摘要
目的 探讨云南省大学生含糖饮料消费特征与失眠的关系,为改善大学生睡眠质量提供依据。方法 采用整群随机抽样法抽取云南省昆明市及大理市2所大学(昆明学院、大理护理职业学院)2 515名在校大学生进行纵向研究,包括基线调查(T1,2021年11月)和3次随访调查(T2:2022年6月,T3:2022年11月,T4:2023年6月)。采用半定量饮食频率调查表收集大学生含糖饮料消费情况,使用失眠严重指数量表(ISI)评估失眠情况。含糖饮料消费情况采用Kruskal-Wallis检验分析,使用Mann-Whiter U检验和Kruskal-Wallis检验比较不同人口学特征大学生失眠检出率,建立广义估计方程模型分析含糖饮料消费与失眠的关联。结果 T1、T2、T3、T4调查大学生失眠检出率分别为21.2%,23.6%,30.5%,36.0%。大学生平均每周消费含糖饮料为5(1,9)瓶/人,不同失眠状态大学生含糖饮料(碳酸饮料、果汁饮料、茶饮料、功能饮料、乳饮料)消费量差异均有统计学意义(χ^(2)值分别为42.91,23.67,29.98,61.70,30.82,P值均<0.01)。广义估计方程模型分析结果显示,大学生碳酸饮料消费(β=0.04,95%CI=0.00~0.08)及乳饮料消费(β=0.04,95%CI=0.00~0.09)与失眠相关(P值均<0.05)。分层分析表明,女大学生碳酸饮料消费与失眠相关[β值(95%CI)=0.06(0.01~0.11)];自评家庭经济情况中等的大学生乳饮料消费与失眠有关[β值(95%CI)=0.05(0.00~0.10)],自评家庭经济情况好的大学生碳酸饮料及果汁消费与失眠均有关联[β值(95%CI)分别为0.35(0.23~0.46),0.12(0.00~0.24)](P值均<0.05)。结论 云南大学生失眠情况与含糖饮料尤其是碳酸饮料的消费相关。
Objective To study the relationship between sugar-sweetened beverages consumption characteristics and insomnia of college students in Yunnan Province,so as to provide evidence for sleep quality improvement of college students.Methods A cluster random sampling method was used to select 2515 college students from two universities(Kunming University and Dali Nursing Vocational College)in Kunming and Dali in Yunnan Province for a longitudinal study,including baseline survey(T1,November 2021)and three follow-up surveys(T2:June 2022,T3:November 2022,T4:June 2023).Sugar-sweetened beverages consumption of college students was collected by Semi-quantitative Food Frequency Questionnaire and insomnia was assessed by Insomnia Severity Index Scale.Sugar-sweetened beverages consumption was analyzed by Kruskal-Wallis test.The Mann-Whiter U test and Kruskal-Wallis test were used to compare the detection rate of insomnia in college students with different population characteristics,and the generalized estimating equations model was established to analyze the association between sugar-sweetened beverages consumption and insomnia.Results The reported rate of insomnia among college students from T1 to T4 was 21.2%,23.6%,30.5%and 36.0%,respectively.The median of sugar-sweetened beverages consumption per week was 5(1,9)bottles per person,and there were significant differences in sugar-sweetened beverages(carbonated beverages,fruit beverages,tea beverages,milk beverages,energy beverages)consumption among college students with different insomnia status(χ^(2)=42.91,23.67,29.98,61.70,30.82,P<0.01).The analysis of the generalized estimating equation model revealed that the consumption of carbonated beverages(β=0.04,95%CI=0.00-0.08)and the consumption of milk beverages among college students(β=0.04,95%CI=0.00-0.09)were correlated with insomnia(P<0.05).The stratified analysis indicated that consumption of carbonated beverages by female college students was associated with insomnia[β(95%CI)=0.06(0.01-0.11)];consumption of milk beverages among college students from middle-income family was associated with insomnia[β(95%CI)=0.05(0.00-0.10)],and consumption of carbonated beverages and fruit beverages from college students with high household economic status were both associated with insomnia[β(95%CI)=0.35(0.23-0.46),0.12(0.00-0.24)](P<0.05).Conclusion Sugar-sweetened beverages,especially carbonated beverages,are associated with insomnia among college students in Yunnan Province.
作者
苏莹珍
杨洁茹
张高红
陶剑
陆秋安
胡东月
刘子涵
苏云鹏
徐洪吕
SU Yingzhen;YANG Jieru;ZHANG Gaohong;TAO Jian;LU Qiuan;HU Dongyue;LIU Zihan;SU Yunpeng;XU Honglü(Medical College,Kunming University,Kunming(650214),Yunnan Province,China;不详)
出处
《中国学校卫生》
CAS
北大核心
2024年第10期1451-1454,1459,共5页
Chinese Journal of School Health
基金
国家自然科学基金项目(82160622)
云南省“兴滇英才支持计划”青年人才专项项目(ZX20230281)
云南省地方本科高校基础研究联合专项资金项目(202101BA070001-117)
昆明学院引进人才项目(YJL2103)。
关键词
饮料
睡眠障碍
精神卫生
纵向研究
学生
Beverages
Sleep disorders
Mental health
Longitudinal studies
Students
