某市小学生新冠肺炎疫情上网课期间睡眠与运动现况

林小嫚; 刘锐; 张东枚; 黄婧怡

doi:10.16835/j.cnki.1000-9817.2021.04.016

某市小学生新冠肺炎疫情上网课期间睡眠与运动现况

doi: 10.16835/j.cnki.1000-9817.2021.04.016

广东药科大学公共卫生学院，广州 510006

详细信息

作者简介:
林小嫚(1997-)，女，广东肇庆人，在读本科生

通讯作者:
张东枚，E-mail：516255768@qq.com

中图分类号: G806G627.8
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- 被引次数: 0
出版历程
- 收稿日期: 2020-08-20
- 修回日期: 2020-11-13
- 网络出版日期: 2021-04-16
- 刊出日期: 2021-04-25

Status of sleep and exercise during remote learning period for primary school students in one city during the outbreak of COVID-19

School of Public Health, Guangdong Pharmaceutical University, Guangzhou(510006), China

摘要

摘要: 目的探讨在新冠肺炎疫情居家上网课期间某市一至六年级学生睡眠与运动情况的关系，为政府及相关部门制定学生健康促进有关政策提供参考依据。方法于2020年4月22日至5月14日，采用分层整群随机抽样法选取某市24 452名小学生进行网络问卷调查，调查内容包括一般情况、睡眠时间、运动情况等。结果小学生每天低强度运动参与率为21.6%，中强度运动参与率为9.4%，高强度运动参与率为5.8%；每次参与各类强度运动的时间>30 min的学生比例不足10%；一至六年级小学生睡眠不足报告率分别为22.5%，25.5%，28.9%，31.3%，35.0%，39.9%(χ²=350.75，P < 0.05)；多因素Logistic回归分析显示，在调整性别、年级、是否独生等因素以后，进行高强度运动与睡眠不足呈负相关(OR=0.91，95%CI=0.86~0.97)。结论各年级小学生睡眠不足较为普遍，小学生进行适量的高强度运动是保证充足睡眠时间的有利因素。
- 疾病暴发流行 /
- 因特网 /
- 课程 /
- 睡眠 /
- 运动活动 /
- 回归分析 /
- 学生
Abstract: Objective To explore the relationship between sleep and exercise among grade 1-6 students in a certain city during the period of home-based online courses in the epidemic, and to provide reference basis for the government and relevant departments to make relevant policies on student health promotion. Methods From April 22 to May 14 in 2020, 24 452 primary school students were selected by stratified cluster random sampling method to network questionnaire survey, which included general situation, sleep time, and exercise. Results Totally 21.6% of primary school students participated in low-intensity exercise, 9.4% in moderate-intensity exercise and 5.8% in high-intensity exercise every day. Less than 10% of the students participated in all types of intense sports for more than 30 minutes each time. The report rate of sleep deprivation among students in grades 1 to 6 was 22.5%, 25.5%, 28.9%, 31.3%, 35.0%, 39.9%, respectively(χ²=350.75, P < 0.05). Multivariate Logistic regression analysis showed that after adjusting for gender, grade, oneness and other factors, high-intensity exercise was negatively correlated with sleep deprivation(OR=0.91, 95%CI=0.86-0.97). Conclusion Insufficient sleep is common among primary students, and appropriate amount of high intensity exercise is a favorable factor to ensure adequate sleep time in primary school students.
- Disease outbreaks /
- Internet /
- Curriculum /
- Sleep /
- Motor activity /
- Regression analysis /
- Students

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表 1 不同特征小学生各强度运动频次分布/(次·周^-1)

Table 1. Frequency distribution of intensity exercise in pupils with different characteristics/(frequency·week^-1)

组别	选项	高强度运动				中强度运动				低强度运动
组别	选项	人数	≤3	4~6	≥7	人数	≤3	4~6	≥7	人数	≤3	4~6	≥7
性别	男	7 388	4 687(63.4)	2 238(30.3)	463(6.3)	10 645	7 021(66.0)	2 616(24.6)	1 008(9.5)	11 794	6 009(50.9)	3 212(27.2)	2 573(21.8)
	女	6 095	3 865(63.4)	1 914(31.4)	316(5.2)	9 118	6 000(65.8)	2 275(25.0)	843(9.2)	10 112	5 069(50.1)	2 878(28.5)	2 165(21.4)
年级	一	2 305	1 542(66.9)	637(27.6)	126(5.5)	3 672	2 504(68.2)	848(23.1)	320(8.7)	4 164	2 248(54.0)	1 071(25.7)	845(20.3)
	二	2 335	1 497(64.1)	719(30.8)	119(5.1)	3 562	2 393(67.2)	877(24.6)	292(8.2)	3 981	2 057(51.7)	1 133(28.5)	791(19.9)
	三	2 294	1 463(63.8)	717(31.3)	114(5.0)	3 405	2 257(66.3)	850(25.0)	298(8.8)	3 818	1 954(51.2)	1 072(28.1)	792(20.7)
	四	2 441	1 522(62.4)	779(31.9)	140(5.7)	3 535	2 287(64.7)	888(25.1)	360(10.2)	3 884	1 942(50.0)	1 085(27.9)	857(22.1)
	五	2 397	1 477(61.6)	761(31.7)	159(6.6)	3 331	2 155(64.7)	827(24.8)	349(10.5)	3 603	1 746(48.5)	1 016(28.2)	841(23.3)
	六	1 711	1 051(61.4)	539(31.5)	121(7.1)	2 258	1 425(63.1)	601(26.6)	232(10.3)	2 456	1 131(46.1)	713(29.0)	612(24.9)
睡眠情况	不足	4 232	2 650(62.6)	1 330(31.4)	252(6.0)	6 019	3 848(63.9)	1 566(26.0)	605(10.1)	6 602	3 265(49.5)	1 868(28.3)	1 469(22.3)
	充足	9 251	5 902(31.4)	2 822(30.5)	527(5.7)	13 744	9 173(66.7)	3 325(24.2)	1 246(9.1)	15 304	7 813(51.1)	4 222(27.6)	3 269(21.4)
注：()内数字为构成比/%。

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表 2 不同特征小学生每次运动时间比较/min

Table 2. Comparison of exercise time of pupils with different characteristics/min

组别	选项	高强度运动时间					中强度运动时间					低强度运动时间
组别	选项	人数	≤30	31~60	>60	χ²值	人数	≤30	31~60	>60	χ²值	人数	≤30	31~60	>60	χ²值
性别	男	7 388	6 757(91.5)	574(7.8)	57(0.8)	25.02^**	10 645	9 809(92.1)	732(6.9)	104(1.0)	21.89^**	11 794	10 967(93.0)	720(6.1)	107(0.9)	9.14^**
	女	6 095	5 701(93.5)	373(6.1)	21(0.3)		9 118	8 535(93.6)	535(5.9)	48(0.5)		10 112	9 474(93.7)	579(5.7)	59(0.6)
年级	一	2 305	2 186(94.8)	113(4.9)	6(0.3)	58.02^**	3 672	3 480(94.8)	177(4.8)	15(0.4)	70.04^**	4 164	3 904(93.8)	238(5.7)	22(0.5)	13.57
	二	2 335	2 187(93.7)	134(5.7)	14(0.6)		3 562	3 342(93.8)	200(5.6)	20(0.6)		3 981	3 725(93.6)	227(5.7)	29(0.7)
	三	2 294	2 140(93.3)	145(6.3)	9(0.4)		3 405	3 186(93.6)	202(5.9)	17(0.5)		3 818	3 574(93.6)	223(5.8)	21(0.6)
	四	2 441	2 220(90.9)	202(8.3)	19(0.8)		3 535	3 249(91.9)	253(7.2)	33(0.9)		3 884	3 607(92.9)	241(6.2)	36(0.9)
	五	2 397	2 184(91.1)	193(8.1)	20(0.8)		3 331	3 033(91.1)	261(7.8)	37(1.1)		3 603	3 337(92.6)	228(6.3)	38(1.1)
	六	1 711	1 541(90.1)	160(9.4)	10(0.6)		2 258	2 054(91.0)	174(7.7)	30(1.3)		2 456	2 294(93.4)	142(5.8)	20(0.8)
睡眠情况	不足	4 232	3 888(91.9)	321(7.6)	23(0.5)	3.08	6 019	5 571(92.6)	398(6.6)	50(0.8)	1.04	6 602	6 132(92.9)	421(6.4)	49(0.7)	3.40
	充足	9 251	8 570(92.6)	626(6.8)	55(0.6)		13 744	12 773(92.9)	869(6.3)	102(0.7)		15 304	14 309(93.5)	878(5.7)	117(0.8)
注：()内数字为构成比/%；**P < 0.01。

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表 3 影响小学生睡眠状况的多因素Logistic回归分析(n=24 452)

Table 3. Regression analysis of multivariate Logistic affecting the sleep status of pupils(n=24 452)

自变量	选项	β值	标准误	Wald χ²值	P值	OR值(OR值95%CI)
年级	一	-0.81	0.05	233.55	0.00	0.45(0.40~0.50)
	二	-0.64	0.05	150.34	0.00	0.53(0.47~0.58)
	三	-0.48	0.05	83.58	0.00	0.62(0.56~0.69)
	四	-0.37	0.05	50.94	0.00	0.69(0.63~0.77)
	五	-0.21	0.05	15.91	0.00	0.81(0.73~0.90)
性别	男	0.16	0.03	33.24	0.00	1.18(1.11~1.25)
高强度运动	有	-0.09	0.03	8.43	0.00	0.91(0.86~0.97)
中强度运动频次	≤3次/周	-0.14	0.05	7.21	0.01	0.87(0.78~0.96)
注：年级以六年级为参照，性别以女生为参照，高强度运动以无为参照，中强度运动频次以≥7次/周为参照。

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