Associations between physical fitness and comorbidity of problematic mobile phone use and depression among first-year students of a medical college in Jiangsu

YANG Weiwei; PENG Xianzhen; WANG Danhua; XU Jida; REN Jiacui

doi:10.16835/j.cnki.1000-9817.2024143

Volume 45 Issue 5

May 2024

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YANG Weiwei, PENG Xianzhen, WANG Danhua, XU Jida, REN Jiacui. Associations between physical fitness and comorbidity of problematic mobile phone use and depression among first-year students of a medical college in Jiangsu[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(5): 644-648. doi: 10.16835/j.cnki.1000-9817.2024143

Citation:

YANG Weiwei, PENG Xianzhen, WANG Danhua, XU Jida, REN Jiacui. Associations between physical fitness and comorbidity of problematic mobile phone use and depression among first-year students of a medical college in Jiangsu[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(5): 644-648. doi: 10.16835/j.cnki.1000-9817.2024143

Citation:

YANG Weiwei, PENG Xianzhen, WANG Danhua, XU Jida, REN Jiacui. Associations between physical fitness and comorbidity of problematic mobile phone use and depression among first-year students of a medical college in Jiangsu[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(5): 644-648. doi: 10.16835/j.cnki.1000-9817.2024143

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Associations between physical fitness and comorbidity of problematic mobile phone use and depression among first-year students of a medical college in Jiangsu

doi: 10.16835/j.cnki.1000-9817.2024143

Kangda College of Nanjing Medical University, Lianyungang (222000), Jiangsu Province, China

Received Date: 2023-11-08
Rev Recd Date: 2024-03-11

Available Online: 2024-05-30

Publish Date: 2024-05-25

Abstract

Abstract

Objective To exploring the associations of the physical fitness index with depression, problematic mobile phone use, and comorbidity, so as to provide references for exploring the comorbidity co-cause and co-prevention of mobile phone dependence and depression symptoms among adolescents. Methods A stratified cluster random sampling method was used to select 1 984 first-year students at two medical colleges in Jiangsu Province from October to November in 2021. The Patient Health Questionnaire-9 (PHQ-9) and Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU) were used to evaluate the risk of depression and symptoms of problematic mobile phone use. Tests included grip strength, standing long jump, 50 m running, modified sitting forward flexion, 20 s repeated traverse, 1 min sit-ups, 20 m round-trip running (20 m SRT), and 800/1 000 m run. Binary Logistic regression analysis was used to explore the associations of the physical fitness index with depression and problematic mobile phone use, and mediating effects were analyzed. Results The overall detection rates were 28.63% for depression symptoms, 24.95% for problematic mobile phone use, and 13.65% for comorbidity. Compared with students without depressive symptoms, students without mobile phone dependence, and students without comorbidity[0.08(-1.84, 2.06), 0.14(-1.84, 2.06), 0.15(-1.82, 2.12)], students with depressive symptoms[mild: -0.03(-1.91, 1.41), moderate: -0.22(-3.17, 2.37), severe: -1.62(-3.33, -0.16)], mobile phone dependence[-0.45(-2.17, 1.06)], and their comorbid symptoms [no depression and mobile phone dependence: 0.06(-1.98, 1.54), depression without mobile phone dependence: -0.37(-2.21, 1.17), both: -0.52(-2.17, 0.97)] had lower physical fitness index (Z/H=4.40, 20.84, 20.80, P < 0.01). The risk of depression and problematic mobile phone use, and the co-morbidity detection rate in the higher physical fitness index group were lower than those in the lower physical fitness index group [OR(95%CI)=0.61(0.47-0.80), 0.62(0.48-0.79), 0.65(0.47-0.91), P < 0.05]. Analysis of mediating effects indicated that problematic mobile phone use had an indirect effect (indirect effect=0.014) on the physical fitness index and depression, and accounted for 36.84% of the total effect. Conclusions The physical fitness index is associated with depression, problematic mobile phone use, and comorbidity. Physical exercise and physical fitness efforts should be strengthened to prevent the occurrence of mobile phone dependence, depression, and comorbidity.
- Body constitution,
- Cellular phone,
- Behavior, addictive,
- Depression,
- Comorbidity,
- Regression analysis,
- Students

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志谢: 感谢昆明学院医学院对本研究的支持和帮助。

References(23)

References

[1]	傅小兰, 张侃, 陈雪峰, 等. 中国国民心理健康发展报告(2021—2022)[M]. 北京: 社会科学文献出版社, 2023. FU X L, ZHANG K, CHEN X F, et al. Report on national mental health development in China(2021-2022)[M]. Beijing: Social Sciences Academic Press, 2023. (in Chinese)
[2]	EICHENBERG C, SCHOTT M, SCHROIFF A. Problematic smartphone use: comparison of students with and without problematic smartphone use in light of personality[J]. Front Psychiatry, 2021, 11: 599241. doi: 10.3389/fpsyt.2020.599241
[3]	LUK T T, WANG M P, SHEN C, et al. Short version of the Smartphone Addiction Scale in Chinese adults: psychometric properties, sociodemographic, and health behavioral correlates[J]. J Behav Addict, 2018, 7(4): 1157-1165. doi: 10.1556/2006.7.2018.105
[4]	LUO X, ZHOU Y, ZHENG R, et al. Association of health-risk behaviors and depressive symptoms and anxiety symptoms: a school-based sample of Chinese adolescents[J]. J Public Health (Oxf), 2020, 42(3): e189-e198. doi: 10.1093/pubmed/fdz115
[5]	LIU S, WING Y K, HAO Y, et al. The associations of long-time mobile phone use with sleep disturbances and mental distress in technical college students: a prospective cohort study[J]. Sleep, 2019, 42(2): 1-10.
[6]	中华人民共和国教育部体育卫生与艺术教育司. 第八次全国学生体质与健康调研结果发布[J]. 中国学校卫生, 2021, 42(9): 1281-1282. doi: 10.16835/j.cnki.1000-9817.2021.09.001 Department of Physical Health and Arts Education, Ministry of Education of the PRC. Release report of the eighth national survey on student physical fitness and health[J]. Chin J Sch Health, 2021, 42(9): 1281-1282. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.09.001
[7]	CARLOS B S, MIREIA A R, MARIA B V, et al. Association between health-related physical fitness and self-rated risk of depression in adolescents: dados study[J]. Int J Environ Res Public Health, 2020, 17(12): 4316. doi: 10.3390/ijerph17124316
[8]	PAULA R C, ANA C B, CARMEN P M, et al. A cross-sectional association of physical fitness with positive and negative affect in children and adolescents: the up and down study[J]. Pediatr Int, 2021, 63(2): 202-209. doi: 10.1111/ped.14366
[9]	XIE H, TAO S, ZHANG Y, et al. Impact of problematic mobile phone use and insufficient physical activity on depression symptoms: a college-based follow-up study[J]. BMC Public Health, 2019, 19(1): 1640. doi: 10.1186/s12889-019-7873-z
[10]	KROENKE K, SPITZER R L, WILLIAMS J B. The PHQ-9:validity of abrief depression severity measure[J]. J Gen Intern Med, 2001, 16(9): 606-613. doi: 10.1046/j.1525-1497.2001.016009606.x
[11]	陶舒曼, 付继玲, 王惠, 等. 青少年手机使用依赖自评问卷编制及其在大学生中的应用[J]. 中国学校卫生, 2013, 34(1): 26-29. http://www.cjsh.org.cn/article/id/zgxxws201301009 TAO S M, FU J L, WANG H, et al. Development of self-rating questionnaire for adolescent problematic mobile phone use and the psychometric evaluation in undergraduates[J]. Chin J Sch Health, 2013, 34(1): 26-29. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201301009
[12]	刘媛. 儿童青少年BMI和腰围与体能指数的相关性研究[D]. 上海: 华东师范大学, 2019. LIU Y. Study on correlation between BMI, waist circumference and physical fitness index of children and adolescents[D]. Shanghai: East China Normal University, 2019. (in Chinese)
[13]	翟文海, 张琼, 闫俊. 新冠肺炎疫情前后中国大学生抑郁症状检出率及相关因素的Meta分析[J]. 中国学校卫生, 2022, 43(7): 1055-1060. doi: 10.16835/j.cnki.1000-9817.2022.07.023 ZHAI W H, ZHANG Q, YAN J. Meta-analysis of prevalence and associated factors of depressive symptoms in Chinese college students before and after the COVID-19 epidemic[J]. Chin J Sch Health, 2022, 43(7): 1055-1060. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.07.023
[14]	邓方方, 马松翠, 朱元强, 等. 医学生手机成瘾倾向与拖延元认知的相关性研究[J]. 中国卫生事业管理, 2019, 36(6): 462-465. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG201906023.htm DENG F F, MA S C, ZHU Y Q, et al. A study on the correlation between mobile phone addiction tendency and delayed metacognition in medical students[J]. Chin Health Serv Manage, 2019, 36(6): 462-465. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG201906023.htm
[15]	李晓东, 龙苏兰. 当代医学院校大学生手机成瘾流行现状、心理健康状况及影响因素[J]. 中国健康心理学杂志, 2022, 30(12): 1831-1835. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202212015.htm LI X D, LONG S L. Research on the prevalence, mental health and influencing factors of mobile phone addiction among medical college students in the post-epidemic era[J]. Chin J Health Psychol, 2022, 30(12): 1831-1835. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202212015.htm
[16]	卜庆亮, 严娜, 沈心语, 等. 医学生不确定心理压力与手机成瘾的关系: 社交焦虑与抑郁的链式中介作用[J]. 现代预防医学, 2023, 50(15): 2791-2795. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202315018.htm BU Q L, YAN N, SHEN X Y, et al. The relationship between uncertainty stress and mobile phone addiction in medical students: the chain mediating effect of social anxiety and depression[J]. Mod Prev Med, 2023, 50(15): 2791-2795. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202315018.htm
[17]	杨文漪, 杨婕, 余小金. 青少年抑郁网络成瘾及遭受校园欺凌网络建模分析[J]. 中国学校卫生, 2023, 44(5): 668-671. doi: 10.16835/j.cnki.1000-9817.2023.05.007 YANG W Y, YANG J, YU X J. Network modeling analysis of depression, Internet addiction and campus bullying in adolescents[J]. Chin J Sch Health, 2023, 44(5): 668-671. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.05.007
[18]	何佳嘉, 袁勇, 尹小俭, 等. 中国儿童青少年体力活动与体能指数的相关性[J]. 中国学校卫生, 2021, 42(12): 1879-1882. doi: 10.16835/j.cnki.1000-9817.2021.12.029 HE J J, YUAN Y, YIN X J, et al. Association between physical activity and physical fitness index of Chinese children and adolescents[J]. Chin J Sch Health, 2021, 42(12): 1879-1882. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.12.029
[19]	彭薇, 贾志云, 龚启勇. 难治性抑郁症神经影像研究进展[J]. 生物医学工程学杂志, 2018, 35(5): 794-798. https://www.cnki.com.cn/Article/CJFDTOTAL-SWGC201805019.htm PENG W, JIA Z Y, GONG Q Y. Current progress in neuroimaging research on treatment resistant depression[J]. J Biomed Engineer, 2018, 35(5): 794-798. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SWGC201805019.htm
[20]	BIDDLE S J H, ASARE M. Physical activity and mental health in children and adolescents: a review of reviews[J]. Br J Sports Med, 2011, 45(11): 886-895. doi: 10.1136/bjsports-2011-090185
[21]	刘朝辉. 体育锻炼对大学生负性情绪的影响: 自我效能感与心理韧性的中介和调节作用[J]. 体育学刊, 2020, 27(5): 102-108. https://www.cnki.com.cn/Article/CJFDTOTAL-TYXK202005016.htm LIU Z H. Effects of physical exercise on negative emotion for university students: the mediating and moderating effects of self-efficacy and mental resilience[J]. J Phys Educ, 2020, 27(5): 102-108. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-TYXK202005016.htm
[22]	KHAN A, LEE E Y, ROSENBAUM S, et al. Dose-dependent and joint associations between screen time, physical activity and mental wellbeing in adolescents: an international observational study[J]. Lancet Child Adolesc Health, 2021, 5(10): 729-738. doi: 10.1016/S2352-4642(21)00200-5
[23]	ELIF T O, PENG C Y, ZHU Y, et al. Activating newborn neurons suppresses depression and anxiety-like behaviors[J]. Nat Commun, 2019, 10(1): 3768. doi: 10.1038/s41467-019-11641-8

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