天津某高校大学生视屏时间体力活动与颈肩痛的相关性

冯新熠; 闫旭; 董耀武

doi:10.16835/j.cnki.1000-9817.2022.09.032

天津某高校大学生视屏时间体力活动与颈肩痛的相关性

doi: 10.16835/j.cnki.1000-9817.2022.09.032

1.
天津理工大学医务室，天津 300384
2.
天津市第一中心医院骨科

详细信息

作者简介:
冯新熠(1988-)，女，天津人，硕士，住院医师，主要研究方向为学校卫生

通讯作者:
董耀武，E-mail：dongyaowu66@163.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G478 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2022-03-03
- 修回日期: 2022-04-26
- 网络出版日期: 2022-09-23
- 刊出日期: 2022-09-25

Correlation between screen time, physicial activity as well as neck and shoulder pain among university students in Tianjin

FENG Xinyi¹,
YAN Xu²,
DONG Yaowu^{1
, ,}

1.
Infirmary, Tianjin University of Technology, Tianjin (300384), China

摘要

摘要: 目的了解天津市某高校大学生视屏时间、体力活动与颈肩痛之间的关系, 为促进大学生身体健康提供参考。方法于2021年4-6月, 采用中文版肌肉骨骼疾患问卷对随机整群抽取的904名天津理工大学在校大学生进行调查, 通过二元Logistic回归分析了解视屏时间、体力活动与颈肩痛之间的关联。结果大学生性别间颈肩痛发病率差异有统计学意义(χ²=24.35, P < 0.05)。二元Logistic回归分析显示, 视屏时间>6 h/d与男生颈肩痛的发生呈正相关(OR=4.55), 体力活动>150 min/周与女生颈肩痛的发生呈负相关(OR=0.63)(P值均 < 0.05)。本科生与研究生群体及大学生整体体力活动>150 min/周与颈肩痛发生均呈负相关(OR值分别为0.52, 1.26, 0.61), 视屏时间>6 h/d与颈肩痛发生呈正相关(OR值分别为2.39, 6.18, 2.97)(P值均 < 0.05), 在男生及本科、研究生群体中均发现高视屏时间×高体力活动人群较低视屏时间×高体力活动人群的颈肩痛风险升高(OR值分别为2.96, 2.35, 2.93)(P值均 < 0.05)。结论体力活动不足与视屏时间过长会增加大学生颈肩痛的风险, 体力活动不足对颈肩痛的影响弱于视屏活动。建议学校和家庭等多方面配合控制视屏时间, 增加体育锻炼, 进而预防大学生颈肩痛的发生。
- 颈痛 /
- 肩痛 /
- 注视, 眼 /
- 时间 /
- 回归分析 /
- 学生
Abstract: Objective To understand the relationships between screen time, physical activity, as well as neck and shoulder pain among university students in Tianjin. Methods In this study, 904 university students in Tianjin were investigated using the Chinese Musculos Keletal Questionnaire during April-June 2021.Binary Logistic regression analysis was used to understand the neck and shoulder pain and the correlation between screen time and physical activity. Results There was significant gender differences in the prevalence of neck and shoulder pain (χ²=24.35, P < 0.05).Binary Logistic regression analysis showed that among male students, the risk of neck and shoulder pain whose screen time more than 6 h/d was 4.55 times that of those with screen time ≤2 h/d, among female students, the risk of neck and shoulder pain whose exercise time >150 min/week was 0.63 times than that of students who exercised ≤75 min/week (P < 0.05).Among undergraduate and graduate students, physical activity ≥150 min/d was associated with lower rate of neck and shoulder pain (OR=0.52, 1.26, 0.61), while screen time ≥6 h/d was associated with higher rate of neck and shoulder pain (OR=2.39, 6.18, 2.97), and the differences were statistically significant (P < 0.05).The prevalence of neck and shoulder pain were higher in male students as well as undergraduate and graduate students who had higher screen time and higher physical activity than those with lower screen time and higher physical activity (OR=2.96, 2.35, 2.93)(P < 0.05). Conclusion High screen time and physical inactivity is associated with higher risk of neck and shoulder pain among college students.The effect of physical inactivity on neck and shoulder pain might be weaker than that of screen time.It is suggested that schools and families should cooperate to control screen activity and increase physical inactivity, so as to prevent the occurrence of neck and shoulder pain in college students.
- Neckpain /
- Shoulder pain /
- Fixation, ocular /
- Time /
- Regression analysis /
- Students
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表 1 不同组别大学生体力活动、视屏时间分布及颈肩痛发病情况

Table 1. Physical activity recommendations、screen time recommendations and incidence rate of neck and shoulder pain of university students

组别	选项	人数	统计值	每日体力活动时间/min			每周视屏时间/h			颈肩痛
组别	选项	人数	统计值	＜75	75~150	＞150	＜2	2~6	＞6	颈肩痛
性别	男	520		160(30.8)	75(14.4)	285(54.8)	55(10.6)	303(58.3)	162(31.2)	149(28.7)
	女	384		179(46.6)	72(18.8)	133(34.6)	42(10.9)	181(47.1)	161(41.9)	171(44.5)
			χ²值		36.77			12.32		24.35
			P值		＜0.01			＜0.01		＜0.01
学历	本科生	746		267(35.8)	117(15.7)	362(48.5)	75(10.1)	430(57.6)	271(32.3)	259(34.7)
	研究生	158		72(45.6)	30(19.0)	56(35.4)	22(13.9)	54(34.2)	82(51.9)	61(38.6)
			χ²值		9.03			29.24		0.86
			P值		0.01			＜0.01		0.35
注：()内数字为构成比或发病率/%。

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表 2 不同体力活动和视屏时间男女生颈肩痛发病率比较

Table 2. Comparisons of physical activity、screen time and incidence rate of neck and shoulder pain by participants' characteristics of male and female university students

体力活动与视屏时间	选项	男			女			合计
体力活动与视屏时间	选项	人数	颈肩痛人数	χ²值	人数	颈肩痛人数	χ²值	人数	颈肩痛人数	χ²值
每周体力活动/min	＜75	160	57(35.6)	5.88^*	179	92(51.4)	6.66^*	339	149(44.0)	17.45^*
	75~150	75	17(22.7)		72	26(36.1)		147	43(29.3)
	＞150	285	75(26.3)		133	53(39.8)		418	128(30.6)
每日视屏时间/h	＜2	55	8(14.5)	28.17^**	42	15(35.7)	4.97	97	23(23.7)	32.78^**
	2~6	303	70(23.1)		181	74(40.9)		484	144(29.8)
	＞6	162	71(43.8)		161	82(50.9)		323	153(47.4)
注：()内数字为发病率/%。P < 0.05，*P < 0.01。

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表 3 不同体力活动和视屏时间本科与研究生颈肩痛发病率比较

Table 3. Comparisons of physical activity、screen time and incidence rate of neck and shoulder pain by participants' characteristics of university students

体力活动与视屏时间	选项	本科生			研究生
体力活动与视屏时间	选项	人数	颈肩痛人数	χ²值	人数	颈肩痛人数	χ²值
每周体力活动/min	＜75	267	119(44.6)	18.20	72	30(41.7)	5.33
	75~150	117	37(31.6)		30	6(20.0)
	＞150	362	103(28.5)		56	25(44.6)
每日视屏时间/h	＜2	75	19(25.3)	16.82	22	4(18.2)	19.15
	2~6	430	132(30.7)		54	12(22.2)
	＞6	271	108(44.8)		82	45(54.9)
注：()内数字为发病率/%。P值均 < 0.01。

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表 4 大学生体力活动、视屏时间与颈肩痛的Logistic回归分析[OR值(OR值95%CI)]

Table 4. Logistic regression analysis of university students' neck and shoulder pain in different physical activity and screen time[OR(OR 95%CI)]

自变量	自变量	性别		学历		合计(n=904)
自变量	自变量	男(n=520)	女(n=384)	本科生(n=746)	研究生(n=158)	合计(n=904)
每周体力活动/min	＜75	1.00	1.00	1.00
	75~150	0.57(0.30~1.08)	0.52(0.29~0.91)^*	0.58(0.36~0.92)^*	0.31(0.11~0.89)^*	0.53(0.34~0.80)^**
	＞150	0.76(0.49~1.17)	0.63(0.40~0.99)^*	0.52(0.37~0.74)^**	1.26(0.59~2.72)	0.61(0.45~0.83)^**
每天视屏时间/h	＜2	1.00	1.00	1.00
	2~6	1.84(0.83~4.08)	1.38(0.68~2.81)	1.43(0.81~2.51)	1.34(0.37~4.79)	1.49(0.89~2.48)
	＞6	4.55(2.02~10.27)^**	2.03(1.00~4.14)	2.39(1.33~4.30)^**	6.18(1.89~20.25)^**	2.97(1.76~5.00)^**
注：P < 0.05，*P < 0.01。

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表 5 大学生体力活动和视屏时间共同作用与颈肩痛的Logistic回归分析[OR值(OR值95%CI)]

Table 5. Logistic regression analysis of the interaction between physical activity and screen time and neck and shoulder pain in male and female university students[OR(OR 95%CI)]

自变量	性别		学历		合计(n=904)
自变量	男(n=520)	女(n=384)	本科生(n=746)	研究生(n=158)	合计(n=904)
低视屏时间×低体力活动	1.39(0.84~2.30)	1.45(0.83~2.53)	1.90(1.29~2.79)^**	0.76(0.25~2.34)	1.67(1.17~2.40)^**
高视屏时间×高体力活动	2.96(1.74~5.02)^**	1.82(0.90~3.71)	2.35(1.42~3.88)^**	2.93(1.08~7.95)^*	2.88(1.96~4.22)^**
高视屏时间×低体力活动	3.63(2.02~6.52)^**	2.04(1.14~3.67)^*	2.84(1.85~4.36)^**	6.29(1.96~20.21)^**	2.95(1.88~4.61)^**
注： P < 0.05，*P < 0.01。自变量以“低视屏时间×高体力活动”为参照。因变量为是否有颈肩痛(否=0，是=1)。

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