新疆中学生腰围与心理亚健康的关联

徐凯旋; 赵之民; 胡燕燕; 刘洋

doi:10.16835/j.cnki.1000-9817.2023.03.015

新疆中学生腰围与心理亚健康的关联

doi: 10.16835/j.cnki.1000-9817.2023.03.015

1.
中国石油大学(北京)克拉玛依校区体育部，新疆 834000
2.
克拉玛依市教育局
3.
新疆工程学院体育教育部
4.
新疆师范大学体育学院

详细信息

作者简介:
徐凯旋(1985-)，男，河南开封人，硕士，讲师，主要研究方向为心理健康促进

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2022-10-21
- 修回日期: 2023-01-13
- 刊出日期: 2023-03-25

Correlation between waist circumference and psychological sub-health of middle school students in Xinjiang

1.
Department of Physical Education, Karamay Campus, China University of Petroleum (Beijing), Karamay(834000), Xinjiang Uyger Autonomous Region, China

摘要

摘要: 目的探讨新疆中学生腰围状况及其与心理亚健康的关联，为新疆中学生保持合理腰围和心理健康干预及促进提供参考和帮助。方法采用分层整群抽样的方法，在新疆乌鲁木齐、克拉玛依、伊宁、喀什地区对6 191名13~15岁中学生进行人口学因素、生活方式、腰围和心理亚健康的测试调查。采用χ²检验、单因素方差分析、Logistic回归分析的方法分析腰围与心理亚健康的关联。结果新疆中学生心理亚健康检出率为21.4%。情绪问题、行为问题、社会适应困难方面的检出率分别为28.4%，28.1%，17.7%。不同腰围等级中学生心理亚健康的情绪问题、社会适应困难、心理亚健康得分比较，差异均有统计学意义(F值分别为4.03，10.90，5.81，P值均＜0.05)。多因素Logistic回归分析显示，与正常腰围值组相比，高腰围值中学生发生社会适应困难(OR=1.45，95%CI=1.20~1.75)、心理亚健康问题(OR=1.46，95%CI=1.22~1.74)的风险较高(P值均＜0.01)。结论新疆中学生心理亚健康问题凸显，腰围与心理亚健康问题呈正相关。学校应注重中学生心理健康教育，保障合理饮食、睡眠和生活习惯，促进其身心健康发展。
- 腰围 /
- 精神卫生 /
- 回归分析 /
- 学生 /
- 少数民族
Abstract: Objective To understand the association between waist circumference with psychological sub-health among middle school students in Xinjiang, and to provide evidence for the management of waist circumference and effective prevention of mental health problems. Methods By using the stratified cluster sampling, 6 191 middle school students aged 13-15 in Urumqi, Karamay, Yining, and Kashgar of Xinjiang were surveyed on demographic information, lifestyle, waist circumference, and psychological sub-health symptoms. Chi-square test, one-way ANOVA, and Logistic regression analysis were used to analyze the association between waist circumference and mental sub-health. Results The detection rate of psychological sub-health among secondary school students in Xinjiang was 21.4%. The detection rates of emotional problems, behavioral problems, and social adjustment difficulties were 28.4%, 28.1%, and 17.7%, respectively. Significant differences in the detection rate of emotional problems, social adjustment difficulties, and psychological sub-health scores were observed among students with different waist circumference levels (F=4.03, 10.90, 5.81, P < 0.05). Logistic regression analysis showed that secondary school students with high waist circumference had a higher risk of social adjustment difficulties (OR=1.45, 95%CI=1.20-1.75) and psychological sub-health problems (OR=1.46, 95%CI=1.22-1.74) compared to those with normal waist circumference (P < 0.01). Conclusion Psychological sub-health problems of middle school students in Xinjiang are prominent, and the waist circumference is positively related to the psychological sub-health problems. Schools should pay attention to the mental health education of middle school students, ensure reasonable diet, sleep and living habits, and promote their physical and mental health development.
- Waist circumference /
- Mental health /
- Regression analysis /
- Students /
- Minority groups
注释:

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表 1 不同腰围等级中学生各类别心理亚健康检出率比较

Table 1. Comparison of detection rate of psychological subhealth among different categories of secondary school students with different waist circumference classes

腰围等级	性别		父亲学历			母亲学历			上下学方式			睡眠时长/(h·d^-1)			锻炼时间/(min·d^-1)
腰围等级	男	女	初中及以下	高中及以上		初中及以下	高中及以上		积极方式	消极方式		< 8	≥8		< 30	30~60	>60
正常腰围值	361(22.5)	392(18.9)	393(21.1)	360(19.8)		428(20.9)	325(19.9)		377(19.5)	376(21.5)		497(22.0)	256(18.0)		295(23.3)	242(16.2)	216(23.5)
正常腰围高值	180(18.9)	116(22.3)	144(21.5)	152(18.9)		154(21.2)	142(19.0)		150(19.7)	146(20.5)		109(33.2)	187(16.3)		106(29.2)	133(16.1)	57(20.1)
高腰围值	131(25.1)	143(27.8)	140(28.8)	134(24.4)		150(27.9)	124(24.9)		116(24.3)	158(28.3)		132(24.5)	142(28.5)		156(32.6)	89(22.0)	29(19.1)
χ²值	18.74		15.26			13.82			14.96			46.02			25.76
P值	＜0.01		＜0.01			0.02			0.01			＜0.01			＜0.01

腰围等级	视屏时间/(h·d^-1)		早餐频次/(次·周^-1)			零食频次/(次·周^-1)			饮用含糖饮料/(次·周^-1)			食用乳制品/(次·周^-1)
腰围等级	< 2	≥2	≤1	2~3	≥4	≤1	2~3	≥4	≤1	2~3	≥4	≤1		2~3		≥4
正常腰围值	572(20.2)	181(21.3)	58(32.0)	170(27.6)	525(18.2)	108(19.2)	389(18.3)	256(25.9)	225(18.9)	385(19.9)	143(26.0)	73(30.7)		297(21.7)		383(18.4)
正常腰围高值	152(25.5)	144(16.4)	20(30.3)	38(16.9)	238(20.1)	66(21.5)	160(19.7)	70(19.7)	100(22.8)	145(18.2)	51(21.2)	33(36.7)		102(19.7)		161(18.6)
高腰围值	95(29.7)	179(25.0)	28(41.2)	52(29.2)	194(24.6)	56(26.8)	151(25.3)	67(29.1)	89(25.4)	139(26.5)	46(28.6)	26(34.7)		104(29.1)		144(23.9)
χ²值	58.55		47.57			28.47			22.90			38.59
P值	＜0.01		＜0.01			＜0.01			＜0.01			＜0.01
注：()内数字为检出率/%。上下学方式积极方式为步行或骑自行车，消极方式为公共交通、家长接送、学校住宿等。

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表 2 不同腰围等级中学生心理亚健康及各维度得分比较(x±s)

Table 2. Comparison of mental sub-health and scores of each dimension among middle school students with different waist circumference grades(x±s)

组别	人数	情绪问题	行为问题	社会适应困难	心理亚健康
正常腰围值	3 680	2.10±3.43	0.71±1.50	1.53±2.63	4.34±6.99
正常腰围高值	1 475	2.13±3.58	0.76±1.59	1.57±2.68	4.46±7.33
高腰围值	1 036	2.44±3.64	0.78±1.59	1.97±2.88	5.19±7.38
F值		4.03	1.03	10.90	5.81
P值		0.02	0.36	< 0.01	< 0.01

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表 3 中学生腰围与心理亚健康的多元Logistic回归分析[OR值(OR值95%CI)，n=6 191]

Table 3. Multivariate Logistic regression analysis on waist circumference and mental subhealth of middle school students [OR(OR 95%CI), n=6 191]

自变量	情绪问题			品行问题
自变量	模型1	模型2	模型3	模型1	模型2	模型3
正常腰围高值	0.98(0.86~1.13)	1.09(0.94~1.27)	1.11(0.96~1.30)	0.98(0.85~1.12)	1.11(0.96~1.29)	1.14(0.98~1.32)
高腰围值	1.28(1.10~1.49)	1.19(1.01~1.40)	1.21(1.03~1.43)	1.07(0.92~1.25)	1.03(0.87~1.21)	1.05(0.89~1.24)

自变量	社会适应困难			心理亚健康
自变量	模型1	模型2	模型3	模型1	模型2	模型3
正常腰围高值	1.05(0.90~1.24)	1.20(1.01~1.44)	1.23(1.03~1.47)	0.98(0.84~1.13)	1.12(0.95~1.32)	1.14(0.97~1.35)
高腰围值	1.42(1.20~1.69)^*	1.42(1.18~1.72)^*	1.45(1.20~1.75)^*	1.40(1.19~1.64)^*	1.42(1.20~1.70)^*	1.46(1.22~1.74)^*
注：模型1未调整变量；模型2调整了年龄、性别、父亲学历、母亲学历、上下学方式、睡眠时间、视频时间、锻炼时间、20 m往返跑；模型3在模型2的基础上调整了早餐频次、零食频次、饮用含糖饮料、食用乳制品。*P＜0.01。

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