睡眠与生活方式及亚健康的关系

摘要

目的：调查广东人群睡眠情况与健康促进生活方式、亚健康的关系。方法在广东地区进行24159例的横断面调查。睡眠充足与否被定义为睡眠是否充足的程度“从不、有时、经常、总是”；健康促进生活方式使用《健康促进生活方式量表》来评估，健康状况结合被调查者的体检报告及《亚健康评定量表》。结果在24159例调查者中，亚健康（46．0％）及疾病（35．2％）所占的比例远高于健康者。被调查者中从不有充足睡眠者占4．1％（986例），有时占36．9％（8913例），经常占44．9％（10847例），总是者仅占14．1％（3413例），健康状态与睡眠充足与否有关（χ2＝1499．945，P＝0．000）。回归分析显示睡眠充足与否对健康促进生活方式有显著影响（P＜0．001）；同时，从不有充足睡眠的人发生亚健康的风险是总是有充足睡眠的人的8．391倍（95％CI 6．325～11．131），是有时睡眠充足的人的6．049倍（95％CI 5．414～6．758），是经常睡眠充足的人的2．263倍（95％CI 2．058～2．488）（ P＝0．000）。结论睡眠充足与健康促进生活方式相关，它是健康生活方式的一个强有力预测因素。缺乏充足的睡眠或睡眠剥夺与发生亚健康的风险增加相关。%Objective To investigate the association between sufficient sleeping, healthy lifestyle and suboptimal health status ( SHS) within the population of Guangdong Province, China.Methods A cross-sectional survey was con-ducted within a clustered sample of 24,159 individuals in Guangdong.Sleep sufficiency was categorically defined by the level of whether sleeping is enough ('never, sometimes, often or always') .Lifestyle was assessed via the health-promo-ting lifestyle scale.SHS was evaluated using the medical examination report and Suboptimal health Measurement Scale V1.0.Results Of the 24,159 participants, the prevalence for the'SHS'and'disease'were 46.0%and 35.2%, respec-tively, higher than that for'healthy'(18.8%).Overall, 4.1 %(986) of participants reported they'never'had sufficient sleeping, with 36.9%(8913) 'sometimes', 44.9%(10847) 'often'and 14.1 % (3413) 'always'.Health status were correlated with whether sleep is enough or not.(χ2 =1 499.945, P=0.000) .After demographic adjustment, regression analyses revealed a significant correlation between sufficient sleeping and healthy lifestyle (P<0.001).Individuals who'never'had sufficient sleeping were 8.391 times more likely to suffer from SHS than individuals who'always'had it ( OR:8.391, 95%CI:6.325-11.131), infrequent sufficient sleeping ('sometimes') with OR 6.049 and CI 5.414-6.758,'often'sufficient sleeping with OR 2.263 and CI 2.058-2.488) ( P=0.000) .Conclusion Sufficient sleeping is signifi-cantly associated with a healthy lifestyle, and appears to be a useful predictor of a healthy lifestyle.Sleep deprivation is re-lated to an increased risk of SHS.