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廣州市中學生中高強度身體活動視屏時間與抑郁癥狀相關性

孫藝 劉偉佳 熊莉華 曲亞斌 陳思宇 吳德平 林蓉

孫藝, 劉偉佳, 熊莉華, 曲亞斌, 陳思宇, 吳德平, 林蓉. 廣州市中學生中高強度身體活動視屏時間與抑郁癥狀相關性[J]. 中國學校衛生, 2021, (10): 1499-1503. doi: 10.16835/j.cnki.1000-9817.2021.10.013
引用本文: 孫藝, 劉偉佳, 熊莉華, 曲亞斌, 陳思宇, 吳德平, 林蓉. 廣州市中學生中高強度身體活動視屏時間與抑郁癥狀相關性[J]. 中國學校衛生, 2021, (10): 1499-1503. doi: 10.16835/j.cnki.1000-9817.2021.10.013
SUN Yi, LIU Weijia, XIONG Lihua, QU Yabin, CHEN Siyu, WU Deping, LIN Rong.. Relationship between moderate to vigorous physical activity, screen time and depressive symptoms among middle school students in Guangzhou/[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, (10): 1499-1503. doi: 10.16835/j.cnki.1000-9817.2021.10.013
Citation: SUN Yi, LIU Weijia, XIONG Lihua, QU Yabin, CHEN Siyu, WU Deping, LIN Rong.. Relationship between moderate to vigorous physical activity, screen time and depressive symptoms among middle school students in Guangzhou/[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, (10): 1499-1503. doi: 10.16835/j.cnki.1000-9817.2021.10.013

廣州市中學生中高強度身體活動視屏時間與抑郁癥狀相關性

doi: 10.16835/j.cnki.1000-9817.2021.10.013
基金項目: 

廣東省醫學科學技術研究基金項目 B2019082

廣東省醫學科學技術研究基金項目 C2019049

廣東省醫學科學技術研究基金項目 A2020146

詳細信息
    作者簡介:

    孫藝(1990-), 女, 遼寧省人, 碩士, 醫師, 主要研究方向為學生常見病防治

    通訊作者:

    林蓉, E-mail: linr@gz.gov.cn

  • 中圖分類號: G444??B844.1??G478

Relationship between moderate to vigorous physical activity, screen time and depressive symptoms among middle school students in Guangzhou/

  • 摘要:   目的  了解廣州市中學生中高強度身體活動(moderate to vigorous physical activity, MVPA)、視屏時間(screen time, ST)及抑郁癥狀現狀及其關系, 為制定青少年抑郁防控干預方案提供依據。  方法  采用分層整群隨機抽樣方法, 對廣州市1個城區(5所中學)和1個郊區(3所中學)共2 140名學生進行MVPA、ST及抑郁癥狀問卷調查。采用Logistic回歸方法分析MVPA時間、ST以及兩者組合對抑郁癥狀的影響。  結果  89.72%的中學生MVPA時間未達標, 女生(95.52%)高于男生(84.38%); 67.38%的中學生ST未達標, 男生(69.75%)高于女生(64.81%); 中學生抑郁癥狀檢出率為27.01%, 女生(31.58%)高于男生(22.80%); MVPA、ST未達標率和抑郁癥狀檢出率職業高中與普通高中均高于初中(χ2值分別為6.40, 121.71, 27.37, P值均 < 0.05)。Logistic回歸分析顯示, MVPA時間與ST對抑郁癥狀的交互項無統計學意義, 過去7 d MVPA時間達到1 h天數 < 7 d、每天ST>2 h單獨對抑郁癥狀檢出率的OR值分別為1.19(P=0.35)和1.93(P < 0.01);將MVPA時間與ST進行組合后發現, 過去7 d MVPA時間達到1 h天數 < 7 d且每天ST>2 h對抑郁癥狀的OR值最高(OR=2.03, P < 0.05)。  結論  廣州市中學生MVPA時間嚴重不足, ST普遍過長, 抑郁癥狀檢出率較高。MVPA時間不足且ST過長的中學生更易產生抑郁癥狀。應針對不同類型青少年及其家長開展身體活動和視屏行為健康宣教, 以減少抑郁癥狀的發生。
  • 表  1  不同人口統計學特征中學生過去7 d MVPA和ST未達標率比較

    Table  1.   Comparison of failed to meet the MVPA and ST recommendations among middle school studentswith different demographic characteristics

    組別 人數 MVPA ST
    未達標人數 χ2 未達標人數 χ2
    性別
    ??男 1 114 940(84.38) 71.81** 777(69.75) 5.92*
    ??女 1 026 980(95.52) 665(64.81)
    地區
    ??城區 1 325 1 207(91.09) 7.13** 815(61.51) 54.62**
    ??郊區 815 713(87.48) 627(76.93)
    學段
    ??初中 1 094 964(88.12) 6.40* 654(59.78) 121.71**
    ??普高 787 721(91.61) 541(68.74)
    ??職高 259 235(90.73) 247(95.37)
    合計 2 140 1 920(89.72) 1 442(67.38)
    注:()內數字為未達標率/%;*P < 0.05,**P < 0.01。
    下載: 導出CSV

    表  2  不同組別中學生抑郁癥狀檢出率比較

    Table  2.   Comparison of the detection rates of depressive symptoms in different groups among middle school students

    組別 選項 人數 抑郁癥狀人數 χ2 P
    性別 1 114 254(22.80) 20.88 < 0.01
    1 026 324(31.58)
    地區 城區 1 325 333(25.13) 6.22 < 0.05
    郊區 815 245(30.06)
    學段 初中 1 094 247(22.58) 27.37 < 0.01
    普高 787 263(33.42)
    職高 259 68(26.25)
    網絡成癮 2 069 526(25.42) 79.61 < 0.01
    71 52(73.24)
    受過校園欺凌 2 093 550(26.28) 25.85 < 0.01
    47 28(59.57)
    曾被家長打罵 1 713 410(23.93) 41.17 < 0.01
    427 168(39.34)
    飲酒 1 405 308(21.92) 53.71 < 0.01
    735 270(36.73)
    過去7 d MVPA時間達到 < 7 1 920 530(27.60) 3.35 0.06
    1 h天數/d 7 220 48(21.82)
    過去7 d每天ST/h >2 1 442 457(31.69) 49.17 < 0.01
    ≤2 698 121(17.34)
    過去7 d MVPA時間 組1 76 11(14.47) 52.45 < 0.01
    與每天ST組合 組2 622 110(17.68)
    組3 144 37(25.69)
    組4 1 298 420(32.36)
    注:()內數字為檢出率/%;組1為過去7 d MVPA時間達到1 h天數=7 d且每天ST≤2 h,組2為過去7 d MVPA時間達到1 h天數 < 7 d且每天ST≤2 h,組3為過去7 d MVPA時間達到1 h天數=7 d且每天ST>2 h,組4為過去7 d MVPA時間達到1 h天數 < 7 d且每天ST>2 h。
    下載: 導出CSV

    表  3  中學生MVPA和ST與抑郁癥狀關系的Logistic回歸分析(n=2 140)

    Table  3.   Logistic regression analysis of depressive symptoms among middle school students in different MVPA and ST(n=2 140)

    影響因素 模型1 模型2 模型3
    OR值(OR值95%CI) P OR值(OR值95%CI) P OR值(OR值95%CI) P
    過去7 d MVPA時間達到1 h天數/d
    ?? < 7 1.04(0.56~2.08) 0.93 1.19(0.83~1.71) 0.35 - -
    過去7 d每天ST/h
    ??>2 1.63(0.75~3.53) 0.21 1.93(1.52~2.46) < 0.01 - -
    過去7 d MVPA時間達到1 h天數×每天ST 1.21(0.54~2.70) 0.65 - - - -
    過去7 d MVPA時間達到1 h天數與每天ST組合
    ??組2 - - - - 1.04(0.52~2.08) 0.92
    ??組3 - - - - 1.63(0.75~3.53) 0.21
    ??組4 - - - - 2.03(1.04~3.99) < 0.05
    注:調整因素包括性別、學段、網絡成癮行為、校園欺凌、家庭欺凌/暴力、飲酒等情況。
    下載: 導出CSV
    客厅的yin乱A片
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  • 收稿日期:  2021-01-09
  • 修回日期:  2021-04-20
  • 網絡出版日期:  2021-10-25
  • 刊出日期:  2021-10-25

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