目的调查广东人群睡眠情况与健康促进生活方式、亚健康的关系。方法在广东地区进行24 159例的横断面调查。睡眠充足与否被定义为睡眠是否充足的程度"从不、有时、经常、总是";健康促进生活方式使用《健康促进生活方式量表》来评估,健康状况结合被调查者的体检报告及《亚健康评定量表》。结果在24 159例调查者中,亚健康(46.0%)及疾病(35.2%)所占的比例远高于健康者。被调查者中从不有充足睡眠者占4.1%(986例),有时占36.9%(8 913例),经常占44.9%(10 847例),总是者仅占14.1%(3 413例),健康状态与睡眠充足与否有关(χ^2=1 499.945,P=0.000)。回归分析显示睡眠充足与否对健康促进生活方式有显著影响(P〈0.001);同时,从不有充足睡眠的人发生亚健康的风险是总是有充足睡眠的人的8.391倍(95%CI 6.325~11.131),是有时睡眠充足的人的6.049倍(95%CI 5.414~6.758),是经常睡眠充足的人的2.263倍(95%CI2.058~2.488)(P=0.000)。结论睡眠充足与健康促进生活方式相关,它是健康生活方式的一个强有力预测因素。缺乏充足的睡眠或睡眠剥夺与发生亚健康的风险增加相关。
Objective To investigate the association between sufficient sleeping,healthy lifestyle and suboptimal health status( SHS) within the population of Guangdong Province,China. Methods A cross- sectional survey was conducted within a clustered sample of 24,159 individuals in Guangdong. Sleep sufficiency was categorically defined by the level of whether sleeping is enough( 'never,sometimes,often or always'). Lifestyle was assessed via the health- promoting lifestyle scale. SHS was evaluated using the medical examination report and Suboptimal health Measurement Scale V1. 0. Results Of the 24,159 participants,the prevalence for the 'SHS' and 'disease' were 46. 0% and 35. 2%,respectively,higher than that for 'healthy'( 18. 8%). Overall,4. 1 %( 986) of participants reported they 'never' had sufficient sleeping,with 36. 9%( 8913) 'sometimes',44. 9%( 10847) 'often' and 14. 1 %( 3413) 'always'. Health status were correlated with whether sleep is enough or not.(χ^2= 1 499. 945,P = 0. 000). After demographic adjustment,regression analyses revealed a significant correlation between sufficient sleeping and healthy lifestyle( P〈0. 001). Individuals who'never' had sufficient sleeping were 8. 391 times more likely to suffer from SHS than individuals who 'always' had it( OR:8. 391,95% CI: 6. 325- 11. 131),infrequent sufficient sleeping( 'sometimes') with OR 6. 049 and CI 5. 414- 6. 758,'often' sufficient sleeping with OR 2. 263 and CI 2. 058- 2. 488)( P = 0. 000). Conclusion Sufficient sleeping is significantly associated with a healthy lifestyle,and appears to be a useful predictor of a healthy lifestyle. Sleep deprivation is related to an increased risk of SHS.