Association between obesity type and exercise capacity in Inner Mongolian primary school students
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摘要:
目的 分析蒙古族小学生肥胖类型及运动能力的关联性，为制定促进学生体质健康策略提供依据。 方法 以2019年全国学生体质与健康调研内蒙古自治区现场调查采集数据为研究资料，纳入7 941名7~12岁蒙古族学生作为调查对象。依据《学龄儿童青少年超重与肥胖筛查》和腰高比，将肥胖分为一般性肥胖、中心型肥胖和复合型肥胖3种类型，探讨肥胖类型与各项运动能力及体能指数(PFI)的关联性。 结果 7~9岁男、女生的肥胖检出率分别为23.5%和28.2%，10~12岁分别为16.3%和16.5%，性别间比较差异均有统计学意义(P值均 < 0.05)。在肥胖类型中，两年龄组男女生的复合型肥胖检出率最高(15.6%，9.2%；18.4%，8.2%)，男生复合型肥胖和中心性肥胖检出率均高于女生(P值均 < 0.05)。非肥胖组男生的立定跳远、仰卧起坐、50 m×8往返跑3项运动能力指标成绩均高于3类肥胖组；非肥胖组女生的50 m跑、立定跳远、仰卧起坐、50 m×8往返跑4项指标成绩均高于3类肥胖组(P值均 < 0.05)。7~9岁复合型肥胖组的立定跳远、50 m×8往返跑和10~12岁复合型肥胖组的50 m跑、50 m×8往返跑指标成绩均低于其他中心型和一般性肥胖组，差异均有统计学意义(P值均 < 0.05)。7~9、10~12岁两年龄组中男女生非肥胖、一般性肥胖、中心型肥胖和复合型肥胖PFI的中位数值差异均有统计学意义(男生: H值分别为79.23，241.42；女生: H值分别为61.94，74.38，P值均 < 0.01)。 结论 内蒙古自治区蒙古族小学生中复合型肥胖人群占比较大，且运动能力相对较低，需要采取针对性措施，做好青少年肥胖的控制和干预工作。 Abstract:Objective To analysis the relationship between obesity types and exercise capacity among Mongolian primary school students, to provide evidence supporting the formulation of strategies to promote students' physical fitness. Methods A total of 7 941 Mongolian students aged 7-12 years in the Inner Mongolia Autonomous Region were selected, and data were collected from a field survey conducted by the National Physical Fitness and Health Survey in 2019. According to overweight and obesity screening of school-aged children and adolescents, and the waist-height ratio, obesity status was classified into general obesity, central obesity and complex obesity, relationships among obesity type, exercise ability and PFI. Results The prevalence of obesity was 23.5%, 28.2%, 16.3% and 16.5% in boys and girls 7-9 and 10-12 years of age, respectively. The prevalence of obesity was higher in boys than girls(P < 0.05). The detection rate of compound obesity in boys and girls was highest (15.6%, 9.2%; 18.4%, 8.2%), and the detection rate of compound obesity and central obesity in boys was higher than that in girls(P < 0.05). The performance in the non-obese boys and girls (on the basis of standing long jump, sit-up and 50 m×8 round-trip running in boys, and 50 m running, standing long jump, sit-up and 50 m×8 round-trip running in girls) was better than that in the obese groups(P < 0.05). There were statistically significant differences in the median PFI of non-obesity, general obesity, central obesity and compound obesity between boys and girls in the two groups of 7-9 and 10-12 years old (boys: H=79.23, 241.42; girls: H=61.94, 74.38, P < 0.01). Conclusion The proportion of compound obesity among Inner Mongolian primary school students was relatively high, and the exercise capacity was relatively low. Specific measures should be taken to effectively control the occurrence and development of adolescent obesity. -
Key words:
- Obesity /
- Motor activity /
- Analysis of variance /
- Students /
- Minority groups
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同性别各年龄组学生身体形态基本指标比较(x±s)
Table 1. Comparison of body shape of students among different sex and age(x±s)
性别 年龄/岁 人数 统计值 身高/cm 体重/kg 腰围/cm BMI/(kg·m-2) 腰高比 男 7~9 1 992 132.12±7.42 30.93±8.04 64.14±7.23 17.51±0.06 0.45±0.06 10~12 1 980 149.59±9.08 45.04±12.94 73.62±9.79 19.86±0.07 0.46±0.07 t值 -66.35 -41.24 -26.92 -19.62 -2.77 女 7~9 1 971 131.12±7.80 29.05±7.31 61.84±6.84 16.72±2.89 0.44±0.05 10~12 1 998 150.01±8.24 43.34±10.66 72.28±8.77 19.07±3.58 0.43±0.05 t值 -74.16 -49.33 -27.82 -22.84 3.62 注：P值均 < 0.05。 
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表 2 不同年龄段男生各肥胖类型间运动能力指标比较(x±s)
Table 2. Comparison of exercise ability in different age groups with different types of obesity in boys(x±s)
年龄/岁 组别 人数 统计值 握力/kg 50 m跑/s 立定跳远/cm 斜身引体/次 50 m×8往返/s 坐位体前屈/cm 7~9 非肥胖 1 524 13.06±2.67 10.54±1.18 127.15±20.41 25.33±17.17 133.14±17.17 5.80±5.45 一般性肥胖 101 14.37±3.38 10.68±1.20 121.39±19.84 13.70±17.51 137.93±17.51 5.36±5.47 中心型肥胖 56 13.47±2.80 10.84±1.52 119.70±17.80 21.89±17.77 137.52±17.77 4.74±5.31 复合型肥胖 311 14.62±3.24 11.26±1.20 114.58±19.10 18.33±20.12 149.49±20.12 5.67±5.89 F值 30.80 32.07 35.88 28.11 74.01 0.84 P值 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 0.47 10~12 非肥胖 1 422 19.36±5.20 9.21±0.90 153.96±22.31 30.59±17.95 119.60±17.95 5.23±6.34 一般性肥胖 64 23.87±7.02 9.80±1.15 142.55±20.72 16.48±16.57 124.58±16.57 4.35±6.78 中心型肥胖 129 18.69±4.28 9.91±1.04 139.88±20.88 26.78±19.41 129.93±19.41 4.06±6.49 复合型肥胖 365 21.65±5.33 10.33±1.31 132.99±23.06 20.78±19.79 140.89±19.79 4.40±7.14 F值 33.13 131.40 94.95 28.29 134.49 2.74 P值 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 0.04
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表 3 不同年龄段女生各肥胖类型间运动能力指标比较(x±s)
Table 3. Comparison of exercise ability in different age groups with different types of obesity in girls(x±s)
年龄/岁 组别 人数 统计值 握力/kg 50 m跑/s 立定跳远/cm 仰卧起坐/(次·min-1) 50 m×8往返/s 坐位体前屈/cm 7~9 非肥胖 1 649 12.70±2.77 11.05±1.16 117.60±19.01 20.16±16.90 138.06±16.90 10.71±5.66 一般性肥胖 107 13.65±3.38 11.36±1.20 111.56±17.60 17.75±15.20 141.65±15.20 9.76±5.59 中心型肥胖 34 12.55±3.12 11.55±1.10 106.79±15.63 18.41±19.28 44.83±19.28 9.21±6.77 复合型肥胖 181 13.90±3.06 11.60±1.28 105.76±17.11 13.02±18.87 149.14±18.87 9.85±5.45 F值 12.69 15.19 26.84 20.91 24.89 2.69 P值 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 0.45 10~12 非肥胖 1 668 18.16±4.44 9.88±0.96 137.65±20.42 25.45±17.41 126.36±17.41 10.86±6.51 一般性肥胖 119 21.07±4.85 10.20±0.97 133.24±20.07 21.62±17.50 134.31±17.50 10.94±6.97 中心型肥胖 47 17.60±3.82 10.19±0.96 125.17±20.70 23.98±18.75 134.94±18.75 9.83±5.96 复合型肥胖 164 20.31±4.87 10.67±1.09 120.99±18.80 19.58±20.40 141.14±20.40 10.10±7.02 F值 25.73 36.39 38.73 19.18 42.18 1.02 P值 < 0.01 < 0.01 < 0.01 < 0.01 < 0.01 0.38
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表 4 不同年龄男女生肥胖类型间PFI比较[M(P25, P75)]
Table 4. Comparison of PFI among obesity types in differentage groups students[M(P25, P75)]
年龄/岁 性别 人数 统计值 非肥胖 一般性肥胖 中心型肥胖 复合型肥胖 7~9 男 1 992 0.40(-1.87，2.57) -0.48(-0.48，1.90) -0.56(-2.16，1.64) -1.54(-3.77，0.78) 女 1 971 0.39(-2.13，2.69) -0.73(-2.68，1.37) -1.77(-4.97，1.80) -2.02(-4.68，1.05) H值 171.31 43.60 26.81 62.85 P值 0.03 0.68 0.02 < 0.01 10~12 男 1 980 0.72(-1.35，2.84) -0.71(-2.84，1.69) -1.39(-3.24，0.88) -2.38(-4.49，-0.16) 女 1 998 0.37(-2.08，2.70) -0.15(-3.14，2.18) -1.23(-4.19，0.28) -2.20(-4.77，0.47) H值 171.71 46.69 37.89 65.09 P值 < 0.01 < 0.01 < 0.01 < 0.01
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[1] PAN X F, WANG L, PAN A. Epidemiology and determinants of obesity in China[J]. Lancet Diabet Endocrinol, 2021, 9(6): 373-392. doi: 10.1016/S2213-8587(21)00045-0 [2] 苑立新. 儿童蓝皮书: 中国儿童发展报告(2021)[M]. 北京: 中国儿童中心和社会科学文献出版社, 2021.YUAN L X. Annual report on Chinese children's develpoment(2021)[M]. Beijing: Social Sciences Academic Press, 2021. (in Chinese) [3] 张娜, 朱文丽, 张曼, 等. 《中国学龄儿童膳食指南(2022)》解读[J]. 中国学校卫生, 2022, 43(6): 805-808. doi: 10.16835/j.cnki.1000-9817.2022.06.002ZHANG N, ZHU W L, ZHANG M, et al. Interpretation on Dietary Guidelines for Chinese School-aged Children(2022)[J]. Chin J Sch Health, 2022, 43(6): 805-808. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.06.002 [4] 刘爽, 刘文利. 超重和肥胖对儿童发展的不良影响及对健康教育的启示[J]. 中国健康教育, 2017, 33(8): 735-740. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201708015.htmLIU S, LIU W L. The effects of overweight and obesity on child development and its implications for health education[J]. Chin J Health Educ, 2017, 33(8): 735-740. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201708015.htm [5] 穆秀, 刘虹茗紫, 吴南. 肥胖儿童的学业成绩: 工作记忆和注意力的作用[C]//中国心理学会. 第二十三届全国心理学学术会议摘要集(下). 呼和浩特, 2021.MU X, LIU H M Z, WU N. Academic achievement of obese children: the roles of work memory and attention[C]//Chinese Psychological Society. Abstracts of the 23rd National Psychological Conference(Ⅱ). Hohhot, 2021. (in Chinese) [6] 萧黎. 肥胖对儿童健康的影响[J]. 中国学校卫生, 2008, 29(11): 1065-1066. doi: 10.3969/j.issn.1000-9817.2008.11.057XIAO L. Effect of obesity on children's health[J]. Chin J Sch Healh, 2008, 29(11): 1065-1066. (in Chinese) doi: 10.3969/j.issn.1000-9817.2008.11.057 [7] 王友发, 孙明晓, 薛宏, 等. 《中国肥胖预防和控制蓝皮书》解读及中国肥胖预防控制措施建议[J]. 中华预防医学杂志, 2019, 53(9): 875-884.WANG Y F, SUN M X, XUE H, et al. Understanding the China Blue Paper on Obesity Prevention and Control and policy implicationsand recommendations for obesity prevention and control in China[J]. Chin J Prev Med, 2019, 53(9): 875-884. (in Chinese) [8] 杨招庚, 董彦会, 王西婕, 等. 中国2014年7~18岁中小学生腹型肥胖流行现状[J]. 中国学校卫生, 2018, 39(6): 810-813. doi: 10.16835/j.cnki.1000-9817.2018.06.003YANG Z G, DONG Y H, WANG X J, et al. The prevalence of abdominal obesity among primary and secondary school students aged 7-18 years in China in 2014[J]. Chin J Sch Health, 2018, 39(6): 810-813. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.06.003 [9] BRAITHWAITE I E, STEWART A W, HANCOX R J, et al. Body mass index and vigorous physical activity in children and adolescents: an international cross-sectional study[J]. Acta Paediatr, 2017, 106(8): 1323-1330. doi: 10.1111/apa.13903 [10] 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 in Henan Province[J]. Chin J Sch Health, 2018, 39(3): 350-353. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.03.009 [11] 北京大学儿童青少年卫生研究所. 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工作培训在京顺利举办[J]. 中国学校卫生, 2019, 40(9): 1442. http://www.cjsh.org.cn/article/id/zgxxws201909048Institute of Children and Adolescent Health, Peking University. 2019 national student physique and health survey and national student physique and health standards review training held successfully in Beijing[J]. Chin J Sch Health, 2019, 40(9): 1442. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201909048 [12] 孔群钰, 战义强, 余金明. 腰围身高比值与高血压关系研究进展[J]. 中国慢性病预防与控制, 2011, 19(5): 548-550. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB201105041.htmKONG Q Y, ZHAN Y Q, YU J M. A review on the research advancement of the relationship between waist-height ratio and hypertension[J]. Chin J Chron Dis Prev Crontol, 2011, 19(5): 548-550. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB201105041.htm [13] 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: WS/T 586—2018[S]. 北京: 中国标准出版社, 2018.National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. Beijing: Standards Press of China, 2018. (in Chinese) [14] 卢珍萍, 施蓉, 张妍, 等. 山东某社区7岁儿童体重状态及肥胖类型与体成分的关系[J]. 中国儿童保健杂志, 2022, 30(1): 20-24, 29. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202201006.htmLU Z P, SHI R, ZHANG Y, et al. Relationship between weight status, obesity type and body composition among seven-year-old children in a community of Shandong[J]. Chin J Child Health Care, 2022, 30(1): 20-24, 29. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202201006.htm [15] 赵玉秋, 王法艳, 朱鹏, 等. 体重指数与儿童青少年体能指数关联性研究[J]. 中华流行病学杂志, 2012, 33(3): 265-268.ZHAO Y Q, WANG F Y, ZHU P, et al. Association between body mass index and physical fitness index among children and adolescents[J]. Chin J Epidemiol, 2012, 33(3): 265-268. (in Chinese) [16] 杨田, 张凯文, 高昇, 等. 内蒙古地区学生肥胖现状及影响因素分析[J]. 中国学校卫生, 2021, 42(4): 611-614. doi: 10.16835/j.cnki.1000-9817.2021.04.030YANG T, ZHANG K W, GAO S, et al. Obesity and associated factors among students in Inner Mongolia in 2019[J]. Chin J Sch Health, 2021, 42(4): 611-614. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.04.030 [17] 严琼, 罗春燕, 周月芳, 等. 上海市初中学生血压水平及其与肥胖类型的关联研究[J]. 教育生物学杂志, 2019, 7(4): 207-212. https://www.cnki.com.cn/Article/CJFDTOTAL-BIOM201904003.htmYAN Q, LUO C Y, ZHOU Y F, et al. Association between obesity types and blood pressure among junior middle school students in Shanghai[J]. J Biol Educ, 2019, 7(4): 207-212. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-BIOM201904003.htm [18] 陈德东, 胡飞龙, 熊中贵, 等. 重庆市中小学生肥胖及其对身体素质的影响[J]. 中国学校卫生, 2018, 39(9): 1410-1413. doi: 10.16835/j.cnki.1000-9817.2018.09.039CHEN D D, HU F L, XIONG Z G, et al. Obesity and its influence on physical quality of primary and middle school students in Chongqing[J]. Chin J Sch Health, 2018, 39(9): 1410-1413. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.09.039 [19] 王云涛, 施美莉. 澳门超重、肥胖儿童青少年体质特征及影响因素研究[J]. 中国体育科技, 2019, 55(12): 59-67. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY201912009.htmWANG Y T, SHI M L. Research on physical characteristics and influencing factors of overweight and obese children and adolescent in Macao[J]. China Sports Sci Technol, 2019, 55(12): 59-67. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGTY201912009.htm [20] 席薇, 张欣. 天津市2010年学生超重肥胖与身体素质指标的关系[J]. 中国学校卫生, 2013, 34(2): 204-206, 209. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201302029.htmXI W, ZHANG X. Relationship between overweight and obesity and physical fitness indicators among students in Tianjin[J]. Chin J Sch Health, 2013, 34(2): 204-206, 209. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201302029.htm [21] 张剑峰, 高绪秀, 李涛. 京津冀地区不同营养状况中小学生身体素质和生理功能比较[J]. 中国学校卫生, 2022, 43(6): 894-897. doi: 10.16835/j.cnki.1000-9817.2022.06.023ZHANG J F, GAO X X, LI T. Comparison of physical fitness and physiological function of children and adolescents with different nutritional status in Beijing-Tianjin-Hebei Region[J]. Chin J Sch Health, 2022, 43(6): 894-897. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.06.023 [22] 黄彬彬, 黄丽仟, 舒文博, 等. 在校女大学生脂肪和肌肉对仰卧起坐能力的影响[J]. 解剖学报, 2021, 52(5): 822-826. https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB202105028.htmHUANG B B, HUANG L Q, SHU W B, et al. Influence of fat and muscle on sit-ups in female college students[J]. Acta Anatom Sinica, 2021, 52(5): 822-826. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JPXB202105028.htm -
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