大学生直觉饮食与自测健康的关联

杜亚坦; 高芹; 郝丽萍

doi:10.16835/j.cnki.1000-9817.2022.07.020

大学生直觉饮食与自测健康的关联

doi: 10.16835/j.cnki.1000-9817.2022.07.020

杜亚坦^{1, 2},
高芹^3, ,,
郝丽萍²

1.
湖北大学医院公共卫生科，武汉 430062
2.
华中科技大学公共卫生学院营养与食品卫生学系
3.
济宁医学院公共卫生学院

详细信息

作者简介:
杜亚坦(1996-)，女，河南南阳人，硕士，公共卫生医师，主要研究方向为青少年营养与健康，中老年常见病监测与干预

通讯作者:
高芹，E-mail: gqnutr@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G647.8 R179 R193
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- 被引次数: 0
出版历程
- 收稿日期: 2022-01-08
- 修回日期: 2022-03-11
- 网络出版日期: 2022-07-27
- 刊出日期: 2022-07-25

Correlation between intuitive eating and self-rated health among college students

DU Yatan^{1, 2},
GAO Qin^{3
, ,},
HAO Liping²

1.
Department of Public Health Hospital of Hubei University, Wuhan(430062), China

摘要

摘要: 目的了解国内大学生直觉饮食量表(IES-2)和自测健康评定量表(SRHMS V1.0)得分现状及相关性，为改善大学生健康提供科学建议。方法采用整群随机抽样方法，于2019年7—12月从中国8所大学抽取542名大学生进行线上问卷调查。校正混杂后采用多元线性回归分析直觉饮食水平对自测健康状况的影响。结果大学生SRHMS V 1.0得分为(69.84±10.28)分，生理自测健康(PSH)、心理自测健康(MSH)和社会自测健康(SSH)得分分别为(78.50±10.39)(61.86±14.53)(67.54±14.71)分。校正混杂因素后，IES-2得分与SRHMS V 1.0、PSH、MSH和SSH呈正相关(β值分别为6.46，5.00，10.15，3.90，P值均 < 0.05)；以身体而非情绪原因进食得分提高与SRHMS V 1.0、PSH和MSH均呈正相关(β值分别为2.47，2.30，4.71，P值均 < 0.05)；依赖饥饿感和饱腹感暗示进食维度得分与SRHMS V 1.0、PSH、MSH和SSH均呈正相关(β值分别为2.44，1.69，2.71，3.16，P值均 < 0.05)；身体—食物选择一致性维度得分与SRHMS V1.0、PSH、MSH和SSH均呈正相关(β值分别为3.71，2.53，4.68，4.17，P值均 < 0.05)。结论直觉饮食水平提高对改善整体健康具有积极作用，尤其是心理健康。当存在生理、心理或社会问题时，应避免情绪化进食，培养依赖饥饿感和饱腹感进食习惯，进食富含营养且满足身体需求的食物。
- 饮食习惯 /
- 问卷调查 /
- 回归分析 /
- 学生
Abstract: Objective To investigate average score and correlation of IES-2 and Self-rated Health Measurement Scales V1.0 (SRHMS V1.0) among Chinese college students, so as to provide a scientific reference for health promotion of college students. Methods A random cluster sampling method was applied to conduct an online questionnaire survey from July to December 2019 among 542 college students from 8 universities. Multiple linear regression was used to analyze the association of intuitive diet level on self-reported health status after adjusting for confounding factors. Results The average scores of SRHMS V1.0 was (69.84±10.28), and the mean scores of physical self-rated health (PSH), mental self-rated health (MSH) and social self-rated health (SSH) sub-scale were(78.50±10.39)(61.86±14.53)(67.54±14.71), respectively. After adjusting for confounders, the β coefficient of IES-2 and SRHMS V1.0, PSH, MSH and SSH were 6.46, 5.00, 10.15 and 3.90 (P < 0.05). Higher level of EPR had positive effects on SRHMS V1.0, PSH and MSH (β=2.47, 2.30, 4.71, P < 0.05). Higher level of RHSC had positive effects on SRHMS V1.0, PSH, MSH and SSH(β=2.44, 1.69, 2.71, 3.16, P < 0.05).Higher level of B-FCC had positive effects on SRHMS V1.0, PSH, MSH and SSH(β=3.71, 2.53, 4.68, 4.17, P < 0.05). Conclusion The intuitive eating has a positive effect on overall health, especially on mental health. College students should avoid emotional eating, and eat in response to hunger and satiety signals as well as eat healthy food to meet physical needs when facing physical, mental and social problems.
- Food habits /
- Questionnaires /
- Regression analysis /
- Students
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表 1 不同社会人口学特征大学生SRHMS V 1.0总分及分量表得分比较(x±s)

Table 1. Comparison of total score and subscale scores of SRHMS V1.0 for college students with different socio-demographic characteristics(x±s)

人口统计学指标	选项	人数	统计值	SRHMS V 1.0总分	生理自测健康	心理自测健康	社会自测健康
性别	男	220		69.78±10.17	78.38±10.80	62.35±14.64	66.87±15.09
	女	322		69.88±10.37	78.58±10.11	61.53±14.46	68.00±14.45
			t值	-0.12	-0.23	0.65	-0.88
			P值	0.91	0.82	0.52	0.38
年龄/岁	< 25	489		69.50±10.27	78.24±10.34	61.40±14.57	67.25±14.69
	≥25	53		72.98±9.96	80.93±10.62	66.18±13.52	70.20±14.70
			t值	-2.35	-1.80	-2.28	-1.39
			P值	0.02	0.07	0.02	0.17
BMI等级	偏瘦	93		69.08±10.31	77.13±9.71	60.93±13.93	67.85±14.29
	正常	388		69.95±10.35	78.69±10.54	62.21±14.53	67.25±14.79
	超重/肥胖	61		70.28±9.85	79.36±10.40	61.07±15.53	68.93±14.93
			F值	0.33	1.08	0.39	0.37
			P值	0.72	0.34	0.68	0.69
民族	汉族	466		69.60±10.11	78.49±10.49	61.53±4.11	67.10±4.67
	少数民族	76		71.30±11.24	78.55±9.77	63.92±6.81	70.25±4.77
			t值	-1.34	-0.05	-1.33	-1.74
			P值	0.18	0.96	0.18	0.08
专业	医学	269		71.07±10.54	79.01±11.44	63.27±14.58	69.58±14.52
	非医学	273		68.63±9.89	78.00±9.22	60.4±14.36	65.53±14.64
			t值	2.79	1.14	2.25	3.23
			P值	0.01	0.25	0.03	< 0.01
独生子女	是	220		69.96±10.08	78.38±9.65	61.67±14.63	68.41±15.35
	否	322		69.76±10.43	78.58±10.87	62.00±14.47	66.95±14.24
			t值	0.23	-0.23	-0.25	1.14
			P值	0.82	0.82	0.80	0.26
户籍	城镇	302		70.92±10.15	79.07±9.54	62.92±4.89	69.36±14.55
	农村	240		68.49±10.31	77.78±11.34	60.54±3.98	65.25±14.61
			t值	2.72	1.44	1.90	3.26
			P值	0.01	0.15	0.06	< 0.01
早产	是	44		69.64±10.28	80.88±8.43	57.89±13.21	68.39±14.99
	否	498		69.86±10.29	78.29±10.52	62.22±14.60	67.46±14.69
			t值	-0.14	1.59	-1.90	0.40
			P值	0.89	0.11	0.06	0.69
分娩方式	顺产	453		70.08±10.17	78.59±10.64	62.31±14.14	67.75±14.54
	剖宫产	89		68.61±10.81	78.07±9.01	59.60±16.24	66.48±15.57
			t值	1.23	0.43	1.62	0.74
			P值	0.22	0.67	0.11	0.46
胎次	1	374		69.81±10.07	78.80±9.39	61.60±14.70	67.32±14.78
	≥2	168		69.91±10.76	77.83±12.32	62.45±14.15	68.03±14.56
			t值	-0.11	1.02	-0.63	-0.52
			P值	0.91	0.31	0.53	0.60
父母人均月收入/元	< 3 000	145		69.24±11.17	78.11±12.30	61.56±15.67	66.26±14.42
	3 000~4 999	232		69.46±9.90	78.42±9.85	61.61±14.04	66.57±15.23
	5 000~9 999	116		69.47±9.71	77.99±9.37	60.61±13.77	68.48±13.33
	≥10 000	49		74.30±9.83	81.25±8.72	66.91±14.43	73.69±14.90
			F值	3.44	1.31	2.32	3.77
			P值	0.02	0.27	0.07	0.01
父母最高文化程度	初中及以下	186		68.66±10.42	77.86±11.91	60.93±14.39	65.29±14.55
	高中/中专	166		69.80±10.21	78.65±10.36	61.53±13.95	67.62±14.77
	大专	68		69.31±9.88	78.55±7.69	60.33±14.83	67.43±14.02
	本科及以上	122		71.99±10.16	79.25±9.23	64.61±15.14	70.94±14.76
			F值	2.68	0.46	2.00	3.68
			P值	0.05	0.71	0.11	0.01

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表 2 大学生中文版ISE-2得分对SRHMS V 1.0及各分量表得分的多元线性回归分析(n=542)

Table 2. Multiple linear regression analysis of ISE-2 scores on the scale and subscale scores of SRHMS V 1.0 among college students(n=542)

因变量	自变量	标准误	B值	t值	P值	β值(β值95%CI)
SRHMS V 1.0	IES-2	7.52	0.23	5.27	< 0.01	6.46 (4.05~8.86)
	UPE	0.76	-0.07	-1.59	0.11	-1.20 (-2.69~0.28)
	EPR	0.64	0.17	3.86	< 0.01	2.47 (1.22~3.73)
	RHSC	0.66	0.16	3.69	< 0.01	2.44 (1.14~3.74)
	B-FCC	0.62	0.25	5.97	< 0.01	3.71 (2.49~4.93)
PSH	IES-2	1.27	0.17	3.95	< 0.01	5.00 (2.51~7.48)
	UPE	0.77	-0.60	-1.45	0.15	-1.12 (-2.64~0.40)
	EPR	0.66	0.15	3.51	< 0.01	2.30 (1.10~3.59)
	RHSC	0.68	0.11	2.49	0.01	1.69 (0.36~3.03)
	B-FCC	0.65	0.17	3.91	< 0.01	2.53 (1.26~3.79)
MSH	IES-2	1.72	0.25	5.90	< 0.01	10.15 (6.77~13.54)
	UPE	1.07	-0.05	-1.07	0.28	-1.15 (-3.25~0.96)
	EPR	0.90	0.23	5.26	< 0.01	4.71 (2.95~6.47)
	RHSC	0.94	0.13	2.88	< 0.01	2.71 (0.86~4.55)
	B-FCC	0.88	0.23	5.30	< 0.01	4.68 (2.95~6.42)
SSH	IES-2	1.78	0.10	2.19	0.03	3.90 (0.41~7.40)
	UPE	1.08	-0.06	-1.28	0.20	-1.38 (-3.50~0.74)
	EPR	0.92	0.00	-0.81	0.93	-0.08 (-1.90~1.74)
	RHSC	0.94	0.14	3.35	< 0.01	3.16 (1.30~5.01)
	B-FCC	0.90	0.20	4.66	< 0.01	4.17 (2.41~5.92)
注：校正了大学生年龄、性别、BMI等级、专业、户籍、父母人均月收入、父母最高文化程度、早产、分娩方式。

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