Associations Between Sleep Duration and Lifestyle Risk Factors Among Adolescents: A Cross-Sectional Study.

IF 2.5 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Promotion Pub Date : 2025-01-04 DOI:10.1177/08901171241312507

Yueqi Li, Jen Jen Chang, Thomas E Burroughs

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Abstract

Purpose: Examining the associations between sleep duration and lifestyle risk factors and assessed whether sex modify such associations among U.S. adolescents.

Design: Cross-sectional study among high school students from the 2015-19 national Youth Risk Behavior Survey.

Setting: US, national.

Subjects: High school students grade 9-12 (n = 31 871).

Measures: Students reported hours of sleep on an average school night categorized into "less than 6 hours", "6 to 7 hours" and "8 hours and more". Lifestyle risk factors including physical inactivity, insufficient breakfast consumption, current tobacco use, and current binge drinking were self-reported and dichotomized.

Analysis: Multivariable logistic regression models were used to estimate associations between sleep duration and lifestyle risk factors, adjusting for confounders.

Results: Compared to students with 8 hours and more of sleep, students with 6 to 7 hours and less than 6 hours of sleep had 79% and 228% (P < .01) increased odds of insufficient breakfast consumption; and had 22% (P = 0.0014) and 74% (P < .01) increased odds of binge drinking, respectively. There is a significant interaction between sleep duration and sex (P < .05) for physical inactivity and current tobacco use.

Conclusion: Insufficient sleep is common among US adolescents and is associated with increased risks of multiple lifestyle risk factors, which suggests great needs for multilevel interventions to address sleep deprivation and promote good sleep hygiene among adolescents.

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青少年睡眠时间与生活方式风险因素之间的关系：一项横断面研究。

目的：研究睡眠时间和生活方式风险因素之间的联系，并评估性别是否改变了美国青少年的这种联系。设计：对2015-19年全国青少年危险行为调查高中生进行横断面研究。背景：美国，国家。研究对象：9-12年级高中生（n = 31 871）。测量方法：学生们报告的平均睡眠时间分为“不到6小时”、“6到7小时”和“8小时以上”。生活方式风险因素包括缺乏身体活动、早餐摄入不足、目前吸烟和目前酗酒，这些都是自我报告和二分类的。分析：使用多变量逻辑回归模型来估计睡眠时间和生活方式风险因素之间的关联，并对混杂因素进行调整。结果：与睡眠时间为8小时及以上的学生相比，睡眠时间为6 ~ 7小时和不足6小时的学生早餐摄入不足的几率分别增加了79%和228% (P < 0.01)；酗酒的几率分别增加22% （P = 0.0014）和74% （P < 0.01）。睡眠时间和性别对缺乏运动和当前吸烟有显著的相互作用（P < 0.05）。结论：睡眠不足在美国青少年中很常见，并与多种生活方式风险因素的增加有关，这表明迫切需要多层次的干预措施来解决青少年睡眠不足问题，促进良好的睡眠卫生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

3.70%

发文量

184

期刊介绍： The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.