医学生进食行为与体成分的相关性

闫鑫; 解瑞宁; 乔艺; 江顺利; 程晓宇; 余婕; 邓依婷; 林立

doi:10.16835/j.cnki.1000-9817.2022.08.019

医学生进食行为与体成分的相关性

doi: 10.16835/j.cnki.1000-9817.2022.08.019

闫鑫^{1, 2},
解瑞宁²,
乔艺²,
江顺利²,
程晓宇²,
余婕²,
邓依婷²,
林立^{1, 2, ,}

1.
潍坊医学院公共卫生学院, 山东 261053
2.
济宁医学院公共卫生学院

基金项目:

国家自然科学基金青年科学基金项目 31600947

详细信息

作者简介:
闫鑫(1998-)，女，山东济宁人，在读硕士，主要研究方向为卫生毒理学

通讯作者:
林立，E-mail：linli6711@sina.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R444 R179 G647.8
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- HTML全文浏览量: 123
- PDF下载量: 32
- 被引次数: 0
出版历程
- 收稿日期: 2022-03-28
- 修回日期: 2022-06-06
- 网络出版日期: 2022-08-24
- 刊出日期: 2022-08-25

Correlation between eating behaviors with body composition among medical students

YAN Xin^{1, 2},
XIE Ruining²,
QIAO Yi²,
JIANG Shunli²,
CHENG Xiaoyu²,
YU Jie²,
DENG Yiting²,
LIN Li^{1, 2
, ,}

1.
School of Public Health, Weifang Medical University, Weifang(261053), Shandong Province, China

摘要

摘要: 目的探讨医学生体成分和进食行为相关性，为提高医学生身体素质提供相应的科学依据。方法 2021年12月，采用分层整群随机抽样方法对济宁医学院校大一至大四445名在校医学生进行问卷调查和身体成分测量。结果女生中低骨骼肌量152名(53.3%)，男生低骨骼肌量45名(28.1%)；肌肉量低于标准的有167名(37.5%)，其中女生115名(40.4%)，男生49名(30.6%)；体脂百分比高于标准的259名(58.2%)，女生179名(62.8%)，男生80名(50.0%)；腰臀比异常192名(43.1%)，女生139名(48.8%)，男生53名(33.1%)。女生情绪性进食得分高于男生(6.85±2.24，6.11±2.69)，差异有统计学意义(t=2.96，P < 0.05)。认知限制性进食和骨骼肌量、肌肉量呈正相关(r值分别为0.13，0.13，P值均 < 0.05)；情绪性进食与体脂百分比、体脂肪和腰臀比呈正相关(r值分别为0.20，0.20，0.16，P值均 < 0.05)；非限制性进食与体脂百分比、体脂肪和腰臀比呈正相关(r值分别为0.15，0.18，0.15，P值均 < 0.05)。多重线性回归分析显示，性别、家庭所在地、体力活动以及认知限制性进食是影响医学生骨骼肌量、肌肉量的因素(P值均 < 0.05)。结论医学生中存在骨骼肌量低、肌肉量低、体脂百分比和腰臀比高的现象，应当采用合理进食习惯结合抗阻运动的方式提高体质健康水平。
- 进食 /
- 行为 /
- 身体成分 /
- 回归分析 /
- 学生
Abstract: Objective To investigate the correlation between body composition and eating habits among medical students, and to provide evidence for health promotion. Methods In December 2021, stratified cluster random sampling method was used to conduct a questionnaire survey and body composition assessment among 445 students in grade one to grade four in Jining Medical University. Results There were 152 girls (53.3%) and 45 boys (28.1%) with low skeletal muscle mass. Totally 167 students (37.5%) had lower muscle mass, including 115 females (40.4%) and 49 males (30.6%). High body fat percentage was found in 259 (58.2%) students, including 179 females (62.8%) and 80 males (50.0%). There were 192 students (43.1%) with abnormal waist-to-hip ratio, with 139 females (48.8%) and 53 males (33.1%). In addition, emotional eating score of female students was significantly higher than that of male students(6.85±2.24, 6.11±2.69, t=2.96, P < 0.05). Cognitive restricted eating was positively correlated with skeletal muscle mass and musde mass(r=0.13, 0.13, P < 0.05). Emotional eating was positively correlated with body fat percentage, body fat and waist hip ratio(r=0.20, 0.20, 0.16, P < 0.05). Unrestricted eating was positively correlated with body fat percentage, body fat and waist hip ratio(r=0.15, 0.18, 0.15, P < 0.05). Multiple linear regression analysis showed that gender, family residence, physical activity and cognitive eating were associated with skeletal muscle mass and muscle mass of medical students(P < 0.05). Conclusion With low skeletal muscle mass, low muscle mass, body fat percentage and waist and hip high ratio, reasonable eating habits combined with resistance exercise should be adopted to improve their physical health.
- Eating /
- Behavior /
- Body composition /
- Regression analysis /
- Students
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表 1 不同组别医学生身体成分指标比较(x±s)

Table 1. Comparison of body composition among different groups of medical students(x±s)

组别	选项	人数	统计值	骨骼肌量/kg	肌肉量/kg	体脂肪/kg	体脂百分比/%	腰臀比
性别	男	160		31.15±4.62	52.44±7.23	15.49±7.28	20.98±6.85	0.87±0.06
	女	285		21.37±2.67	37.27±4.22	17.83±6.67	30.23±6.27	0.86±0.05
			t值	24.61	27.32	-3.43	-14.44	1.53
			P值	< 0.01	< 0.01	< 0.01	< 0.01	0.13
年级	高	239		25.54±6.23	43.73±9.70	16.70±6.83	26.17±7.69	0.86±0.06
	低	206		24.13±5.30	41.55±8.29	17.32±7.14	27.76±7.97	0.86±0.05
			t值	2.54	2.52	-0.94	-2.13	0.03
			P值	0.01	0.01	0.35	0.03	0.98
每月生活费/元	< 1 000	75		23.69±4.83	40.84±7.55	16.96±6.83	27.68±7.75	0.86±0.05
	1 000~2 000	342		25.00±6.02	42.91±9.38	17.17±6.99	27.05±7.67	0.86±0.05
	>2 000	28		26.67±5.87	45.43±9.17	14.80±7.13	23.09±7.85	0.85±0.06
			F值	2.97	2.93	1.50	3.76	1.42
			P值	0.05	0.06	0.22	0.02	0.24
家庭所在地	城镇	219		25.96±6.23	44.41±9.71	17.81±7.43	27.03±7.75	0.87±0.06
	农村	226		23.84±5.27	41.09±8.21	16.19±6.42	26.78±7.97	0.85±0.05
			t值	3.87	3.89	2.46	0.34	2.98
			P值	< 0.01	< 0.01	0.01	0.74	< 0.01
体力活动	低	249		24.54±5.77	42.16±9.01	17.15±6.81	27.38±7.98	0.86±0.06
	中	145		24.60±5.42	42.61±8.45	16.37±6.59	26.38±7.44	0.86±0.05
	高	51		27.40±6.86	46.63±10.64	17.92±8.64	26.06±8.36	0.87±0.06
			F值	5.43	5.40	1.09	1.08	1.23
			P值	0.01	0.01	0.34	0.34	0.29

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表 2 不同组别医学生进食行为得分比较(x±s)

Table 2. Comparison of eating behavior scores of medical students in different groups(x±s)

组别	选项	人数	统计值	认知限制性进食	情绪性进食	非限制性进食
性别	男	160		12.53±4.00	6.11±2.69	18.49±5.97
	女	285		12.64±3.25	6.85±2.24	19.14±4.36
			t值	-0.30	-2.96	-1.21
			P值	0.77	< 0.01	0.23
年级	高	239		12.77±3.59	6.56±2.45	18.82±5.00
	低	206		12.40±3.48	6.62±2.42	19.00±5.02
			t值	1.20	0.08	0.14
			P值	0.28	0.78	0.71
每月生活费	< 1 000	75		13.31±3.33	6.92±2.50	20.11±4.47
/元	1 000~2 000	342		12.49±3.54	6.48±2.40	18.63±5.03
	>2 000	28		11.93±3.94	6.96±2.67	19.07±5.69
			F值	2.23	1.36	2.73
			P值	0.11	0.26	0.07
家庭所在地	城镇	219		12.47±3.51	6.37±2.37	18.68±5.15
	农村	226		12.72±3.57	6.79±2.48	19.12±4.86
			t值	-0.76	-1.81	-0.93
			P值	0.45	0.07	0.36
体力活动	低	249		12.40±3.41	6.72±2.45	19.31±5.05
	中	145		12.74±3.48	6.52±2.40	18.41±4.86
	高	51		13.16±4.25	6.14±2.48	18.31±5.01
			F值	1.15	1.30	1.91
			P值	0.32	0.27	0.15

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表 3 医学生骨骼肌量、肌肉量的多重线性回归分析(n=445)

Table 3. Multiple linear regression analysis of skeletal muscle mass and muscle mass of medical students(n=445)

自变量	骨骼肌量				肌肉量
自变量	非标准化系数	标准误	标准化系数	P值	非标准化系数	标准误	标准化系数	P值
性别	-9.74	0.34	-0.80	< 0.01	-15.10	0.53	-0.80	< 0.01
年级	-0.06	0.32	-0.01	0.85	-0.09	0.50	-0.01	0.87
家庭所在地	-1.01	0.32	-0.09	< 0.01	-1.60	0.50	-0.09	< 0.01
体力活动
中	0.03	0.30	0.01	0.92	0.08	0.47	0.01	0.87
高	0.96	0.30	0.16	< 0.01	1.49	0.46	0.16	< 0.01
认知限制性进食	0.21	0.09	0.13	0.01	0.33	0.12	0.13	0.01
情绪性进食	-0.01	0.11	-0.00	0.93	-0.01	0.18	-0.00	0.97
非限制性进食	0.09	0.06	0.07	0.12	0.14	0.01	0.08	0.12

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参考文献(28)

[1]	教育部体育卫生与艺术教育司. 第八次全国学生体质与健康调研结果发布[J]. 中国学校卫生, 2021, 42(9): 1281-1282. doi: 10.16835/j.cnki.1000-9817.2021.09.001 Department of Physical Health and Arts Education, Ministry of Education of the PRC. Release report of the Eight National Survey on Student Physical Fitness and Health[J]. Chin J Sch Health, 2021, 42(9): 1281-1282. doi: 10.16835/j.cnki.1000-9817.2021.09.001
[2]	张雪莹. 苏州市2所高职院校大学生营养现状及饮食运动情况调查[J]. 中国校医, 2021, 35(11): 796, 879-881. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202111001.htm ZHANG X Y. Survey on nutritional status, dietary behavior and exercise status of college students in two vocational colleges in Suzhou[J]. Chin J School Doctor, 2021, 35(11): 796, 879-881. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202111001.htm
[3]	蒋建平, 陈燕, 吴俊萱, 等. 株洲市某专科学校医学生体质指数和饮食相关行为调查[J]. 现代食品, 2020(21): 225-228. https://www.cnki.com.cn/Article/CJFDTOTAL-SPXD202021068.htm JIANG J P, CHEN Y, WU J X, et al. Investigation on body mass index and diet-related behavior of medical students in Zhuzhou[J]. Mod Food, 2020(21): 225-228. https://www.cnki.com.cn/Article/CJFDTOTAL-SPXD202021068.htm
[4]	MARTINS B G, DA SILVA W R, MAROCO J, et al. Psychometric characteristics of the Three-Factor Eating Questionnaire-18 and eating behavior in undergraduate students[J]. Eat Weight Disord, 2021, 26(2): 525-536. doi: 10.1007/s40519-020-00885-9
[5]	王丹丹, 张磊, 刘锦昭, 等. 新冠肺炎疫情期间大学生自我效能与体力活动的特征及关系[J]. 中国学校卫生, 2021, 42(5): 697-701. doi: 10.16835/j.cnki.1000-9817.2021.05.014 WANG D D, ZHANG L, LIU J Z, et al. Characteristics and relationship between self-efficacy and physical activity of college students during COVID-19 epidemic[J]. Chin J Sch Health, 2021, 42(5): 697-701. doi: 10.16835/j.cnki.1000-9817.2021.05.014
[6]	AHMAD I, AUNG M N, UENO S, et al. Physical activity of Type 2 diabetes mellitus patients and non-diabetes participants in yangon, myanmar: a case-control study applying the International Physical Activity Questionnaires(IPAQ-S)[J]. Diabet Metab Syndr Obes, 2021, 14: 1729-1739. doi: 10.2147/DMSO.S291468
[7]	石明莉, 孔繁昌, 陈红, 等. 简易版三因素进食问卷的信效度及其在中国女大学生中的适用性[J]. 中国临床心理学杂志, 2011, 19(6): 737-739. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201106008.htm SHI M L, KONG F C, CHEN H, et al. Applicability of Three Fator Eating Questionaire among Chinese women undergraduates[J]. Chin J Clin Psychol, 2011, 19(6): 737-739. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201106008.htm
[8]	乔京转. 体医结合背景下大学生身体成分现状研究[J]. 当代体育科技, 2021, 11(5): 16-18. https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ202105007.htm QIAO J Z. Study on the present situation of college students' body composition in the context of sports-medicine combination[J]. Contemp Sports Technol, 2021, 11(5): 16-18. https://www.cnki.com.cn/Article/CJFDTOTAL-DYKJ202105007.htm
[9]	陆姣, 靳珍珍, 张持晨. 情绪调节策略对医学生压力知觉与异常进食行为的影响[J]. 中国学校卫生, 2019, 40(6): 850-853. doi: 10.16835/j.cnki.1000-9817.2019.06.017 LU J, JIN Z Z, ZHANG C C. Multiple mediation effect on perceived stress and abnormal eating behavior through different emotion regulation strategies among medical students[J]. Chin J Sch Health, 2019, 40(6): 850-853. doi: 10.16835/j.cnki.1000-9817.2019.06.017
[10]	张静, 陈佩杰, 肖卫华. 雄激素对骨骼肌蛋白质代谢的调控及其机制[J]. 生命科学, 2019, 31(8): 826-832. https://www.cnki.com.cn/Article/CJFDTOTAL-SMKX201908012.htm ZHANG J, CHEN P J, XIAO W H. Regulation of androgen on skeletal muscle protein metabolism and its mechanism[J]. Chin Bulle Life Sci, 2019, 31(8): 826-832. https://www.cnki.com.cn/Article/CJFDTOTAL-SMKX201908012.htm
[11]	GIAGULLI V A, CASTELLANA M, PELUSI C, et al. Androgens, body composition, and their metabolism based on sex[J]. Front Horm Res, 2019, 53: 18-32.
[12]	LONGO M, ZATTERALE F, NADERI J, et al. Adipose tissue dysfunction as determinant of obesity-associated metabolic complications[J]. Int J Mol Sci, 2019, 20(9): 2358. doi: 10.3390/ijms20092358
[13]	陆森召. 在校心理亚健康大学生体力活动与身体成分的关系研究[J]. 职业与健康, 2020, 36(22): 3119-3122, 3128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202022026.htm LU S Z. Research on relationship between physical activity and body composition of college students with mental sub-health[J]. Occup Health, 2020, 36(22): 3119-3122, 3128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202022026.htm
[14]	MIKO H C, ZILLMANN N, RING-DIMITRIOU S, et al. Effects of physical activity on health[J]. Gesundheitswesen, 2020, 82(S3): S184-S195.
[15]	葛文倩, 闫林, 李炬. 大学生饮食行为对体质健康的影响[J]. 牡丹江师范学院学报(自然科学版), 2021(2): 68-70. doi: 10.3969/j.issn.1003-6180.2021.02.016 GE W Q, YAN L, LI J. Research on the influences of college students' dietary behavior on physical health[J]. J Mudanjiang Teach Coll(Natur Sci Ed), 2021(2): 68-70. doi: 10.3969/j.issn.1003-6180.2021.02.016
[16]	潘朝霞, 李冰冰. 大学生负性情绪调节效力的差异: 心理素质与性别的作用[J]. 西南大学学报(社会科学版), 2019, 45(1): 113-119. https://www.cnki.com.cn/Article/CJFDTOTAL-XBSW201901015.htm PAN Z X, LI B B. Differences in the effectiveness of college students' negative emotion regulation: the role of psychological quality and gender[J]. J Southwest Univ(Soc Sci Ed), 2019, 45(1): 113-119. https://www.cnki.com.cn/Article/CJFDTOTAL-XBSW201901015.htm
[17]	DU C, ADJEPONG M, ZAN M C H, et al. Gender differences in the relationships between perceived stress, eating behaviors, sleep, dietary risk, and body mass index[J]. Nutrients, 2022, 14(5): 1045. doi: 10.3390/nu14051045
[18]	刘朝辉, 焦洁, 庞亚俊, 等. 河南女大学生生活方式负性情绪与肥胖程度的关系[J]. 中国学校卫生, 2020, 41(2): 239-242. doi: 10.16835/j.cnki.1000-9817.2020.02.021 LIU Z H, JIAO J, PANG Y J, et al. Relation between lifestyle, negative emotions and obesity of female college student[J]. Chin J Sch Health, 2020, 41(2): 239-242. doi: 10.16835/j.cnki.1000-9817.2020.02.021
[19]	BRADEN A, MUSHER-EIZENMAN D, WATFORD T, et al. Eating when depressed, anxious, bored, or happy: are emotional eating types associated with unique psychological and physical health correlates?[J]. Appetite, 2018, 125: 410-417. doi: 10.1016/j.appet.2018.02.022
[20]	LIM M C, PARSONS S, GOGLIO A, et al. Anxiety, stress, and binge eating tendencies in adolescence: a prospective approach[J]. J Eat Disord, 2021, 9(1): 94. doi: 10.1186/s40337-021-00444-2
[21]	BENBAIBECHE H, BOUNIHI A, KOCEIR E A. Leptin level as a biomarker of uncontrolled eating in obesity and overweight[J]. Ir J Med Sci, 2021, 190(1): 155-161. doi: 10.1007/s11845-020-02316-1
[22]	PENG J, YIN L, WANG X. Central and peripheral leptin resistance in obesity and improvements of exercise[J]. Horm Behav, 2021, 133: 105006. doi: 10.1016/j.yhbeh.2021.105006
[23]	HSU B G, WANG C H, LAI Y H, et al. Elevated serum leptin levels are associated with low muscle strength and muscle quality in male patients undergoing chronic hemodialysis[J]. Tzu Chic Med J, 2021, 33(1): 74-79. doi: 10.4103/tcmj.tcmj_20_20
[24]	ROMANO K A, HERON K E, EBENER D. Associations among weight suppression, self-acceptance, negative body image, and eating disorder behaviors among women with eating disorder symptoms[J]. Women Health, 2021, 61(8): 791-799. doi: 10.1080/03630242.2021.1970082
[25]	冷雪晨, 陈红, 史攀, 等. 外表完美主义对女大学生限制性饮食的影响: 链式中介效应分析[J]. 中国临床心理学杂志, 2020, 28(4): 799-803. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202004031.htm LENG X C, CHEN H, SHI P, et al. The impact of physical appearance perfectionism on female college students' restrained eating: a chain mediating mode[J]. Chin J Clin Psychol, 2020, 28(4): 799-803. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202004031.htm
[26]	王祯, 于亮. 禁食调控肌肉衰减症: 自噬的作用[J]. 生理科学进展, 2018, 49(6): 437-442. doi: 10.3969/j.issn.0559-7765.2018.06.008 WANG Z, YU L. Regulation of muscle attenuation by fasting: the role of auto-phagy[J]. Progress Physiol Sci, 2018, 49(6): 437-442. doi: 10.3969/j.issn.0559-7765.2018.06.008
[27]	孙璐, 高凌. 负性情绪与肥胖发病风险的研究进展[J]. 实用预防医学, 2022, 29(3): 382-385. doi: 10.3969/j.issn.1006-3110.2022.03.034 SUN L, GAO L. Research progress of negative emotion and obesity risk[J]. Pract Prev Med, 2022, 29(3): 382-385. doi: 10.3969/j.issn.1006-3110.2022.03.034
[28]	SANDOVAL C, SANTIBAÑEZ S, VILLAGRÁN F. Effectiveness of intermittent fasting to potentiate weight loss or muscle gains in humans younger than 60 years old: a systematic review[J]. Int J Food Sci Nutr, 2021, 72(6): 734-745. doi: 10.1080/09637486.2020.1868412