大学生中医体质与心血管健康行为的相关性

董舒齐; 郑娴; 李雪

doi:10.16835/j.cnki.1000-9817.2022.08.013

大学生中医体质与心血管健康行为的相关性

doi: 10.16835/j.cnki.1000-9817.2022.08.013

董舒齐¹,
郑娴^2, ,,
李雪³

1.
辽宁中医药大学第一临床医学院, 沈阳 110847
2.
辽宁中医药大学第一附属医院
3.
沈阳大学

基金项目:

辽宁省自然基金资助计划项目 2020-MS-227

详细信息

作者简介:
董舒齐(1997-)，女，辽宁沈阳人，在读硕士，主要研究方向为中西医结合防治心血管疾病

通讯作者:
郑娴，E-mail：1736429419@qq.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 G804.49 R725.4
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- 被引次数: 0
出版历程
- 收稿日期: 2022-03-22
- 修回日期: 2022-05-05
- 网络出版日期: 2022-08-24
- 刊出日期: 2022-08-25

Correlation analysis of Traditional Chinese Medicine physical fitness and cardiovascular health behaviors among college students

DONG Shuqi¹,
ZHENG Xian^{2
, ,},
LI Xue³

1.
The First Clinical College of Liaoning University of Traditional Chinese Medicine, Shenyang(110847), China

摘要

摘要: 目的分析大学生中医体质与心血管健康行为的相关性，为针对大学生群体开展体质管理与心血管疾病的一级预防提供参考。方法 2021年8—11月，采用整群随机抽样法选取辽宁省3所高校(辽宁中医药大学、沈阳大学、辽东学院)的1 621名大学生为调查对象，应用中医体质分类判定量表及美国心脏病协会提出的心血管健康行为指标为标准进行问卷调查，分析大学生中医体质与心血管健康行为的相关性。结果吸烟处于差的状态比例在男生(20.7%)、艺体类学生(27.3%)中偏高(χ²值分别为184.99，79.43，P值均 < 0.05)；体质量指数(BMI)处于差的状态在男生(4.7%)、医学类学生(3.6%)中偏高(χ²值分别为64.11，15.38，P值均 < 0.05)；体育锻炼处于差的状态在女生(39.6%)、医学专业(45.2%)、有心血管疾病(cardiovascular disease, CVD)家族史学生(33.4%)中偏高(χ²值分别为145.40，189.91，15.89，P值均 < 0.05)；健康膳食处于差的状态在医学专业、无CVD家族史学生中(45.8%，43.1%)偏高(χ²值分别为33.13，15.57，P值均 < 0.05)；不同性别、专业、CVD家族史大学生中医体质差异均有统计学意义(χ²值分别为101.22，82.38，90.42，P值均 < 0.01)。健康膳食(理想)、体育锻炼(理想、一般)与气虚质呈负相关(OR值分别为0.48，0.19，0.63)，体育锻炼(理想、一般)与阳虚质呈负相关(OR值分别为0.43，0.68)，BMI(理想)、体育锻炼(理想)与痰湿质呈负相关(OR值分别为0.21，0.37)，体育锻炼(理想)与湿热质、血瘀质呈负相关(OR值分别为0.34，0.20)，体育锻炼(理想、一般)与气郁质呈负相关(OR值分别为0.34，0.51)(P值均 < 0.05)。结论中医体质与心血管健康行为具有相关性，且心血管健康行为各指标对不同中医体质具有不同程度的影响。可根据不同偏颇体质采取个体化的心血管干预措施。
- 体质 /
- 心血管系统 /
- 健康行为 /
- 回归分析 /
- 学生
Abstract: Objective To analyze the correlation between Traditional Chinese Medicine (TCM) physical fitness and cardiovascular health behaviors among college students and to provide a reference for physical fitness management and primary prevention of cardiovascular diseases for college population. Methods From August to November 2021, 1 621 college students from three universities in Liaoning Province were selected by clustering random sampling method, and questionnaire survey was conducted using the TCM Physical Fitness Determination Scale and the cardiovascular health behavior index proposed by the American Heart Association to analyze the correlation between TCM physical fitness and cardiovascular health behavior among college students. Results Cigarette smoking was higher among male students (20.7%) and students majoring arts and sports(27.3%)(χ²=184.99, 79.43, P < 0.05). Body mass index (BMI) was higher among male students (4.7%) and students majoring medicine(3.6%)(χ²=64.11, 15.38, P < 0.05). Physical inactivity was more common among female students(39.6%), medical majors(45.2%), and students with a family history of cardiovascular disease(CVD)(33.4%)(χ²=145.40, 189.91, 15.89, P < 0.05). Unhealthy diet was more common among students with medical majors and no family history of CVD(45.8%, 43.1%)(χ²=33.13, 15.57, P < 0.05). Significant differences in TCM body composition were found among college students by gender, major, and family history of CVD(χ²=101.22, 82.38, 90.42, P < 0.01). Healthy diet (ideal) and physical exercise (ideal, average) were negatively associated with Qi deficiency (OR=0.48, 0.19, 0.63), physical exercise (ideal, average) was negatively associated with Yang deficiency(OR=0.43, 0.68), BMI (ideal) and physical exercise (ideal) were negatively associated with Phlegm-dampness(OR=0.21, 0.37), physical exercise (ideal) was negatively correlated with Damp-heat and Blood-stasis qualities (OR=0.34, 0.20), and physical exercise (ideal, general) was negatively correlated with Qi-yu qualities(OR=0.34, 0.51)(P < 0.05). Conclusion TCM physical fitness is associated with cardiovascular health behavior, with varying effects of each indicator of cardiovascular health behavior on TCM physical fitness. Personalized cardiovascular interventions should be taken according to differential constitutions to provide reference for constitution regulation and cardiovascular disease prevention.
- Body constitution /
- Cardiovascular system /
- Health behavior /
- Regression analysis /
- Students
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表 1 不同组别大学生中医体质类型分布

Table 1. Distribution of TCM body types among college students with different demographic characteristics

组别	选项	人数	平和质	气虚质	阳虚质	阴虚质	痰湿质	湿热质	血瘀质	气郁质	特禀质
性别	男	662	276(41.7)	83(12.5)	69(10.4)	73(11.0)	50(7.6)	52(7.9)	14(2.1)	24(3.6)	21(3.2)
	女	959	252(26.3)	86(9.0)	254(26.5)	126(13.1)	58(6.0)	57(5.9)	42(4.4)	61(6.4)	23(2.4)
专业	医学类	469	117(24.9)	58(12.4)	101(21.5)	60(12.8)	29(6.2)	39(8.3)	17(3.6)	32(6.8)	16(3.4)
	文史类	211	59(28.0)	18(8.5)	32(15.2)	35(16.6)	17(8.1)	17(8.1)	12(5.7)	17(8.0)	4(1.9)
	理工类	798	271(34.0)	86(10.8)	162(20.3)	96(12.0)	52(6.5)	50(6.3)	27(3.4)	34(4.3)	20(2.5)
	艺体类	143	81(56.6)	7(4.9)	28(19.6)	8(5.6)	10(7.0)	3(2.1)	0	2(1.4)	4(2.8)
有无CVD家族史	无	918	382(41.6)	75(8.2)	169(18.4)	104(11.3)	59(6.4)	41(4.5)	29(3.2)	39(4.2)	20(2.2)
	有	703	146(20.8)	94(13.4)	154(21.9)	95(13.5)	49(7.0)	68(9.7)	27(3.8)	46(6.5)	24(3.4)
合计		1 621	528(32.6)	169(10.4)	323(19.9)	199(12.3)	108(6.7)	109(6.7)	56(3.5)	85(5.2)	44(2.7)
注：()内数字为构成比/%。

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参考文献(20)

[1]	中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2019概要[J]. 中国循环杂志, 2020, 35(9): 833-854. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH202009001.htm The Writing Committee of the Report on Cardiovascular Health Diseases in China. Report on cardiovascular health and diseases in China 2019: an updated summary[J]. Chin Circ J, 2020, 35(9): 833-854. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH202009001.htm
[2]	俞风华. 中青年冠心病患者心血管危险因素分析与临床护理干预[J]. 山西医药杂志, 2016, 45(21): 2578-2580. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY201621047.htm YU F H. Analysis of cardiovascular risk factors and clinical care interventions in young and middle-aged patients with coronary artery disease[J]. Shanxi Med J, 2016, 45(21): 2578-2580. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYY201621047.htm
[3]	吴佩珊, 陈洁瑜, 李斐, 等. 湿热体质与生活方式的相关性探讨[J]. 世界科学技术-中医药现代化, 2020, 22(7): 2460-2465. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX202007039.htm WU P S, CHEN J Y, LI F, et al. Discussion on the correlation between damp-heat constitution and lifestyle[J]. World Sci Technol-Moderniz Tradit Chin Med, 2020, 22(7): 2460-2465. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX202007039.htm
[4]	LLOYD-JONES D M, HONG Y L, LABARTHE D, et al. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association's strategic impact goal through 2020 and beyond[J]. Circulation, 2010, 121(4): 586-613. doi: 10.1161/CIRCULATIONAHA.109.192703
[5]	张立杰, 王晓玲, 宋巧凤, 等. 健康行为和因素评分对心脑血管事件及全因死亡的影响及研究[J]. 中国循证心血管医学杂志, 2018, 10(6): 675-677. doi: 10.3969/j.issn.1674-4055.2018.06.09 ZHANG L J, WANG X L, SONG Q F, et al. Influence of health behavior and factor scoring on cardiovascular and cerebrovascular events and all-cause mortality[J]. Chin J Evidence-Based Cardiovas Med, 2018, 10(6): 675-677. doi: 10.3969/j.issn.1674-4055.2018.06.09
[6]	HAN C, LIU F C, YANG X L, et al. Ideal cardiovascular health and incidence of atherosclerotic cardiovascular disease among Chinese adults: the China-PAR project[J]. Sci China Life Sci, 2018, 61(5): 504-514. doi: 10.1007/s11427-018-9281-6
[7]	曹聪杰, 周艺, 杜少英, 等. 保定市大学生理想心血管健康行为现况[J]. 中国学校卫生, 2017, 38(9): 1318-1321. doi: 10.16835/j.cnki.1000-9817.2017.09.011 CAO C J, ZHOU Y, DU S Y, et al. Ideal cardiovascular health behaviors among college students in Baoding: a cross-sectional study[J]. China J Sch Health, 2017, 38(9): 1318-1321. doi: 10.16835/j.cnki.1000-9817.2017.09.011
[8]	中华中医药学会. 中医体质分类与判定(ZYYXH/T 157-2009)[J]. 世界中西医结合杂志, 2009, 4(4): 303-304. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZX200904037.htm Chinese Society of Traditional Chinese Medicine. Classification and determination of physical constitution in Chinese medicine(ZYYXH/T 157-2009)[J]. World J Integrat Tradit Western Med, 2009, 4(4): 303-304. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZX200904037.htm
[9]	杨月欣, 张环美. 《中国居民膳食指南(2016)》简介[J]. 营养学报, 2016, 38(3): 209-217. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX201603003.htm YANG Y X, ZHANG H M. Introduction to the Dietary Guidelines for Chinese Residents(2016)[J]. Acta Nutrit Sinica, 2016, 38(3): 209-217. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX201603003.htm
[10]	中国心血管病风险评估和管理指南编写联合委员会. 中国心血管病风险评估和管理指南[J]. 中国循环杂志, 2019, 34(1): 4-28. doi: 10.3969/j.issn.1000-3614.2019.01.002 The Joint Task Force for Guideline on the Assessme. Guideline on the assessment and management of cardiovascular risk in China[J]. Chin Circ J, 2019, 34(1): 4-28. doi: 10.3969/j.issn.1000-3614.2019.01.002
[11]	韩超. 中国人群理想心血管健康行为和因素与动脉粥样硬化性心血管疾病发病风险的关系[D]. 北京: 北京协和医学院, 2018. HAN C. Relationship between ideal cardiovascular health behaviors and factors and the risk of atherosclerotic cardiovascular disease in a Chinese population[D]. Beijing: Peking Union Medical College, 2018.
[12]	钱淑红, 雒文虎, 段一鑫, 等. 大学生危险和有害饮酒现状及其与成人ADHD症状和压力的关系[J]. 中国心理卫生杂志, 2021, 35(1): 46-51. doi: 10.3969/j.issn.1000-6729.2021.01.009 QIAN S H, LUO W H, DUAN Y X, et al. Relation of hazardous and harmful drinking to ADHD symptoms and stress in college students[J]. Chin Ment Health J, 2021, 35(1): 46-51. doi: 10.3969/j.issn.1000-6729.2021.01.009
[13]	丁小燕, 洪平, 张蕴琨. 江苏省大学生体育锻炼参与行为现状及影响因素分析[J]. 中国学校卫生, 2019, 40(2): 206-209. doi: 10.16835/j.cnki.1000-9817.2019.02.013 DING X Y, HONG P, ZHANG Y K. Analysis on the current situation and influencing factors of college students' participation in physical exercise in Jiangsu[J]. Chin J Sch Health, 2019, 40(2): 206-209. doi: 10.16835/j.cnki.1000-9817.2019.02.013
[14]	潘敏, 费晓军, 李婷, 等. 在校大学生中医基本体质调查分析[J]. 中华中医药杂志, 2015, 30(8): 2971-2974. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201508096.htm PAN M, FEI X J, LI T, et al. Analysis on the distribution of basic Chinese medical constitutions in college students[J]. Chin J Tradit Chin Med Pharm, 2015, 30(8): 2971-2974. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201508096.htm
[15]	高思华, 王键. 中医基础理论[M]. 2版. 北京: 人民卫生出版社, 2012: 73. GAO S H, WANG J. Basic theory of Chinese medicine[M]. 2 ed. Beijing: People's Medical Publishing House, 2012: 73.
[16]	田思胜. 朱丹溪医学全书[M]. 北京: 中国中医药出版社, 2019: 15, 88. TIAN S S. Zhu Danxi's complete book of medicine[M]. Beijing: China Press of Traditional Chinese Medicine, 2019: 15, 88.
[17]	史穆然, 朱燕波, 王乐融, 等. 超重/肥胖、运动及其交互作用对痰湿体质的影响研究[J]. 中国全科医学, 2018, 21(34): 4217-4222. doi: 10.12114/j.issn.1007-9572.2018.34.011 SHI M R, ZHU Y B, WANG L R, et al. Overweight/obesity and exercise, and their interaction in normal adults with Phlegm-dampness constitution[J]. Chin Gen Pract, 2018, 21(34): 4217-4222. doi: 10.12114/j.issn.1007-9572.2018.34.011
[18]	郑源. 不同运动项目对阳虚质女大学生体质的影响研究[D]. 杭州: 杭州师范大学, 2017. ZHEN Y. Study on the influence of different sports on physique of female college students with Yang deficiency[D]. Hangzhou: Hangzhou Normal University, 2017.
[19]	何栩, 虞亚明, 崔迪, 等. 羽毛球和太极拳运动对湿热型和阳虚型体质大学生身体机能的影响[J]. 河南医学研究, 2021, 30(3): 388-392. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYX202103002.htm HE X, YU Y M, CUI D, et al. Effects of badminton and Tai Chi on physical function of college students with Damp-heat constitution or Yang-deficiency constitution[J]. Henan Med Res, 2021, 30(3): 388-392. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYX202103002.htm
[20]	邸洁, 海纳尔, 朱燕波. 不同运动习惯对大学生中医体质的影响[J]. 天津中医药, 2017, 34(10): 655-658. doi: 10.11656/j.issn.1672-1519.2017.10.03 DI J, HAI N E, ZHU Y B. Relationship of exercise and traditional Chinese medicine constitution of university students[J]. Tianjin J Tradit Chin Med, 2017, 34(10): 655-658. doi: 10.11656/j.issn.1672-1519.2017.10.03