Volume 45 Issue 7
Jul.  2024
Turn off MathJax
Article Contents
LUO Huijuan, SUN Bingjie, ZHAO Hai, CHEN Dongni, WANG Lu, GAO Ruoyi, KUANG Huining, E Boran, GUO Xin. Analysis of the prevalence and related factors for comorbidity of myopia, obesity, and depression symptoms among middle school students in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1045-1049. doi: 10.16835/j.cnki.1000-9817.2024166
Citation: LUO Huijuan, SUN Bingjie, ZHAO Hai, CHEN Dongni, WANG Lu, GAO Ruoyi, KUANG Huining, E Boran, GUO Xin. Analysis of the prevalence and related factors for comorbidity of myopia, obesity, and depression symptoms among middle school students in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1045-1049. doi: 10.16835/j.cnki.1000-9817.2024166

Analysis of the prevalence and related factors for comorbidity of myopia, obesity, and depression symptoms among middle school students in Beijing

doi: 10.16835/j.cnki.1000-9817.2024166
  • Received Date: 2023-11-08
  • Rev Recd Date: 2024-03-11
  • Available Online: 2024-07-27
  • Publish Date: 2024-07-25
  •   Objective  To analyze the current status and related factors of comorbidity of myopia, obesity, and depression symptoms among middle school students in Beijing, so as to provide a basis for comprehensive public health interventions for common diseases.  Methods  Through stratified cluster random sampling in October 2022, a total of 11 262 junior high school, senior high school, and vocational high school students in 16 districts of Beijing were surveyed with self-administered questionnaires, physical examinations and visual acuity examinations. The χ2 test and binary Logistic regression model were used to analyze group differences in the comorbidity of myopia, obesity and depression symptoms and factors influencing the comorbidity. Stratified analysis was applied to analyze the associations between health risk behaviors and the comorbidity.  Results  The detection rate of comorbidity of myopia, obesity, and depression symptoms among middle school students in Beijing was 3.35%, the comorbidity rate among vocational high school students (4.61%) was higher than that in junior high school students (2.80%) and senior high school students (3.41%). The comorbidity rate was higher among students in suburban areas (3.66%) than that in urban areas (2.92%), and the differences was statistically significant (χ2=15.02, 4.63, P < 0.05). Binary Logistic regression analyses indicated that middle school students with poor dietary behaviors (OR=1.59) and excessive screen time (OR=1.70) were associated with elevated risk of comorbidity of myopia, obesity, and depression symptoms. Both boys and girls with poor dietary behaviors (OR=1.63, 1.69) and excessive screen time (OR=1.45, 2.23) had elevated likelihood of comorbidity of myopia, obesity and depression symptoms. Students in junior high school and senior high school with poor dietary behaviors (OR=2.16, 1.47) and excessive screen time (OR=2.20, 1.63) had elevated likelihood of comorbidity of myopia, obesity, and depression symptoms (P < 0.05).  Conclusions  The current status of comorbidity of myopia, obesity, and depression symptoms among middle school students in Beijing is concerning. Schools and parents should work together to guide students to develop healthy behaviors such as balanced diet and moderate video, in order to achieve the goal of controlling myopia, obesity and depression symptoms.
  • loading
  • [1]
    中华人民共和国国家卫生健康委员会. 2021年7月13日新闻发布会文字实录[EB/OL]. (2021-07-13)[2024-01-03]. http://www.nhc.gov.cn/xcs/s3574/202107/2fef24a3b77246fc9fb36dc8943af700.shtml.

    National Health Commission of the PRC. July 13, 2021 transcript of press conference[EB/OL]. (2021-07-13)[2024-01-03]. http://www.nhc.gov.cn/xcs/s3574/202107/2fef24a3b77246fc9fb36dc8943af700.shtml. (in Chinese)
    [2]
    WEIHRAUCH-BLÜHER S, SCHWARZ P, KLUSMANN J H. Childhood obesity: increased risk for cardiometabolic disease and cancer in adulthood[J]. Metabolism, 2019, 92: 147-152. doi: 10.1016/j.metabol.2018.12.001
    [3]
    中国居民营养与慢性病状况报告(2020年)[J]. 营养学报, 2020, 42(6): 521.

    Report on nutrition and chronic disease status of Chinese residents (2020)[J]. Acta Nutr Sinica, 2020, 42(6): 521. (in Chinese)
    [4]
    WHO. Mental health of adolescents[EB/OL]. (2021-11-17)[2024-01-02]. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health.
    [5]
    傅小兰, 张侃. 中国国民心理健康发展报告(2019—2020)[M]. 北京: 社会科学文献出版社, 2021: 143-164.

    FU X L, ZHANG K. Report on national mental health development in China (2019-2020)[M]. Beijing: Social Sciences Academic Press, 2021: 143-164. (in Chinese)
    [6]
    NÉMETH J, TAPASZTÓ B, ACLIMANDOS W A, et al. Update and guidance on management of myopia, European society of ophthalmology in cooperation with international myopia institute[J]. Eur J Ophthalmol, 2021, 31(3): 853-883. doi: 10.1177/1120672121998960
    [7]
    JEBEILE H, KELLY A S, O'MALLEY G, et al. Obesity in children and adolescents: epidemiology, causes, assessment, and management[J]. Lancet Diabetes Endocrinol, 2022, 10(5): 351-365. doi: 10.1016/S2213-8587(22)00047-X
    [8]
    BENHEIM T S, DALAL M, HOLCOMB J M, et al. Back to basics: lifestyle interventions for adolescent depression[J]. Harv Rev Psychiatry, 2022, 30(5): 283-302. doi: 10.1097/HRP.0000000000000343
    [9]
    宋逸, 马军. 纠正生长发育不平衡预防儿童青少年重要共病[J]. 中华预防医学杂志, 2023, 57(4): 451-456.

    SONG Y, MA J. Correct the imbalance of growth and development and prevent important comorbidities of children and adolescents[J]. Chin J Prev Med, 2023, 57(4): 451-456. (in Chinese)
    [10]
    季成叶. 中国青少年健康相关/危险行为调查综合报告2005[M]. 北京: 北京大学医学出版社, 2007.

    JI C Y. Summary report of Chinese adolescent health related/risk behavior survey 2005[M]. Beijing: Peking University Medical Press, 2007. (in Chinese)
    [11]
    北京市卫生健康委员会, 北京市疾病预防控制中心. 2022年北京市学生常见病和健康影响因素监测及干预工作手册[Z]. 北京: 北京市疾病预防控制中心, 2022.

    Beijing Municipal Commission of Health, Beijing Municipal Center for Disease Control and Prevention. 2022 Monitoring and intervention of common diseases and health influencing factors in Beijing[Z]. Beijing: Beijing Municipal Center for Disease Control and Prevention, 2022. (in Chinese)
    [12]
    WHO. WHO guidelines on physical activity and sedentary behaviour[EB/OL]. (2020-02-09)[2024-01-03]. https://apps.who.int/iris/handle/10665/336656.
    [13]
    RADLOFF L S. The CES-D Scale: a self-report depression scale for research in the general population[J]. Appl Psych Meas, 1977, 1(3): 385-401. doi: 10.1177/014662167700100306
    [14]
    张明园. 精神科评定量表手册[M]. 长沙: 湖南科学技术出版社, 1998.

    ZHANG M Y. Handbook of rating scales in psychiatry[M]. Changsha: Hunan Science Technology Press, 1998. (in Chinese)
    [15]
    中华人民共和国国家卫生健康委员会法规司. 关于发布《学龄儿童青少年超重与肥胖筛查》等两项推荐性卫生行业标准的通告[EB/OL]. (2018-03-28)[2024-01-03]. http://www.nhc.gov.cn/fzs/s7852d/201803/7595325d43bb4417945edd570b1b12fa.shtml.

    Department of Regulations, National Health Commission of the PRC. Circular on the publication of two recommended health industry standards, including Screening for Overweight and Obesity in School-aged Children and Adolescents[EB/OL]. (2018-03-28)[2024-01-03]. http://www.nhc.gov.cn/fzs/s7852d/201803/7595325d43bb4417945edd570b1b12fa.shtml. (in Chinese)
    [16]
    中华人民共和国国家卫生健康委办公厅, 教育部办公厅, 财政部办公厅关于开展2018年儿童青少年近视调查工作的通知[EB/OL]. (2018-10-26)[2024-01-03]. http://www.nhc.gov.cn/jkj/s5898bm/201810/08e2b45092d346a8a8c960d3e3d98b62.shtml.

    General Office of the National Health Commission of the PRC, General Office of the Ministry of Education of the PRC, General Office of the Ministry of Finance of the PRC notice on promoting the 2018 myopia survey of children and adolescents[EB/OL]. (2018-10-26)[2024-01-03]. http://www.nhc.gov.cn/jkj/s5898bm/201810/08e2b45092d346a8a8c960d3e3d98b62.shtml. (in Chinese)
    [17]
    张依航, 袁雯, 党佳佳, 等. 内蒙古地区2021年中小学生近视与肥胖共患现状及生活方式的调节作用[J]. 中国学校卫生, 2023, 44(9): 1299-1303. doi: 10.16835/j.cnki.1000-9817.2023.09.005

    ZHANG Y H, YUAN W, DANG J J, et al. Comorbidity of myopia and obesity and the moderating role of lifestyle among primary and secondary school students in Inner Mongolia Autonomous Region in 2021[J]. Chin J Sch Health, 2023, 44(9): 1299-1303. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.005
    [18]
    邓林园, 高诗晴, 赵红丽, 等. 自主支持、基本心理需要满足对一年级职高生内外化问题的影响机制[J]. 心理与行为研究, 2020, 18(4): 482-488. https://www.cnki.com.cn/Article/CJFDTOTAL-CLXW202004008.htm

    DENG L Y, GAO S Q, ZHAO H L, et al. The influencing mechanism of autonomy support, basic psychological needs satisfaction on internalizing and externalizing problems of first-year vocational high school students[J]. Stud Psychol Behav, 2020, 18(4): 482-488. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-CLXW202004008.htm
    [19]
    蔡泽敏, 吴肖冰, 卢文龙, 等. 深圳市2019年中学生健康素养水平及影响因素分析[J]. 中国学校卫生, 2022, 43(8): 1152-1155. doi: 10.16835/j.cnki.1000-9817.2022.08.008

    CAI Z M, WU X B, LU W L, et al. Analysis of health literacy and associated factors among middle school students in Shenzhen in 2019[J]. Chin J Sch Health, 2022, 43(8): 1152-1155. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.008
    [20]
    杨田, 张凯文, 高昇, 等. 内蒙古地区学生肥胖现状及影响因素分析[J]. 中国学校卫生, 2021, 42(4): 611-614. doi: 10.16835/j.cnki.1000-9817.2021.04.030

    YANG T, ZHANG K W, GAO S, et al. Obesity and associated factors among students in Inner Mongolia in 2019[J]. Chin J Sch Health, 2021, 42(4): 611-614. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.04.030
    [21]
    KRIS-ETHERTON P M, PETERSEN K S, HIBBELN J R, et al. Nutrition and behavioral health disorders: depression and anxiety[J]. Nutr Rev, 2021, 79(3): 247-260. doi: 10.1093/nutrit/nuaa025
    [22]
    CHAMARTY S, GUPTA S K, DHAKAL R, et al. Is there any association between nutrition and myopia? A systematic review[J]. Optom Vis Sci, 2023, 100(7): 475-485. doi: 10.1097/OPX.0000000000002035
    [23]
    叶佩玉, 陈芳芳, 米杰. 儿童期肥胖的健康危害: 来自中国人群的证据[J]. 中华预防医学杂志, 2016, 50(1): 97-100. doi: 10.3760/cma.j.issn.0253-9624.2016.01.018

    YE P Y, CHEN F F, MI J. Health hazards in childhood obesity: evidence based on Chinese population[J]. Chin J Prev Med, 2016, 50(1): 97-100. (in Chinese) doi: 10.3760/cma.j.issn.0253-9624.2016.01.018
    [24]
    DEAN J, KESHAVAN M. The neurobiology of depression: an integrated view[J]. Asian J Psychiatr, 2017, 27: 101-111. doi: 10.1016/j.ajp.2017.01.025
    [25]
    KHALID S, WILLIAMS C M, REYNOLDS S A. Is there an association between diet and depression in children and adolescents? A systematic review[J]. Br J Nutr, 2016, 116(12): 2097-2108. doi: 10.1017/S0007114516004359
    [26]
    HU D, CHENG L, JIANG W. Sugar-sweetened beverages consumption and the risk of depression: a Meta-analysis of observational studies[J]. J Affect Disord, 2019, 245: 348-355. doi: 10.1016/j.jad.2018.11.015
    [27]
    LAI J S, OLDMEADOW C, HURE A J, et al. Inflammation mediates the association between fatty acid intake and depression in older men and women[J]. Nutr Res, 2016, 36(3): 234-245. doi: 10.1016/j.nutres.2015.11.017
    [28]
    王丽蒙, 何鲜桂, 谢辉, 等. 中小学生近视相关健康信念与屏幕时间的相关性[J]. 中国学校卫生, 2021, 42(2): 181-184. doi: 10.16835/j.cnki.1000-9817.2021.02.006

    WANG L M, HE X G, XIE H, et al. Myopia-related health belief and screen time of primary and secondary school students[J]. Chin J Sch Health, 2021, 42(2): 181-184. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.02.006
    [29]
    FANG K, MU M, LIU K, et al. Screen time and childhood overweight/obesity: a systematic review and Meta-analysis[J]. Child Care Health Dev, 2019, 45(5): 744-753. doi: 10.1111/cch.12701
    [30]
    潘志银, 童嘉妮, 熊佳节, 等. 手机成瘾和焦虑症状在大学生儿童期心理虐待与抑郁症状关联中的作用[J]. 中国学校卫生, 2023, 44(11): 1665-1669. doi: 10.16835/j.cnki.1000-9817.2023.11.016

    PAN Z Y, TONG J N, XIONG J J, et al. The role of mobile phone addiction and anxiety symptoms in the association between childhood psychological abuse and depressive symptoms among college students[J]. Chin J Sch Health, 2023, 44(11): 1665-1669. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.11.016
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (370) PDF downloads(85) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return