济南市大学生体力活动抑郁症状与进食障碍的关联

张翠翠; 崔瑞兰

doi:10.16835/j.cnki.1000-9817.2021.01.017

济南市大学生体力活动抑郁症状与进食障碍的关联

doi: 10.16835/j.cnki.1000-9817.2021.01.017

张翠翠,
崔瑞兰^,

山东中医药大学马克思主义学院，济南 250355

详细信息

作者简介:
张翠翠(1983-)，女，山东兰陵人，在读硕士，主要研究方向为大学生思想政治教育

通讯作者:
崔瑞兰，E-mail：cuirl64@163.com

中图分类号: G 806 G 444 B 844.2
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- 文章访问数: 618
- HTML全文浏览量: 284
- PDF下载量: 27
- 被引次数: 0
出版历程
- 收稿日期: 2020-05-31
- 修回日期: 2020-08-01
- 网络出版日期: 2021-04-01
- 刊出日期: 2021-01-25

Association of physical activity and depressive symptoms with eating disorders among college students in Jinan

ZHANG Cuicui,
CUI Ruilan^,

School of Marxism, Shandong University of Traditional Chinese Medicine, Jinan(250355), China

摘要

摘要: 目的了解大学生体力活动和抑郁症状与进食障碍的关联，为开展大学生进食障碍干预工作提供理论依据。方法采用整群抽样法，抽取山东省济南市3所本科院校共计2 712名大学生开展问卷调查，采用一般资料调查表、国际体力活动问卷短卷、病人健康问卷抑郁量表和进食态度问卷进行调查。结果被调查大学生中，体力活动未达标组1 750名(64.5%)，达标组962名(35.5%)；有抑郁症状者488名(18.0%)；进食障碍者452名(16.7%)。不同性别、自评学习压力、体力活动及抑郁症状的大学生进食障碍检出率差异有统计学意义(χ²值分别为63.65，23.17，34.24，70.66，P值均 < 0.05)。调整人口学变量后，多元Logistic回归分析结果显示，体力活动和抑郁症状均与进食障碍呈正相关(OR值分别为1.59，2.58，P值均 < 0.01)。相同抑郁症状组别中，体力活动水平越低，进食障碍检出率越高。结论大学生体力活动和抑郁症状与进食障碍有关。可通过积极改善抑郁症状、增加体育锻炼等途径干预进食障碍。
- 运动活动 /
- 抑郁 /
- 进食障碍 /
- 回归分析 /
- 学生
Abstract: Objective To understand the relationship between physical activity, depressive symptoms and eating disorders among college students, and to provide a theoretical basis for the intervention of eating disorders among college students. Methods A questionnaire survey including International Physical Activity Questionnaire, Patient Health Questionnaire Depression Scale and Eating Attitude Test was administered among 2 712 college students from three universities. Results Among the college students surveyed, 1 750(64.5%) did not meet the recommendations for physical activity, 962(35.5%) met the recommendation for physical activity; 488(18.0%) reported depressive symptoms, 452(16.7%) reported symptoms of eating disorders. There was a statistically significant difference in the incidence of eating disorders by genders, self-assessed learning pressure, physical activity and depressive symptoms(χ²=63.65, 23.17, 34.24, 70.66, P < 0.05). After adjusting for demographic variables, the results of multiple Logistic regression analysis showed that physical activity and depressive symptoms were positively correlated with eating disorders(OR=1.59, 2.58, P < 0.01). In the depression group, lower level of physical activity, was associated with higher rate of eating disorders. Conclusion Physical activity and depressive symptoms of college students were related to eating disorders. It is suggest that eating disorders might be alleviated by actively improving depressive symptoms and increasing physical activity.
- Motoractivity /
- Depression /
- Eating disorders /
- Regression analysis /
- Students

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表 1 不同组别大学生进食障碍检出率比较

Table 1. Comparison of the detection rates of eating disorders among different groups of college students

组别	选项	人数	进食障碍人数	χ²值	P值
性别	男	1 292	138(10.7)	63.65	＜0.01
	女	1 420	314(22.1)
生源地	城镇	1 071	182(17.0)	0.14	0.71
	农村	1 641	270(16.5)
年级	大一	1 172	180(15.4)	4.06	0.13
	大二	901	168(18.6)
	大三	639	104(16.3)
自评学习压力	较小	361	38(10.5)	23.17	＜0.01
	一般	1 553	244(15.7)
	较大	798	170(21.3)
父亲受教育程度	高中以下	1 445	246(17.0)	0.29	0.59
	高中及以上	1 267	206(16.3)
母亲受教育程度	高中以下	1 681	266(15.8)	2.26	0.13
	高中及以上	1 031	186(18.0)
体力活动	未达标	1 750	346(19.8)	34.24	＜0.01
	达标	962	106(11.0)
抑郁症状	有	488	144(29.5)	70.66	＜0.01
	无	2 224	308(13.8)
注：()内数字为检出率/%。

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表 2 大学生体力活动和抑郁症状的交互作用与进食障碍的关联性分析[OR值(OR值95%CI)，n=2 712]

Table 2. The association among interaction of the college students' physical activity and depressive symptoms and eating disorder[OR(OR 95%CI), n=2 712]

抑郁症状	体力活动	模型1	模型2^*
有	未达标	5.02(3.62~6.97)	4.09(2.92~5.72)
	达标	2.29(1.44~3.63)	2.30(1.44~3.69)
无	未达标	1.88(1.43~2.47)	1.53(1.15~2.03)
	达标	1.00	1.00
注：*调整了性别、自评学习压力等人口学因素；P值均＜0.01。

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