YANG Yang1,2, HE Tianjing2, ZHU Shuzhen2, ZHANG Lan2, HUANG Xibao1,2
1. School of Public Health, Wuhan University, Wuhan, Hubei 430071, China; 2. Hubei Center for Disease Control and Prevention, Wuhan, Hubei 430079, China
Abstract：Objective To examine the associations of sleep with overweight/obesity and central obesity in adults, so as to provide insights into improving sleep quality and preventing obesity in adults. Methods Demographics, height, body weight, waist circumstance and sleep status were collected from the Hubei Provincial Surveillance Program for Adult Chronic Diseases and Their Risk Factors in 2020. Subjects' sleep condiction, overweight/obesity and central obesity were descriptively analyzed. The associations of sleep with overweight/obesity and central obesity were examined using a multivariable logistic regression model. Results A total of 17 789 participants were recruited, with an average age of (56.21±13.05) years, 61.50% women, and mean duration of (7.18±1.56) h/d. There were 7 019 participants with snoring/asphyxia/suffocation (39.46%), 6 108 participants with sleep difficulty (34.34%), 8 064 participants with night waking at least twice (45.33%), 268 participants taking hypnotics (1.51%), and 6 267 participants with early morning awakening and difficulty in sleep again (35.23%), and there were 8 960 participants with overweight/obesity (50.37%) and 6 148 participants with central obesity (34.56%). Multivariable logistic regression analysis showed that sleep duration of <7 h/d (OR=1.081, 95%CI: 1.007-1.159), snoring/asphyxia/suffocation (OR=2.367, 95%CI: 2.222-2.521), and night waking at least twice (OR=1.106, 95%CI: 1.028-1.191) significantly correlated with overweight/obesity, and sleep duration of >8 h/d (OR=0.834, 95%CI: 0.761-0.913), snoring/asphyxia/suffocation (OR=2.153, 95%CI: 2.019-2.297), and night waking at least twice (OR=1.193, 95%CI: 1.105-1.288) were statistically associated with central obesity. Conclusion Sleep duration, snoring/asphyxia/suffocation and night waking are associated with overweight/obesity and central obesity.
[1] MONMA T,ANDO A,ASANUMA T,et al.Sleep disorder risk factors among student athletes[J].Sleep Med,2018,44:76-81. [2] 王俊秀,张衍,刘洋洋,等.中国睡眠研究报告2022[M].北京:社会科学文献出版社,2022. [3] 王训强,王承敏,熊瑛.成年人睡眠对肥胖的影响研究进展[J].预防医学,2022,34(9):898-901. [4] NING X,LV J,GUO Y,et al.Association of sleep duration with weight gain and general and central obesity risk in Chinese adults:a prospective study[J].Obesity,2020,28(2):468-474. [5] ZHOU Q,ZHANG M,HU D.Dose-response association between sleep duration and obesity risk:a systematic review and meta-analysis of prospective cohort studies[J].Sleep Breath,2019,23(4):1035-1045. [6] 何宇. 儿童青少年睡眠状况与肥胖的关联性研究[D].沈阳:中国医科大学,2021. [7] 田园,李立明.老年人睡眠障碍的流行病学研究[J].中华流行病学杂志,2017,38(7):988-992. [8] 中华人民共和国国家卫生和计划生育委员会.人群健康监测人体测量方法:WS/T 424—2013[S].北京:中国标准出版社,2013. [9] 健康中国行动推进委员会.健康中国行动(2019—2030年):总体要求、重大行动及主要指标[J].中国循环杂志,2019,34(9):846-858. [10] MedlinePlus.Sleep disorders[EB/OL].[2023-01-12].https://medlineplus.gov/sleepdisorders.html. [11] 中华人民共和国国家卫生和计划生育委员会.成人体重判定:WS/T 428—2013[S].北京:中国标准出版社,2013. [12] JEFFERSON T,ADDISON C,SHARMA M,et al.Association between sleep and obesity in African Americans in the Jackson Heart Study[J].J Am Osteopath Assoc,2019,119(10):656-666 . [13] 罗会强,曹裴娅,左宗力,等.我国老年人腹型肥胖和睡眠时长关系研究[J].四川大学学报(医学版),2017,48(4):584-588. [14] NORTON M C,ELEUTERI S,CEROLINI S,et al.Is poor sleep associated with obesity in older adults?A narrative review of the literature[J].Eat Weight Disord,2018,1:23-38. [15] MA B,LI Y,WANG X,et al.Association between abdominal adipose tissue distribution and obstructive sleep apnea in Chinese obese patients[J/OL].Front Endocrinol,2022,13[2023-01-12].http://doi.org/10.3389/fendo.2022.847324. [16] 刘惟蜻,王承敏,曾环思,等.成年人群肥胖与失眠的关联研究[J].预防医学,2022,34(4):366-370. [17] 魏爱生. 佛山地区成年居民肥胖与睡眠障碍相关性研究[C]//中华中医药学会糖尿病分会2017年学术年会暨第十八次中医糖尿病大会,2017:152. [18] PAULEY A M,HOHMAN E E,LEONARD K S,et al.Short nighttime sleep duration and high number of nighttime awakenings explain increases in gestational weight gain and decreases in physical activity but not energy intake among pregnant women with overweight/obesity[J].Clocks Sleep,2020,2(4):487-501. [19] VÄÄTÄINEN S,TUOMILEHTO H,SARAMIES J,et al.The health-related quality-of-life impact of nocturnal awakenings in the middle-aged and older Finnish population[J].Qual Life Res,2013,22(10):2737-2748.
