Comparison of physical fitness and physiological function of children and adolescents with different nutritional status in Beijing-Tianjin-Hebei Region
-
摘要:
目的 了解京津冀地区不同营养状况儿童青少年身体素质和生理功能水平及其相关性,为儿童青少年体质健康促进和干预提供参考和帮助。 方法 2019年9—12月,以班级为单位采用分层整群抽样方法,在京津冀地区对4 424名7~18岁中小学生进行营养状况、身体素质和生理功能指标测试。 结果 中小学生消瘦、正常、超重肥胖检出率分别为7.93%,67.36%,24.71%。不同营养状况男生心率、收缩压、舒张压、肺活量体重指数、握力体重指数、斜身引体/引体向上、立定跳远、50 m跑、1 000 m跑、体能指数水平相比较,差异均有统计学意义(Z值分别为9.6,55.2,118.6,332.5,122.8,15.6,49.5,47.5,12.6,113.5,P值均<0.01);不同营养状况女生心率、收缩压、舒张压、肺活量体重指数、握力体重指数、1 min仰卧起坐、立定跳远、50 m跑、800 m跑、体能指数水平相比较,差异均有统计学意义(Z值分别为33.9,24.5,46.5,262.5,102.6,32.5,27.5,33.6,27.6,51.6,P值均<0.01)。男生体质量指数与收缩压、舒张压、50 m跑、1 000 m跑呈正相关(r值分别为0.27,0.31,0.14,0.16),与心率、肺活量体重指数、握力体重指数、斜身引体/引体向上、立定跳远、体能指数呈负相关(r值分别为-0.07,-0.62,-0.41,-0.21,-0.35,-0.29)(P值均<0.05);女生体质量指数与收缩压、舒张压、800 m跑呈正相关(r值分别为0.21,0.27,0.22),与心率、肺活量体重指数、握力体重指数、体能指数呈负相关(r值分别为-0.12,-0.49,-0.32,-0.18)(P值均 < 0.05)。 结论 京津冀地区儿童青少年营养状况与身体素质和生理功能存在相关,超重肥胖者身体素质和生理功能较低。应有效控制超重肥胖的发生,以更好促进身体素质和生理功能发展。 Abstract:Objective To understand physical fitness and physiological function level of children and adolescents with different nutritional status in Beijing-Tianjin-Hebei Region, and to provide reference for physical health promotion and intervention of children and adolescents. Methods From September to December 2019, 4 424 children and adolescents aged 7-18 years old in Beijing-Tianjin-Hebei Region were tested for different nutritional status, physical fitness and physiological function by using stratified cluster sampling method. Results The detection rates of malnutrition, normal, overweight and obesity were 7.93%, 67.36% and 24.71%, respectively.There were differences in heart rate, systolic blood pressure, diastolic blood pressure, vital capacity body mass index, grip strength body mass index, oblique pull-up/pull-up, standing long jump, 50 m running, 1 000 m running, and BMI in boys with different nutritional status statistical significance (Z=9.6, 55.2, 118.6, 332.5, 122.8, 15.6, 49.5, 47.5, 12.6, 113.5, P < 0.01); There were differences in heart rate, systolic blood pressure, diastolic blood pressure, vital capacity body mass index, grip strength body mass index, sit-up for 1 minute, standing long jump, 50 m running, 800 m running and physical fitness index in girls with different nutritional status statistical significance (Z=33.9, 24.5, 46.5, 262.5, 102.6, 32.5, 27.5, 33.6, 27.6, 51.6, P < 0.01). Correlation analysis showed that the nutritional status of boys was positively correlated with systolic blood pressure, diastolic blood pressure, 50 m running, and 1 000 m running (r=0.27, 0.31, 0.14, 0.16, P < 0.05), and was correlated with heart rate, vital capacity, body mass index, grip strength body mass index, oblique pull-up/pull-up, standing long jump, and BMI were negatively correlated (r=-0.07, -0.62, -0.41, -0.21, -0.35, -0.29, P < 0.05); nutritional status of girls it was positively correlated with systolic blood pressure, diastolic blood pressure, and 800 m running (r=0.21, 0.27, 0.22, P < 0.05), and negatively correlated with heart rate, vital capacity BMI, grip strength BMI, and BMI (r=-0.12, -0.49, -0.32, -0.18, P < 0.05). Conclusion The nutritional status of children and adolescents in Beijing-Tianjin-Hebei Region is related to physical fitness and physiological function. Overweight and obese child have lower physical fitness and physiological function. In the future, childhood overweight and obesity should be effectively controlled to better promote the development of physical fitness and physiological function. -
Key words:
- Nutritional status /
- Physical fitness /
- Growth and development /
- Child /
- Adolescent
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 京津冀地区不同学段中小学生营养状况分布
Table 1. Distribution of nutritional status of children and adolescents in different school segments in the Beijing-Tianjin-Hebei Region
性别 年级 人数 消瘦 正常 超重肥胖 男 小学低年级 694 65(9.37) 423(60.95) 206(29.68) 小学高年级 519 44(8.48) 255(49.13) 220(42.39) 初中 519 41(7.90) 318(61.27) 160(30.83) 高中 486 23(4.73) 341(70.16) 122(25.10) 合计 2 218 173(7.80) 1 337(60.28) 708(31.92) 女 小学低年级 696 82(11.78) 480(68.97) 134(19.25) 小学高年级 516 49(9.50) 384(74.42) 83(16.09) 初中 521 27(5.18) 397(76.20) 97(18.62) 高中 473 20(4.23) 382(80.76) 71(15.01) 合计 2 206 178(8.07) 1 643(74.48) 385(17.45) 注:()内数字为构成比/%。 表 2 京津冀地区不同营养状况男生身体素质和生理功能水平比较[M(P25, P75)]
Table 2. Comparison of physical fitness and physiological function levels of boys with different nutritional statuses in Beijing-Tianjin-Hebei Region[M(P25, P75)]
组别 人数 心率/(次·min-1) 收缩压/mm Hg 舒张压/mm Hg 肺活量体重指数/(mL·kg-1) 握力体重指数 坐位体前屈/cm 斜身引体或引体向上/次 立定跳远/cm 50 m跑/s 1 000 m跑/s 体能指数 消瘦 173 89(77, 99) 106(97, 114) 64(58, 69) 60.4(50.6, 67.2) 0.6(0.2, 0.7) 5.1(1.5, 9.3) 21.0(3.0, 40.0) 163.1(123.5, 196.2) 8.9(8.1, 11.2) 130.5(116.2, 227.6) 0.6(-1.5, 2.6) 正常 1 337 85(75, 95) 111(101, 118) 65(94, 69) 57.2(47.5, 63.5) 0.6(0.3, 0.7) 5.3(1.3, 9.9) 13.0(3.0, 33.0) 179.2(132.1215.2) 8.2(7.6, 11.6) 174.5(121.6, 239.5) 0.8(-1.4, 2.5) 超重肥胖 708 88(77, 97) 114(104, 123) 70(63, 75) 44.2(36.8, 51.6) 0.5(0.2, 0.6) 5.1(1.4, 10.6) 15.0(2.0, 29.0) 154.5(120.5, 190.3) 9.1(8.2, 11.6) 145.6(126.5, 255.5) -1.3(-3.1, 0.7) Z值 9.6 55.2 118.6 332.5 122.8 0.6 15.6 49.5 47.5 12.6 113.5 P值 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 0.76 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 注:1 mm Hg=0.133 kPa。 表 3 京津冀地区不同营养状况女生身体素质和生理功能水平比较[M(P25, P75)]
Table 3. Comparison of physical fitness and physiological function levels of girls with different nutritional statuses in Beijing-Tianjin-Hebei Region[M(P25, P75)]
组别 人数 心率/(次·min-1) 收缩压/mm Hg 舒张压/mm Hg 肺活量体重指数/(mL·kg-1) 握力体重指数 坐位体前屈/cm 1 min仰卧起坐/次 立定跳远/cm 50 m跑/s 800 m跑/s 体能指数 消瘦 178 97(85, 105) 103(94, 109) 65(67, 70) 54.1(47.8, 60.2) 0.6(0.2, 0.6) 11.1(5.7, 14.6) 30.0(18.0, 38.0) 132.0(112.0, 152.0) 10.1(9.3, 12.2) 132.5(120.6, 209.5) 0.2(-1.6, 1.7) 正常 1 643 89(79, 95) 106(97, 113) 66(59, 71) 48.2(42.1, 54.6) 0.5(0.2, 0.6) 11.9(7.1, 16.5) 35.0(24.0, 43.0) 144.0(121.0, 161.0) 9.5(8.8, 11.6) 157.6(124.5, 231.5) 0.5(-1.4, 2.1) 超重肥胖 385 91(79, 97) 108(100, 115) 70(61, 75) 39.6(32.6, 44.5) 0.4(0.2, 0.5) 11.7(8.2, 16.1) 31.0(22.0, 39.0) 133.0(114.0, 155.0) 10.2(9.1, 12.6) 160.4(133.5, 241.5) -1.3(-2.9, 0.9) Z值 33.9 24.5 46.5 262.5 102.6 5.1 32.5 27.5 33.6 27.6 51.6 P值 <0.01 <0.01 <0.01 <0.01 <0.01 0.07 <0.01 <0.01 <0.01 <0.01 <0.01 注:1 mm Hg=0.133 kPa。 -
[1] YEE K E, PFEIFFER K A, WEATHERSPOON L J, et al. Associations among obesity, physical activity, nutrition, and family environment in adolescents[J]. Med Sci Sports Exercise, 2019, 51(6): 97. [2] DONG Y, LAU P W C, DONG B, et al. Trends in physical fitness, growth, and nutritional status of Chinese children and adolescents: a retrospective analysis of 1.5 million students from six successive national surveys between 1985 and 2014[J]. Lancet Child Adolesc Health, 2019, 3(12): 871-880. doi: 10.1016/S2352-4642(19)30302-5 [3] YE X F, DONG W, TAN L L, et al. Identification of the most appropriate existing anthropometric index for home-based obesity screening in children and adolescents[J]. Public Health, 2020, 189(3): 20-25. [4] BENDOR C D, BARDUGO A, PINHAS-HAMIEL O, et al. Cardiovascular morbidity, diabetes and cancer risk among children and adolescents with severe obesity[J]. Cardiovasc Diabetol, 2020, 19(1): 79. doi: 10.1186/s12933-020-01052-1 [5] TEE J, GAN W Y, TAN K A, et al. Obesity and unhealthy lifestyle associated with poor executive function among Malaysian adolescents[J]. PLoS One, 2018, 13(4): 195934. [6] DASH K, GOYDER E C, QUIRK H. A qualitative synthesis of the perceived factors that affect participation in physical activity among children and adolescents with type 1 diabetes[J]. Diabet Med, 2020, 37(6): 934-944. doi: 10.1111/dme.14299 [7] 教育部. 2019年全国学生体质与健康调研及国家学生体质健康标准抽查复核实施方案[A/OL]. (2019-07-10)[2019-02-03]. http://www.moe.gov.cn/2019-07-12.Ministry of Education of the PRC. Implementation plan of national student physique and health survey and nationalstudent physique health standard spot check in 2019[A/OL]. (2019-07-10)[2019-02-03]. http://www.moe.gov.cn/2019-07-12. [8] 国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WST 586—2018[S]. 2018-08-01.National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-agechildren and adolescents: WS/T 586-2018[S]. 2018-08-01. [9] 国家卫生和计划生育委员会. 学龄儿童青少年营养不良筛查标准: WS/T 456—2014[S]. 2014-06-20.National Health and Family Planning Commission of the PRC. Screening standard for malnutrition of school-age children and adolescents: WS/T 456-2014[S]. 2014-06-20. [10] 福建省教育厅体育卫生艺术教育与语言文字处. 2014年福建省汉族学生体质与健康研究[M]. 福州: 福建教育出版社, 2016: 93-99.Division of Sports Health and Art Education in Fujian Education De-partment. Study on physical fitness and health of Han students in Fujian Province in 2014[M]. Fuzhou: Fujian Education Press, 2016: 93-99. [11] 董彦会, 王政和, 杨招庚, 等. 2005年至2014年中国7~18岁儿童青少年营养不良流行现状及趋势变化分析[J]. 北京大学学报(医学版), 2017, 49(3): 424-432. doi: 10.3969/j.issn.1671-167X.2017.03.009DONG Y H, WANG Z H, YANG Z G, et al. Epidemic status andsecular trends of malnutrition among children and adolescents aged 7-18 years from 2005 to 2014 in China[J]. J Peking Univ(Healt Sci), 2017, 49(3): 424-432. doi: 10.3969/j.issn.1671-167X.2017.03.009 [12] 王晓琳, 娄晓民, 许凤鸣, 等. 河南省中小学生营养状况对体能素质的影响[J]. 中国学校卫生, 2018, 39(3): 350-353. doi: 10.16835/j.cnki.1000-9817.2018.03.009WANG X L, LOU X M, XU F M, et al. Influence of nutritional status on physical fitness among primary and middle school students inHenan Province[J]. Chin J Sch Health, 2018, 39(3): 350-353. doi: 10.16835/j.cnki.1000-9817.2018.03.009 [13] 刘德国. 安徽省中小学生营养状况研究[D]. 合肥: 安徽医科大学, 2019.LIU D G. The nutritional status research of primary and middle schoolstudents in Anhui Province[D]. Hefei: Anhui Medical University, 2019. [14] 刘辉, 赵艳芳, 邵歌, 等. 北京市丰台区幼儿园儿童视屏时间现况及影响因素分析[J]. 现代预防医学, 2021, 48(5): 4. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202105017.htmLIU H, ZHAO Y F, SHAO G, et al. Analysis on the current situation and influencing factors of children's screen time in kindergartens in Fengtai District, Beijing[J]. Mod Prev Med, 2021, 48(5): 4. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202105017.htm [15] 史言菲. 青岛市中小学生超重、肥胖与身体机能和体能指标的关联性研究[D]. 青岛: 青岛大学, 2016.SHI Y F. Association of overweight and obesity with physical functionand physical fitness in primary and secondary school students in Qingdao[D]. Qingdao: Qingdao University, 2016. [16] JAACKS L M, VANDEVIJVERE S, PAN A, et al. The obesity transition: stages of the global epidemic[J]. Lancet Diabetes Endocrinol, 2019, 7(3): 231-240. doi: 10.1016/S2213-8587(19)30026-9 [17] 刘宏, 常利涛, 黄达峰, 等. 云南省汉族中小学生身体形态与肺活量关系[J]. 中国学校卫生, 2012, 33(8): 956-960. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201208024.htmLIU H, CHANG L T, HUANG D F, et al. Relationship between mor-phological structure and vital capacity of Han students in Yunnan Province[J]. Chin J Sch Health, 2012, 33(8): 956-960. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201208024.htm [18] HO C C, LEE P F, CHEN H L, et al. Poor health-related physical fitness performance increases the overweight and obesity risk in older adults from Taiwan[J]. BMC Geriatr, 2021, 9, 21(1): 170. [19] VANDONI M, LOVECCHIO N, PELLINO V C, et al. Self-reported physical fitness in children and adolescents with obesity: a cross-sectional analysis on the level of alignment with multiple adiposity indexes[J]. Children, 2021, 8(6): 476. doi: 10.3390/children8060476 [20] SONG J H, SONG H H, KIM S. Effects of school-based exercise program on obesity and physical fitness of urban youth: a quasi-experiment[J]. Healthcare, 2021, 9(3): 358. doi: 10.3390/healthcare9030358 [21] RODRIGUEZ-AYLLON M, ESTEBAN-CORNEJO I, VERDEJO-ROMáN J, et al. Physical fitness and white matter microstructure in children with overweight or obesity: the active brains project[J]. Scientific Reports, 2020, 10(1): 12469. doi: 10.1038/s41598-020-67996-2 [22] 田甜, 薛建, 王硕, 等. 山东省7~18岁儿童青少年营养状况与体能相关性分析. 中国儿童保健杂志, 2014, 22(8): 813-815, 818. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201408010.htmTIAN T, XUE J, WANG S, et al. Correlation between nutrition statusand physical fitness of children and adolescents aged 7-18 years oldin Shandong Province. Chin J Child Health Care, 2014, 22(8): 813-815, 818. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201408010.htm [23] WANG J, ZHU Y, JING J, et al. Relationship of BMI to the inci-dence of ypertension: a 4 years'cohort study among children in Guangzhou 2007-2011. BMC Public Health, 2015, 15(1): 782. doi: 10.1186/s12889-015-1997-6 -

计量
- 文章访问数: 466
- HTML全文浏览量: 227
- PDF下载量: 44
- 被引次数: 0