Association of sleep quality with overweight and obesity among middle school students
10.16835/j.cnki.1000-9817.2025183
- VernacularTitle:中学生睡眠质量与超重肥胖的关联
- Author:
HU Zhengchun, CHEN Fule, GAO Ping, YIN Xiaojian, WU Huipan, ZHANG Ting, WANG Zhe, GUO Yaru, GUO Junfeng
1
Author Information
1. College of Science and Technology, Ningbo University, Cixi (315300) ,Zhejiang Province, China
- Publication Type:Journal Article
- Keywords:
Sleep;
Overweight;
Obesity;
Regression analysis;
Students
- From:
Chinese Journal of School Health
2025;46(6):779-782
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore relationship of sleep quality with overweight and obesity among middle school students, so as to provide a reference basis for improving adolescent sleep health.
Methods:From September to December 2023, 5 713 middle school students aged 13 to 18 were selected by stratified cluster random sampling method in six regions, including Shanghai, Suzhou, Taiyuan, Wuyuan, Xingyi and Urumqi. Sleep quality survey was conducted on middle school students by Pittsburgh Sleep Quality Index. Height and weight were measured, and World Health Organization s standards for growth and development of children and adolescents was used to evaluate their nutritional status. Both χ 2 test and Logistic regression analysis were used to analyze the association between sleep quality and nutritional status of middle school students.
Results:The non compliance detection rate of sleep quality was 38.4% among girls, but 29.2% among boys, and the difference was of statistical significance( χ 2=54.08, P < 0.01 ). The detection rate of substandard sleep quality was 34.2% in the group with normal nutritional status, 38.3% in the group with overweight, 43.7% in the group with obesity and 26.0% in the group with emaciation, and the difference in the rates of substandard sleep quality among middle school students of different nutritional status was statistically significant ( χ 2=68.15, P <0.01). Logistic regression analysis showed that, after controlling for mental health and physical activity, the detection rate of substandard sleep quality in the obese groups was 1.30 times higher than that in the normal group, respectively( OR =1.30, 95% CI =1.06- 1.59 , P <0.01).
Conclusions:Sleep quality is correlated with overweight and obesity among middle school students, and there are gender differences. Intervention policies should be formulated according to the characteristics of different genders.