莆田市学龄前儿童睡眠习惯对饮食行为影响的分层分析

Stratified Analysis of the Effect of Sleep Habits on Dietary Behavior of Preschool Children in Putian

目的:探索莆田市学龄前儿童睡眠习惯对饮食行为的影响,运用分层分析肥胖对结果的影响。方法:2019年3—6月期间,整群抽样选取639名莆田市学龄前儿童,采用儿童睡眠习惯问卷(CSHQ)、儿童饮食行为问题诊断,及管理评估问卷(IMFeD)和自制问卷进行调查。结果:学龄前儿童的CSHQ总分为(45.28±8.27)分,睡眠习惯问题检出率50.55%,饮食行为问题检出率为59.62%。Logistic回归显示:问题睡眠(OR=1.490,95%CI为1.076~2.065)、肥胖(OR=2.012,95%CI为1.266~3.209)、早产(OR=2.013,95%CI为1.078~3.757)、三餐主要照顾者为(外)祖父母(OR=1.661,95%CI为1.203~2.295)是学龄前儿童问题饮食行为的影响因素。分层分析显示,无肥胖学龄前儿童中,问题睡眠组儿童的胃口差、害怕进食比例高于正常睡眠组(χ2=4.627,12.154,P=0.031,0.000);肥胖学龄前儿童中,问题睡眠组儿童的胃口差比例高于正常睡眠组(χ2=4.892,P=0.027)。结论:莆田市学龄前儿童问题睡眠习惯和问题饮食行为发生率较高,问题睡眠习惯会导致胃口差和害怕进食等问题饮食行为,应采取针对性措施改善睡眠习惯和饮食行为。

Objective:To explore the effect of sleep habits on dietary behavior of preschool children in Putian,and compare the effect of obesity on the results with stratified analysis.Methods:With cluster sampling,we conducted among 639 preschool children in Putian using CSHQ,IMFeD and self-made questionnaire in March 2019 to June 2019.Results:The CSHQ score of preschool children was(45.28±8.27).The prevalence of sleep habit problems was 50.55%.The prevalence of dietary behavior problems was 59.62%.Logistic regression analysis results showed that problematic sleep(OR=1.490,95%,CI=1.076~2.065),obesity(OR=2.012,95%CI=1.266 to 3.209),premature delivery(OR=2.013,95%CI=1.078 to 3.757),grandparent care(OR=1.661,95%CI=1.203 to 2.295)were the influencing factors of problem-based diet behavior of preschool children.Stratified analysis showed that the proportion of poor appetite and fear of eating in the problem sleep group was higher than that in the normal sleep group among the non obese preschool children layer(χ2=4.627,12.154,P=0.031,0.000).The proportion of poor appetite of preschool children in problem sleep group was higher than that in normal sleep group among the obese preschool children layer(χ2=4.892,P=0.027).Conclusion:The prevalence of problem sleep habits and dietary behaviors of preschool children in Putian is high.The problem sleep habits lead to poor appetite and fear of dietary.Therefore,targeted measures should be taken to improve sleep habits and dietary behaviors.