幼儿睡眠异常与饮食行为关系研究

Association between abnormal sleep and feeding behavioral feeding problems in kindergarten children

目的探讨幼儿睡眠问题与饮食行为的关系,为改善幼儿睡眠质量和饮食行为提供参考。方法基于分层整群抽样,采用儿童睡眠习惯问卷(Children's Sleep Habit Questionnaire,CSHQ)、儿童饮食行为问题问卷对贵州省761名幼儿进行调查。结果儿童饮食行为问题受到年龄、母亲学历、整体养育风格、养育观念一致程度的影响(β值分别为-0.210,-0.122,-0.121,-0.201,P值均<0.05),共解释饮食行为问题总分13.6%的变异(△R2=0.136)。在控制以上因素后,CSHQ问卷的日间困倦、睡眠阻抗、异态睡眠、睡眠持续时间、入睡延迟对饮食行为的影响均有统计学意义(β值分别为0.189,0.166,0.106,0.059,0.058,P值均<0.05),共解释饮食行为问题总分11.6%的变异(△R2=0.116)。结论幼儿饮食行为问题与睡眠问题存在密切关系,且受到年龄、母亲学历、家庭养育因素的影响。

Objective To explore the association between sleep and behavioral feeding problems in kindergarten children and to provide reference to improve healthy lifestyle. Methods With stratified cluster sampling method,Children＇s Sleep Habit Questionnaire（ CSHQ） and Children＇s Behavioral Feeding Questionnaire were adopted to investigate 761 kindergarten children in Guizhou. Results The severity of behavioral feeding problem was affected by age（ β =-0.210,P = 0.000）,education of the mother（ β=-0.122,P= 0.002）,global parenting style（ β=-0.121,P= 0.000） and parental inconsistency on child rearing attitudes（ β=-0.201,P = 0.000）.A total of 13.6% uariation in dietary behavior was explaned（ △R2= 0. 136） By controlling confounding variables,dimensions of daytime sleepiness（ β = 0.189,P = 0.000）,bedtime resistance（ β = 0.166,P = 0.000）,parasomnia（ β = 0.106,P = 0.000）,sleep duration（ β = 0.059,P = 0.037） as well as sleep onset delay（ β = 0.058,P = 0.040） exerted statistical significant effects on behavioral feeding problems. Conclusion Feeding problems are closely associated with sleep problems in kindergarten children,and also affected by age,mother＇s education level,as well as parenting factors.