儿童青少年体格发育指标与20 m往返跑成绩的关联

王熙; 王娇娇; 张强; 许韶君; 孙健; 伍晓艳; 邱燚; 郑世杰; 张新东

doi:10.16835/j.cnki.1000-9817.2023.11.025

儿童青少年体格发育指标与20 m往返跑成绩的关联

doi: 10.16835/j.cnki.1000-9817.2023.11.025

1.
广东省深圳市宝安区疾病预防控制中心公共卫生科, 518101
2.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系
3.
深圳市宝安区公共卫生服务中心石岩分中心

基金项目:

深圳市2021年度基础研究面上项目 JCYJ20210324122200001

详细信息

作者简介:
王熙(1987-), 男, 安徽芜湖人, 硕士, 主管医师, 主要研究方向为儿童青少年卫生

通讯作者:
张新东, E-mail: 3228494@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G804.49 Q984 R179
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- 被引次数: 0
出版历程
- 收稿日期: 2023-06-26
- 修回日期: 2023-08-31
- 网络出版日期: 2023-11-27
- 刊出日期: 2023-11-25

Relationship between anthropometric parameters and 20-meter shuttle run test among children and adolescents

1.
Department of Public Health, Baoan District Center for Disease Control and Prevention, Shenzhen (518101), Guangdong Province, China

摘要

摘要: 目的探讨儿童青少年体格发育指标与20 m往返跑(20 m SRT)成绩间的关联, 为促进儿童青少年健康发展提供科学依据。方法采用方便抽样方法, 于2019年4-5月按照街道、学校类型在深圳市宝安区抽取3 192名中小学生, 通过体格测量和问卷调查的形式获取儿童青少年身高、体重、20 m SRT成绩及一般人口统计学指标。采用限制性立方样条分别分析不同体格发育指标[身高-Z值、体重-Z值和体质量指数(BMI)-Z值]与20 m SRT成绩的剂量-反应关系, 据此分别将身高-Z值、体重-Z值和BMI-Z值分成两组; Spearman相关分析身高-Z值与20 m SRT-Z值间的相关性; 采用Logistic回归模型分析不同人体测量指标与20 m SRT成绩的关系。结果体重-Z值、BMI-Z值与20 m SRT-Z值间分别呈非线性剂量-反应关系(P值均 < 0.01), 身高-Z值与20 m SRT-Z值间呈线性相关(r=0.06, P < 0.05)。儿童青少年20 m SRT-Z值低等级检出率为44.7%, 且性别、学段间差异均有统计学意义(χ²值分别为14.02, 93.28, P值均 < 0.01)。身高-Z值与20 m SRT-Z值等级间在总人群、不同性别、不同学段儿童青少年中关联均无统计学意义(P值均>0.05);体重-Z值>-0.23与20 m SRT-Z值低等级有关; BMI-Z值>0.25与20 m SRT-Z值低等级相关(OR值分别为0.61, 0.45, P值均 < 0.01);对性别、学段分别分层后, 体重-Z值、BMI-Z值与20 m SRT-Z值等级间的负向关联仍有统计学意义(P值均 < 0.01)。结论高身高-Z值与20 m SRT-Z值等级增加无关, 高体重-Z值、BMI-Z值与20 m SRT-Z值等级增加有关。基于体重和BMI视角采取相关措施以提高儿童青少年心肺耐力水平在某种程度上可能更有效。
- 身高 /
- 体重 /
- 人体质量指数 /
- 跑 /
- 回归分析 /
- 儿童 /
- 青少年
Abstract: Objective To determine the association between anthropometric parameters and 20-meter shuttle run test (20 m SRT) score among children and adolescents. Methods The convenient sampling method was conducted to select 3 192 primary and secondary school students in Baoan District, Shenzhen, based on the street-school types-school from April to May 2019.Height, weight, 20 m SRT score and general demographic indicators were assessed and collected.Individuals were divided into two groups based on the dose-response correlation between different anthropometric parameters (the Z-score of height, weight and BMI) and 20 m SRT score analyzed with the restricted cubic spline.The association between the Z-score of height and 20 m SRT score was further analyzed using the Spearman correlation analysis.Logistic regression analysis was used to analyze separately the relationship different anthropometric parameters and 20 m SRT score. Results The Z-value of weight and 20 m SRT score showed a non-linear dose-response association (P < 0.01), the significant but weak linear correlation between the Z-value of height and 20 m SRT score (r=0.06, P < 0.05).The prevalence rate on the low-level of the Z-value of 20 m SRT score in 3 192 children and adolescents was 44.7%, and the gender (χ²=14.02, P < 0.01) and grade difference (χ²=93.28, P < 0.01) were both statistically significant.There was no significant relationship between the Z-value of height and 20 m SRT score grade among total population, different genders and different grades (P>0.05).Compared with the reference group on the Z-value of weight ≤-0.23, individuals with the Z-value of weight >-0.23 had the low-level of 20 m SRT score (OR=0.61, P < 0.05).Compared with the reference group on the Z-value of BMI ≤0.25, individuals with the Z-value of weight >0.25 had the low-level of 20 m SRT score (OR=0.45, P < 0.05).Stratified for gender and grade, the above significant relationship on the Z-value of weight, Z-value of BMI and 20 m SRT score were still observed (P < 0.01). Conclusions The higher height Z-value shows on correlations with 20 m SRT score, but the positive association is found between weight and BMI Z-value and the 20 m SRT score.The cardiopulmonary fitness improvement may be more effective among children and adolescents when tuking weight and BMI Z scores into consideration.
- Body height /
- Body weight /
- Body mass index /
- Running /
- Regression analysis /
- Child /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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图 1 儿童青少年体重-Z值与20 m SRT-Z值间剂量-反应关系

注：以体重-Z值第1节点(P₁₀)对应的数值为参考值。

Figure 1. The dose-response relationship between the Z-value of weight and 20 m SRT-Z value

下载: 全尺寸图片幻灯片

图 2 儿童青少年BMI-Z值与20 m SRT-Z值间剂量-反应关系

注：以BMI-Z值第1节点(P₅)对应的数值为参考值。

Figure 2. The dose-response relationship between BMI-Z value and 20 m SRT-Z value

下载: 全尺寸图片幻灯片

表 2 不同性别学段儿童青少年体格发育指标及20 m SRT-Z值等级分布比较

Table 2. Comparison of the distribution of anthropometric indicators and 20 m SRT-Z values in different gender groups

组别	选项	人数	统计值	身高-Z值		体重-Z值		BMI-Z值		20 m SRT-Z值等级
组别	选项	人数	统计值	≤-0.13	>-0.13	≤-0.23	>-0.23	≤0.25	>0.25	低	高
性别	男	1 731		855(49.4)	876(50.6)	883(51.0)	848(49.0)	1 115(64.4)	616(35.6)	722(41.7)	1 009(58.3)
	女	1 461		749(51.3)	712(48.7)	724(49.6)	737(50.4)	964(66.0)	497(34.0)	706(48.3)	755(51.7)
			χ²值	1.11		0.67		0.86		14.02
			P值	0.29		0.41		0.35		< 0.01
学段	小学	1 599		893(55.8)	706(44.2)	895(56.0)	704(44.0)	1 091(68.2)	508(31.8)	851(53.2)	748(46.8)
	中学	1 593		711(44.6)	882(55.4)	712(44.7)	881(55.3)	988(62.0)	605(38.0)	577(36.2)	1 016(63.8)
			χ²值	40.15		40.59		13.55		93.28
			P值	< 0.01		< 0.01		< 0.01		< 0.01
注： ()内数字为构成比/%。

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表 3 青少年不同体格发育指标水平与20 m SRT-Z值等级关联[O值(95%CI)]

Table 3. The relationship between different anthropometric parameters and the grades of 20 m SRT-Z value among adolescents [OR(95%CI)]

自变量	选项	总人群(n=3 192)	性别		学段
自变量	选项	总人群(n=3 192)	男生(n=1 731)	女生(n=1 1461)	小学(n=1 599)	中学(n=1 593)
身高-Z值	>-0.13	1.04(0.88~1.22)	0.99(0.79~1.24)	1.06(0.84~1.34)	1.04(0.83~1.31)	0.94(0.74~1.18)
体重-Z值	>-0.23	0.61(0.52~0.72)^**	0.53(0.42~0.66)^**	0.71(0.56~0.89)^**	0.57(0.46~0.72)^**	0.60(0.47~0.76)^**
BMI-Z值	>0.25	0.45(0.38~0.53)^**	0.37(0.29~0.47)^**	0.57(0.44~0.73)^**	0.37(0.29~0.48)^**	0.51(0.40~0.65)^**
注： **P < 0.01。

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