学龄前癫痫儿童日间身体活动时数与夜间睡眠型态的相关研究

Correlation between daytime physical activity and sleep patterns in preschool children with epilepsy

目的探讨学龄前癫痫儿童日间身体活动时数与夜间睡眠型态的相关性。方法采用便利抽样法,选择2018年1月至2021年12月浙江省东阳市人民医院139例学龄前癫痫患儿为研究对象,收集患儿的一般资料、儿童睡眠习惯问卷和睡眠活动日志等数据,采用Pearson相关分析及多元线性回归分析日间中高强度身体活动时数与夜间睡眠时数和睡眠效率的关联。结果学龄前癫痫儿童平均每日中高强度身体活动时数为(45.89±4.29)min,平均夜间睡眠时数(8.14±0.76)h,儿童睡眠习惯问卷得分(52.51±4.33)分;学龄前癫痫儿童日间中高强度身体活动时数与夜间睡眠时数呈负相关(r=-0.708,P<0.01),与夜间睡眠效率呈正相关(r=0.368,P<0.05);中高强度身体活动时数愈长,夜间睡眠效率愈佳(β=0.375,t=2.294,P<0.05),夜间睡眠时数愈短(β=-0.398,t=-3.205,P<0.01),母亲周工作时数愈短(β=-0.350,t=-2.714,P<0.05)。结论建议常规评估学龄前癫痫儿童身体活动与睡眠,适度增加中高强度身体活动进而提升睡眠效率。

Objective To investigate the correlation between physical activity and sleep pattern in preschool children with epilepsy.Methods From January 2018 to December 2021,139 children admitted in Dongyang People’s Hospital were selected as the study objects,and the general data of the children,the questionnaire of children’s sleep habits and the data of sleep activity logs were collected,and pearson correlation analysis and multivariate regression were analyzed the association between high physical activity hours during the day and sleep hours and sleep efficiency at night.Results The average daily high physical activity hours of epilepsy were(45.89±4.29)minutes,and the children's sleep habit questionnaire score(52.51±4.33)showed moderate to severe sleep problems;Pearson's related analysis results showed that the number of hours of moderate physical activity during the day was inversely correlated with the number of sleep hours at night(r=-0.708,P<0.01)and positively correlated with the nighttime sleep efficiency(r=0.368,P<0.05).The results of multivariate regression analysis found that the longer the number of hours of high physical activity in preschool children with epilepsy,the better the efficiency of nighttime sleep(β=0.375,t=2.294,P<0.05),the shorter the number of nighttime sleep hours(β=-0.398,t=-3.205,P<0.01),and the shorter the number of working hours per week of mothers(β=-0.350,t=-2.714,P<0.05).Conclusion It is recommended to routinely evaluate physical activity and sleep in children with epilepsy,and moderately increase medium to high physical activity to improve sleep efficiency.