饮食节律与电子产品使用节律紊乱及其交互作用对中学生心理健康的影响

张雅迪; 谢阳; 刘晓玲; 张梦倩; 万宇辉; 陶芳标

doi:10.16835/j.cnki.1000-9817.2025006

饮食节律与电子产品使用节律紊乱及其交互作用对中学生心理健康的影响

doi: 10.16835/j.cnki.1000-9817.2025006

张雅迪¹,
谢阳²,
刘晓玲¹,
张梦倩¹,
万宇辉^{1, 3},
陶芳标^{1, 3, ,}

1.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系，合肥 230032
2.
马鞍山市妇幼保健院儿童保健科
3.
出生人口健康教育部重点实验室/安徽省环境与人口健康重点实验室

基金项目:

国家自然科学基金面上项目 82073578

详细信息

作者简介:
张雅迪(2001-)，女，安徽亳州人，在读硕士，主要研究方向为儿童青少年卫生

通讯作者:
陶芳标，E-mail：fbtao@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.2 R155.1 F764.6
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- 文章访问数: 125
- HTML全文浏览量: 50
- PDF下载量: 36
- 被引次数: 0
出版历程
- 收稿日期: 2024-09-13
- 修回日期: 2024-10-15
- 网络出版日期: 2025-01-25
- 刊出日期: 2025-01-25

Effects of dietary rhythm and digital media use rhythm disorders and their interaction on psychological health among middle school students

1.
Department of Maternal with Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei (230032), Anhui Province, China

摘要

摘要: 目的探讨饮食节律和电子产品使用节律紊乱及其交互作用对中学生心理健康的影响，为相关节律紊乱中学生群体的心理健康促进提供参考依据。方法 2023年11—12月，采用多阶段整群随机抽样方法分别在深圳市、太原市、郑州市3座城市中抽取7所初中和6所高中12 847名中学生为研究对象。采用自编问卷评估中学生饮食节律和电子产品使用节律紊乱状况，采用青少年心理健康评定简明问卷评估中学生心理亚健康。使用Logistic回归模型分析中学生饮食和电子产品使用节律紊乱与心理亚健康的关联，并分析二者交互作用对心理亚健康的影响。结果中学生心理亚健康检出率为20.58%。Logistic回归模型分析结果显示，以饮食节律和电子产品使用节律均低紊乱组为参照，饮食节律中高紊乱组(OR=2.85，95%CI=2.51~3.23)和电子产品使用节律中高紊乱组(OR=2.33，95%CI=2.07~2.63)中学生心理亚健康风险均较高(P值均＜0.01)。饮食节律紊乱与电子产品使用节律紊乱对心理亚健康存在相乘交互作用(OR=2.48，95%CI=2.33~2.76)和相加交互作用[RERI值(95%CI)=0.84(0.32~1.36)，AP值(95%CI)=0.20(0.08~0.33)，SI值(95%CI)=1.36(1.08~1.72)](P值均＜0.01)。结论在中学生心理亚健康的预防和管理过程中，应重点关注饮食节律和电子产品使用节律紊乱问题，改善不规律的膳食行为、减少电子产品的不合理使用可能对促进中学生心理健康具有积极意义。
- 饮食习惯 /
- 视听设备 /
- 生物钟紊乱 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To explore the effects of dietary rhythm and digital media use rhythm disorders, as well as their interactions on the psychological health of middle school students, so as to provide a reference basis for promoting the psychological health of middle school students with rhythm disorder. Methods From November to December 2023, a total of 12 847 middle school students were selected from seven middle schools and six high schools in three cities (Shenzhen, Taiyuan and Zhengzhou) by a multi-stage cluster random sampling method. A self-administered questionnaire was used to assess dietary rhythm and digital media use rhythm disorders of middle school students. The Brief Instrument on Psychological Health of Youths was used to assess psychological sub-health of middle school students. A Logistic regression model was constructed to analyze the associations of dietary rhythm and digital media use rhythm disorders with psychological sub-health among middle school students, as well as their interaction effects on psychological sub-health. Results The detection rate of psychological sub-health among middle school students was 20.58%. The analysis results of Logistic regression model showed that taking the low disorder groups of dietary rhythm and digital media use rhythm as the references, middle school students in the moderate and high disorder groups of dietary rhythm (OR=2.85, 95%CI=2.51-3.23) and digital media use rhythm (OR=2.33, 95%CI=2.07-2.63) had higher risks of psychological sub-health (P < 0.01). In addition, the results revealed that disorders of dietary rhythm and digital media use rhythm had multiplicative interactions (OR=2.48, 95%CI=2.33-2.76) and additive interactions [RERI(95%CI)=0.84(0.32-1.36), AP(95%CI)=0.20(0.08-0.33), SI(95%CI)=1.36(1.08-1.72)](P < 0.01), that contributed to psychological sub-health. Conclusion The prevention and management of psychological sub-health among middle school students should focus on disorders of dietary rhythm and digital media use rhythm, in order to improve irregular dietary patterns and reduce irrational use of digital media, which may contribute to promoting psychological health among middle school students.
- Food habits /
- Audiovisual aids /
- Chronobiologh disorders /
- Mental health /
- Regression analysis /
- Students
注释:

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表 1 不同组别中学生心理亚健康检出率比较

Table 1. Comparison of detection rates of psychological sub-health in middle school students with different groups

组别	选项	人数	检出人数	χ²值	P值
性别	男	6 729	1 247(18.53)	36.29	＜0.01
	女	6 118	1 397(22.83)
学段	初中	6 128	953(15.55)	181.30	＜0.01
	高中	6 719	1 691(25.17)
家庭居住地	农村	2 712	605(22.31)	6.27	0.01
	城市	10 135	2 039(20.12)
独生子女	否	10 390	2 095(20.16)	5.78	0.02
	是	2 457	549(22.34)
父亲文化程度	小学及以下	1 081	336(31.08)	100.25	＜0.01
	初中	4 159	911(21.90)
	高中及以上	7 607	1 397(18.36)
母亲文化程度	小学及以下	1 400	376(26.86)	46.48	＜0.01
	初中	4 263	906(21.25)
	高中及以上	7 184	1 362(18.96)
自评家庭经济情况	较好	2 333	394(16.89)	232.12	＜0.01
	一般	9 026	1 723(19.09)
	较差	1 488	527(35.42)
自评学习负担	较轻	838	215(25.66)	410.90	＜0.01
	一般	6 710	919(13.70)
	较重	5 299	1 510(28.50)
亲密同伴数量/个	0	392	202(51.53)	462.00	＜0.01
	1~2	3 668	1 012(27.59)
	3~5	5 642	1 004(17.80)
	＞5	3 145	426(13.55)
留守经历	无	11 034	2 102(19.05)	112.71	＜0.01
	有	1 813	542(29.90)
饮食节律紊乱程度	低	3 332	280(8.40)	408.14	＜0.01
	中高	9 515	2 364(24.84)
电子产品使用节律紊乱程度	低	3 373	346(10.26)	298.18	＜0.01
电子产品使用节律紊乱程度	中高	9 474	2 298(24.26)
注： ()内数字为检出率/%。

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参考文献(26)

[1]	STEEL Z, MARNANE C, IRANPOUR C, et al. The global prevalence of common mental disorders: a systematic review and Meta-analysis 1980-2013[J]. Int J Epidemiol, 2014, 43(2): 476-493. doi: 10.1093/ije/dyu038
[2]	MALLA A, BOKSA P, JOOBER R. The new wave of youth mental health services: time for reflection and caution[J]. Can J Psychiatry, 2021, 66(7): 616-620. doi: 10.1177/0706743720984382
[3]	SCHULTE-KORNE G. Mental health problems in a school setting in children and adolescents[J]. Dtsch Arztebl Int, 2016, 113(11): 183-190.
[4]	WHO. Mental health of adolescents[EB/OL]. (2021-11-17)[2024-10-10]. https://www.who.int/zh/newsroom/fact-sheets/detail/adolescent-mental-health.
[5]	苏现彪, 殷爱华, 杨楹, 等. 中国青少年心理亚健康状态检出率的Meta分析[J]. 中国儿童保健杂志, 2021, 29(6): 645-649. SU X B, YIN A H, YANG Y, et al. Meta-analysis on psychological sub-health status among adolescents in China[J]. Chin J Child Health Care, 2021, 29(6): 645-649. (in Chinese)
[6]	IM Y, OH WO, SUK M. Risk factors for suicide ideation among adolescents: five-year national data analysis[J]. Arch Psychiatr Nurs, 2017, 31(3): 282-286. doi: 10.1016/j.apnu.2017.01.001
[7]	WANG J, XIE Y, XU H, et al. Moderating effects of smoking and drinking on the relationship between biological rhythm and psychological health and gender differences among adolescents[J]. BMC Psychiatry, 2023, 23(1): 731. doi: 10.1186/s12888-023-05253-2
[8]	MONDIN T C, CARDOSO T A, SOUZA L D M, et al. Mood disorders and biological rhythms in young adults: a large population-based study[J]. J Psychiatr Res, 2017, 84: 98-104. doi: 10.1016/j.jpsychires.2016.09.030
[9]	谢阳. 《青少年生物节律紊乱评定问卷》的编制及应用研究[D]. 合肥: 安徽医科大学, 2021. XIE Y. Development and preliminary application of Self-rating Questionnaire of Biological Rhythm Disorders for Adolescents[D]. Hefei: Anhui Medical University, 2021. (in Chinese)
[10]	SHIMIZU M, ZERINGUE M M, ERATH S A, et al. Trajectories of sleep problems in childhood: associations with mental health in adolescence[J]. Sleep, 2021, 44(3): 190. doi: 10.1093/sleep/zsaa190
[11]	WEHRENS S M T, CHRISYOU S, ISHERWOOD C, et al. Meal timing regulates the human circadian system[J]. Curr Biol, 2017, 27(12): 1768-1775. doi: 10.1016/j.cub.2017.04.059
[12]	HJETALAND G J, SKOGEN J C, HYSING M, et al. The association between self-reported screen time, social media addiction, and sleep among norwegian university students[J]. Front Public Health, 2021, 9: 794307. doi: 10.3389/fpubh.2021.794307
[13]	陶舒曼, 万宇辉, 伍晓艳, 等. 《青少年心理健康评定简明问卷》的心理学评价及应用[J]. 中国学校卫生, 2020, 41(9): 1331-1334, 1338. doi: 10.16835/j.cnki.1000-9817.2020.09.014 TAO S M, WAN Y H, WU X Y, et al. Evaluation and application of Brief Instrument on Psychological Health of Youth[J]. Chin J Sch Health, 2020, 41(9): 1331-1334, 1338. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.09.014
[14]	陶芳标, 邢超, 袁长江, 等. 青少年亚健康多维评定问卷全国常模研制[J]. 中国学校卫生, 2009, 30(4): 292-295. TAO F B, XING C, YUAN C J, et al. Evaluation and application of Brief Instrument on Psychological Health of Youths[J]. Chin J Sch Health, 2009, 30(4): 292-295. (in Chinese)
[15]	ANDERSSON T, ALFREDSSON L, KALLBERG H, et al. Calculating measures of biological interaction[J]. Eur J Epidemiol, 2005, 20(7): 575-579. doi: 10.1007/s10654-005-7835-x
[16]	黄天龙. 青少年24小时活动行为与心理亚健康的关系研究[D]. 上海: 华东师范大学, 2022. HUANG T L. Research on the relationship between adolescents' 24 hour movement behavior and mental sub-health[D]. Shanghai: East China Normal University, 2022. (in Chinese)
[17]	肖婉, 李书琴, 李若瑜, 等. 三城市中学生童年期不良经历暴露模式与心理亚健康的关联及性别差异[J]. 现代预防医学, 2023, 50(10): 1790-1795. XIAO W, LI S Q, LI R Y, et al. Relationship between adverse childhood experiences patterns and psychological sub-health and gender difference among middle school students: a three-city study in China[J]. Mod Prev Med, 2023, 50(10): 1790-1795. (in Chinese)
[18]	赵志雅, 徐慧琼, 汪姗姗, 等. 初中生青春发动时相与心理亚健康关联及性别差异[J]. 中国公共卫生, 2021, 37(2): 270-274. ZHAO Z Y, XU H Q, WANG S S, et al. Association between puberty timing and mental sub-health and its gender differences in junior middle school students[J]. Chin J Public Health, 2021, 37(2): 270-274. (in Chinese)
[19]	BORJIGEN A, HUANG C, LICU M, et al. Status and factors of menstrual knowledge, attitudes, behaviors and their correlation with psychological stress in adolescent girls[J]. J Pediatr Adolesc Gynecol, 2019, 32(6): 584-589. doi: 10.1016/j.jpag.2019.08.007
[20]	SUNDARI T, GEORGE A J, SINU E. Psychosocial problems of adolescent girls during menstruation[J]. J Ment Health Educ, 2022, 3(2): 47-63.
[21]	BORISEENKOW M F, TSERNE T A, POPOV S V, et al. Association of chrononutrition indices with anthropometric parameters, academic performance, and psychoemotional state of adolescents: a cross-sectional study[J]. Nutrients, 2023, 15(21): 4521. doi: 10.3390/nu15214521
[22]	GONG W J, FONG D Y, WANG M P, et al. Skipping breakfast and eating breakfast away from home were prospectively associated with emotional and behavioral problems in 115 217 Chinese adolescents[J]. J Epidemiol, 2022, 32(12): 551-558. doi: 10.2188/jea.JE20210081
[23]	ZHANG Y, WU X, TAO S, et al. Associations between screen time, physical activity, and depressive symptoms during the 2019 coronavirus disease (COVID-19) outbreak among Chinese college students[J]. Environ Health Prev Med, 2021, 26(1): 107. doi: 10.1186/s12199-021-01025-0
[24]	EIJNDEN R, KONING I, DOORNWAARD S, et al. The impact of heavy and disordered use of games and social media on adolescents' psychological, social, and school functioning[J]. J Behav Addict, 2018, 7(3): 697-706. doi: 10.1556/2006.7.2018.65
[25]	ALONZO R, HUSSAIN J, STRANGES S, et al. Interplay between social media use, sleep quality, and mental health in youth: a systematic review[J]. Sleep Med Rev, 2021, 56: 101414. doi: 10.1016/j.smrv.2020.101414
[26]	KORTESOJA L, VAINIKAINEN M P, HOUTLAINEN R, et al. Late-night digital media use in relation to chronotype, sleep and tiredness on school days in adolescence[J]. J Youth Adolesc, 2023, 52(2): 419-433. doi: 10.1007/s10964-022-01703-4