儿童青少年24 h活动行为构成与肥胖指标的关系

谢吉春; 赵阳; 徐瑞霖

doi:10.16835/j.cnki.1000-9817.2025224

儿童青少年24 h活动行为构成与肥胖指标的关系

doi: 10.16835/j.cnki.1000-9817.2025224

1.
河南财经政法大学体育学院，郑州 450016
2.
天津体育学院体育教育学院
3.
郑州大学体育学院(校本部)

基金项目:

河南省哲学社会科学规划年度项目 2024BTY024

详细信息

作者简介:
谢吉春(1990-)，男，河南平顶山人，硕士，讲师，主要研究方向为青少年体质健康、运动健康促进

通讯作者:
徐瑞霖，E-mail：xrl@zzu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G806 R723.14
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- 文章访问数: 25
- HTML全文浏览量: 11
- PDF下载量: 5
- 被引次数: 0
出版历程
- 收稿日期: 2025-01-15
- 修回日期: 2025-04-30
- 网络出版日期: 2025-08-30
- 刊出日期: 2025-08-25

Association between 24-hour movement behavior composition and obesity indicators in children and adolescents

1.
School of Physical Education, Henan University of Economics and Law, Zhengzhou 450016, Henan Province, China

摘要

摘要: 目的探究儿童青少年24 h活动对肥胖影响的最佳推荐量，为制定具有针对性的肥胖防控策略提供科学依据。方法 2024年4—6月，在天津市2所学校(1所完全中学，1所十二年一贯制学校)招募242名儿童青少年(6~11岁儿童96名，12~18岁青少年146名)进行体格检查，并计算体质量指数Z值(BMI Z)、腰臀比(WHR)、体脂率(FAT)、脂肪量指数(FMI)；通过加速度计测量24 h活动，包括中高强度身体活动(MVPA)、低强度身体活动(LPA)、久坐行为(SB)和睡眠(SLP)。通过最佳时区分析法确定儿童青少年的最佳活动时长和区间。结果儿童24 h活动行为与BMI Z(F=2.35)、WHR(F=3.55)均相关；青少年24 h活动行为与BMI Z(F=3.57)、FAT(F=2.44)和WHR(F= 3.61)均相关(P值均＜0.05)。最佳时区分析法结果显示，儿童24 h活动的最佳时长与区间为MVPA 63(40~70)min，LPA 257(220~270)min，SB 467(390~600)min，SLP 653(590~680)min；青少年为MVPA 65(40~70)min，LPA 262(220~270)min，SB 484(440~600)min，SLP 629(510~670)min。结论基于肥胖指标的儿童青少年24 h活动推荐量，可为制定适合中国儿童青少年的24 h活动指南提供参考，以促进其形成健康的生活方式。
- 运动活动 /
- 肥胖症 /
- 回归分析 /
- 儿童 /
- 青少年
Abstract: Objective To identify optimal recommendations for 24-hour movement behaviors in relation to obesity indicators among children and adolescents, so as to provide scientific evidences for targeted obesity prevention strategies. Methods From April to June 2024, 242 participants (96 children aged 6-11, 146 adolescents aged 12-18) were recruited from two schools(one combined junior and senior high school, one consistent school for 12 years) in Tianjin for performing physical examination. Obesity indicators including body mass index Z-scores (BMI Z), waist-to-hip ratio (WHR), body fat percentage (FAT), and fat mass index (FMI) were measured. Measurement of 24-hour movement behaviors using an accelerometer, comprised moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), sedentary behavior (SB), and sleep (SLP). The optimal movement duration and interval for children and adolescents were determined through optimal time zone analysis. Results Significant associations were found between 24-hour movement behaviors and BMI Z(F=2.35) and WHR (F=3.55) in children, as well as BMI Z(F=3.57), FAT (F=2.44), and WHR (F=3.61) in adolescents (all P < 0.05). The results of optimal time zone analysis showed that optimal daily durations were MVPA 63(40-70) min, LPA 257(220-270) min, SB 467(390-600) min, SLP 653(590-680) min for children, and MVPA 65(40-70) min, LPA 262(220-270) min, SB 484(440-600) min, SLP 629(510-670) min for adolescents. Conclusion The recommended amount of 24-hour movement for children and adolescents based on obesity indicators could provide reference for informing the development of Chinese-specific guidelines, and promote healthy lifestyles among children and adolescents.
- Motor activity /
- Obesity /
- Regression analysis /
- Child /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

图 1 儿童与青少年24 h活动最佳推荐量

Figure 1. Optimal recommended amount of 24-hour activity for children and adolescents

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表 1 儿童青少年24 h活动最佳时长与区间/min

Table 1. Optimal duration and intervals of 24-hour activities for children and adolescents/min

类别	指标	MVPA	LPA	SB	SLP
儿童	BMI Z	65(60~74)	260(240~270)	465(400~600)	656(510~710)
	WHR	64(40~70)	254(220~270)	476(430~600)	650(510~780)
青少年	BMI Z	75(60~85)	265(230~360)	422(440~570)	645(640~780)
	FAT	25(20~35)	224(200~270)	492(470~590)	605(550~650)
	WHR	65(40~70)	260(240~270)	460(390~600)	655(510~720)

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