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小学生体力活动视屏时间和情绪行为问题的关系

桂曌环 汪慧 张婧姝 陈亚军

桂曌环, 汪慧, 张婧姝, 陈亚军. 小学生体力活动视屏时间和情绪行为问题的关系[J]. 中国学校卫生, 2021, 42(8): 1135-1139. doi: 10.16835/j.cnki.1000-9817.2021.08.004
引用本文: 桂曌环, 汪慧, 张婧姝, 陈亚军. 小学生体力活动视屏时间和情绪行为问题的关系[J]. 中国学校卫生, 2021, 42(8): 1135-1139. doi: 10.16835/j.cnki.1000-9817.2021.08.004
GUI Zhaohuan, WANG Hui, ZHANG Jingshu, CHEN Yajun. Associations of physical activity and screen time with emotional and behavioral problems in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1135-1139. doi: 10.16835/j.cnki.1000-9817.2021.08.004
Citation: GUI Zhaohuan, WANG Hui, ZHANG Jingshu, CHEN Yajun. Associations of physical activity and screen time with emotional and behavioral problems in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1135-1139. doi: 10.16835/j.cnki.1000-9817.2021.08.004

小学生体力活动视屏时间和情绪行为问题的关系

doi: 10.16835/j.cnki.1000-9817.2021.08.004
基金项目: 

国家自然科学基金项目 81673193

详细信息
    作者简介:

    桂曌环(1991-),女,安徽芜湖人,在读博士,主要研究方向为视屏时间和儿童心理行为

    通讯作者:

    陈亚军,E-mail:chenyj68@mail.sysu.edu.cn

  • 中图分类号: R179  G478  G444

Associations of physical activity and screen time with emotional and behavioral problems in children

  • 摘要:   目的  探讨中高等强度体力活动(moderate-to-vigorous intensity physical activity, MVPA)、视屏时间(screen time, ST)和儿童情绪与行为问题的关联,为筛查学龄儿童心理问题和制定相关干预措施提供参考。  方法  采用分层整群随机抽样,于2017年3月在广州市5个区各抽取1所小学,纳入4 922名6~12岁小学生。问卷收集学生的社会人口学信息、MVPA、ST和情绪行为问题。采用广义线性混合回归模型分析MVPA、ST和情绪行为问题的关系。  结果  平均每天MVPA≥60 min的学生占37.5%,平均每天ST≤2 h的学生占87.7%。与低水平MVPA组(< 60 min/d)相比,高水平MVPA组(≥60 min/d)学生在多动行为、同伴交往和困难总分较低,亲社会行为得分较高(t值分别为2.80,2.47,2.56,-1.97,P值均 < 0.05)。与高水平ST组(>2 h/d)相比,低水平ST组(≤2 h/d)儿童在情绪症状、品行问题、多动行为、同伴交往和困难总分各维度得分较低,亲社会行为得分较高(t值分别为3.18,3.35,3.70,3.80,-3.21,4.97,P值均 < 0.05)。低水平MVPA和高水平ST的联合暴露会增加儿童品行问题(OR=1.45,95%CI=1.02~2.05)、同伴交往(OR=1.93,95%CI=1.11~3.36)、亲社会行为(OR=1.55,95%CI=1.08~2.23)和困难总分(OR=1.73,95%CI=1.12~2.68)发生风险。  结论  MVPA和ST独立与儿童情绪和行为问题有关,且MVPA不足和ST较长的联合暴露可以增加儿童情绪与行为问题的发生风险。
  • 表  1  不同性别学生MVPA与ST分布比较

    Table  1.   The distribution of MVPA and ST across sex of primary school students

    性别 人数 MVPA/(min·d-1) ST/(h·d-1) MVPA和ST
    60 ≥60 χ2 ≤2 >2 χ2 低水平MVPA
    高水平ST
    低水平MVPA
    低水平ST
    高水平MVPA
    高水平ST
    高水平MVPA
    低水平ST
    χ2
    2 663 1 574(59.1) 1 089(40.9) 34.0 2 311(86.8) 352(13.2) 8.8 192(7.2) 1 377(51.7) 152(5.7) 943(35.4) 45.3
    2 259 1 500(66.4) 759(33.6) 2 006(88.8) 253(11.2) 142(6.3) 1 365(60.4) 109(4.8) 642(28.4)
    合计 4 922 3 076(62.5) 1 846(37.5) 4 317(87.7) 605(12.3) 335(6.8) 2 742(55.7) 261(5.3) 1 585(32.2)
    注:( )内数字为构成比/%。P值均 < 0.01。
    下载: 导出CSV

    表  2  不同水平MVPA和ST小学生SDQ各维度得分比较(x±s)

    Table  2.   Scores of SDQ of primary school students by MVPA and ST categories(x±s)

    变量 组别 人数 统计值 困难总分 情绪症状 品行问题 多动行为 同伴交往 亲社会行为
    MVPA < 60 3 076 9.87±0.24 1.82±0.08 1.76±0.07 4.06±0.09 2.24±0.05 7.08±0.11
    /(min·d-1) ≥60 1 846 9.45±0.25 1.71±0.08 1.80±0.08 3.85±0.09 2.12±0.06 7.21±0.11
    t 2.56 1.91 -0.78 2.80 2.47 -1.97
    P 0.01 0.06 0.44 0.01 0.01 0.05
    ST >2 605 10.28±0.30 1.90±0.10 1.90±0.09 4.16±0.12 2.33±0.08 6.98±0.13
    /(h·d-1) ≤2 4 317 9.04±0.22 1.62±0.07 1.66±0.07 3.75±0.08 2.03±0.04 7.31±0.10
    t 4.97 3.18 3.35 3.70 3.80 -3.21
    P < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01
    下载: 导出CSV

    表  3  MVPA和ST联合暴露与小学生SDQ得分的关系[B值(B值95%CI),n=4 922]

    Table  3.   Joint associations of MVPA and ST with scores of SDQ of primary school students[B(B 95%CI), n=4 922]

    SDQ 高MVPA高ST 低MVPA低ST 低MVPA高ST
    困难总分 1.46(0.71~2.21)* 0.47(0.12~0.82)* 1.56(0.90~2.22)*
    情绪症状 0.20(-0.06~0.47) 0.09(-0.03~0.22) 0.43(0.20~0.67)*
    品行问题 0.30(0.08~0.52)* -0.03(-0.13~0.08) 0.18(-0.02~0.37)
    多动行为 0.57(0.24~0.89)* 0.24(0.08~0.39)* 0.53(0.24~0.81)*
    同伴交往 0.31(0.08~0.54)* 0.13(0.02~0.24)* 0.41(0.21~0.62)*
    亲社会行为 -0.30(-0.61~0.01) -0.13(-0.27~0.02) -0.49(-0.76~-0.21)*
    注:*P < 0.05。
    下载: 导出CSV

    表  4  MVPA和ST联合暴露与小学生情绪与行为问题的关系[OR值(OR值95%CI),n=4 922]

    Table  4.   Joint associations between MVPA and ST with emotion and behavioral problems of primary school students [OR(OR 95%CI), n=4 922]

    SDQ 高MVPA高ST 低MVPA低ST 低MVPA高ST
    困难总分 1.67(1.01~2.75)* 1.20(0.92~1.56) 1.73(1.12~2.68)*
    情绪症状 1.14(0.69~1.89) 0.98(0.77~1.25) 1.48(0.98~2.24)
    品行问题 1.44(0.97~2.14) 0.98(0.81~1.20) 1.45(1.02~2.05)*
    多动行为 1.27(0.74~2.20) 1.19(0.91~1.55) 1.15(0.70~1.87)
    同伴交往 1.73(0.90~3.32) 1.19(0.83~1.71) 1.93(1.11~3.36)*
    亲社会行为 1.07(0.68~1.67) 1.15(0.93~1.41) 1.55(1.08~2.23)*
    注:*P < 0.05。
    下载: 导出CSV
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  • 收稿日期:  2020-11-19
  • 修回日期:  2020-12-26
  • 网络出版日期:  2021-08-20
  • 刊出日期:  2021-08-25

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