Association of the interaction effect of milk tea and takeaway consumption on overweight and obesity among college students
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摘要:
目的 了解大学生奶茶外卖消费情况与超重肥胖的关联,为有效防控大学生超重肥胖提供科学依据。 方法 采取方便抽样方法,于2023年10—11月对上海、江西、湖北、山西四省(直辖市)共7所高校14 379名大学生进行问卷调查和体格测试。通过自编奶茶消费和外卖消费调查问卷对大学生奶茶外卖消费情况进行调查,采用χ2检验比较不同组别及不同奶茶、外卖消费情况大学生超重肥胖检出率。使用多因素Logistic回归分析大学生奶茶、外卖消费情况与超重肥胖的关联强度。 结果 大学生超重肥胖检出率为24.29%,不同性别、年级、是否独生子女、家庭经济状况大学生超重肥胖检出率差异均有统计学意义(χ2值分别为308.72,38.83,15.49,16.82,P值均<0.01);大学生超重肥胖检出率在不同外卖消费频次、奶茶消费频次组间差异均有统计学意义(χ2值分别为21.32,46.32,P值均<0.01)。多因素Logistic回归分析模型显示,每周不同奶茶消费频次(1~3,4~5,≤6次)与超重肥胖均存在正向关联(OR值分别为1.62,1.75,2.39),每天都吃外卖的大学生超重肥胖发生风险较高(OR=1.32)(P值均<0.01)。交互作用分析显示,经常奶茶与外卖共同消费与大学生超重肥胖呈正相关(OR=3.00,P<0.01)。 结论 大学生奶茶外卖消费与超重肥胖存在关联,高校及有关部门要采取针对性措施干预大学生超重肥胖。 Abstract:Objective To investigate the correlation between the consumption of milk tea and takeaway on overweight and obesity of college students, so as to provide a scientific basis for effective prevention and control of overweight and obesity among college students. Methods A questionnaire survey and physical test were conducted among 14 379 college students from 7 universities in Shanghai, Jiangxi, Hubei and Shanxi provinces from October to November 2023 by the convenient sampling method. The self-designed questionnaires on milk tea consumption and takeaway consumption were used to investigate the consumption of milk tea and takeaway among college students. The χ2 test was used to compare the distribution difference of the detection rate of overweight and obesity among college students in different groups and different consumption frequency of milk tea and takeaway. Multivariate Logistic regression analysis was used to analyze the correlation between the consumption of milk tea takeaway and overweight and obesity. Results The prevalence of overweight and obesity among college students was 24.29%. The prevalence of overweight and obesity among college students was statistically significant among gender, grade, single child or not and family economic status (χ2=308.72, 38.83, 15.49, 16.82, P < 0.01). In addition, there were statistically significant differences in the prevalence of overweight and obesity with different takeaway consumption frequency and milk tea consumption frequency among college students (χ2=21.32, 46.32, P < 0.01). Multivariate Logistic regression model showed that different consumption frequency of milk tea (1-3, 4-5, ≤6 times for every week) were positively correlated with overweight and obesity(OR=1.62, 1.75, 2.39), and eating takeaway every day was also positively correlated with overweight and obesity (OR=1.32)(P < 0.01). Interaction analysis showed that frequent joint consumption of milk tea and takeaway was positively correlated with overweight and obesity of college students (OR=3.00, P < 0.01). Conclusions The consumptions of milk tea and takeaway are associated with overweight and obesity among college students. Colleges and relevant departments should take effective measures to intervene in overweight and obesity among college students. -
Key words:
- Beverages /
- Food habits /
- Overweight /
- Obesity /
- Regression analysis /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同组别大学生超重肥胖检出率比较
Table 1. Comparison of the prevalence of overweight and obesity among college students in different groups
组别 选项 人数 超重肥胖人数 χ2值 P值 性别 男 5 807 1 854(31.9) 308.72 <0.01 女 8 572 1 639(19.1) 年级 大一 8 393 2 192(26.1) 38.83 <0.01 大二 2 787 629(22.6) 大三 1 952 403(20.6) 大四 1 247 269(21.6) 户籍所在地 城镇 6 030 1 483(24.6) 0.51 0.47 农村 8 349 2 010(24.1) 独生子女 是 4 283 1 133(26.5) 15.49 <0.01 否 10 096 2 360(23.4) 父亲职业 公务员 1 625 389(23.9) 8.09 0.15 工人 1 964 475(24.2) 农民 1 666 375(22.5) 公司职员 422 105(24.9) 商人 3 020 785(26.0) 其他 5 682 1 364(24.0) 母亲职业 公务员 1 337 310(23.2) 6.35 0.27 工人 1 034 241(23.3) 农民 1 543 368(23.8) 公司职员 471 111(23.6) 商人 3 841 988(25.7) 其他 6 153 1 475(24.0) 家庭经济状况 很差 687 184(26.8) 16.82 <0.01 较差 2 616 652(24.9) 一般 9 503 2 297(24.2) 较好 1 386 298(21.5) 很好 187 62(33.2) 体力活动分组 高水平 3 731 917(24.6) 0.70 0.70 中水平 4 042 963(23.8) 低水平 6 606 1 613(24.4) 睡眠质量不良 是 2 346 593(25.3) 1.48 0.22 否 12 033 2 900(24.1) 失眠 是 5 871 1 438(24.5) 0.22 0.64 否 8 508 2 055(24.2) 注:()内数字为检出率/%。 表 2 大学生奶茶、外卖消费情况与超重肥胖的关联
Table 2. Relationship between consumption of milk tea/takeaway and overweight and obesity in college students
变量 选项 人数 超重肥胖人数 χ2值 P值 每周外卖消费 基本不吃或不吃 1 857 417(22.5) 21.32 <0.01 频次 有时吃 3 708 837(22.6) 经常吃 7 568 1 888(24.9) 每天都吃 1 246 351(28.2) 每周奶茶消费 0 196 33(16.8) 46.32 <0.01 频次 1~3 7 490 1 674(22.3) 4~5 6 565 1 742(26.5) ≥6 128 44(34.4) 注:()内数字为检出率/%。 表 3 大学生奶茶外卖消费频次与超重肥胖关联的Logistic回归分析(n=14 379)
Table 3. Logistic regression analysis on college students' consumption frequency of milk tea/takeaway and overweight and obesity(n=14 379)
自变量 选项 β值 标准误 Wald χ2值 OR值(95%CI) P值 每周外卖消费 基本不吃或不吃 1.00 频次 有时吃 0.02 0.07 0.10 1.02(0.89~1.17) 0.75 经常吃 0.10 0.06 2.38 1.10(0.97~1.25) 0.12 每天都吃 0.28 0.09 10.81 1.32(1.12~1.56) <0.01 每周奶茶消费 0 1.00 频次 1~3 0.48 0.20 6.16 1.62(1.11~2.38) <0.01 4~5 0.56 0.20 8.33 1.75(1.20~2.57) <0.01 ≥6 0.87 0.27 10.47 2.39(1.41~4.06) <0.01 注:调整性别、年级、家庭经济状况、独生子女因素。 表 4 奶茶和外卖消费的交互作用与大学生超重肥胖关系的Logistic回归分析(n=14 379)
Table 4. Logistic regression analysis on interaction between milk tea and takeaway consumption on overweight and obesity of college students(n=14 379)
交互组 β值 标准误 Wald χ2值 OR值(95%CI) P值 不经常外卖消费+不经常奶茶消费 1.00 不经常外卖消费+经常奶茶消费 0.07 0.06 1.58 1.07(0.96~1.19) 0.21 经常外卖消费+不经常奶茶消费 0.06 0.07 0.83 1.06(0.93~1.22) 0.36 经常外卖消费+经常奶茶消费 1.10 0.05 485.72 3.00(2.72~3.30) <0.01 -
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