睡眠质量和户外活动与儿童哮喘和变应性鼻炎的相关性：上海地区的一项横断面研究。

IF 3.7 3区医学 Q2 ALLERGY

Journal of Asthma and Allergy Pub Date : 2025-02-04 eCollection Date: 2025-01-01 DOI:10.2147/JAA.S494662

Ruoyu Lu, Ye Zhang, Yiting Chen, Jiajun Lyu, Rong Li, Wenhui Kang, Anda Zhao, Zidi Ning, Yabin Hu, Xiaya Lin, Shilu Tong, Zhaohui Lu, Shenghui Li

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引用次数: 0

摘要

目的：探讨睡眠质量和户外活动与儿童哮喘、变应性鼻炎发病的相关性。患者和方法：来自中国上海13个行政区的幼儿园和小学的16,936名儿童参与了分析。分别采用儿童睡眠习惯问卷（CSHQ）和儿童哮喘与过敏国际研究问卷（ISAAC）评估睡眠质量、变应性鼻炎和哮喘。采用多变量logistic回归模型分析睡眠质量、户外活动及其与儿童哮喘、变应性鼻炎的相关性。结果：哮喘和变应性鼻炎患儿的总体患病率分别为10.2%和17.6%。睡眠质量差(哮喘：aOR， 1.45；95% CI: 1.23 ~ 1.73；变应性鼻炎：aOR， 1.16；95% CI: 1.03 - 1.31)和低户外活动(哮喘：aOR， 1.30；95% CI: 1.14 ~ 1.49，过敏性鼻炎：aOR， 1.18；95% CI: 1.07 ~ 1.32)分别与哮喘和变应性鼻炎的高风险相关，当两者叠加时，出现叠加效应(哮喘：aOR， 1.76；95% CI: 1.30 ~ 2.39；变应性鼻炎：aOR， 1.46；95% CI: 1.17 ~ 1.82)。这些关联与睡眠时间无关，但在睡眠充足组更强。在按性别、早产和家族史进行分层后，类似的关联在一般情况下得到了证实。结论：较差的睡眠质量和较低的户外活动水平与哮喘和变应性鼻炎的相关性比单独的因素更强，且这种关系不受睡眠时间的影响。我们的研究结果强调了公共卫生干预的必要性，同时解决多种生活方式因素，以降低过敏性疾病的风险。

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The Joint Association of Sleep Quality and Outdoor Activity with Asthma and Allergic Rhinitis in Children: A Cross-Sectional Study in Shanghai.

Purpose: Aiming to investigate the combined association of sleep quality and outdoor activity with the risk of asthma and allergic rhinitis in children.

Patients and methods: 16,936 children from kindergartens and primary schools in 13 administrative districts of Shanghai, China were involved in the analyses. The Children's Sleep Habits Questionnaire (CSHQ) and the International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire were respectively used to evaluate the sleep quality, allergic rhinitis and asthma. Multivariable logistic regression models were used to analyze the correlation of sleep quality, outdoor activities and their combination with children's asthma and allergic rhinitis.

Results: The overall prevalence of asthma and allergic rhinitis in our sampled children were 10.2% and 17.6%, respectively. Poor sleep quality (asthma: aOR, 1.45; 95% CI: 1.23 to 1.73; allergic rhinitis: aOR, 1.16; 95% CI: 1.03 to 1.31) and low outdoor activity (asthma: aOR, 1.30; 95% CI: 1.14 to 1.49, allergic rhinitis: aOR, 1.18; 95% CI: 1.07 to 1.32) were separately associated with higher risk of asthma and allergic rhinitis, and when the two were superimposed, an additive effect (asthma: aOR, 1.76; 95% CI: 1.30 to 2.39; allergic rhinitis: aOR, 1.46; 95% CI: 1.17 to 1.82) was revealed. These associations were independent of sleep duration, but being stronger in sleep sufficiency group. And after stratification by gender, premature birth and family history of allergy, similar associations were validated in general.

Conclusion: Poor sleep quality and low levels of outdoor activity, when combined, have a stronger association with asthma and allergic rhinitis than each factor independently, and this relationship is not influenced by sleep duration. Our findings highlight the need for public health interventions that simultaneously address multiple lifestyle factors to reduce the risk of allergic diseases.

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来源期刊

Journal of Asthma and Allergy Medicine-Immunology and Allergy

CiteScore

5.30

自引率

6.20%

发文量

185

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal publishing original research, reports, editorials and commentaries on the following topics: Asthma; Pulmonary physiology; Asthma related clinical health; Clinical immunology and the immunological basis of disease; Pharmacological interventions and new therapies. Although the main focus of the journal will be to publish research and clinical results in humans, preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies.