Relationship between sedentary behavior with overweight and obesity among middle school students of different nationalities in Aba Prefecture
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摘要:
目的 分析中学生静态行为与超重或肥胖的关联，为相关部门预防儿童青少年超重肥胖提供政策参考。 方法 采用分层整群抽样法，于2019年10月对阿坝藏族羌族自治州13~18岁1 208名中学生进行问卷调查和体质测试，分析阿坝州不同民族中学生静态行为与超重或肥胖的关联。 结果 藏族学生超重或肥胖检出率(14.0%)高于汉族(8.8%)与羌族(8.2%)，初中生(10.5%)高于高中生(8.2%)，差异均有统计学意义(χ2值分别为19.34，13.62，P值均＜0.05)。二元Logistic回归分析显示，与参照组对比，上网＞1 h/d、看课外书＞2 h/d、电子游戏＞1 h/d、看电视＞1 h/d的中学生超重或肥胖检出率(23.7%，19.6%，27.8%，26.7%)明显上升(OR值分别为1.26，1.09，1.38，1.18，P值均＜0.05)。 结论 阿坝州不同民族中学生静态行为与超重或肥胖呈正相关，减少静态行为的持续时间有助于预防和防控中学生超重或肥胖的发生。 Abstract:Objective To analyze the association between sedentary behavior with overweight or obesity in middle school students, and to provide policy reference for relevant departments. Methods Using the stratified cluster sampling method, a questionnaire survey and physical fitness test were conducted among 1 208 middle school students aged 13 to 18 in Aba Tibetan and Qiang Autonomous Prefecture in October 2019. The associations between sedentary behavior and overweight or obesity among middle school students of different ethnic groups in Aba Prefecture were analyzed. Results The detection rate of overweight or obesity was Tibetan (14.0%)> Han (8.8%)> Qiang (8.2%), junior high school students (10.5%)> high school students (8.2%), the difference was statistically significant (χ2=19.34, 13.62, P < 0.05). Compared with the reference group, the detection rate of overweight or obesity among middle school students with time spent in the Internet for > 1 h/d, reading extracurricular books > 2 h/d, video games > 1 h/d, and watching TV > 1 h/d (23.7%, 19.6%, 27.8%, 26.7%) significantly increased(OR=1.26, 1.09, 1.38, 1.18, P < 0.05). Conclusion Sedentary behaviors of middle school students of different ethnic groups in Aba Prefecture are positively correlated with overweight or obesity. Reducing the duration of static behaviors helps prevent and control the occurrence of overweight or obesity among middle school students. -
Key words:
- Behavior /
- Overweight /
- Obesity /
- Prevalence /
- Students /
- Minority groups
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表 1 不同人口统计学特征中学生体型分布特征比较
Table 1. Different demographie-characteristics of middle school student's characteristics of size distribution
人口统计学特征 选项 人数 消瘦 正常 超重或肥胖 χ2值 P值 民族 汉族 558 95(17.0) 414(74.2) 49(8.8) 19.34 ＜0.05 羌族 478 100(20.9) 339(70.9) 39(8.2) 藏族 172 32(18.6) 116(67.4) 24(14.0) 年龄/岁 13 182 35(19.2) 121(66.5) 26(14.3) 22.85 ＜0.05 14 204 37(18.1) 151(74.0) 16(7.8) 15 184 35(19.0) 132(71.7) 17(9.2) 16 246 43(17.5) 182(74.0) 21(8.5) 17 206 44(21.4) 143(69.4) 19(9.2) 18 186 33(17.7) 140(75.3) 13(7.0) 学段 初中 571 120(21.0) 391(68.5) 60(10.5) 13.62 ＜0.05 高中 637 107(16.8) 478(75.0) 52(8.2) 性别 男 672 136(20.2) 475(70.7) 61(9.1) 4.37 0.14 女 536 91(17.0) 394(73.5) 51(9.5) 注： ()内数字为构成比/%。 
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表 2 不同民族中学生静态行为分布/(h·d-1)
Table 2. Different static behavor distribation is nationl high school students/(h·d-1)
民族 人数 做作业 上网 看课外书 往返交通 电子游戏 看电视 ≤2 >2 ≤1 >1 ≤2 >2 ≤0.5 >0.5 ≤1 >1 ≤1 >1 汉族 558 40(7.2) 518(92.8) 84(15.1) 474(84.9) 22(3.9) 536(96.1) 55(9.9) 503(90.1) 50(9.0) 508(91.0) 39(7.0) 519(93.0) 羌族 478 63(13.2) 415(86.8) 91(19.0) 387(81.0) 105(22.0) 373(78.0) 96(20.1) 382(79.9) 91(19.0) 387(81.0) 96(20.1) 382(79.9) 藏族 172 37(21.5) 135(78.5) 44(25.6) 128(74.4) 22(12.8) 150(87.2) 43(25.0) 129(75.0) 47(27.3) 125(72.7) 50(29.1) 122(70.9) 合计 1 208 140(11.6) 1068(88.4) 219(18.1) 989(81.9) 149(12.3) 1059(87.7) 194(16.1) 1014(83.9) 188(15.6) 1020(84.4) 185(15.3) 1023(84.7) χ2值 28.35 10.62 77.38 31.87 41.01 63.29 P值 ＜0.01 ＜0.01 ＜0.01 ＜0.01 ＜0.01 ＜0.01 注： ()内数字为构成比/%。
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表 3 中学生超重或肥胖与静态行为的Logistic回归分析
Table 3. Logistic regression analysis of overweight or obese and static behavior of middle school students
自变量 选项/(h·d-1) 人数 检出人数 模型Ⅰ 模型Ⅱ OR值 OR值95%CI OR值 OR值95%CI 做作业 ≤2 211 25(17.5) 1.00 1.00 ＞2 259 229(21.4) 1.18 0.81~1.31 1.09 0.93~1.17 上网 ≤1 196 35(16.2) 1.00 1.00 ＞1 286 234(23.7) 1.38 1.09~1.73* 1.26 1.03~1.54* 看课外书 ≤2 163 20(13.5) 1.00 1.00 ＞2 237 208(19.6) 1.12 1.06~1.25* 1.09 1.01~1.37* 往返交通 ≤0.5 170 27(14.1) 1.00 1.00 ＞0.5 260 218(21.5) 1.06 0.93~1.28 1.01 0.92~1.26 电子游戏 ≤1 249 39(20.6) 1.00 1.00 ＞1 336 284(27.8) 1.42 1.18~1.62* 1.38 1.19~1.49* 看电视 ≤1 233 36(19.3) 1.00 1.00 ＞1 233 273(26.7) 1.21 1.08~1.29* 1.18 1.15~1.28* 注： *P＜0.05。模型Ⅰ校正性别、年龄混杂因素; 模型Ⅱ校正性别、民族、年龄、学段混杂因素。()内数字为检出率/%。
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[1] 国家体育总局. 2014年全国学生体质健康调研结果[J]. 中国学校卫生, 2015, 36(12): Ⅳ. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201512002.htmState general administration of sports of the People's Republic of China. 2014 national student physical health survey results[J]. Chin J Sch Health, 2015, 4(12): Ⅳ. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201512002.htm [2] GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 years[J]. N Engl J Med, 2017, 377(1): 13-27. doi: 10.1056/NEJMoa1614362 [3] WHO. Global health observatory and obesity[EB/OL]. [2018-02-10]. http://www.who.int/gho/ncd/risk-factors/overweight/en/. [4] 季成叶. 儿童肥胖筛查方法研究的最新进展[J]. 中国学校卫生, 2006, 27(4): 279-281. doi: 10.3969/j.issn.1000-9817.2006.04.002JI C Y. The latest progress in the study of childhood obesity screening method[J]. Chin J Sch Health, 2006(4): 279-281. doi: 10.3969/j.issn.1000-9817.2006.04.002 [5] 马淑婧, 张艳青, 羊柳, 等. 1991—2015年中国9个省份儿童青少年超重和肥胖率的变化趋势分析[J]. 中华预防医学杂志, 2020, 54(2): 133-138. doi: 10.3760/cma.j.issn.0253-9624.2020.02.004MA S J, ZHANG Y Q, YANG L, et al. Changing trends in the levels of blood pressure and prevalence of hypertension among Chinese children and adolescents from 1991 to 2015[J]. Chin J Prev Med, 2020, 54(2): 133-138. doi: 10.3760/cma.j.issn.0253-9624.2020.02.004 [6] OWEN N, HEALY G N, MATTHEWS C E, et al. Too much sitting: the population health science of sedentary behavior[J]. Exerc Sport Sci Rev, 2010, 38(3): 105-113. doi: 10.1097/JES.0b013e3181e373a2 [7] DORI E R, GREGORY J. NORMAN N W, et al. Reliability and validity of the Sedentary Behavior Questionnaire (SBQ) for Adultsr[J]. J Physic Activ Health, 2010, 7(6): 697-705. doi: 10.1123/jpah.7.6.697 [8] 叶孙岳. 静态行为流行病学研究进展[J]. 中国公共卫生, 2016, 32(3): 402-405. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201603041.htmYE S Y. Sedentary behavior epidemiology: a review[J]. Chin J Public Health, 2016, 32(3): 402-405. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201603041.htm [9] 马晓然, 蔡玉军, 陈思同, 等. 3~6岁幼儿基本动作技能与静态行为的关系[J]. 体育学刊, 2019, 26(4): 123-128. https://www.cnki.com.cn/Article/CJFDTOTAL-TYXK201904020.htmMA X R, CAI Y J, CHEN S T, et al. Relationships between the basic movement skills and sedentary behaviors of children aged 3-6[J]. J Physical Educ, 2019, 26(4): 123-128. https://www.cnki.com.cn/Article/CJFDTOTAL-TYXK201904020.htm [10] MUSAIGER A O, NABAG F O, AL-MANNAI M. Obesity, dietary habits, and sed-entary behaviors among adolescents in Sudan: alarming risk factors for chronic diseases in a poor country[J]. Food Nutr Bull, 2016, 37(1): 65-72. doi: 10.1177/0379572116629244 [11] MITCHELL J A, PATE R R, BEETS M W, et al. Time spent in sedentary behavior and changes in childhood BMI: a longitudinal study from ages 9 to 15 years[J]. Int J Obes, 2013, 37(Suppl 1): 54-60. http://www.cabdirect.org/abstracts/20133037073.html [12] 王文. 屏前静态行为与青少年的身心健康[J]. 中国儿童保健杂志, 2013, 21(12): 1289-1291. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201312020.htmWANG W. Screen before the static behavior and the physical and mental health of adolescents[J]. Chin J Child Health Care, 2013, 21(12): 1289-1291. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201312020.htm [13] 牛严君. 中学生静态行为时间与健康体适能水平的关联性研究: 基于襄汾中学203名中学生的调研数据[D]. 临汾: 山西师范大学, 2019.NIU Y J. Study on the relationship between sedentary behavior time and health related fitness level ofmiddle school students: Based on the data of 203 middle school students in XiangFen Middle School[D]. Linfen: Shanxi normal university, 2019. [14] 程兰, 李钦, 宋逸, 等. 中国9~11岁小学生体育锻炼、静态行为和超重与肥胖的关系[J]. 北京大学学报(医学版), 2016, 48(3): 436-441. doi: 10.3969/j.issn.1671-167X.2016.03.011CHEN L, LI Q, SONG Y, et al. Association of physical activities, sedentary behaviors with overweight/obesity in 9-11 year-old Chinese primary school students[J]. J Peking Univer(Health Sci), 2016, 48(3): 436-441. doi: 10.3969/j.issn.1671-167X.2016.03.011 [15] 江小小. 中国城市儿童青少年闲暇静态行为研究[D]. 上海: 复旦大学, 2014.JIANG X X. Students on sedentary behaviors among Chinese urban children and adolescents[D]. Shanghai: Fudan university, 2014. [16] 《国家学生体质健康标准》编委会. 《国家学生体质健康标准》解读[M]. 北京: 人民教育出版社, 2007.Editorial Committee of the National Students Physical Health Standard. The national student physical health standard "interpretation[M]. Beijing: people's education press, 2007. [17] WHO Multicentre Growth Reference Study Group. WHO child growth standards: length height-for-age, weight-forage, weight-for-length, weight-for-height and body mass index-for-age: methods and development[M]. Geneva: WHO, 2006. [18] 张娜, 马冠生. 《中国儿童肥胖报告》解读[J]. 营养学报, 2017, 39(6): 530-534. doi: 10.3969/j.issn.0512-7955.2017.06.003ZHANG N, MA G S. Interpretation of report on childhood obesity in China[J]. Acta Nutrimenta Sinica, 2017, 33(6): 530-534. doi: 10.3969/j.issn.0512-7955.2017.06.003 [19] 贾佳, 施荣伟, 郑凯, 等. 南京市中学生超重肥胖现状及影响因素的研究[J]. 发育医学电子杂志, 2020, 8(2): 135-139. doi: 10.3969/j.issn.2095-5340.2020.02.008GU J, SHI R W, ZHENG K, et al. Influencing factors associated with obesity and overweight among middle school students in Nanjing[J]. J Dev Med(Elect Version), 2020, 8(2): 135-139. doi: 10.3969/j.issn.2095-5340.2020.02.008 [20] 杜慧敏, 孙泽阳, 张兴华, 等. 中国羌族身体体成分特点[J]. 解剖学报, 2018, 49(4): 540-542. https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB201804022.htmDU M H, SUN Z Y, ZHANG X H, et al. Body constitution of Chinese Qiang adults[J]. Acta Anatomica Sinica, 2018, 49(4): 540-542. https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB201804022.htm [21] DEMERATH E W, LI J, SUN S S, et al. Fifty-year trends in serial body mass index during adolescence in girls: the Fels Longitudinal Study[J]. Am J Clin Nutr, 2004, 80(2): 441-446. doi: 10.1093/ajcn/80.2.441 [22] 梁亚军, 胡跃华, 许锬. 儿童课余时间静态活动和体力活动的时间分布模式[J]. 武警医学院学报, 2011, 20(6): 437-440, 448. https://www.cnki.com.cn/Article/CJFDTOTAL-WUXB201106004.htmLIANG Y J, HU Y H, XU T. Patterns of leisure time sedentary behaviors and physical activities among children[J]. Acta Acad Med Cpaf, 2011, 20(6): 437-440, 448. https://www.cnki.com.cn/Article/CJFDTOTAL-WUXB201106004.htm [23] 彭子文, 郑钟艳, 余暕暕, 等. 超重、肥胖青少年网络成瘾与抑郁的关系[J]. 中国健康心理学杂志, 2019, 27(8): 1131-1135. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201908003.htmPENG Z W, ZHENG Z Y, YU L L, et al. Relationship between internet addiction and depression in adolescents with overweight and obesity[J]. Chin J Health Psychol, 2019, 27 (8): 1131-1135. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201908003.htm [24] 张海潮, 许宗豪, 张航晨, 等. 石家庄市小学生肥胖现状及其易感因素调查[J]. 贵州体育科技, 2017, 128(3): 55-59.ZHANG H C, XU Z H, ZHANG H C, et al. Shijiazhuang city school children obesity status and risk factors investigation[J]. Guizhou Sports Sci Technol, 2017, 128(3): 55-59. [25] 王文. 上海市青少年静态行为现状及其与睡眠和健康的关联[D]. 上海: 复旦大学, 2013.WANG W. Shanghai youth static behavior status and its associated with sleep and health[D]. Shanghai: Fudan university, 2013. [26] 李文幸. 超重/肥胖儿童青少年生活质量影响因素研究[D]. 杭州: 杭州师范大学, 2019.LI W X. Overweight/obese children research to the influential factors of quality of life[D]. Hangzhou: Hangzhou normal university, 2019. [27] 宋逸, 张芯, 马军, 等. 2010年中国中小学生超重与肥胖的行为影响因素[J]. 中华预防医学杂志, 2012, 46(9): 789-795. doi: 10.3760/cma.j.issn.0253-9624.2012.09.004SONG Y, ZHANG X, MA J, et al. Behavioral risk factors for overweight and obesity among Chinese primary and middle school students in 2010[J]. Chin J Prev Med, 2012, 46(9): 789-795. doi: 10.3760/cma.j.issn.0253-9624.2012.09.004 [28] 刘芳, 李欣, 叶明浩, 等. 医院—社区—家庭模式对上海潍坊社区肥胖儿童青少年体质量的管理效果研究[J]. 中国全科医学, 2020, 23(19): 2458-2461. doi: 10.12114/j.issn.1007-9572.2020.00.112LIU F, LI X, YE M H, et al. Effects of Hospital-Community-Family model on weight management of obese children and adolescents[J]. Chin General Practice, 2020, 23(19): 2458-2461. doi: 10.12114/j.issn.1007-9572.2020.00.112 [29] JELALIAN E, EVANS E W. Behavioral intervention in the treatment of obesity in children and adolescents: implications for Mexico[J]. Nutr Rev, 2017, 75(Suppl 1): 79-84. doi: 10.1093/nutrit/nuw035 [30] BROWNING M G, BEAN M K, WICKHAM E P, etal. Cardiometabolic and fitness improvements in obese girls who either gained or lost weight during treatment[J]. J Pediatr, 2015, 166(6): 1329-1332. http://www.zhangqiaokeyan.com/academic-journal-foreign-pmc_detail_thesis/040005544149.html -
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