中国睡眠不足儿童和青少年的周末补觉与代谢综合征的保护性关联

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2025-06-25 DOI:10.1016/j.sleep.2025.106654

Haiyuan Zhu , Qiqi Wu , Runquan Zhang , Zebang Zhang , Yumei Feng , Tao Liu , Dan Liu , Xiongfei Chen , Xiaomei Dong

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引用次数: 0

摘要

短睡眠与代谢综合征（MetS）有关。周末补觉（WCS）作为睡眠不足的一种补偿策略，但其与儿童和青少年met的关系尚不清楚。本研究旨在调查WCS是否与这一人群中睡眠不足的个体发生MetS的风险降低有关。方法选取2017年《中国儿童与哺乳期妇女营养与健康监测》中7 ~ 17岁工作日睡眠不足的参与者8930名。工作日/周末的睡眠时间和WCS持续时间是根据自我报告的工作日/周末睡眠时间表计算的。MetS的定义采用Cook的标准。采用逻辑回归和限制三次样条（RCS）模型调整协变量来评估WCS与MetS之间的关系。结果swcs与met的发生率有显著的保护作用(p <；0.05)。RCS分析显示l型关系（p为非线性= 0.029），1小时的WCS出现为潜在的最佳持续时间。结论：研究结果支持WCS作为一种潜在的可修改策略来降低睡眠不足儿童人群的MetS风险。

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Protective association of weekend catch-up sleep with metabolic syndrome in Chinese children and adolescents with sleep insufficiency

Background

Short sleep has been associated with metabolic syndrome (MetS). Weekend catch-up sleep (WCS) serves as a compensatory strategy for sleep deficits, yet its association with MetS in children and adolescents remains unclear. This study aimed to investigate whether WCS is related to a decreased risk for MetS in sleep-deprived individuals of this population.

Methods

A total of 8930 participants aged 7–17 years with weekday sleep insufficiency were selected from the China Nutrition and Health Surveillance of Children and Lactating Women (2017). Sleeping hours on weekdays/weekends and WCS duration were calculated based on self-reported weekday/weekend sleep schedules. MetS was defined using Cook's criteria. Logistic regression and restricted cubic spline (RCS) regression models adjusting for covariates were used to assess the relationships between WCS and MetS.

Results

WCS had a significantly protective association with the prevalence of MetS (p < 0.05). RCS analysis revealed an L-shaped relationship (p for non-linear = 0.029), with 1 h of WCS emerging as a potentially optimal duration.

Conclusions

Our findings support WCS as a potential modifiable strategy to mitigate MetS risk in sleep-deficient pediatric populations.

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来源期刊

Sleep medicine 医学-临床神经学

CiteScore

8.40

自引率

6.20%

发文量

1060

审稿时长

49 days

期刊介绍： Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.