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小学生体力活动久坐行为与超重肥胖风险关系

汪君民 龚腾云

汪君民, 龚腾云. 小学生体力活动久坐行为与超重肥胖风险关系[J]. 中国学校卫生, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019
引用本文: 汪君民, 龚腾云. 小学生体力活动久坐行为与超重肥胖风险关系[J]. 中国学校卫生, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019
WANG Junmin, GONG Tengyun. Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019
Citation: WANG Junmin, GONG Tengyun. Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019

小学生体力活动久坐行为与超重肥胖风险关系

doi: 10.16835/j.cnki.1000-9817.2021.11.019
基金项目: 

江苏省社会科学基金项目 19TYB006

详细信息
    作者简介:

    汪君民(1975-  ), 男, 江苏赣榆人, 博士, 副教授, 主要研究方向为身体活动与健康促进

  • 中图分类号: R723.14  R179  G627.8

Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students

  • 摘要:   目的  探讨中度到大强度体力活动(moderate to vigorous physical activity, MVPA)和久坐行为与小学生超重/肥胖风险之间的关联, 为改善小学生不良生活方式提供参考。  方法  2018年11—12月对广东省某市949名9~12岁小学生进行横断面调查。根据体质量指数(BMI)将小学生划分为正常和超重/肥胖两组。实验对象24 h戴腕表式Gene active加速度计, 对MVPA和久坐时间进行区分和记录。由父母记录并提供小学生的屏幕时间。采用Possion回归分析MVPA、久坐时间、屏幕时间与超重/肥胖风险之间独立关联。  结果  20.8%(197名)的小学生超重/肥胖。小学生符合MVPA推荐值比例为22.1%(210名), 上学日久坐时间(不包括睡眠时间)为60.8%(577名), 高达8.5 h/d。仅有12.3%(117名)的小学生屏幕时间≤2 h/d。与Q4相比, MVPA为Q1的小学生与正常组小学生相比, 其超重/肥胖的风险比体质量正常的小学生高出4.38倍(P < 0.01), 且与久坐时间无关。与符合MVPA推荐值的小学生相比, 未达到MVPA推荐值的小学生的超重/肥胖风险增加了2.54倍(95%CI=1.59~3.77)。每天>2 h的小学生超重/肥胖的风险比每天≤2 h的小学生增加了1.87倍(95%CI=1.21~3.02)。  结论  MVPA时间越长, 超重/肥胖的风险越低。能达到MVPA时间要求的小学生比例偏低, 小学生的屏幕时间大多超出推荐值。
  • 表  1  小学生久坐不动和体力活动时间在正常和超重/肥胖组间比较/[M(P25~P75),min·d-1]

    Table  1.   Comparison of sedentary and physical activity time in primary school students between normal and overweight/obesity groups/[M(P25~P75), min·d-1]

    时间 正常(n=751) 超重/肥胖(n=197) t P
    一整周
        久坐不动 510.7(505.5~515.8) 528.4(519.0~537.8) 5.21 < 0.01
        小强度体力运动 234.0(230.2~237.8) 236.5(229.5~243.6) 0.68 0.92
        中度体力运动 83.4(81.1~85.8) 68.1(64.4~71.8) 7.11 < 0.01
        剧烈体力运动 11.1(6.0~17.7) 6.0(3.9~10.7) 11.74 < 0.01
        中度到剧烈体力运动 94.5(92.6~98.3) 75.1(70.8~79.4) 9.67 < 0.01
    上学日
        久坐不动 517.9(512.6~523.1) 532.4(522.9~542.0) 1.73 < 0.01
        小强度体力运动 237.4(233.6~241.3) 241.9(234.5~249.3) 0.53 0.53
        中度体力运动 84.2(81.9~86.5) 70.2(66.5~73.8) 16.34 < 0.01
        剧烈体力运动 11.0(6.0~18.4) 5.8(3.4~11.0) 11.25 < 0.01
        中度到剧烈体力运动 96.8(93.9~99.6) 77.6(73.4~81.9) 15.13 < 0.01
    周末
        久坐不动 492.7(485.6~499.7) 518.2(505.4~531.1) 19.11 < 0.01
        小强度体力运动 225.3(220.4~230.2) 223.0(214.3~231.8) 0.49 0.34
        中度体力运动 81.5(78.0~84.9) 62.8(57.2~68.3) 18.75 < 0.01
        剧烈体力运动 7.1(2.5~16.5) 4.5(1.0~8.6) 11.61 < 0.01
        中度到剧烈体力运动 92.0(87.9~96.1) 68.8(62.5~75.1) 12.43 < 0.01
    下载: 导出CSV

    表  2  一周中久坐不动、参加MVPA时间和小学生超重/肥胖风险之间的独立关联[RR值(RR值95%CI),n=949]

    Table  2.   Independent association between sedentary time during the week, participation in moderate to vigorous physical activity, and risk of overweight/obesity in elementary school students[RR(RR 95%CI), n=949]

    变量 选项 模式1 模式2
    久坐不动时间 Q1 1.00 1.00
    Q2 0.89(0.61~1.30) 0.89(0.59~1.33)
    Q3 1.54(1.07~2.21) 1.47(0.98~2.18)
    Q4 1.72(1.18~2.50)** 1.63(1.09~2.45)**
    MVPA Q4 1.00 1.00
    Q3 1.96(1.25~3.07) 1.92(1.25~2.95)
    Q2 2.73(1.92~3.87) 2.47(1.81~3.36)
    Q1 3.99(2.53~6.29)** 3.71(2.43~5.67)**
    符合MVPA时间推荐 1.00 1.00
    2.63(1.72~4.00) 2.42(1.61~3.64)
    符合屏幕时间推荐 1.00 1.00
    1.96(1.22~3.16) 1.90(1.21~2.96)
    符合两者时间推荐 两者都符合 1.00 1.00
    符合其中之一或两者都不符合 2.13(1.47~3.07) 2.12(1.47~3.07)
    注: Q1~Q4为四分位数,**P < 0.01。
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-01-04
  • 修回日期:  2021-06-25
  • 网络出版日期:  2021-12-01
  • 刊出日期:  2021-11-25

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