻抗分析和20米穿梭跑测试的924名青少年(平均年龄13.3 ± 1.48岁;56.2%为男孩)的子样本中,调查与肥胖指标和心肺适能的关联。

结果

确定了三种睡眠模式——最佳睡眠者、有偶发性睡眠问题的最佳睡眠者和睡眠不佳者。粗略模型显示,与最佳睡眠者相比,睡眠不佳者的体脂百分比和脂肪质量指数显著更高,同时心肺适能更低。调整后,仅睡眠模式与心肺适能之间的关联仍然显著。

结论

观察到的睡眠模式与心肺适能之间的关联可能有助于更好地将未来的干预资源针对心肺适能水平较低的青少年。

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1
Obesity in Adolescents.青少年肥胖
N Engl J Med. 2023 Jul 20;389(3):251-261. doi: 10.1056/NEJMcp2102062.
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Relating latent class membership to external variables: An overview.关联潜在类别成员与外部变量:概述。
Br J Math Stat Psychol. 2021 May;74(2):340-362. doi: 10.1111/bmsp.12227. Epub 2020 Nov 16.

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