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儿童青少年睡眠时间与速度和耐力成绩的相关性研究
引用本文:陈天麒,董彬,张文静,高迪思,董彦会,马军,马迎华. 儿童青少年睡眠时间与速度和耐力成绩的相关性研究[J]. 北京大学学报(医学版), 2018, 50(3): 429-435. DOI: 10.3969/j.issn.1671-167X.2018.03.007
作者姓名:陈天麒  董彬  张文静  高迪思  董彦会  马军  马迎华
作者单位:(北京大学儿童青少年卫生研究所, 北京100191)
基金项目:全国学生体质与健康调研项目资助
摘    要:目的:分析睡眠时间与运动成绩的关系,为儿童青少年速度和耐力成绩的提高提供科学依据。 方法:选取2014年全国学生体质与健康调研中9~15岁汉族儿童和青少年119 462名,测量身高、体重,测量50 m、耐力跑成绩并调查睡眠时间。计算体重指数(body mass index,BMI), 并对50 m、耐力跑成绩及睡眠情况进行判定。采用单因素Logistic回归比较不同睡眠情况组间优秀率的差异,多因素Logistic回归研究睡眠时间与速度和耐力成绩的相关性。 结果:9~15岁儿童青少年睡眠不足检出率为94.67%, 其中,女生睡眠不足检出率为95.26%,高于男生(睡眠不足检出率为94.09%,χ2=80.99,P<0.001);城市学生睡眠不足检出率为95.41%,高于农村学生(睡眠不足检出率为93.93%,χ2=128.48,P<0.001)。睡眠充足的儿童青少年50 m和耐力跑优秀率略高(χ250 m=10.10,P50 m<0.01; χ2耐力跑=21.76,P耐力跑<0.001)。控制性别、城乡、学段、BMI后的Logistic回归分析显示,睡眠充足的儿童青少年50 m和耐力跑成绩优秀率较高(OR50 m=1.14,95%CI50 m =1.05~1.23,P50 m<0.01;OR耐力跑=1.21,95%CI耐力跑=1.11~1.31,P耐力跑<0.001)。分性别进行讨论,男生睡眠充足的儿童青少年50 m和耐力跑优秀率较高(P<0.001),女生不同睡眠情况组50 m及耐力跑成绩优秀率差异没有统计学意义。城市睡眠充足的儿童青少年50 m和耐力跑优秀率均高于睡眠不足组(P均<0.01),农村地区睡眠充足的儿童青少年耐力跑优秀率较高(P<0.01), 50 m优秀率差异无统计学意义。各学段睡眠充足的儿童青少年50 m和耐力跑优秀率均高于同学段睡眠不足组(P小学耐力<0.001,其余P均<0.05)。BMI正常和超重组中睡眠充足的儿童青少年50 m优秀率高于睡眠不足组(P<0.05)。各BMI组别睡眠充足的儿童青少年耐力跑优秀率均高于同BMI组睡眠不足的儿童青少年(P营养不良<0.01,P正常<0.01,P超重<0.05,P肥胖<0.05)。将睡眠时间分层进行分析,睡眠时间<7 h的儿童青少年50 m优秀率低于睡眠时间较长的其余各组(P均<0.01), 其中睡眠时间≥9 h组儿童青少年50 m优秀率最高(P<0.001); 睡眠时间≥9 h的儿童青少年耐力跑优秀率显著高于其他组(P<0.001)。不同睡眠时间分层的儿童青少年50 m和耐力跑的优秀率无明显剂量反应关系。结论:我国儿童青少年睡眠不足检出率有所上升,睡眠不足情况严峻;睡眠时间充足的儿童青少年速度和耐力成绩略好,应继续改善儿童青少年睡眠不足,提高学生运动素质。

关 键 词:儿童  青少年  睡眠  速度  耐力  

Association between speed and endurance performance with sleep duration in children and adolescents
CHEN Tian-qi,DONG Bin,ZHANG Wen-jing,GAO Di-si,DONG Yan-hui,MA Jun,MA Ying-hua. Association between speed and endurance performance with sleep duration in children and adolescents[J]. Journal of Peking University. Health sciences, 2018, 50(3): 429-435. DOI: 10.3969/j.issn.1671-167X.2018.03.007
Authors:CHEN Tian-qi  DONG Bin  ZHANG Wen-jing  GAO Di-si  DONG Yan-hui  MA Jun  MA Ying-hua
Affiliation:(The Institute of Child and Adolescent Health,Peking University,Beijing 100191, China)
Abstract:Objective: To analyze the association between sleep duration and athletic performance, and provide scientific basis to improve the 50 m and endurance performance in children and adolescents. Methods: All the 119 462 subjects aged 9-15 years in both genders were sampled from 2014 National Physical Fitness and Health Surveillance by using stratified random cluster sampling method, to measure the height, weight, 50 meters and endurance performance and investigate sleep duration with questionnaire. Their body mass indexes (BMI) were calculated and the students’ 50 m, endurance run scores and sleep durations were assessed. Binary Logistic regression was used to analyze the difference between the different sleep groups, and multi-factor Logistic regression was used to analyze the relationship between the sleep condition and athletic performance. Results: The prevalence of insufficient sleep was 94.67% in the total subjects, the prevalence was higher among the girls (95.26%)than the boys (94.09%, χ2=80.99, P<0.001), and higher among the urban (95.41%) than the rural students(93.93%, χ2=128.48, P<0.001).The children with sufficient sleep had better performance in 50 m and endurance run scores( χ2 50 m=10.10, P50 m<0.01; χ2endurance run=21.76, P<0.001). Logistic regression analysis after controlling the gender, area, grade and BMI showed that children with adequate sleep showed better results(OR50 m=1.14, 95% CI50 m=1.05-1.23, P50 m<0.01; ORendurance run=1.21, 95% CIendurance run=1.11-1.31, Pendurance run<0.001). As for gender, the excellent rates of 50 m and endurance run scores in the boys with adequate sleep were higher (P<0.001), but there were no signi-ficant difference in 50 m and endurance run excellent rates in the girls of different sleep conditions. The excellent rates of 50 m and endurance run in the urban children and the endurance rate in the rural children and adolescents with adequate sleep were higher than those with insufficient sleep (P<0.01) while there were no significant difference in the 50 m excellent rates between the different sleep groups in rural areas. The 50 m and endurance run excellent rates of the children and adolescents with adequate sleep in each grade were higher than those of the children in the same grade with insufficient sleep (Pprimary students’ endurance performance<0.001, and the rest P<0.05). Children and adolescents with normal BMI and overweight who slept well had better performance in 50 m (P<0.05). The endurance run excellent rate of children and adolescents with adequate sleep in each BMI group was higher than that in children and adolescents with insufficient sleep in the same BMI group (Pmalnutrition<0.01, Pnormal<0.01, Poverweight<0.05, Pobesity<0.05). The children and adolescents were divided into different groups according to the sleep duration,the one who slept less than 7 hours had lower 50 m excellent rate than the other groups with longer sleeping duration (P<0.01) and the rate in the ones who slept more than 9 hours was the highest (P<0.001).The endurance excellent rate in the children and adolescents who slept more than 9 hours was significantly higher than that in the other groups (P<0.001).There was no significant dose-response relationship in excellent rates and sleep durations. Conclusion: The prevalence of insufficient sleep has increased, and the sleep condition in children and adolescents is severe. Children and adole-scents with sufficient sleep have better athletic performance, so we should strengthen the prevention and control of the lack of sleep in children and adolescents.
Keywords:Children  Adolescents  Sleep   Speed  Endurance  
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