Correlation between physical fitness index and mental sub-health among Chinese adolescents
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摘要:
目的 了解中国青少年心理亚健康和体能状况及其相关性，为促进中国青少年身心健康发展提供参考。 方法 在中国华东、华北、中南、西北、西南和东北地区，采用分层随机整体抽样法抽取16 545名13~22岁青少年，采用青少年亚健康多维评定问卷(Multidimensional Sub-health Questionnaire of Adolescents，MSQA)中的心理问卷进行心理亚健康调查，同时进行体能测试。采用χ2检验及Logistic回归分析对青少年不同体能状况与心理亚健康的关系进行分析。 结果 高等级体能指数青少年的心理亚健康状态总体检出率为11.9%，低等级检出率为26.0%，差异有统计学意义(χ2=970.73，P < 0.05)。高等级体能指数男生心理亚健康检出率为11.1%，低等级检出率为24.4%，差异有统计学意义(χ2=566.12，P < 0.05)；高等级体能指数女生心理亚健康检出率为12.8%，低等级检出率为27.6%，差异有统计学意义(χ2=412.25，P < 0.05)。Logistic回归模型在调整了性别、年龄、体质量指数和地区之后，低等级体能指数青少年心理亚健康状态检出率为高等级者的2.35倍(95%CI=2.12~2.61)。 结论 青少年体能水平较差者发生心理亚健康风险较高。应重视青少年体能发展水平，全面提升中国青少年身心健康发展。 Abstract:Objective To investigate the association between mental sub-health and physical fitness of Chinese adolescents, to provide a reference for promoting the physical and mental health of Chinese adolescents. Methods A total of 16 545 adolescents (13-22 years) were selected by random cluster sampling in six major administrative regions in China. The psychological part of the Multidimensional Sub-health Questionnaire of Adolescents (MSQA) and the physical fitness index test were used to assess mental sub-health and physical fitness, respectively. The chi-square test and Logistic regression analysis were used to analyze and compare the relationships between different levels of physical fitness and mental sub-health. Results The overall detection rate of mental sub-health status among high-grade physical fitness index adolescents was 11.9%, and the detection rate among low-grade physical fitness index youths was 26.0%, and the difference was statistically significant (χ2=970.73, P < 0.05). The overall detection rate among high-grade physical fitness index boys was 11.1%, and that of low-grade physical fitness index boys was 24.4%. The difference was statistically significant (χ2=566.12, P < 0.05). The overall detection rate of mental sub-health status among high-level physical fitness index girls was 12.8%, and that among low-level physical fitness index girls was 27.6%, and the difference was statistically significant (χ2=412.25, P < 0.05). After adjusting for gender, age, BMI, and region in the Logistic regression model, the detection rate of mental sub-health status of adolescents with low-grade physical fitness index was 2.35 times higher than that of high-grade physical fitness index adolescents(95%CI=2.12-2.61). Conclusion Adolescents with poor physical fitness have a higher risk of mental sub-health.Attention should be paid to adolescent physical fitness development to comprehensively improve physical and mental health development. -
Key words:
- Sports /
- Mental health /
- Sub-health /
- Regression analysis /
- Adolescent
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表 1 不同体能指数各学段男女生心理亚健康状态检出率比较
Table 1. Comparison of the detection rates of mental health sub-health among men and women in different physical fitness index
性别 体能指数 初中 高中 大学 合计 人数 检出人数 χ2值 人数 检出人数 χ2值 人数 检出人数 χ2值 人数 检出人数 χ2值 男 低 2 597 694(26.7) 172.15 2 518 609(24.2) 412.93 1 075 210(19.5) 41.54 6 190 1 513(24.4) 566.12 高 864 106(12.3) 932 103(11.1) 358 31(8.7) 2 154 240(11.1) 女 低 2 527 766(30.3) 144.66 2 544 719(28.3) 177.34 1 082 215(19.9) 118.70 6 153 1 700(27.6) 412.25 高 840 114(13.6) 848 114(13.4) 360 34(9.4) 2 048 262(12.8) 注： ()内数字为检出率/%，P值均 < 0.01。 
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表 2 不同学段青少年不同体能指数心理亚健康各维度检出率比较
Table 2. Comparison of detection rates of mental sub-health dimensions in different physical fitness index of adolescents
性别 体能指数 统计值 初中 高中 人数 情绪亚健康 品行亚健康 社会适应亚健康 人数 情绪亚健康 品行亚健康 社会适应亚健康 男 低 2 597 865(33.3) 910(35.0) 546(21.0) 2 518 753(29.9) 758(30.1) 528(21.0) 高 864 152(17.6) 160(18.5) 89(10.3) 932 91(9.8) 92(9.9) 80(8.6) χ2值 77.16 82.86 49.76 149.32 149.96 71.87 女 低 2 527 841(33.3) 827(32.7) 548(21.7) 2 544 815(32.0) 762(30.0) 641(25.2) 高 840 126(15.0) 116(13.8) 72(8.6) 848 107(12.6) 86(10.1) 90(10.6) χ2值 102.91 111.88 72.17 121.16 133.13 80.00 性别 体能指数 统计值 大学 合计 人数 情绪亚健康 品行亚健康 社会适应亚健康 人数 情绪亚健康 品行亚健康 社会适应亚健康 男 低 1 075 203(18.9) 207(19.3) 169(15.7) 6 190 1 821(29.4) 1 875(30.3) 1 243(20.0) 高 358 19(5.3) 22(6.1) 26(7.3) 2 154 262(12.2) 274(12.7) 195(9.1) χ2值 37.81 34.38 16.34 253.98 257.98 136.24 女 低 1 082 249(23.0) 233(21.5) 201(18.6) 6 153 1 905(31.0) 1 822(29.6) 1 390(22.6) 高 360 31(8.6) 31(8.6) 25(6.9) 2 048 264(12.9) 233(11.4) 187(9.1) χ2值 35.80 30.16 27.65 257.91 272.06 179.22 注： ()内数字为检出率/%，P值均 < 0.01。
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表 3 中国青少年心理亚健康状态单因素分析
Table 3. Single factor analysis of mental health sub-health status of Chinese adolescents
组别 人数 体能指数 营养状况 地区 低等级 高等级 消瘦 正常 超重 肥胖 华北 华东 中南 西北 西南 东北 心理亚健康组 3 715 3 213(86.5) 502(13.5) 1 104(29.7) 1 740(46.8) 662(17.8) 209(5.6) 664(17.9) 609(16.4) 562(15.1) 608(16.4) 621(16.7) 651(17.5) 健康组 12 830 9 130(71.2) 3 700(28.8) 3 843(30.0) 7 681(59.9) 1 047(8.2) 259(2.0) 2 065(16.1) 2 148(16.7) 2 190(17.1) 2 151(16.8) 2 164(16.9) 2 112(16.5) 注： ()内数字为构成比/%。
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表 4 中国青少年心理亚健康状态多因素Logistic回归分析(n=16 545)
Table 4. Multi-factor Logistic regression analysis of mental health status in Chinese adolescents (n=16 545)
自变量 选项 OR值(OR值95%CI) P值 地区 华东 0.90(0.78~1.02) 0.10 中南 0.80(0.70~0.91) 0.00 西北 0.91(0.80~1.03) 0.14 西南 0.88(0.77~1.00) 0.05 东北 0.85(0.75~1.00) 0.01 性别 男 0.94(0.92~0.96) 0.00 年龄 0.85(0.79~0.92) 0.00 营养状况 消瘦 1.17(1.07~1.28) 0.00 超重 2.44(2.18~2.73) 0.00 肥胖 2.89(2.39~3.06) 0.00 体能指数等级 低等级 2.35(2.12~2.61) 0.00
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[1] 刘扶民, 杨桦. 中国青少年体育发展报告: 2016[M]. 北京: 社会科学文献出版社, 2017: 43-70.LIU F M, YANG H. Annual report on development of youth sports in China (2016)[M]. Beijing: Social Sciences Academic Press, 2017: 43-70. [2] 吴键, 袁圣敏. 1985—2014年全国学生身体机能和身体素质动态分析[J]. 北京体育大学学报, 2019, 42(6): 23-32. https://www.cnki.com.cn/Article/CJFDTOTAL-BJTD201906003.htmWU J, YUAN S M. Dynamic analysis of physical function and fitness of Chinese students from 1985 to 2014[J]. J Beijing Sport Univ, 2019, 42(6): 23-32. https://www.cnki.com.cn/Article/CJFDTOTAL-BJTD201906003.htm [3] SHOMAKER L B, TANOFSKY-KRAFF M, ZOCCA J M, et al. Depressive symptoms and cardiorespiratory fitness in obese adolescents[J]. J Adolesc Health, 2012, 50(1): 87-92. doi: 10.1016/j.jadohealth.2011.05.015 [4] RANSDELL L B, DETLING N J, TAYLOR A, et al. Effects of home-and university-based programs on physical self-perception in mothers and daughters[J]. Women Health, 2004, 39(2): 63-81. doi: 10.1300/J013v39n02_05 [5] MONK-TURNER E, TURNER C. Does yoga shape body, mind and spiritual health and happiness: differences between yoga practitioners and college students[J]. Int J Yoga, 2010, 3(2): 48-54. doi: 10.4103/0973-6131.72630 [6] GERBER M, PüHSE U. "Don't crack under pressure!"--Do leisure time physical activity and self-esteem moderate the relationship between school-based stress and psychosomatic complaints?[J]. J Psychosom Res, 2008, 65(4): 363-369. doi: 10.1016/j.jpsychores.2008.06.012 [7] BRAITHWAITE I E, STEWART A W, HANCOX R J, et al. Body mass index and vigorous physical activity in children and adolescents: an international cross-sectional study[J]. Acta Paediatr, 2017, 106(8): 1323-1330. doi: 10.1111/apa.13903 [8] 齐秀玉, 陶芳标, 胡传来, 等. 中国青少年亚健康多维问卷编制[J]. 中国公共卫生, 2008, 24(9): 1025-1028. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW200809000.htmQI X Y, TAO F B, HU C L, et al. Study on of multidimensional sub-health questionnaire of adolescents[J]. Chin J Public Health, 2008, 24(9): 1025-1028. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW200809000.htm [9] 吴慧攀. 中国心理亚健康青少年体质健康及其影响因素的研究[D]. 上海: 华东师范大学, 2019.WU H P. Study on Physical fitness and influencing factors of mental sub-health adolescents in China[D]. Shanghai: East China Normal University, 2019. [10] AINAT K, LINDA K D, SUSAN M, et al. Examining childhood obesity from infancy: the relationship between tummy time infant BMI-Z, weight gain, and motor development, an exploratory study[J]. J Pediatr Health Car, 2018, 33(1): 80-91. [11] 中华人民共和国教育部. 教育部关于印发《国家学生体质健康标准(2014年修订)》的通知(教体艺[2014]5号)[A]. 2014-07-17.Ministry of Education of the People's Republic of China. Circular of the ministry of education on the issuance of The National Standards for the Physical Health of Students(Revised 2014)([2014]NO.5)[A]. 2014-07-17. [12] WHO. WHO child growth standards[EB/OL]. [2020-11-10]. http://www.who.int/Growthref/en/. [13] 中华人民共和国卫生部疾病控制司. 中国成人超重和肥胖症预防控制指南[M]. 北京: 人民卫生出版社, 2006.Department of Disease Control of the People's Republic of China. China's adult overweight and obesity prevention and control guidelines[M]. Beijing: People's Medical Publishing House, 2006. [14] JEOUNG B J, HONG M S, LEE Y C. The relationship between mental health and health-related physical fitness of university students[J]. J Exerc Rehabil, 2013, 9(6): 544-548. doi: 10.12965/jer.130082 [15] WARREN J M, EKELUND U, BESSON H, et al. Assessment of physical activity-a review of methodologies with reference to epidemiological research: a report of the exercise physiology section of the european association of cardiovascular prevention and rehabilitation[J]. Eur J Cardiovasc Prev Rehabil, 2010, 17(2): 127-139. doi: 10.1097/HJR.0b013e32832ed875 [16] BLAIR S N, CHENG Y, SCOTT H J. Is physical activity or physical fitness more important in defining health benefits?[J]. Med Sports Exerc, 2001, 33(Suppl): S379-S399. http://eurheartj.oxfordjournals.org/external-ref?access_num=11427763&link_type=MED [17] CHEN H L, PO-FU L, CHANG Y C, et al. The association between physical fitness performance and subjective happiness among Taiwanese adults[J]. Int J Environ Res Public health, 2020, 17(11): 3774. doi: 10.3390/ijerph17113774 [18] PAUL E Y, SCOTT B M, TRENT A P. Physical fitness as a moderator of neuroticism and depression in adolescent boys and girls[J]. Pers Indiv Diff, 2017, 114(1): 30-35. http://www.sciencedirect.com/science/article/pii/S0191886917302106 [19] ANDREAS ÅV, EVA L, TOMMY H, et al. The association between physical fitness and mental health in Norwegian adolescents[J]. BMC Public Health, 2020, 20(1): 1515-1525. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_PM32448149 [20] MOLINER-URDIALES D, RUIZ J R, VICENTE-RODRIGUEZ G, et al. Associations of muscular and cardiorespiratory fitness with total and central body fat in adolescents: the HELENA study[J]. Br J Sports Med, 2011, 45(2): 101-108 doi: 10.1136/bjsm.2009.062430 [21] HUNT J, EISENBERG D. Mental health problems and help-seeking behavior among college students[J]. J Adolesc Health, 2009, 46(1): 3-10 http://bmjopen.bmj.com/lookup/external-ref?access_num=20123251&link_type=MED&atom=%2Fbmjopen%2F10%2F8%2Fe036968.atom [22] XIANGLI G, TAO Z, TSZ L, et al. The direct and indirect effects of motor competence on adolescents' mental health through health-related physical fitness[J]. J Sport Sci, 2019, 36(4): 1-7. [23] 冯晓玲. 我国青少年身体素质下降的成因分析与对策研究[D]. 北京: 北京体育大学, 2012.FENG X L. Causes and countermeasures analysis on physical quality consistent drop of Chinese adolescents[D]. Beijing: Beijing Sport University, 2012. [24] 张海芳, 陈青萍, 李丽. 高中生的生活方式与心理健康的关系研究[J]. 中国健康心理学杂志, 2007, 15(9): 816-818. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL200709021.htmZHANG H F, CHEN Q P, LI L. Relationship between high school students' life style and mental health[J]. China J Health Psychol, 2007, 15(9): 816-818. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL200709021.htm [25] 姜丽萍. 上海市女大学生生活方式与心理健康的相关研究[D]. 上海: 华东师范大学, 2006.JIANG L P. The study of the relationship between the lifestyle and the mental health among the female students in college[D]. Shanghai: East China Normal University, 2006. [26] 李晓苗, 张芳芳, 孙昕霙, 等. 我国青少年生活方式、自尊与生活满意度的关系研究[J]. 北京大学学报(医学版), 2010, 42(3): 330-334. https://www.cnki.com.cn/Article/CJFDTOTAL-BYDB201003021.htmLI X M, ZHANG F F, SUN X Y, et al. Study on the relationship among lifestyle, self-esteem and life satisfaction in Chinese adolescents[J]. J Peking Univ(Health Sci), 2010, 42(3): 330-334. https://www.cnki.com.cn/Article/CJFDTOTAL-BYDB201003021.htm [27] MAMMEN G, FAULKNER G. Physical activity and the prevention of depression: a systematic review of prospective studies[J]. Am J Prev Med, 2013, 45(5): 649-657. doi: 10.1016/j.amepre.2013.08.001 [28] BASSO J C, SUZUKI W A. The effects of acute exercise on mood, cognition, neurophysiology and neurochemical pathways: a review[J]. Brain Plastic, 2017, 2(2): 127-152. doi: 10.3233/BPL-160040 [29] LIU M L, WU L, MING Q S, et al. How does physical activity intervention improve self-esteem and self-concept in children and adolescents? Evidence from a meta-analysis[J]. PLoS One, 2015, 10(8): e0134804. doi: 10.1371/journal.pone.0134804 [30] 傅芳香, 王桂忠, 胡永红, 等. 舞蹈瑜伽对女大学生健康体适能及心理健康影响研究[J]. 广州体育学院学报, 2019, 39(4): 86-90. https://www.cnki.com.cn/Article/CJFDTOTAL-GZTX201904023.htmFU F X, WANG G Z, HU Y H, et al. Study on the effects of dance yoga on the physical fitness and mental health of female college students[J]. J Guangzhou Sport Univ, 2019, 39(4): 86-90. https://www.cnki.com.cn/Article/CJFDTOTAL-GZTX201904023.htm [31] 胡启权. 不同强度体育锻炼对提升高校学生心理健康和心理韧性的效果评价[J]. 中国学校卫生, 2019, 40(1): 83-85. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201901025.htmHU Q Q. The effect of increased intensity of physical exercises on mental health and resilience among college students[J]. Chin J Sch Health, 2019, 40(1): 83-85. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201901025.htm [32] RIMMELE U, ZELLWEGER B C, BERNARD M, et al. Trained men show lower cortisol, heart rate and psychological responses to psychosocial stress compared with untrained men[J]. Psychoneuroendocrinology, 2007, 32(6): 627-635. doi: 10.1016/j.psyneuen.2007.04.005 [33] SOTHMANN M S, BUCKWORTH J, CLAYTOR R P, et al. Exercise training and the cross-stressor adaptation hypothesis[J]. Exerc Sport Sci Rev, 1996, 24: 267-287. http://europepmc.org/abstract/MED/8744253 [34] PERNA L, MIELCK A, LACRUZ M E, et al. Socioeconomic position, resilience, and health behaviour among elderly people[J]. Int J Public Health, 2012, 57(2): 341-349. doi: 10.1007/s00038-011-0294-0 [35] SKROVE M, ROMUNDSTAD P, INDREDAVIK M S. Resilience, lifestyle and symptoms of anxiety and depression in adolescence: the young-HUNT study[J]. Soc Psychiatry Psychiatr Epidemiol, 2013, 48(3): 407-416. doi: 10.1007/s00127-012-0561-2 [36] CARL W, COTMAN N B, CHRISTIE L A. Exercise builds brain health: key roles of growth factor cascades and inflammation[J]. Trends Neurosci, 2007, 30(9): 464-472. doi: 10.1016/j.tins.2007.06.011 [37] KNAEPEN K, GOEKINT M, HEYMAN E M, et al. Neuroplasticity-exercise-induced response of peripheral brain-derived neurotrophic factor: a systematic review of experimental studies in human subjects[J]. Sports Med, 2010, 40(9): 765-801. doi: 10.2165/11534530-000000000-00000 [38] ALEJANDRO P, MARGARITA R, ESTHER M, et al. Physical exercise and body mass index as correlates of major depressive disorder in community-dwelling adults: results from the PISMA-ep study[J]. J Affect Disord, 2019, 251:263-269. DOI: 10.1016/j.jad.2019.01.050. -
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