Association of physical activity and sugar-sweetened beverage consumption with psychological sub-health among middle school students in Bao'an District, Shenzhen

WANG Xi; GAO Yue; WEI Ruihong; WANG Yanan; ZHOU Ruyi; LIU Yanhong; LI Yunfeng; REN Liuyingying; WAN Yuhui

doi:10.16835/j.cnki.1000-9817.2025004

Volume 46 Issue 1

Jan. 2025

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2025 > 46(1): 102-105

WANG Xi, GAO Yue, WEI Ruihong, WANG Yanan, ZHOU Ruyi, LIU Yanhong, LI Yunfeng, REN Liuyingying, WAN Yuhui. Association of physical activity and sugar-sweetened beverage consumption with psychological sub-health among middle school students in Bao'an District, Shenzhen[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(1): 102-105. doi: 10.16835/j.cnki.1000-9817.2025004

Citation:

WANG Xi, GAO Yue, WEI Ruihong, WANG Yanan, ZHOU Ruyi, LIU Yanhong, LI Yunfeng, REN Liuyingying, WAN Yuhui. Association of physical activity and sugar-sweetened beverage consumption with psychological sub-health among middle school students in Bao'an District, Shenzhen[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(1): 102-105. doi: 10.16835/j.cnki.1000-9817.2025004

Citation:

WANG Xi, GAO Yue, WEI Ruihong, WANG Yanan, ZHOU Ruyi, LIU Yanhong, LI Yunfeng, REN Liuyingying, WAN Yuhui. Association of physical activity and sugar-sweetened beverage consumption with psychological sub-health among middle school students in Bao'an District, Shenzhen[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(1): 102-105. doi: 10.16835/j.cnki.1000-9817.2025004

PDF( 423 KB)

Association of physical activity and sugar-sweetened beverage consumption with psychological sub-health among middle school students in Bao'an District, Shenzhen

doi: 10.16835/j.cnki.1000-9817.2025004

1.
Public Health Service Center, Bao'an District, Shenzhen(518000), Guangdong Province, China

Received Date: 2024-11-22
Rev Recd Date: 2024-12-09
Publish Date: 2025-01-25

Abstract

Abstract

Objective To explore the association of physical activity and sugar-sweetened beverage consumption with psychological sub-health among middle school students in Bao'an District, Shenzhen, so as to provide a reference for adolescent mental health promotion. Methods A questionnaire survey was conducted in November 2024 by a stratified cluster random sampling method to select 6 926 junior and senior middle school students from 5 middle schools in Shenzhen. The questionnaire from Youth Risk Behavior Surveillance System was used to assess the consumption of sugar-sweetened beverages, and physical activity Rating Scale was used to assess the level of physical activity, and Brief Instrument on Psychological Health of Youths was used to evaluate the psychological sub-health status. The Chi-square test was used to analyze the differences in the detection rates of psychological sub-health among different groups of middle school students, and a multivariate Logistic regression model was established to analyze the effects of physical activity and sugar-sweetened beverage consumption and their combined effects on the psychological sub-health of middle school students. Results The detection rate of psychological sub-health among middle school students in Bao'an District, Shenzhen was 18.93%. Multivariate Logistic regression analysis showed that, after controlling for confounding factors such as gender, school stage, family residence, family economic status, parental literacy, academic stress and number of friends, lack of physical activity or excessive sugar-sweetened beverage consumption were associated with increased risks of psychological sub-health among middle school students (OR=1.36, 1.45); and the highest risk of psychological sub-health was found in middle school students who were lack of physical activity and excessive sugar-sweetened beverage consumption (OR=2.59) (P < 0.01). Further analysis by school stages showed that junior high school students with sufficient physical activity and excessive intake of sugary drinks (ROR=2.10), lack of physical activity and excessive intake of sugary drinks (ROR=2.31) were at higher risks of psychological sub-health than senior high school students(P < 0.05). Conclusions Insufficient physical activity and excessive sugar-sweetened beverage consumption are closely associated with an increased risk of psychological sub-health among middle school students. Effective interventions should be targeted to reduce the risk of psychological sub-health problems among middle school students.
- Motor activity,
- Carbohydrates,
- Beverages,
- Mental health,
- Regression analysis,
- Students

FullText(HTML)

References(27)

References

[1]	杨志敏, 杨小波, 黄鹂, 等. 亚健康概念框架的文献评析[J]. 中国中西医结合杂志, 2010, 30(7): 757-763. YANG Z M, YANG X B, HUANG L, et al. A literature review on the conceptual framework of sub-health[J]. Chin J Integr Tradit West Med, 2010, 30(7): 757-763. (in Chinese).
[2]	STEARE T, GUTIÉRREZ MUÑOZ C, SULLIVAN A, et al. The association between academic pressure and adolescent mental health problems: a systematic review[J]. J Affect Disord, 2023, 339: 302-317. doi: 10.1016/j.jad.2023.07.028
[3]	LETKIEWICZ A M, LI L Y, HOFFMAN L M K, et al. A prospective study of the relative contribution of adolescent peer support quantity and quality to depressive symptoms[J]. J Child Psychol Psychiatry, 2023, 64(9): 1314-1323. doi: 10.1111/jcpp.13813
[4]	苏现彪, 殷爱华, 杨楹, 等. 中国青少年心理亚健康状态检出率的Meta分析[J]. 中国儿童保健杂志, 2021, 29(6): 645-649. SU X B, YIN A H, YANG Y, et al. Meta-analysis of the detection rate of suboptimal mental health among Chinese adolescents[J]. Chin J Child Health Care, 2021, 29(6): 645-649. (in Chinese)
[5]	YAN W, WANG Y, YUAN Y, et al. Timing matters: a longitudinal study examining the effects of physical activity intensity and timing on adolescents' mental health outcomes[J]. J Youth Adolesc, 2024, 53(10): 2320-2331. doi: 10.1007/s10964-024-02011-9
[6]	ZHANG H, SHENG J, YUE X, et al. Proportion, correlates and the associations of meeting 24-h movement guidelines with mental well-being and psychological distress: a cross-sectional study of 10 589 Chinese students[J]. Child Care Health Dev, 2024, 50(5): e13329. doi: 10.1111/cch.13329
[7]	XU H, WU X, WAN Y, et al. Interaction effects of co-consumption of fast food and sugar-sweetened beverages on psychological symptoms: evidence from a nationwide survey among Chinese adolescents[J]. J Affect Disord, 2020, 276: 104-111. doi: 10.1016/j.jad.2020.07.030
[8]	RA J S. Consumption of sugar-sweetened beverages and fast foods deteriorates adolescents' mental health[J]. Front Nutr, 2022, 9: 1058190. doi: 10.3389/fnut.2022.1058190
[9]	MPOFU J J, UNDERWOOD J M, THORNTON J E, et al. Overview and methods for the Youth Risk Behavior Surveillance System-United States, 2021[J]. MMWR Suppl, 2023, 72(1): 1-12. doi: 10.15585/mmwr.su7201a1
[10]	ROESLER A, ROJAS N, FALBE J. Sugar-sweetened beverage consumption, perceptions, and disparities in children and adolescents[J]. J Nutr Educ Behav, 2021, 53(7): 553-563. doi: 10.1016/j.jneb.2021.04.004
[11]	梁德清. 高校学生应激水平及其与体育锻炼的关系[J]. 中国心理卫生杂志, 1994, 8(1): 5-6. doi: 10.3321/j.issn:1000-6729.1994.01.020 LIANG D Q. Stress levels of college students and their relationship with physical exercise[J]. Chin J Ment Health, 1994, 8(1): 5-6. (in Chinese). doi: 10.3321/j.issn:1000-6729.1994.01.020
[12]	张一. 社会生态学风险因素与多基因风险评分的交互作用对青少年健康危害行为聚集的影响[D]. 合肥: 安徽医科大学, 2022. ZHANG Y. The effect of interaction between social ecological risk factors and polygenic risk score on clustering of health risk behaviors in adolescents[D]. Hefei: Anhui Medical University, 2022. (in Chinese)
[13]	陶舒曼, 万宇辉, 伍晓艳, 等. 《青少年心理健康评定简明问卷》的心理学评价及应用[J]. 中国学校卫生, 2020, 41(9): 1331-1334, 1338. doi: 10.16835/j.cnki.1000-9817.2020.09.014 TAO S M, WAN Y H, WU X Y, et al. Psychometric evaluation and application of the Brief Questionnaire of Adolescent Mental Health[J]. Chin J Sch Health, 2020, 41(9): 1331-1334, 1338. (in Chinese). doi: 10.16835/j.cnki.1000-9817.2020.09.014
[14]	陶芳标, 胡传来, 孙业桓, 等. 我国青少年亚健康多维评定问卷的编制与应用研究[J]. 中华疾病控制杂志, 2008, 12(4): 309-314. doi: 10.3969/j.issn.1674-3679.2008.04.003 TAO F, HU C L, SUN Y H, et al. The development and application of a Multidimensional Sub-health Questionnaire for Adolescents (MSQA)[J]. Chin J Dis Control Prev, 2008, 12(4): 309-314. (in Chinese). doi: 10.3969/j.issn.1674-3679.2008.04.003
[15]	李春, 周晓琴. 安徽省不同性别青少年心理亚健康现状及影响因素研究[J]. 神经疾病与精神卫生, 2024, 24(2): 108-113. LI C, ZHOU X Q. Study on the status and influencing factors of suboptimal mental health among adolescents of different genders in Anhui Province[J]. J Neurosci Dis Ment Health, 2024, 24(2): 108-113. (in Chinese).
[16]	QUEK T T C, TAM W W S, TRAN B X, et al. The global prevalence of anxiety among medical students: a Meta-analysis[J]. Int J Environ Res Public Health, 2019, 16(15): 2735. doi: 10.3390/ijerph16152735
[17]	ROACH A. Supportive peer relationships and mental health in adolescence: an integrative review[J]. Issues Ment Health Nurs, 2018, 39(9): 723-737. doi: 10.1080/01612840.2018.1496498
[18]	GARIōPY G, HONKANIEMI H, QUESNEL-VALLōE A. Social support and protection from depression: systematic review of current findings in western countries[J]. Br J Psychiatry, 2016, 209(4): 284-293. doi: 10.1192/bjp.bp.115.169094
[19]	ZHANG E, CHEN J, LIU Y, et al. Associations between joint lifestyle behaviors and depression among children and adolescents: a large cross-sectional study in China[J]. J Affect Disord, 2024, 352: 110-114. doi: 10.1016/j.jad.2024.02.032
[20]	RA J S. Combination of sugar-sweetened beverage consumption, screen-based sedentary time, and sleep duration and their association with south korean adolescents' mental health[J]. Front Public Health, 2024, 11: 1293505. doi: 10.3389/fpubh.2023.1293505
[21]	LAHOUEL A. High sugar consumption for seven days in adult mice increased blood glucose variability, induced an anxiolytic effect and triggered oxidative stress in cerebral cortex[J]. Metab Brain Dis, 2024, 39(5): 731-739. doi: 10.1007/s11011-024-01352-5
[22]	MA X, NAN F, LIANG H, et al. Excessive intake of sugar: an accomplice of inflammation[J]. Front Immunol, 2022, 13: 988481. doi: 10.3389/fimmu.2022.988481
[23]	WATT C, SANCHEZ-RANGEL E, HWANG J J. Glycemic variability and CNS inflammation: reviewing the connection[J]. Nutrients, 2020, 12(12): 3906. doi: 10.3390/nu12123906
[24]	KIVIMÄKI M, SHIPLEY M J, BATTY G D, et al. Long-term inflammation increases risk of common mental disorder: a cohort study[J]. Mol Psychiatry, 2014, 19(2): 149-150. doi: 10.1038/mp.2013.35
[25]	LEAHY A A, MAVILIDI M F, SMITH J J, et al. Review of high-intensity interval training for cognitive and mental health in youth[J]. Med Sci Sports Exerc, 2020, 52(10): 2224-2234. doi: 10.1249/MSS.0000000000002359
[26]	HANNON T S, JANOSKY J, ARSLANIAN S A. Longitudinal study of physiologic insulin resistance and metabolic changes of puberty[J]. Pediatr Res, 2006, 60(6): 759-763. doi: 10.1203/01.pdr.0000246097.73031.27
[27]	MIKKELSEN K, STOJANOVSKA L, POLENAKOVIC M, et al. Exercise and mental health[J]. Maturitas, 2017, 106: 48-56. doi: 10.1016/j.maturitas.2017.09.003

Relative Articles

[1]	CUI Jia, LEI Nan, TANG Yuxiang, YE Lihong, LIANG Kaipeng, XIANG Lin, ZHANG Juan. Status of exposure to television advertising of sugar sweetened beverages among children and adolescents in Beijing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(5): 654-658. doi: 10.16835/j.cnki.1000-9817.2024134
[2]	SU Yingzhen, YANG Jieru, ZHANG Gaohong, TAO Jian, LU Qiuan, HU Dongyue, LIU Zihan, SU Yunpeng, XU Honglü. Longitudinal study on association between sugar-sweetened beverages consumption and insomnia among college students in Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(10): 1451-1454. doi: 10.16835/j.cnki.1000-9817.2024318
[3]	XU Honglü, TAO Shuman, YANG Jieru, SU Yunpeng, TU Xiaohong, TAO Fangbiao. Development and application of Beverage Addiction Scale for College Students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(8): 1166-1170. doi: 10.16835/j.cnki.1000-9817.2024227
[4]	GU Zhengyun, ZHANG Yuhan, ZHU Juncheng, GUO Zhifang, SONG Jiancai, HUANG Bo. Association between the consumption of milk tea beverage and insomnia symptoms among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(12): 1752-1756. doi: 10.16835/j.cnki.1000-9817.2024354
[5]	ZHANG Qin, LIU Xueting, ZHANG Kexin, TIAN Ye, HE Chunlei, WANG Yidi, XU Yujie, SHAN Shufang, WANG Xiaoyu, XIONG Jingyuan, CHENG Guo, HE Fang. Differences in gut microbiota among primary school students with different levels of sugar-sweetened beverage consumption[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(3): 335-340. doi: 10.16835/j.cnki.1000-9817.2024093
[6]	LI Jiangli, YANG Chaoyuan, ZHANG Ming, FU Yun, YANG Wanjuan, YANG Jizong, WANG Jixue, HU Mengdie, LU Qiuan, XU Honglü. Association of sugar-sweetened beverage consumption with insomnia and depressive symptoms among first-grade middle school students from Yunnan Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(2): 173-177. doi: 10.16835/j.cnki.1000-9817.2024050
[7]	ZHANG Shuangxia, LI Yanyan, XIONG Jingfan, LI Yan, YAO Ping. Sugar-sweetened beverages knowledge and associated factors among primary and middle school students in Shenzhen[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(5): 691-695. doi: 10.16835/j.cnki.1000-9817.2023.05.012
[8]	LU Junbo, GUO Jin, LUO Liao, BAO Jian. Association between sugar-sweetened beverage consumption and physical fitness index among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1207-1210. doi: 10.16835/j.cnki.1000-9817.2023.08.020
[9]	ZHOU Xin, WANG Lei, PENG Lei, CHEN Jia, ZHANG Lei, TAO Fangbiao, JIN Wu, YAO Qingbing, SUN Lei. Associations between sugar-sweetened beverage intake and emotional and behavioral problems in preschoolers[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(1): 67-71. doi: 10.16835/j.cnki.1000-9817.2022.01.015
[10]	XIU Li, WANG Zhiqiang, ZHANG Yukun, WU Jing, PAN Haifeng, CHEN Guoping. Association of sugar-sweetened beverages intake with overweight and obesity among primary and middle school students in Anhui Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1729-1732. doi: 10.16835/j.cnki.1000-9817.2022.11.031
[11]	WANG Hongliang, GAN Qian, ZHANG Qian. Research updates of international strategies to control sugar-sweetened beverages consumption in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(3): 471-475. doi: 10.16835/j.cnki.1000-9817.2021.03.035
[12]	XU Yuxiang, JIANG Weikang, ZHAO Li, XIONG Jingyuan, SU Puyu, WAN Yuhui, FANG Jiao, CHENG Guo, SUN Ying. A cohort study on the association between sugar-sweetened beverage intake and childhood obesity using a group-based trajectory model[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(4): 506-509. doi: 10.16835/j.cnki.1000-9817.2021.04.007
[13]	WANG Chenchen, WANG Weiwei, ZHENG Yuhong, ZHOU Hairong, HONG Xin. Sugar-sweetened beverage knowledge and consumption among third-grade primary students in Nanjing[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(6): 845-849. doi: 10.16835/j.cnki.1000-9817.2021.06.011
[18]	WANG Qian, SHA Mian, LU Jinkui, WU Xiaoyan, TAO Fangbiao, TAO Shuman. Analysis of the current situation and related factors of beverage consumption in college sports specialty[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2019, 40(10): 1467-1470. doi: 10.16835/j.cnki.1000-9817.2019.10.008
[19]	HU Chunmei, QI Mosha, XIAO Qianguo. Analysis of energy drinks consumption and associated factors among college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2019, 40(4): 519-522. doi: 10.16835/j.cnki.1000-9817.2019.04.012
[20]	Beverage consumption in primary and secondary school students in four cities of China[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2017, 38(2): 193-196. doi: 10.16835/j.cnki.1000-9817.2017.02.011