Background The Chinese version of the Children's Sleep Habits Questionnaire(CSHQ-CH)has been widely used in clinical practice and research since it was developed in 2007.This study aimed to examine the psychometri...Background The Chinese version of the Children's Sleep Habits Questionnaire(CSHQ-CH)has been widely used in clinical practice and research since it was developed in 2007.This study aimed to examine the psychometric properties of the revised version(CSHQ-CH-R)and establish cut-offvalues for screening for sleep disturbances in Chinese preschool-aged and school-aged children.Methods A community sample of 3850 preschool and school-aged children aged 3-12 years were obtained from 6 kindergartens and 2 primary schools in Shanghai,Beijing and Chengdu,China,from December 2019 to February 2020.A clinical sample of 119 children aged 3-12 years who were diagnosed with sleep disorders were recruited from a tertiary pediatric hospital in Shanghai from September 2019 to November 2021.Caregivers completed the original 33 items of the CSHQ-CH plus an additional 15 items through an online platform.Item analysis was conducted to develop the CSHQ-CH-R,which included discriminative validity,redundancy and ambiguity.Internal consistency,interobserver reliability,test-retest reliability,concurrent validity(correlations with actigraphy)and discriminative validity were then analyzed.The cut-offvalues for both the full scale and subscale scores were generated by receiver operating characteristics.Results The final version of the CSHQ-CH-R included 30 items and 8 subscales.Three subscales(bedtime resistance,sleep duration and daytime sleepiness)were revised,and the other five subscales were unchanged from those of the CSHQ-CH.The internal consistency for the full scale was 0.83 for the community sample,and 0.73 for the clinical sample.The internal consistency ranged from 0.47(sleep duration)to 0.72(bedtime resistance)for the community sample,and 0.38(sleep duration)to 0.83(sleep-disordered breathing)for the clinical sample.The interobserver reliability for the full scale was 0.55,and ranged from 0.38(parasomnias)to 0.74(bedtime resistance)for the subscales.The test–retest reliability was 0.70 for the full scale,and ranged from 0.54(sleep duration)to 0.78(bedtime resistance)for the subscales.Concurrent validities against actigraphy were 0.62 and 0.33 for“time in bed”and“night sleep duration”,respectively.The clinical sample scored higher than the community sample did for the full scale and subscales(P<0.01).A cut-offtotal score of 44 was determined,with an area under the curve of 0.76,a sensitivity of 0.64,and a specificity of 0.76.To facilitate cross-cultural comparisons,psychometric properties and cut-offvalues for the CSHQ-CH with the original 33 items were also provided.Conclusion The CSHQ-CH-R exhibits satisfactory to good psychometric properties,indicating its suitability for identifying sleep problems among Chinese preschool-and school-aged children.展开更多
Background:Despite the current obesity pandemic,childhood malnutrition remains an urgent,public health concern.Similar to the obesity pandemic,childhood malnutrition is influenced by genetic and a number of social,env...Background:Despite the current obesity pandemic,childhood malnutrition remains an urgent,public health concern.Similar to the obesity pandemic,childhood malnutrition is influenced by genetic and a number of social,environmental and biological factors.In this study,we investigated the association between sleep duration and somatic growth in lean children.Methods:A stratified,randomly clustered sampling design was used to select fifth grade students from 10 primary schools in Shanghai.Based on a body mass index below the 15th percentile a subsample of 143 lean children aged 10-11 years old was defi ned.Sleep duration and other potential confounders were surveyed through parental or self-report questionnaires.Body measurements were collected and used to calculate the Z score of weight,height,body mass index as well as body fat percentage.Results:Compared with children who slept<9 hours,those who slept for≥10 hours grew taller and gained more weight after adjusting for confounding factors.When children slept 9-10 hours,they had signifi cantly higher Z score of weight and body mass index.Conclusions:Prolonged sleep not only benefi ts weight gain but also improves height in lean children.Our findings might provide important public health advice such that prolonged sleep may be an effective modifi er of nutritional problems in childhood.展开更多
基金supported by the National Natural Science Foundation of China(82073568,Fan Jiang82071493,Guang-Hai Wang+4 种基金82201645,Yu-Jiao Deng)the Shanghai Municipal Health Commission(2022XD056,Guanghai Wang)the Innovative Research Team of High-level Local University in Shanghai(SHSMU-ZDCX20211900,Fan JiangSHSMU-ZDCX20211100,Guang-Hai Wang)Shanghai Municipal Education Commission(23CGA18,Yu-Jiao Deng)。
文摘Background The Chinese version of the Children's Sleep Habits Questionnaire(CSHQ-CH)has been widely used in clinical practice and research since it was developed in 2007.This study aimed to examine the psychometric properties of the revised version(CSHQ-CH-R)and establish cut-offvalues for screening for sleep disturbances in Chinese preschool-aged and school-aged children.Methods A community sample of 3850 preschool and school-aged children aged 3-12 years were obtained from 6 kindergartens and 2 primary schools in Shanghai,Beijing and Chengdu,China,from December 2019 to February 2020.A clinical sample of 119 children aged 3-12 years who were diagnosed with sleep disorders were recruited from a tertiary pediatric hospital in Shanghai from September 2019 to November 2021.Caregivers completed the original 33 items of the CSHQ-CH plus an additional 15 items through an online platform.Item analysis was conducted to develop the CSHQ-CH-R,which included discriminative validity,redundancy and ambiguity.Internal consistency,interobserver reliability,test-retest reliability,concurrent validity(correlations with actigraphy)and discriminative validity were then analyzed.The cut-offvalues for both the full scale and subscale scores were generated by receiver operating characteristics.Results The final version of the CSHQ-CH-R included 30 items and 8 subscales.Three subscales(bedtime resistance,sleep duration and daytime sleepiness)were revised,and the other five subscales were unchanged from those of the CSHQ-CH.The internal consistency for the full scale was 0.83 for the community sample,and 0.73 for the clinical sample.The internal consistency ranged from 0.47(sleep duration)to 0.72(bedtime resistance)for the community sample,and 0.38(sleep duration)to 0.83(sleep-disordered breathing)for the clinical sample.The interobserver reliability for the full scale was 0.55,and ranged from 0.38(parasomnias)to 0.74(bedtime resistance)for the subscales.The test–retest reliability was 0.70 for the full scale,and ranged from 0.54(sleep duration)to 0.78(bedtime resistance)for the subscales.Concurrent validities against actigraphy were 0.62 and 0.33 for“time in bed”and“night sleep duration”,respectively.The clinical sample scored higher than the community sample did for the full scale and subscales(P<0.01).A cut-offtotal score of 44 was determined,with an area under the curve of 0.76,a sensitivity of 0.64,and a specificity of 0.76.To facilitate cross-cultural comparisons,psychometric properties and cut-offvalues for the CSHQ-CH with the original 33 items were also provided.Conclusion The CSHQ-CH-R exhibits satisfactory to good psychometric properties,indicating its suitability for identifying sleep problems among Chinese preschool-and school-aged children.
基金supported by grants from the Chinese National Natural Science Foundation(81172685)Ministry of Science and Technology(2010CB535000)+5 种基金Ministry of Health(201002006)Shanghai Science and Technology Commission(12411950405,13QH1401800)Shanghai Municipal Committee of Education(11SG19,HJTY-2010-A09)Shanghai Key Discipline of Public HealthAFINS research project(AFINS-HOPE-2011025)MOE New Century Excellent Talents(NCET-13-0362),Shengyuan Research Project.
文摘Background:Despite the current obesity pandemic,childhood malnutrition remains an urgent,public health concern.Similar to the obesity pandemic,childhood malnutrition is influenced by genetic and a number of social,environmental and biological factors.In this study,we investigated the association between sleep duration and somatic growth in lean children.Methods:A stratified,randomly clustered sampling design was used to select fifth grade students from 10 primary schools in Shanghai.Based on a body mass index below the 15th percentile a subsample of 143 lean children aged 10-11 years old was defi ned.Sleep duration and other potential confounders were surveyed through parental or self-report questionnaires.Body measurements were collected and used to calculate the Z score of weight,height,body mass index as well as body fat percentage.Results:Compared with children who slept<9 hours,those who slept for≥10 hours grew taller and gained more weight after adjusting for confounding factors.When children slept 9-10 hours,they had signifi cantly higher Z score of weight and body mass index.Conclusions:Prolonged sleep not only benefi ts weight gain but also improves height in lean children.Our findings might provide important public health advice such that prolonged sleep may be an effective modifi er of nutritional problems in childhood.
