Association between strength quality with comorbid depressive and anxiety and its subtypes among junior high school students in Jiangxi Province

YU Liang; ZHAI Zhankui; JIANG Jing; SHA Mian; CHEN Zhongli

doi:10.16835/j.cnki.1000-9817.2024307

Volume 45 Issue 10

Oct. 2024

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YU Liang, ZHAI Zhankui, JIANG Jing, SHA Mian, CHEN Zhongli. Association between strength quality with comorbid depressive and anxiety and its subtypes among junior high school students in Jiangxi Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(10): 1486-1491. doi: 10.16835/j.cnki.1000-9817.2024307

Citation:

YU Liang, ZHAI Zhankui, JIANG Jing, SHA Mian, CHEN Zhongli. Association between strength quality with comorbid depressive and anxiety and its subtypes among junior high school students in Jiangxi Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(10): 1486-1491. doi: 10.16835/j.cnki.1000-9817.2024307

Citation:

YU Liang, ZHAI Zhankui, JIANG Jing, SHA Mian, CHEN Zhongli. Association between strength quality with comorbid depressive and anxiety and its subtypes among junior high school students in Jiangxi Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(10): 1486-1491. doi: 10.16835/j.cnki.1000-9817.2024307

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Association between strength quality with comorbid depressive and anxiety and its subtypes among junior high school students in Jiangxi Province

doi: 10.16835/j.cnki.1000-9817.2024307

1.
College of Physical Education, Chongqing Preschool Education College, Chongqing (404100), China

Received Date: 2024-06-13
Rev Recd Date: 2024-07-25

Available Online: 2024-11-02

Publish Date: 2024-10-25

Abstract

Abstract

Objective To analyze the association of strength quality of junior high school students with comorbid depressive and anxiety (CDA) and its subtypes, so as to provide reference for mental health improvement among junior high students. Methods A convenient sampling method was used to select 10 007 junior high students aged 13-16 from four cities (Nanchang, Ganzhou, Jiujiang, Shangrao) in Jiangxi Province during September to November 2023. A questionnaire survey and physical fitness tests were employed to collect basic information and assess students' depressive and anxiety status, as well as strength quality. The χ² test was used to compare the distribution differences of CDA and its subtypes among different demographic characteristics, sleep, physical activity, and overweight/obesity conditions. Logistic regression models were applied to infer the association strength between strength quality and CDA and its subtypes. Results The overall detection rate of CDA among junior high students was 11.04%. Among the CDA subtypes, the detection rates for mild depression-mild anxiety type, anxiety-dominant type, depression-dominant type, and severe depression-severe anxiety type were 3.67%, 3.35%, 0.39% and 3.64%, respectively. Compared to the grip strength and standing long jump scores in the >P₇₅ group, the risk of CDA occurrence increased in other groups (grip strength: P₂₅-P₇₅, OR=1.20; < P₂₅, OR=1.28; standing long jump: P₂₅-P₇₅, OR=1.31; < P₂₅, OR=1.51; P < 0.05). In stratified analysis of different CDA subtypes, compared to the grip strength >P₇₅ group, the risks for mild depression-mild anxiety type increased in the P₂₅-P₇₅ and < P₂₅ groups (OR=1.32, 1.44, P < 0.05). Compared to the standing long jump >P₇₅ group, the risks for anxiety-dominant type and severe depression-severe anxiety type increased in other groups (anxiety-dominant type: P₂₅-P₇₅, OR=1.32; severe depression-severe anxiety type: < P₂₅, OR=1.87; P < 0.05). Conclusions Lower levels of grip strength and standing long jump performance among junior high students are positively correlated with CDA and its subtypes. Lower levels of lower limb strength may be an important predictor of CDA in severe depression and anxiety.
- Physical fitness,
- Depression,
- Anxiety,
- Mental health,
- Comorbidity,
- Students

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References(43)

References

[1]	GORDON K, WARNE N, HERON J, et al. Continence problems and mental health in adolescents from a UK cohort[J]. Eur Urol, 2023, 84(5): 463-470. doi: 10.1016/j.eururo.2023.05.013
[2]	董晶, 田丹平, 黄渊秀, 等. 湖南省中学生常见健康相关问题的聚集性及相关影响因素分析[J]. 中国卫生统计, 2013, 30(4): 499-502. DONG J, TIAN D P, HUANG Y X, et al. Analysis of clustering of common health-related problems among middle school students in Hunan Province and its influential factors[J]. Chin J Health Stat, 2013, 30(4): 499-502. (in Chinese)
[3]	刘小群, 杨孟思, 彭畅, 等. 校园欺凌中不同角色中学生的焦虑抑郁情绪[J]. 中国心理卫生杂志, 2021, 35(6): 475-481. doi: 10.3969/j.issn.1000-6729.2019.06.015 LIU X Q, YANG M S, PENG C, et al. Anxiety emotion and depression mood of middle school students with different roles in school bullying[J]. Chin Ment Health J, 2019, 35(6): 475-481. (in Chinese) doi: 10.3969/j.issn.1000-6729.2019.06.015
[4]	ZHANG X, YANG H, ZHANG J, et al. Prevalence of and risk factors for depressive and anxiety symptoms in a large sample of Chinese adolescents in the post-COVID-19 era[J]. Child Adolesc Psychiatry Ment Health, 2021, 15: 1-8. doi: 10.1186/s13034-020-00354-2
[5]	KEENAN-MILLER D, HAMMEN C L, BRENNAN P A. Health outcomes related to early adolescent depression[J]. J Adolesc Health, 2007, 41(3): 256-262. doi: 10.1016/j.jadohealth.2007.03.015
[6]	KALKBRENNER M T, JOLLEY A L, HAYS D G. Faculty views on college student mental health: implications for retention and student success[J]. J Coll Stud Retent, 2021, 23(3): 636-658. doi: 10.1177/1521025119867639
[7]	VIJAYAKUMAR N, WHITTLE S, YUECEL M, et al. Impaired mat-uration of cognitive control in adolescents who develop major depressive disorder[J]. J Clin Child Adolesc Psychol, 2016, 45(1): 31-43. doi: 10.1080/15374416.2014.987381
[8]	LEWINSOHN P M, HOLM-DENOMA J M, SMALL J W, et al. Separation anxiety disorder in childhood as a risk factor for future mental illness[J]. J Am Acad Child Adolesc Psychiatry, 2008, 47(5): 548-555. doi: 10.1097/CHI.0b013e31816765e7
[9]	GIJZEN M W M, RASING S P A, CREEMERS D H M, et al. Suicide ideation as a symptom of adolescent depression. A network analysis[J]. J Affect Disord, 2021, 278: 68-77. doi: 10.1016/j.jad.2020.09.029
[10]	JACOBSON N C, NEWMAN M G. Anxiety and depression as bidirectional risk factors for one another: a Meta-analysis of longitudinal studies[J]. Psychol Bull, 2017, 143(11): 1155-1200. doi: 10.1037/bul0000111
[11]	王萌, 陶芳标, 伍晓艳. 儿童青少年焦虑抑郁共病研究进展[J]. 中华预防医学杂志, 2022, 56(7): 1011-1016. doi: 10.3760/cma.j.cn112150-20220325-00283 WANG M, TAO F B, WU X Y. Research progress on comorbidities of anxiety and depression in children and adolescents[J]. Chin J Prev Med, 2022, 56(7): 1011-1016. (in Chinese) doi: 10.3760/cma.j.cn112150-20220325-00283
[12]	ZHU X, HAEGELE J A, LIU H, et al. Academic stress, physical activity, sleep, and mental health among Chinese adolescents[J]. Int J Environ Res Public Health, 2021, 18(14): 7257. doi: 10.3390/ijerph18147257
[13]	BILSKY S A, LUBER M J, CLOUTlER R M, et al. Cigarette use, anxiety, and insomnia from adolescence to early adulthood: a longitudinal indirect effects test[J]. Addict Behav, 2021, 120: 106981. doi: 10.1016/j.addbeh.2021.106981
[14]	从恩朝, 陈海莹, 王韵, 等. 青少年焦虑情绪与父母教养方式的关联研究[J]. 中国儿童保健杂志, 2022, 30(8): 900-903. CONG E C, CHEN H Y, WANG Y, et al. Association between anxiety of adolescents and parental styles[J]. Chin J Child Health Care, 2022, 30(8): 900-903. (in Chinese)
[15]	BOU-SOSPEDRA C, ADELANTADO-RENAU M, BELTRAN-VALLS M R, 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
[16]	SUIJA K, TIMONEN M, SUVIOLA M, et al. The association between physical fitness and depressive symptoms among young adults: results of the Northern Finland 1966 birth cohort study[J]. BMC Public Health, 2013, 13: 1-7. doi: 10.1186/1471-2458-13-1
[17]	RÍO DE C P, CARBONELL B A, PADILLA M C, et al. A cross-sectional association of physical fitness with positive and negative affect in children and adolescents: the up or down study physical fitness and affect in youth[J]. Pediatr Int, 2021, 63(2): 202-209. doi: 10.1111/ped.14366
[18]	刘志喜, 石倩萍, 杨洪霞, 等. 匹兹堡睡眠质量指数量表在护理人群中的信效度评价[J]. 汕头大学医学院学报, 2020, 33(3): 173-176. LIU Z X, SHI Q P, YANG H X, et al. Reliability and validity evaluation of Pittsburgh Sleep Quality Index in nursing population[J]. J Shantou Univ Med Coll, 2020, 33(3): 173-176. (in Chinese)
[19]	王慧霞, 刘聪, 徐佳丽, 等. 大学生睡眠状况与吸烟饮酒行为及运动不足的关联性研究[J]. 上饶师范学院学报, 2023, 43(3): 94-100. doi: 10.3969/j.issn.1004-2237.2023.03.014 WANG H X, LIU C, XU J L, et al. A study on the relationship between sleep status and smoking, drinking and physical inactivity of college students[J]. J Shangrao Norm Univ, 2023, 43(3): 94-100. (in Chinese) doi: 10.3969/j.issn.1004-2237.2023.03.014
[20]	屈宁宁, 李可基. 国际体力活动问卷中文版的信度和效度研究[J]. 中华流行病学杂志, 2004, 25(3): 265-268. doi: 10.3760/j.issn:0254-6450.2004.03.021 QU N N, LI K J. Study on the reliability and validity of International Physical Activity Questionnaire (Chinese Vision, IPAQ)[J]. Chin J Epidemiol, 2004, 25(3): 265-268. (in Chinese) doi: 10.3760/j.issn:0254-6450.2004.03.021
[21]	World Health Organization. Global recommendations on physical activity for health[EB/OL]. (2020-01-01)[2024-06-12]. https://slidelegend.com/global-recommendations-on-physical-activity-for-hea-lth_5bfb538a097c4757478b45f8.html.
[22]	中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 2018-08-01. National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01. (in Chinese)
[23]	LÖWE B, KROENKE K, HERZOG W, et al. Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9)[J]. J Affect Disord, 2004, 81(1): 61-66. doi: 10.1016/S0165-0327(03)00198-8
[24]	苏雯靓, 罗丽霞, 晏妮, 等. 重庆市儿童青少年广泛性焦虑障碍量表(GAD-7)调查及其影响因素研究[J]. 精神医学杂志, 2022, 35(2): 158-162. doi: 10.3969/j.issn.2095-9346.2022.02.009 SU W L, LUO L X, YAN N, et al. Investigation and analysis of the influencing factors on anxiety symptoms in children and adolescents in Chongqing City through Generalized Anxiety Disorder(GAD-7)[J]. J Psychiatry, 2022, 35(2): 158-162. (in Chinese) doi: 10.3969/j.issn.2095-9346.2022.02.009
[25]	李敏辉, 杨亚明, 肖月, 等. 中小学生抑郁焦虑者亚型和风险特征分析[J]. 中国学校卫生, 2023, 44(12): 1793-1798. doi: 10.16835/j.cnki.1000-9817.2023.12.008 LI M H, YANG Y M, XIAO Y, et al. Analysis of subtypes and risk characteristics of depression and anxiety among primary and secondary school students[J]. Chin J Sch Health, 2023, 44(12): 1793-1798. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.12.008
[26]	孙宏艳. 影响青少年心理健康的因素及对策分析[J]. 人民论坛, 2024(8): 19-24. doi: 10.3969/j.issn.1004-3381.2024.08.004 SUN H Y. Analysis of factors and countermeasures affecting adolescent mental health[J]. People's Trebune, 2024(8): 19-24. (in Chinese) doi: 10.3969/j.issn.1004-3381.2024.08.004
[27]	GRASDALSMOEN M, ERIKSEN H R, LØNNING K J, et al. Physical exercise, mental health problems, and suicide attempts in university students[J]. BMC Psychiatry, 2020, 20(1): 175. doi: 10.1186/s12888-020-02583-3
[28]	陈国平, 王志强, 孙莹, 等. 安徽省中学生校园欺凌与焦虑抑郁症状共患的关联性[J]. 中国学校卫生, 2024, 45(8): 1115-1119. doi: 10.16835/j.cnki.1000-9817.2024250 CHEN G P, WANG Z Q, SUN Y, et al. Association of school bullying with the comorbidity of anxiety and depressive symptoms among middle school students in Anhui Province[J]. Chin J Sch Health, 2024, 45(8): 1115-1119. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2024250
[29]	黄欣欣, 李雨婷, 陈剑华, 等. 家庭结构对青少年抑郁和焦虑症状的影响: 情感忽视的中介作用[J]. 中国当代儿科杂志, 2023, 25(1): 80-85. HUANG X X, LI Y T, CHEN J H, et al. The influence of family structure on depression and anxiety symptoms in adolescents: the mediating role of emotional neglect[J]. Chin J Contemp Pediatr, 2023, 25(1): 80-85. (in Chinese)
[30]	陈佳怡, 赵颖, 李可晗, 等. 儿童青少年网络欺凌现状及其与焦虑、抑郁症状的关联性分析[J]. 现代预防医学, 2022, 49(5): 808-813. CHEN J Y, ZHAO Y, LI K H, et al. Status quo of cyberbullying among children and adolescents and its correlation with anxiety and depressive symptoms[J]. Mod Prev Med, 2022, 49(5): 808-813. (in Chinese)
[31]	王子瑶, 陈潇潇, 林海江, 等. 台州市中学生抑郁焦虑症状现状及其与学业负担的关系[J]. 中国学校卫生, 2023, 44(11): 1655-1659. doi: 10.16835/j.cnki.1000-9817.2023.11.014 WANG Z Y, CHEN X X, LIN H J, et al. Associations between educational burden and depression and anxiety symptoms among middle school students in Taizhou City[J]. Chin J Sch Health, 2023, 44(11): 1655-1659. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.11.014
[32]	常雪凝, 李瑞珍. 不良生活事件与河南农村青少年情绪紊乱的相关性研究[J]. 中国儿童保健杂志, 2023, 31(12): 1292-1296, 1301. doi: 10.11852/zgetbjzz2023-0072 CHANG X N, LI R Z. Relationship between adverse life events and mental disorders among rural adolescents in Henan Province[J]. Chin J Child Health Care, 2023, 31(12): 1292-1296, 1301. (in Chinese) doi: 10.11852/zgetbjzz2023-0072
[33]	修丽. 安徽省中学生焦虑抑郁共患现况及与网络成瘾的关联研究[D]. 合肥: 安徽医科大学, 2023. XIU L. Study on the prevalence of comorbidity of anxiety and depression and the association with Internet addiction disorder among middle school students in Anhui Province[D]. Hefei: Anhui Medical University, 2023. (in Chinese)
[34]	李玖玲, 陈星, 赵春华, 等. 中国儿童青少年抑郁症状流行率的Meta分析[J]. 中国儿童保健杂志, 2016, 24(3): 295-298. LI J L, CHEN X, ZHAO C H, et al. Prevalence of depression in Chinese children and adolescents: a Meta-analysis[J]. Chin J Child Health Care, 2016, 24(3): 295-298. (in Chinese)
[35]	李春, 周晓琴. 安徽省不同性别青少年心理亚健康现状及影响因素研究[J]. 神经疾病与精神卫生, 2024, 24(2): 108-113. LI C, ZHOU X Q. Prevalence and influencing factors of mental sub-health among adolescents of different genders in Anhui Province[J]. J Neurolsci Ment Health, 2024, 24(2): 108-113. (in Chinese)
[36]	刘瑞杰, 彭玮婧, 郑美欣, 等. 湖南省中学生抑郁、焦虑现状及流行病学特征[J]. 中国临床心理学杂志, 2023, 31(4): 816-820. LIU R J, PENG W J, ZHENG M X, et al. The current situation and epidemiological characteristics of depression and anxiety of middle school students in Hunan Province[J]. Chin J Clin Psychol, 2023, 31(4): 816-820. (in Chinese)
[37]	CABANAS-SÁNCHEZ V, ESTEBAN-CORNEJO I, PARRA-SOTO S, et al. Muscle strength and incidence of depression and anxiety: findings from the UK Biobank prospective cohort study[J]. J Cachex Sarcop Muscl, 2022, 13(4): 1983-1994. doi: 10.1002/jcsm.12963
[38]	HWANG I C, AHN H Y, CHOI S J. Association between handgrip strength and mental health in Korean adolescents[J]. Fam Pract, 2021, 38(6): 826-829.
[39]	LU J, SUN H, LIU N, et al. Correlations between muscle strength and psychological health in Chinese adolescents: a cross-sectional analysis[J]. PeerJ, 2022, 10: e14133. doi: 10.7717/peerj.14133
[40]	JIANG R, WESTWATER M L, NOBLE S, et al. Associations between grip strength, brain structure, and mental health in >40 000 participants from the UK Biobank[J]. BMC Med, 2022, 20(1): 286. doi: 10.1186/s12916-022-02490-2
[41]	申晋波, 干敏雷, 尹小俭, 等. 青少年营养状况与抑郁症状的相关性[J]. 中国学校卫生, 2023, 44(5): 649-653. doi: 10.16835/j.cnki.1000-9817.2023.05.003 SHEN J B, GAN M L, YIN X J, et al. Correlation between nutritional status and depressive symptoms in middle school students[J]. Chin J Sch Health, 2023, 44(5): 649-653. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.05.003
[42]	LIN R C, CHIANG S L, HEITKEMPER M M L, et al. Effectiveness of early rehabilitation combined with virtual reality training on muscle strength, mood state, and functional status in patients with acute stroke: a randomized controlled trial[J]. Worldviews Evid Based Nurs, 2020, 17(2): 158-167. doi: 10.1111/wvn.12429
[43]	WANG F, ALI S K B S. Health benefits of short Taichi Qigong Exerc-ise (STQE) to university students' core strength, lower limb explosive force, cardiopulmonary endurance, and anxiety: a Quasi experiment research[J]. Medicine, 2024, 103(13): e37566. doi: 10.1097/MD.0000000000037566