大学生不良睡眠模式与心血管代谢风险的发生呈正相关

大学生不同睡眠特征与心血管代谢风险的关联

Association of different sleep characteristics and cardiometabolic risk in college students

作者:曹钰璇；陶舒曼；邹立巍；杨娅娟；谢阳；李婷婷；张丹；曲杨；翟爽；陶芳标；伍晓艳

期刊:中国学校卫生

DOI:10.16835/j.cnki.1000-9817.2024014

【摘要】目的 探讨大学生不同睡眠特征与心血管代谢风险的关联,为促进大学生身体健康提供参考依据。方法 采用随机整群抽样方法,于2019 年4-5月在安徽省合肥市和江西省上饶市2所高校共1179名大学年级学生中开展问卷调查和体检(包括血压、腰用和血脂指标等),纳人729名卷信息和体检资料完整的大学生进行分析。采用匹保睡眠质量指数量表(PSOI)和失眠严重程度指数量表(ISI)调查大学生睡眠行为,采用清晨型与夜晚型量表-5 项(MEO-5)评价睡眠时型。使用腰围、平均动脉压、高密度脂蛋白胆固醇(X-1)甘油三酷和胰岛素抵抗指数的标准化性别特异性 Z分数的总和得出心血管代谢风险评分。使用秩和检验比较不同人口统计学特征大学生心血管代谢风险评分差异。使用广义线性模型比较大学生不同睡眠特征与心血管代谢风险评分的关联。结果 大学生心血管代谢风险评分为-0.32(-2.03,1.58).在吸烟、健康状况及体力活动水平变量中,大学生心血管代谢风险评分差异均有统计学意义(t/F 值分别为-3.41,12.88.51.07P值均0.01)。广义线性模型结果显示,夜晚型偏好时型(B= 1.89.95%CI=1.02~3.9)有失眠症状(B=3.25 95%CI= 1.79~5.90)及过短或过长睡眠时长(B=1.92,95%CI=1.21~3.5)与大学生心血管代谢风险评分均呈正相关(P值均<0.05)。结论 大学生不良睡眠模式与心血管代谢风险的发生呈正相关。应积极改变大学生睡眠行为,进而降低心血管疾病的发生风险。

【关键词】睡眠；心血管系统；代谢；学生

【Abstract】Objective To describe the association of different sleep characteristics and cardiometabolic risk among college students, so as to provide reference for health promotion of college students. Methods By random cluster sampling method, a questionnaire survey and physical examination including blood pressure, waist circumference and blood lipid indicators, which were conducted in April and May 2019 among a total of 1 179 college students from the first grade in two universities in Hefei City of An- hui Province and Shangrao City of Jiangxi Province. A total of 729 college students with valid questionnaires were included into a- nalysis. The Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI) were used to investigate sleep behavior, and the Morning And Evening Questionnaire-5(MEQ-5) was used to investigate sleep characteristics. The cardiometabolic risk score was derived using the sum of the standardized sex-specific Z-scores of waist circumference,mean arterial pressure,HDL cholesterol( multiplied by -1)，triglycerides, and insulin resistance index. The rank-sum tests were used to compare differences in cardiometa- bolic risk scores across demographic characteristics. Generalized linear models were used to compare the association of different sleep characteristics with cardiometabolic risk scores among college students. Results The average cardiovascular metabolie risk score of college students was -0.32(-2.03，1.58).There were statistically significant differences in cardiovascular metabolic risk scores among college students in variables such as smoking, health status, and physical activity levels (t/F=-3.41,12.88, 51.07, P<0.01). The results of the generalized linear model showed that nighttime preference (B=1.89，95%CI=1.02-3.49)，insomnia symptoms (B=3.25，95%CI=1.79-5.90)，and short or long sleep duration (B=1.92, 95%CI=1.21-3.05) were positively corre- lated with the cardiovascular metabolic risk score of college students ( P<0.05). Conclusions Poor sleep patterns among college students are positively correlated with the risk of cardiovascular metabolism. The sleep behavior of college students should be active- ly changed to reduce the risk of cardiovascular disease.
【Keywords】Sleep; Cardiovascular system; Metabolism; Students