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内蒙古地区学生超重肥胖与抑郁共患影响因素分析

马彩霞 马军 宋逸 董彦会 袁雯 张秀红 高昇 杨田

马彩霞, 马军, 宋逸, 董彦会, 袁雯, 张秀红, 高昇, 杨田. 内蒙古地区学生超重肥胖与抑郁共患影响因素分析[J]. 中国学校卫生, 2023, 44(9): 1308-1312. doi: 10.16835/j.cnki.1000-9817.2023.09.007
引用本文: 马彩霞, 马军, 宋逸, 董彦会, 袁雯, 张秀红, 高昇, 杨田. 内蒙古地区学生超重肥胖与抑郁共患影响因素分析[J]. 中国学校卫生, 2023, 44(9): 1308-1312. doi: 10.16835/j.cnki.1000-9817.2023.09.007
MA Caixia, MA Jun, SONG Yi, DONG Yanhui, YUAN Wen, ZHANG Xiuhong, GAO Sheng, YANG Tian. Co-morbidity of overweight, obesity and depression and its influencing factors among students in Inner Mongolia Autonomous Region[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1308-1312. doi: 10.16835/j.cnki.1000-9817.2023.09.007
Citation: MA Caixia, MA Jun, SONG Yi, DONG Yanhui, YUAN Wen, ZHANG Xiuhong, GAO Sheng, YANG Tian. Co-morbidity of overweight, obesity and depression and its influencing factors among students in Inner Mongolia Autonomous Region[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1308-1312. doi: 10.16835/j.cnki.1000-9817.2023.09.007

内蒙古地区学生超重肥胖与抑郁共患影响因素分析

doi: 10.16835/j.cnki.1000-9817.2023.09.007
基金项目: 

内蒙古自治区科技计划项目 2020GG0022

详细信息
    作者简介:

    马彩霞(1996-),女,山西忻州人,在读硕士,主要研究方向为学校卫生

    通讯作者:

    张秀红,E-mail:zxhcdc@163.com

    高昇,E-mail:gaosh8899@126.com

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: R723.14  G444  R179

Co-morbidity of overweight, obesity and depression and its influencing factors among students in Inner Mongolia Autonomous Region

  • 摘要:   目的  分析2019—2022年内蒙古地区学生超重肥胖与抑郁的流行情况及其共患的相关因素,为预防共患的发生提供科学依据。  方法  于2019—2022年每年9月采用分层随机整群抽样方法,在内蒙古12个盟市抽取90 519,71 560,90 079,91 089名学生进行问卷调查和体格检查。采用χ2检验进行人口学特征和单因素分析,采用二元Logistic回归模型探究生活习惯行为与超重肥胖和抑郁共患的关联。  结果  2019—2022年学生超重肥胖检出率分别为29.21%,34.38%,35.20%,34.61%,抑郁症状检出率分别为18.35%,17.53%,16.43%,16.00%,两者共患检出率分别为5.52%,5.93%,5.76%,5.46%。2022年检出超重肥胖与抑郁共患学生4 978名,学生共患检出率在学段和家庭结构上差异均有统计学意义(χ2值分别为103.51,99.90,P值均 < 0.01)。多因素Logistic回归分析结果显示,每天喝含糖饮料或吃油炸食品≥1次、有时吃或从来不吃早餐、每天看电脑或电视≥2 h、周末很少数做到或几乎做不到至少1 h中高强度运动与超重肥胖与抑郁共患的发生呈正相关(OR值分别为1.17~1.59,P值均 < 0.05),一周内每天吃新鲜水果或喝牛奶豆浆≥1次、每天户外活动时间≥1 h、每天睡眠时长≥8 h、不吸烟、不饮酒和超重肥胖与抑郁共患的发生呈负相关(OR=0.47~0.92,P值均 < 0.05)。  结论  学生超重肥胖和抑郁共患发生与饮食、运动及生活习惯行为相关,应采取针对性措施保持学生的健康体重及预防抑郁的发生。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 表  1  内蒙古2022年不同人口统计学特征学生超重肥胖与抑郁共患率比较

    Table  1.   Comparison of overweight, obesity and depression co-morbidity of students with different demographic characteristics from Inner Mongolian Autonomous Region in 2022

    组别 选项 人数 检出人数 χ2 P
    性别 44 729 2 474(5.53) 0.74 0.39
    46 360 2 504(5.40)
    监测点 城区 31 342 1 756(5.60) 1.75 0.19
    旗县 59 747 3 222(5.39)
    学段 初中 52 798 2 654(5.03) 103.51 < 0.01
    普高 29 586 1 886(6.37)
    职高 4 629 294(6.35)
    大学 4 076 144(3.53)
    经济片区 26 588 1 412(5.31) 1.91 0.38
    37 679 2 071(5.50)
    26 822 1 495(5.57)
    家庭结构 核心家庭 53 452 2 632(4.92) 99.90 < 0.01
    大家庭 11 363 633(5.57)
    单亲家庭 12 211 779(6.38)
    重组家庭 2 519 203(8.06)
    其他家庭 11 544 731(6.33)
    :()内数字为检出率/%。
    下载: 导出CSV

    表  2  内蒙古2022年学生超重肥胖与抑郁共患的单因素分析

    Table  2.   Univariate analysis of overweight, obesity and depression co-morbidity of students from Inner Mongolian Autonomous Region in 2022

    因素 选项 人数 检出人数 χ2 P
    每天喝含糖饮料 < 1 85 503 4 467(5.22) 156.24 < 0.01
      次数 ≥1 5 586 511(9.15)
    每天吃油炸食品 < 1 86 895 4 597(5.29) 111.48 < 0.01
      次数 ≥1 4 194 381(9.08)
    每天吃新鲜水果 < 1 37 061 2 412(6.51) 131.62 < 0.01
      次数 ≥1 54 028 2 566(4.75)
    每天吃新鲜蔬菜 < 1 20 412 1 316(6.45) 49.12 < 0.01
      次数 ≥1 70 677 3 662(5.18)
    一周内吃早餐次数 天天吃 61 322 2 654(4.33) 469.56 < 0.01
    有时吃或从来不吃 29 767 2 324(7.81)
    每天喝牛奶或豆浆 < 1 53 221 3 155(5.93) 53.15 < 0.01
      次数 ≥1 37 868 1 823(4.81)
    周末每天至少1 h 多数或都能做到 47 388 2 015(4.25) 281.24 < 0.01
      中高强度运动 少数做到或几乎做不到 43 701 2 963(6.78)
    平均每周上体育课 ≤2 47 781 2 841(5.95) 44.99 < 0.01
      节数 >2 43 308 2 137(4.93)
    每天看电视时长/h < 2 80 076 4 007(5.00) 272.43 < 0.01
    ≥2 11 013 971(8.82)
    每天看电脑时长/h < 2 84 504 4 369(5.17) 196.66 < 0.01
    ≥2 6 585 609(9.25)
    每天户外活动时长 < 1 22 838 1 469(6.43) 55.20 < 0.01
      /h ≥1 68 251 3 509(5.14)
    每天睡眠时长/h < 8 66 338 4 028(6.07) 174.08 < 0.01
    ≥8 24 751 950(3.84)
    是否吸烟 6 974 834(11.96) 616.42 < 0.01
    84 115 4 144(4.93)
    是否喝酒 16 911 1 814(10.73) 1 112.86 < 0.01
    74 178 3 164(4.27)
    :()内数字为检出率/%。
    下载: 导出CSV

    表  3  2022年内蒙古学生超重肥胖与抑郁共患的多因素Logistic回归分析(n=91 089)

    Table  3.   Multi-factor Logistic regression analysis of overweight, obesity and depression co-morbidity among Inner Mongolian Autonomous Region students in 2022(n=91 089)

    自变量 选项 β Wald χ2 P OR值(95%CI)
    学段 初中 1.00
    普高 -0.02 0.22 0.64 0.98(0.92~1.05)
    职高 -0.20 16.33 < 0.01 0.77(0.67~0.87)
    大学 -0.94 109.01 < 0.01 0.39(0.33~0.47)
    家庭结构 核心家庭 1.00
    大家庭 0.11 5.62 0.02 1.12(1.02~1.22)
    单亲家庭 0.20 22.57 < 0.01 1.23(1.13~1.33)
    重组家庭 0.33 17.71 < 0.01 1.39(1.19~1.61)
    其他家庭 0.22 23.98 < 0.01 1.25(1.14~1.36)
    每天喝含糖饮料次数 < 1 1.00
    ≥1 0.16 8.80 < 0.01 1.18(1.06~1.31)
    每天吃油炸食品次数 < 1 1.00
    ≥1 0.16 6.30 0.01 1.17(1.04~1.32)
    每天吃新鲜水果次数 < 1 1.00
    ≥1 -0.13 17.75 < 0.01 0.88(0.82~0.93)
    每天吃新鲜蔬菜次数 < 1 1.00
    ≥1 -0.07 4.34 0.04 0.93(0.87~1.00)
    一周内吃早餐次数 天天吃 1.00
    有时吃或从来不吃 0.46 228.335 < 0.01 1.59(1.50~1.69)
    每天喝豆浆、牛奶次数 < 1 1.00
    ≥1 -0.08 6.87 0.01 0.92(0.86~0.98)
    周末每天至少1 h中高强度运动 多数或都能做到 1.00
    少数或几乎做不到 0.34 120 < 0.01 1.41(1.32~1.49)
    每天看电视时长/h < 2 1.00
    ≥2 0.32 58.7 < 0.01 1.38(1.27~1.50)
    每天看电脑时长/h < 2 1.00
    ≥2 0.29 31.63 < 0.01 1.34(1.21~1.48)
    每天户外活动时长/h < 1 1.00
    ≥1 -0.17 25.82 < 0.01 0.85(0.79~0.90)
    每天睡眠时长/h < 8 1.00
    ≥8 -0.36 87.2 < 0.01 0.70(0.65~0.75)
    是否吸烟 1.00
    -0.36 60.35 < 0.01 0.70(0.64~0.76)
    是否饮酒 1.00
    -0.76 441.19 < 0.01 0.47(0.44~0.50)
    下载: 导出CSV
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出版历程
  • 收稿日期:  2023-08-19
  • 修回日期:  2023-08-30
  • 网络出版日期:  2023-09-28
  • 刊出日期:  2023-09-25

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