Association between sleep quality and central obesity among southern Chinese reproductive-aged women
| Autor: | Nan Liu, Ling-Ling Huang, Pei-Xi Wang, Xiaoxiao Wang, Guozeng Zhang, Yan Liang, Zhen-Zhen Su, Dong-Hui Guo, Bo Li, Bingbing Li |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Sleep Wake Disorders China Waist Population 030209 endocrinology & metabolism Reproductive-aged women Pittsburgh Sleep Quality Index 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine education book education.field_of_study Sleep disorder Chinese business.industry Obstetrics and Gynecology General Medicine Odds ratio Gynecology and obstetrics book.written_work Sleep quality medicine.disease Obesity Confidence interval Cross-Sectional Studies Reproductive Medicine Obesity Abdominal Central obesity RG1-991 Bad dreams Female Public aspects of medicine RA1-1270 Sleep business Research Article Demography |
| Zdroj: | BMC Women's Health, Vol 21, Iss 1, Pp 1-10 (2021) BMC Women's Health |
| DOI: | 10.21203/rs.3.rs-15728/v1 |
| Popis: | Background The connections between sleep quality and central obesity among reproductive-aged women are not clear. The study aimed to explore the association between sleep quality and central obesity among Chinese reproductive-aged women and identify the independent contributions of sociodemographic characteristics, health-related factors, and sleep quality to central obesity. Methods In this cross-sectional survey, the minimal sample sizes were 2404 subjects; 2449 Chinese women aged 18–49 participated in this study. Sleep quality was assessed by the Chinese version of the Pittsburgh Sleep Quality Index (PSQI). Central obesity as the outcome of interest was a binary variable; women were categorized as with versus without central obesity measured by waist circumference (WC). The independent contribution of sociodemographic characteristics (Cluster 1), health-related variables (Cluster 2), and sleep quality (Cluster 3) to central obesity was derived from the corresponding R2 change (individual R2 change/total R2 × 100%), using clustered multiple logistic regression analyses. Results The risk of central obesity increased significantly with poor sleep quality (assessed by global PSQI score) [adjusted odds ratio (OR) = 2.20 per SD increase; 95% confidence interval (CI) = 1.28–3.78; P = 0.004], increased sleep disturbance score (adjusted OR = 1.11 per SD increase; 95% CI = 1.01–1.22; P = 0.042) and decreased subjective sleep quality score (adjusted OR = 0.81 per SD increase; 95% CI = 0.73–0.90; P Conclusions There exists some degree of correlation between sleep quality and central obesity among Chinese reproductive-aged women. These findings underscore the need for future public health guidelines to formulate some detailed strategies to improve sleep quality, such as preventing and intervening risk factors that influence sleep quality and suggesting optimal sleep duration, which might effectively reduce the incidence of central obesity in this population group. |
| Databáze: | OpenAIRE |
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