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Association Between Outdoor Activity and Insufficient Sleep in Chinese School-Aged Children
Jingyin Luo1, Muqing Cao1, Fan Sun2
1Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China (mainland).
Insights
Adequate outdoor activity (OA) is linked to reduced insufficient sleep duration (ISD) in Chinese children aged 6-17. However, the strength of this association varies by age and gender, highlighting the need for tailored interventions.
Area of Science:
- Pediatric Health
- Sleep Medicine
- Public Health
Background:
- Insufficient sleep duration (ISD) is a growing concern among children globally.
- Outdoor activity (OA) is a potential modifiable factor influencing sleep patterns in youth.
Purpose of the Study:
- To investigate the association between daily outdoor activity (OA) and insufficient sleep duration (ISD) in a large cohort of Chinese children.
- To examine potential age- and gender-specific differences in this relationship.
Main Methods:
- A national cross-sectional survey of 46,639 Chinese children aged 6-17 years.
- Data collected via standardized questionnaires on sleep duration, OA time, and demographics.
- Logistic regression analysis employed to assess the relationship between ISD and OA levels.
Main Results:
- The prevalence of insufficient sleep duration (ISD) was high at 74.9% among the surveyed children.
- Increased outdoor activity (≥2 hours/day) was significantly associated with a reduced odds of ISD across different age groups (6-13 and 14-17 years).
- Similar trends were observed for both genders, though some associations were not statistically significant when stratified by gender.
Conclusions:
- Adequate daily outdoor activity is associated with a lower risk of insufficient sleep duration in children aged 6-17 years.
- The relationship between OA and ISD is influenced by both age and gender, suggesting a need for personalized approaches to promote healthy sleep habits.
Abstract:
BACKGROUND The aim of this study was to explore the relationship between outdoor activity (OA) and insufficient sleep duration (ISD) among Chinese children and to assess the potential age- and gender-specific effects. MATERIAL AND METHODS A national sample of 62 517 children aged 6-17 years were recruited from 7 provinces of China in the autumn of 2013. Children and their caregivers reported daily sleep duration (<7 h, 7-9 h and ≥9 h), daily OA time (<1 h, 1-2 h, and ≥2 h), and other behavior and demographic information by standardized questionnaire. ISD was defined as <9 h/day. Logistic regression analysis was used to evaluate the relationship between ISD and OA. RESULTS In total, 46 639 children (50.9% boys) completed this survey. The prevalence of ISD was 74.9% (73.7% in boys and 76.1% in girls). Stratified by age, compared with <1 h OA, the odds ratios for ISD were 0.67 (95% confidence interval: 0.62-0.72, aged 6-13 years) and 0.69 (0.49-0.98, 14-17 years) in the ≥2 h OA group; 0.91 (0.85-0.97, 6-13 years) and 0.73 (0.54-0.97, 14-17 years) in the 1-2 h OA group. Further stratified by gender, we found similar trends for both boys and girls in each age group, although some results became non-significant. CONCLUSIONS Adequate OA time per day is associated with decreased risks for ISD among children aged 6-17 years, but age and gender can modify the association.
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