陕西省成年人睡眠总时长与代谢综合征的关系

Relationship between sleeping duration and metabolic syndrome in adults of Shaanxi Province

目的探讨睡眠总时长与代谢综合征(MS)的关系,为陕西省MS的早期防控提供依据。方法数据来源于2018年陕西省成人慢性病及其危险因素监测,采用多阶段分层整群随机抽样方法,选取陕西省10个监测点18岁及以上常住居民6202人为研究对象,进行问卷调查、体格检查和实验室检测。采用SPSS 25.0软件进行χ^(2)检验和多因素logistic回归分析。结果共纳入6031人,调查对象平均睡眠总时长为(7.67±1.76)h/d,睡眠总时长<6、6~8和>8 h/d组分别有613人(10.16%)、3785人(62.76%)和1633人(27.08%)。经加权后,调查对象MS患病率为36.16%。多因素logistic回归分析结果显示,睡眠总时长<6 h/d与MS(OR=1.22,95%CI:1.02~1.46)、血糖升高(OR=1.23,95%CI:1.02~1.47)、血压升高(OR=1.38,95%CI:1.13~1.69)及甘油三酯升高(OR=1.21,95%CI:1.01~1.45)高风险相关,均有统计学意义(P<0.05)。睡眠总时长>8 h/d与MS(OR=0.85,95%CI:0.76~0.97)低风险相关,有统计学意义(P<0.05)。结论睡眠总时长<6 h/d与MS高风险相关,睡眠总时长>8 h/d与MS低风险相关,提示可将睡眠干预作为MS防控的一项措施。

Objective To explore the relationship between total sleeping duration and metabolic syndrome(MS),and provide the evidence for early prevention and control of MS in Shaanxi Province.Methods The data were from"The surveillance of adult chronic diseases and their risk factors in Shaanxi Province",the multi-stage stratified cluster random sampling method was used to select 6202 residents(≥18 years old)from 10 monitoring points of Shaanxi Province as the subjects.The investigation was performed with questionnaire,physical examination and laboratory tests.Theχ^(2)test and multivariate logistic regression analysis method were used to analyze the data.The used software was SPSS 25.0.Results A total of 6031 residents were included in the study,the average total sleeping duration of subjects was(7.67±1.76)h/d,the person number in the total sleeping duration<6,6-8and>8 h/d group were 613 cases(10.16%),3785 cases(62.76%)and 1633 cases(27.08%).After weighting,MS morbidity was36.16%.The multivariate logistic regression analysis showed that the total sleeping duration<6 h/d correlated to high risk of MS(OR=1.22,95%CI:1.02-1.46),elevated blood glucose(OR=1.23,95%CI:1.02-1.47),elevated blood pressure(OR=1.38,95%CI:1.13-1.69)and elevated triglyceride(OR=1.21,95%CI:1.01-1.45),P<0.05.The total sleeping duration>8 h/d correlated to low risk of MS(OR=0.85,95%CI:0.76-0.97),P<0.05.Conclusion The total sleeping duration<6 h/d is correlated to high risk of MS,the total sleeping duration>8 h/d is correlated to low risk of MS.It is suggested that the sleeping intervention can serve as a measurement for prevention and control of MS.