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小学生体力活动久坐行为与超重肥胖风险关系

汪君民 龚腾云

汪君民, 龚腾云. 小学生体力活动久坐行为与超重肥胖风险关系[J]. 中国学校卫生, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019
引用本文: 汪君民, 龚腾云. 小学生体力活动久坐行为与超重肥胖风险关系[J]. 中国学校卫生, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019
WANG Junmin, GONG Tengyun. Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019
Citation: WANG Junmin, GONG Tengyun. Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1683-1687. doi: 10.16835/j.cnki.1000-9817.2021.11.019

小学生体力活动久坐行为与超重肥胖风险关系

doi: 10.16835/j.cnki.1000-9817.2021.11.019
基金项目: 

江苏省社会科学基金项目 19TYB006

详细信息
    作者简介:

    汪君民(1975-  ), 男, 江苏赣榆人, 博士, 副教授, 主要研究方向为身体活动与健康促进

  • 中图分类号: R723.14  R179  G627.8

Association between physical activity and sedentary behavior with the risk of overweight and obesity in primary school students

  • 摘要:   目的  探讨中度到大强度体力活动(moderate to vigorous physical activity, MVPA)和久坐行为与小学生超重/肥胖风险之间的关联, 为改善小学生不良生活方式提供参考。  方法  2018年11—12月对广东省某市949名9~12岁小学生进行横断面调查。根据体质量指数(BMI)将小学生划分为正常和超重/肥胖两组。实验对象24 h戴腕表式Gene active加速度计, 对MVPA和久坐时间进行区分和记录。由父母记录并提供小学生的屏幕时间。采用Possion回归分析MVPA、久坐时间、屏幕时间与超重/肥胖风险之间独立关联。  结果  20.8%(197名)的小学生超重/肥胖。小学生符合MVPA推荐值比例为22.1%(210名), 上学日久坐时间(不包括睡眠时间)为60.8%(577名), 高达8.5 h/d。仅有12.3%(117名)的小学生屏幕时间≤2 h/d。与Q4相比, MVPA为Q1的小学生与正常组小学生相比, 其超重/肥胖的风险比体质量正常的小学生高出4.38倍(P < 0.01), 且与久坐时间无关。与符合MVPA推荐值的小学生相比, 未达到MVPA推荐值的小学生的超重/肥胖风险增加了2.54倍(95%CI=1.59~3.77)。每天>2 h的小学生超重/肥胖的风险比每天≤2 h的小学生增加了1.87倍(95%CI=1.21~3.02)。  结论  MVPA时间越长, 超重/肥胖的风险越低。能达到MVPA时间要求的小学生比例偏低, 小学生的屏幕时间大多超出推荐值。
  • 表  1  小学生久坐不动和体力活动时间在正常和超重/肥胖组间比较/[M(P25~P75),min·d-1]

    Table  1.   Comparison of sedentary and physical activity time in primary school students between normal and overweight/obesity groups/[M(P25~P75), min·d-1]

    时间 正常(n=751) 超重/肥胖(n=197) t P
    一整周
        久坐不动 510.7(505.5~515.8) 528.4(519.0~537.8) 5.21 < 0.01
        小强度体力运动 234.0(230.2~237.8) 236.5(229.5~243.6) 0.68 0.92
        中度体力运动 83.4(81.1~85.8) 68.1(64.4~71.8) 7.11 < 0.01
        剧烈体力运动 11.1(6.0~17.7) 6.0(3.9~10.7) 11.74 < 0.01
        中度到剧烈体力运动 94.5(92.6~98.3) 75.1(70.8~79.4) 9.67 < 0.01
    上学日
        久坐不动 517.9(512.6~523.1) 532.4(522.9~542.0) 1.73 < 0.01
        小强度体力运动 237.4(233.6~241.3) 241.9(234.5~249.3) 0.53 0.53
        中度体力运动 84.2(81.9~86.5) 70.2(66.5~73.8) 16.34 < 0.01
        剧烈体力运动 11.0(6.0~18.4) 5.8(3.4~11.0) 11.25 < 0.01
        中度到剧烈体力运动 96.8(93.9~99.6) 77.6(73.4~81.9) 15.13 < 0.01
    周末
        久坐不动 492.7(485.6~499.7) 518.2(505.4~531.1) 19.11 < 0.01
        小强度体力运动 225.3(220.4~230.2) 223.0(214.3~231.8) 0.49 0.34
        中度体力运动 81.5(78.0~84.9) 62.8(57.2~68.3) 18.75 < 0.01
        剧烈体力运动 7.1(2.5~16.5) 4.5(1.0~8.6) 11.61 < 0.01
        中度到剧烈体力运动 92.0(87.9~96.1) 68.8(62.5~75.1) 12.43 < 0.01
    下载: 导出CSV

    表  2  一周中久坐不动、参加MVPA时间和小学生超重/肥胖风险之间的独立关联[RR值(RR值95%CI),n=949]

    Table  2.   Independent association between sedentary time during the week, participation in moderate to vigorous physical activity, and risk of overweight/obesity in elementary school students[RR(RR 95%CI), n=949]

    变量 选项 模式1 模式2
    久坐不动时间 Q1 1.00 1.00
    Q2 0.89(0.61~1.30) 0.89(0.59~1.33)
    Q3 1.54(1.07~2.21) 1.47(0.98~2.18)
    Q4 1.72(1.18~2.50)** 1.63(1.09~2.45)**
    MVPA Q4 1.00 1.00
    Q3 1.96(1.25~3.07) 1.92(1.25~2.95)
    Q2 2.73(1.92~3.87) 2.47(1.81~3.36)
    Q1 3.99(2.53~6.29)** 3.71(2.43~5.67)**
    符合MVPA时间推荐 1.00 1.00
    2.63(1.72~4.00) 2.42(1.61~3.64)
    符合屏幕时间推荐 1.00 1.00
    1.96(1.22~3.16) 1.90(1.21~2.96)
    符合两者时间推荐 两者都符合 1.00 1.00
    符合其中之一或两者都不符合 2.13(1.47~3.07) 2.12(1.47~3.07)
    注: Q1~Q4为四分位数,**P < 0.01。
    下载: 导出CSV
  • [1] HOU X, LU J, WENG J, et al. Impact of waist circumference and body mass index on risk of cardiometabolic disorder and cardiovascular disease in Chinese adults: a national diabetes and metabolic disorders survey[J]. PLoS One, 2013, 8(3): 1-10. http://pubmedcentralcanada.ca/pmcc/articles/PMC3592870/
    [2] 邹志春, 陈佩杰. 青少年体质、体力活动与心血管疾病发生风险之关系[J]. 上海体育学院学报, 2010, 34(6): 50-54. https://www.cnki.com.cn/Article/CJFDTOTAL-STYB201006015.htm

    ZOU Z C, CHEN P J. Relationship between physique, physical activity and coronary artery disease risk in teenagers[J]. J Shanmghai Univ Sport, 2010, 34(6): 50-54. https://www.cnki.com.cn/Article/CJFDTOTAL-STYB201006015.htm
    [3] MORRIS C. Designed to move[J]. Nation Civic Rev, 2013, 102(4): 55-56. doi: 10.1002/ncr.21157
    [4] BASSETT D R, BIELAK K M. Physical activity measures[M]. Switzerland: Springer International Publishing, 2016.
    [5] JIMÉNEZ-PAVÓN D, KELLY J, Reilly J J. Associations between objectively measured habitual physical activity and adiposity in children and adolescents: systematic review[J]. Int J Pediatr Obes, 2011, 5(1): 3-18. http://www.onacademic.com/detail/journal_1000035805942110_9855.html
    [6] THORP A A, OWEN N, NEUHAUS M, et al. Sedentary behaviors and subsequent health outcomes in adults a systematic review of longitudinal studies, 1996-2011[J]. Am JPrev Med, 2011, 41(2): 207-215. doi: 10.1016/j.amepre.2011.05.004
    [7] COSTA B, CHAPUT J P, LOPES M, et al. Association between screen time and accelerometer-measured 24-h movement behaviors in a sample of Brazilian adolescents[J]. Public Health, 2021, 195(4): 32-38. http://www.sciencedirect.com/science/article/pii/S0033350621001414
    [8] TREMBLAY M S, LEBLANC A G, KHO M E, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth[J]. Int J Behav Nutr Phys Act, 2011, 8(1): 98. doi: 10.1186/1479-5868-8-98
    [9] 侯筱, 刘静民. 学校层面干预策略对青少年身体活动水平的影响[J]. 中国学校卫生, 2019, 40(7): 1110-1116. doi: 10.16835/j.cnki.1000-9817.2019.07.044

    HOU X, LIU J M. Effects of school-level intervention strategies on adolescent physical activity levels[J]. Chin J Sch Health, 2019, 40(7): 1110-1116. doi: 10.16835/j.cnki.1000-9817.2019.07.044
    [10] SCHOEPPE S, REBAR A L, SHORT C E, et al. How is adults' screen time behaviour influencing their views on screen time restrictions for children? A cross-sectional study[J]. BMC Public Health, 2016, 16: 201. doi: 10.1186/s12889-016-2789-3
    [11] LEBLANC A G, KATZMARZYK P T, BARREIRA T V, et al. Correlates of total sedentary time and screen time in 9-11 year-old children around the world: the international study of childhood obesity, lifestyle and the environment[J]. PLoS One, 2015, 10(6): 1-20. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.796.3303&rep=rep1&type=pdf
    [12] PEARSON N, BRAITHWAITE R E, BIDDLE S J H, et al. Associations between sedentary behaviour and physical activity in children and adolescents: a Meta-analysis[J]. Obes Rev, 2014, 15(8): 666-675. doi: 10.1111/obr.12188
    [13] PARKER K, TIMPERIO A, SALMON J, et al. Correlates of dual trajectories of physical activity and sedentary time in youth: the up & down longitudinal study[J]. Scand J Med Sci Sports, 2021, 31(5): 1126-1134. doi: 10.1111/sms.13927
    [14] 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(1): 54-60. doi: 10.1038/ijo.2012.41
    [15] KANELLOPOULOU A, DIAMANTIS D V, NOTARA V, et al. Extracurricular sports participation and sedentary behavior in association with dietary habits and obesity risk in children and adolescents and the role of family structure: a literature review[J]. Curr Nutr Rep, 2021, 10(1): 1-11. doi: 10.1007/s13668-021-00352-6
    [16] MICKLESFIELD L K, HANSON S K, LOBELO F, et al. Adolescent physical activity, sedentary behavior and sleep in relation to body composition at age 18years in urban South Africa, Birth-to-Twenty+Cohort[J]. BMC Pediatr, 2021, 21(1): 1-13. doi: 10.1186/s12887-020-02457-3
    [17] ORTEGA F B, RUIZ J R, SJÖSTRÖM M. Physical activity, overweight and central adiposity in Swedish children and adolescents: the european youth heart study[J]. Int J Behav Nutr Phys Act, 2007, 4(1): 61. doi: 10.1186/1479-5868-4-61
    [18] 国家卫生健康委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 2018-08-01.

    National Health Commission of the PRC. Overweight and obesity screening for school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01.
    [19] PHILLIPS L R, PARFITT G, ROWLANDS A V. Calibration of the GENEA accelerometer for assessment of physical activity intensity in children[J]. J Sci Med Sport, 2013, 16(2): 124-128. doi: 10.1016/j.jsams.2012.05.013
    [20] HARDY L L, BOOTH M L, OKELY A D. The reliability of the Adolescent Sedentary Activity Questionnaire (ASAQ)[J]. Prev Med, 2007, 45(1): 71-74. doi: 10.1016/j.ypmed.2007.03.014
    [21] 郭强. 中国儿童青少年身体活动水平及其影响因素的研究[D]. 上海: 华东师范大学, 2016.

    QIANG G. The influencing factors on physical activity level among children and adolescents in China[D]. Shanghai: East China Normal University, 2016.
    [22] 教育部. 教育部对中小学生睡眠时间作出明确要求[EB/OL]. (2021-03-31). https://baijiahao.baidu.com/s?id=1695937234621295821&wfr=spider&for=pc.

    Ministry of Education of the PRC. Ministry of education has made clear requirements on the sleep time of primary and middle school students![EB/OL]. (2021-03-31). https://baijiahao.baidu.com/s?id=1695937234621295821&wfr=spider&for=pc.
    [23] 张玉景. 河南农村中小学生的体育锻炼习惯影响因素调查[J]. 林区教学, 2008(2): 91-93. https://www.cnki.com.cn/Article/CJFDTOTAL-LQXJ200802046.htm

    ZHANG Y J. Investigation on influencing factors of physical exercise habits of primary and secondary school students in rural Henan Province[J]. Teach Forest Reg, 2008(2): 91-93. https://www.cnki.com.cn/Article/CJFDTOTAL-LQXJ200802046.htm
    [24] 何毅鹏. 泉州市中学生体育锻炼现状及影响因素的调查研究[D]. 福州: 福建师范大学, 2009.

    HE Y P. The investigation and research of current situation and its influencing factors of physical exercise of Quanzhou middle school students[D]. Fuzhou: Fujian Normal University, 2009.
    [25] 宫舒, 李爽, 韩中丰, 等. 大连市14~17岁城市青少年参加课外体育锻炼的现状调查与分析[J]. 体育科技文献通报, 2011, 19(9): 93-95, 99. https://www.cnki.com.cn/Article/CJFDTOTAL-SPOR201109043.htm

    GONG S, LI S, HAN Z F, et al. Investigation on status of junior students aged 14-17 participating in extra-curricular sports activity in Dalian City[J]. Bull Sport Sci Technol, 2011, 19(9): 93-95, 99. https://www.cnki.com.cn/Article/CJFDTOTAL-SPOR201109043.htm
    [26] 任亚锋, 周里. 新疆石河子市中学生运动锻炼的影响因素分析[J]. 当代体育科技, 2012, 2(32): 6-7. https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ201232005.htm

    REN Y F, ZHOU L. Analysis on the influencing factors of middle school students' exercise in Shihezi, Xinjiang[J]. Contemp Sports Technol, 2012, 2(32): 6-7. https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ201232005.htm
    [27] 赵胜. 上海市中小学生久坐行为与身体质量指数和体质的关系研究[D]. 上海: 上海体育学院, 2019.

    ZHAO S. Relationship between sedentary behavior and body mass index, physical fitness of primary school and junior school students in Shanghai[D]. Shanghai: Shanghai University of Sport, 2019.
    [28] RUBINO F, PUHL R M, CUMMINGS D E, et al. Joint international consensus statement for ending stigma of obesity[J]. Nat Med, 2020, 26(4): 1-13. http://www.ncbi.nlm.nih.gov/pubmed/32127716?utm_source=research-news&utm_medium=referral&utm_campaign=research-news
    [29] 王道, 刘欣, 徐亮亮, 等. GT3X+加速度计测量20~30岁成年人走跑运动能耗的信效度研究[J]. 中国运动医学杂志, 2015, 34(3): 291-296. https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX201503013.htm

    WANG D, LIU X, XU L L, et al. Reliability and validity of GT3X+ accelerometer for measuring walking and running energy expenditure of young adults[J]. Chin J Sports Med, 2015, 34(3): 291-296. https://www.cnki.com.cn/Article/CJFDTOTAL-YDYX201503013.htm
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出版历程
  • 收稿日期:  2021-01-04
  • 修回日期:  2021-06-25
  • 网络出版日期:  2021-12-01
  • 刊出日期:  2021-11-25

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