Relationship between lifestyle habits and obesity based on latent category analysis among 12-18-year adolescents
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摘要:
目的 分析12~18岁青少年生活习惯的潜在类别特点及与肥胖的关联性，以期为青少年的体质健康管理提供科学依据。 方法 应用已建立的中国营养与健康调查数据库中2004、2006、2009、2011和2015年3 252名12~18岁青少年数据进行研究。调查内容包括基本情况、生活习惯、体质量指数(BMI)。对研究对象饮食习惯和运动习惯11项生活习惯进行潜在类别分析，采用χ2检验和对应分析探讨生活习惯潜在类别与肥胖的关系。 结果 潜在类别分析将研究对象生活习惯分为混合型1 092名(35.58%)、消极型765名(23.52%)、健康型1 395名(42.90%)3类。3个潜在类别组的BMI水平分布特点差异有统计学意义(χ2=19.66，P < 0.01)。青少年BMI过轻型、超重型、肥胖型均以健康型占比最高(41.61%，47.87%，50.00%)。 结论 青少年的生活习惯有明显的分类特征，不同生活习惯潜在类别与肥胖之间存在关联性。应针对不同BMI水平青少年的生活习惯特点进行干预。 Abstract:Objective To analyze the latent category characteristics of lifestyle habits of adolescents aged 12-18 years, and to explore its relationship with obesity. Methods Data of 3 252 adolescents aged 12-18 years in the established China Nutrition and Health Survey were used for this study. The contents of the survey include basic situation, living habits, and body mass index. Latent category analysis was performed on 11 lifestyle habits on eating and exercise. Chi-square test was used to explore the relationship between the potential categories of lifestyle habits and obesity. Results All the participants were classified into 3 categories: mixed (n=1 092, 35.58%), passive (n=765, 23.52%), and healthy (n=1 395, 42.90%) groups. Body mass index showed significant differences across three categories (χ2=19.66, P < 0.01). In the BMI classification of adolescents, the healthy type has the highest proportion in the light type, overweight type and obesity type(41.61%, 47.87%, 50.00%). Conclusion The lifestyle habits of adolescents aged 12-18 years show obvious classification characteristics, which have different correlations with obesity. Targeted interventions should be carried out according to the characteristics of lifestyle habits under different body mass index. -
Key words:
- Life style /
- Habits /
- Obesity /
- Body mass index /
- Adolescent
1) 利益冲突声明 所有作者声明无利益冲突。2) 王馨平与周雅慧为共同一作者。 -
表 1 中国12~18岁青少年生活习惯的潜在类别分析拟合指数
Table 1. Fit index of latent category analysis of the living habits of 12-18 years old
模型 AIC值 BIC值 nBIC值 Entropy值 PBLRT值 PLMR值 分类概率 1 44 609.9 44 676.9 44 641.6 1.00 2 21 257.3 21 397.3 21 324.3 1.0 ＜0.01 ＜0.01 0.42/0.58 3 20 954.2 21 167.3 21 056.1 0.8 ＜0.01 ＜0.01 0.34/0.23/0.43 4 20 844.3 21 130.4 20 981.0 0.9 ＜0.01 ＜0.01 0.35/0.22/0.37/0.06 5 20 811.4 21 170.5 20 983.1 0.8 ＜0.01 0.20 0.37/0.00/0.06/0.23/0.34 6 20 787.4 21 219.6 20 994.0 0.7 ＜0.01 ＜0.01 0.26/0.17/0.06/0.37/0.00/0.14 
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表 2 各潜在类别被试的平均归属概率
Table 2. Average attribution probability (column) of subjects (rows) in each potential category
模型 C1(混合型) C2(消极型) C3(健康型) C1 0.88 0.12 0.00 C2 0.24 0.76 0.00 C3 0.00 0.00 1.00
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表 3 青少年生活习惯潜在类别命名及其条件、类别概率
Table 3. Nomenclature of latentl categories of adolescent lifestyles, their conditions, and category probabilities
项目 分类 C1(混合型) C2(消极型) C3(健康型) Z1：散步、太极的喜欢程度 L 0.00 0.00 1.00 D 1.00 1.00 0.00 Z2：体育运动羽毛球乒乓球网球足球篮球排球 L 0.72 0.37 0.93 D 0.28 0.63 0.07 Z3：健身的喜欢程度 L 0.00 0.00 1.00 D 1.00 1.00 0.00 Z4：看电视的喜欢程度 L 0.97 0.80 0.96 D 0.03 0.20 0.04 Z5：玩电脑游戏、游戏机或上网的喜欢程度分类 L 0.71 0.15 0.79 D 0.29 0.85 0.21 Z6：阅读的喜欢程度 L 0.74 0.49 0.88 D 0.26 0.51 0.12 Z7：快餐肯德基喜欢程度 L 0.66 0.23 0.71 D 0.34 0.77 0.29 Z8：咸的零食炸土豆片，薯条，脆饼干喜欢程度 L 0.00 0.00 1.00 D 1.00 1.00 0.00 Z9：水果的喜欢程度 L 0.00 0.00 1.00 D 1.00 1.00 0.00 Z10：蔬菜的喜欢程度 L 0.00 0.00 1.00 D 1.00 1.00 0.00 Z11：软饮料及含糖的果汁饮料的喜欢程度 L 0.00 0.00 1.00 D 1.00 1.00 0.00 注：L，喜欢；D，不喜欢。
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表 4 青少年不同BMI分型各行为生活习惯潜在类别分布
Table 4. Distribution of latent categories and body mass index of adolescents with different behaviors and lifestyles
BMI分型 人数 混合型 消极型 健康型 过轻 161 44(27.33) 50(31.06) 67(41.61) 正常 2 601 882(33.91) 629(24.18) 1 090(41.91) 超重 328 117(35.67) 54(16.46) 157(47.87) 肥胖 162 49(30.25) 32(19.75) 81(50.00) 注：()内数字为构成比/%。
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[1] LOBSTEIN T, JACKSON-LEACH R, MOODIE M L, et al. Child and adolescent obesity: part of a bigger picture[J]. Lancet, 2015, 385(9986): 2510-2520. doi: 10.1016/S0140-6736(14)61746-3 [2] OGDEN C L, FLEGAL K M, CARROLL M D, et al. Prevalence and trends in overweight among US children and adolescents, 1999-2000[J]. JAMA, 2002, 288(14): 1728-1732. doi: 10.1001/jama.288.14.1728 [3] OGDEN C L, CARROLL M D, KIT B K, et al. Prevalence of childhood and adult obesity in the United States, 2011-2012[J]. JAMA, 2014, 311(8): 806-814. doi: 10.1001/jama.2014.732 [4] 国务院. 中国居民营养与慢性病状况报告(2020年)[J]. 营养学报, 2020, 42(6): 521. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLBJ202102011.htmState Council of the PRC. Report on nutrition and chronic diseases in China(2020)[J]. Acta Diet Sinica, 2020, 42(6): 521. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLBJ202102011.htm [5] 严志玲. 儿童青少年肥胖影响因素探讨[J]. 中国学校卫生, 2011, 32(10): 1278-1280. doi: 10.16835/j.cnki.1000-9817.2011.10.053YAN Z L. Discussion on the influencing factors of obesity in children and adolescents[J]. Chin J Sch Health, 2011, 32(10): 1278-1280. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2011.10.053 [6] LAZZERI G, ROSSI S, PAMMOLLI A, et al. Underweight and overweight among children and adolescents in Tuscany(Italy). Prevalence and sbor-term trends[J]. J Prev Med Hyg, 2008, 49(1): 13-21. [7] WANG Y, MONTEIRO C, POPKIN B M. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia[J]. Am J Clin Nutr, 2002, 75(6): 971-977. doi: 10.1093/ajcn/75.6.971 [8] 钟磊发, 周谷城, 范艳艳, 等. 青少年肥胖的危害、发生机制和防治概述[J]. 生物学教学, 2018, 43(8): 7-9. https://www.cnki.com.cn/Article/CJFDTOTAL-SWJX201808006.htmZHONG L F, ZHOU G C, FAN Y Y, et al. An overview of the harm, mechanism and prevention of obesity in adolescents[J]. Teach Biol, 2018, 43(8): 7-9. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SWJX201808006.htm [9] 刘明法, 柳红梅. 儿童肥胖对健康的影响[J]. 中国校医, 2022, 36(3): 184-188. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202203016.htmLIU M F, LIU H M. The impact of childhood obesity on health[J]. Chin J School Doctor, 2022, 36(3): 184-188. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI202203016.htm [10] WILLIAM C C. Medical sociology[M]. New Jersey: Wiley-Blackwell, 2016: 94-117. [11] BERRIGAN D, DODD K, TROIANO R P, et al. Patterns of health behavior in US adults[J]. Prev Med, 2003, 36(5): 615-623. doi: 10.1016/S0091-7435(02)00067-1 [12] 陆炜青, 钱刘兰, 翟洪军, 等. 基于潜在类别分析的新型冠状病毒肺炎患者中医证候分类研究[J]. 中医杂志, 2021, 62(4): 296-302. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202104007.htmLU W Q, QIAN L L, ZHAI H J, et al. Classification of TCM symptoms in patients with novel coronavirus pneumonia based on potential category analysis[J]. J Tradit Chin Med, 2021, 62(4): 296-302. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202104007.htm [13] EANNE L, NOBUKO H, NAN Z, et al. Patterns and predictors of clustered risky health behaviors among adult survivors of childhood cancer[J]. Cancer, 2016, 122(17): 2747-2756. doi: 10.1002/cncr.30106 [14] 杨林, 曹茜, 孙雨丹, 等. 基于潜在类别分析的居民行为生活方式与常见慢性病的关联性研究[J]. 中国全科医学, 2019, 22(31): 3845-3849. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201931018.htmYANG L, CAO Q, SUN Y D, et al. A study on the association between residents' behavioral lifestyle and common chronic diseases based on potential category analysis[J]. Chin Gen Pract, 2019, 22(31): 3845-3849. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201931018.htm [15] 常虹, 田国祥, 柳青青, 等. CHNS数据库架构及数据申请提取方法与流程[J]. 中国循证心血管医学杂志, 2018, 10(9): 1043-1047. https://www.cnki.com.cn/Article/CJFDTOTAL-PZXX201809004.htmCHANG H, TIAN G X, LIU Q Q, et al. CHNS Database architecture and data application extraction method and process[J]. Chin J Evidenc-Based Cardiovas Med, 2018, 10(9): 1043-1047. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-PZXX201809004.htm [16] 杜松明, 马冠生. 儿童青少年肥胖评价标准的研究进展[J]. 国外医学(卫生学分册), 2006(5): 261-265. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYX200605001.htmDU S M, MA G S. Research progress on evaluation criteria for obesity in children and adolescents[J]. Foreign Med (Hyg Div), 2006(5): 261-265. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-GWYX200605001.htm [17] 李鲜. 当代青年健康生活方式的结构特点及其影响因素: 基于中国劳动力动态调查数据的分析[J]. 城市问题, 2019(7): 95-103. https://www.cnki.com.cn/Article/CJFDTOTAL-CSWT201907011.htmLI X. The structural characteristics and influencing factors of healthy lifestyle of contemporary youth: an analysis based on the survey data of China's labor force dynamics[J]. Urban Issues, 2019(7): 95-103. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-CSWT201907011.htm [18] JULIE S, ROBERT A H. Educational attainment and the clustering of health-related behavior among US young adults[J]. Prev Med, 2016, 84: 83-89. [19] TIAN W F, JOSEPH J T. Health behaviors and health status among middle-aged and older adults with chronic diseases in Taiwan[J]. Int J Environ Res Public Health, 2020, 17(19): E7196. [20] 朱晓庚, 翟玲玲. 体育锻炼和静坐行为对青少年肥胖影响的研究进展[J]. 现代预防医学, 2016, 43(19): 3516-3518, 3522. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201619018.htmZHU X G, ZHAI L L. Research progress on the effects of physical exercise and sitting behavior on obesity in adolescents[J]. Mod Prev Med, 2016, 43(19): 3516-3518, 3522. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201619018.htm [21] 柳春红, CARL A J, CHOU C P, 等. 中学生膳食营养摄入与自我体重意识研究[J]. 现代预防医学, 2008, 35(10): 1842-1846. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF200810017.htmLIU C H, CARL A J, CHOU C P, et al. A study on dietary nutrition intake and self-weight awareness in middle school students[J]. Mod Prev Med, 2008, 35(10): 1842-1846. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF200810017.htm [22] 孟祥坤, 邹志勇, 尚晓瑞, 等. 儿童青少年饮食行为模式与超重肥胖的关系[J]. 中国学校卫生, 2015, 36(5): 648-650. http://www.cjsh.org.cn/article/id/zgxxws201505003MENG X K, ZOU Z Y, SHANG X R, et al. Relationship between eating behavior patterns and overweight and obesity in children and adolescents[J]. Chin J Sch Health, 2015, 36(5): 648-650. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201505003 [23] 单浩洋, 吕雪, 谢莎丽. 中国儿童青少年肥胖危险因素研究进展[J]. 中国学校卫生, 2015, 36(3): 476-478. http://www.cjsh.org.cn/article/id/zgxxws201503056SHAN H Y, LYU X, XIE S L. Research progress on obesity risk factors in children and adolescents in China[J]. Chin J Sch Health, 2015, 36(3): 476-478. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201503056 -
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