■关于含糖饮料(SSB)消费与睡眠质量与焦虑症状之间关系的研究得到了高度重视。然而,过去的研究集中在平原地区的大学生,而在高海拔地区对藏族大学生进行的研究较少。这种关联是否因种族或海拔而改变尚不清楚。本研究将有助于高海拔地区藏族大学生抑郁症状的预防和干预。
■对3,026名大学生(1,491名男生,49.27%)的SSB消费,青藏高原地区睡眠质量和焦虑症状状况,中国的高海拔地区。采用广义线性模型中的Logistic回归分析和有序Logistic回归分析SSB消耗和睡眠质量与焦虑症状的关系。
■高海拔藏族大学生焦虑症状的患病率为26.9%。SSB消耗≤1次/周,2-5次/周,≥6次/周分别为20.7、28.1和45.7%,分别,差异具有统计学意义(χ2值为134.353,p<0.001)。睡眠质量良好(PSQI≤5)的焦虑检出率,中等(PSQI6-7),差(PSQI>7)分别为16.8%、19.8%和32.0%,分别,差异也有统计学意义(χ2值为73.761,p<0.001)。广义线性模型中的有序logistic回归分析表明,总的来说,以SSB≤1次/周、睡眠质量良好的大学生为参照组,SSB≥6次/周,睡眠质量差(OR:5.06,95%CI:3.75-6.83)的组出现焦虑症状的风险最高。
■SSB消耗和睡眠质量与焦虑症状相关,并且存在相互作用效应。有效控制SSB消耗和改善睡眠质量可能是预防和减少焦虑症状发生的重要因素。
UNASSIGNED: Research on the association between sugar-sweetened beverages (SSBs) consumption and sleep quality with anxiety symptoms has been highly emphasized. However, past studies have focused on college students in plains areas, while fewer research studies have been conducted on Tibetan college students at high altitudes. Whether this association changes due to ethnicity or altitude is unclear. The present
study will contribute to the prevention and intervention of depressive symptoms among Tibetan college students at high altitude.
UNASSIGNED: A self-assessment questionnaire was administered to 3,026 university students (1,491 boys students, 49.27%) on SSBs consumption, sleep quality and anxiety symptoms status in the Tibetan Plateau, a high-altitude region of China. Logistic regression analysis and ordered logistic regression analysis in generalized linear model were used to analyze the association between SSBs consumption and sleep quality with anxiety symptoms.
UNASSIGNED: The prevalence of anxiety symptoms among Tibetan college students at high altitude was 26.9%. SSBs consumption of ≤1 times/week, 2-5 times/week, and ≥ 6 times/week were 20.7, 28.1, and 45.7%, respectively, with statistically significant differences (χ2 value of 134.353, p < 0.001). Anxiety detection rates for Sleep quality of Good (PSQI ≤5), Moderate (PSQI 6-7), and Poor (PSQI >7) were 16.8, 19.8, and 32.0%, respectively, and the difference was also statistically significant (χ2 value was 73.761, p < 0.001). The ordered logistic regression analysis in the generalized linear model showed that, overall, the group of college students with SSBs ≤1 times/week and sleep quality of Good served as the reference group, and the group with SSBs ≥6 times/week and sleep quality of Poor (OR: 5.06, 95% CI: 3.75-6.83) had the highest risk of anxiety symptoms.
UNASSIGNED: SSBs consumption and sleep quality were associated with anxiety symptoms, and there was an interaction effect. Effective control of SSBs consumption and improvement of sleep quality may be important factors in preventing and reducing the occurrence of anxiety symptoms.