青少年静坐行为与颈肩症状的关联研究

发布时间：2018-01-23 23:17

本文关键词： 颈肩症状颈肩痛中学生静坐行为视屏　出处：《安徽医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的了解中学生静坐行为与颈肩症状的分布情况,分析静坐行为与颈肩症状的关联,为青少年颈肩健康的促进提供理论依据。方法本研究为横断面调查。2015年12月—2016年3月对沈阳、郑州、江西(南昌、余江、德兴)和深圳4个地区部分中学学生进行问卷调查。问卷包括一般人口学特征,中学学生的个人习惯,父母亲脊柱健康状况,个人脊柱健康及外伤史,看电视、用电脑、玩手机、写家庭作业、上辅导班的静坐时间,眼睛到电视机、电脑、手机或平板屏幕及书本的静坐距离。采用χ~2检验比较一般人口学特征,个人习惯,父母和个人脊柱健康,看电视、用电脑、玩手机、写家庭作业、上辅导班的静坐时间和眼睛到电视机、电脑、手机或平板屏幕及书本的静坐距离,不同组间颈肩症状和颈肩疼痛症状的分布情况。并建立单因素和多因素二分类logistic回归模型分析不同静坐行为对颈肩症状和颈肩疼痛症状的影响。结果χ~2检验的显示,在不同人口学特征中,性别、年级、家庭经济条件不同的中学生颈肩症状检出率差异有统计学意义(χ~2=86.121,P0.001;χ~2=152.628,P0.001;χ~2=70.351,P0.001)。在不同生活习惯中,习惯趴在桌子上睡觉、习惯体育锻炼、习惯学习或游戏到深夜2点以后、习惯睡前玩手机、学业压力不同的中学生颈肩症状检出率差异有统计学意义(χ~2=301.869,P0.001;χ~2=180.643,P0.001;χ~2=312.764,P0.001;χ~2=154.790,P0.001;χ~2=444.236,P0.001)。在既往史中,经常有落枕现象、经常感觉到咽喉疼痛或不适的中学生颈肩症状的检出率差异有统计学意义(χ~2=442.090,P0.001;χ~2=932.782,P0.001)。学习日,中学生写家庭作业时间≥4 h、看电视时间≥4 h、使用电脑时间≥4 h、玩手机或平板时间≥4 h、上辅导班时间≥4 h的颈肩症状检出率高于其他组,且差异有统计学意义(χ~2=330.727,P0.001;χ~2=30.885,P0.001;χ~2=22.284,P0.001;χ~2=96.256,P0.001;χ~2=51.582,P0.001);周末,中学生写家庭作业时间、看电视时间、使用电脑时间、玩手机或平板时间、上辅导班时间越长颈肩症状的检出率越高,且差异有统计学意义(χ~2=226.799,P0.001;χ~2=69.009,P0.001;χ~2=47.072,P0.001;χ~2=203.832,P0.001;χ~2=32.654,P0.001)。眼睛到书本、电视屏幕、电脑屏幕、手机或平板屏幕不同距离的颈肩症状检出率随着距离的增大而降低,且差异有统计学意义(χ~2=60.321,P0.001;χ~2=22.861,P0.001;χ~2=18.026,P0.001;χ~2=38.484,P0.001)。调整地区、年级、性别、家庭经济条件、家族史、体育锻炼时间及自评学业压力后,最近3个月以来经常持续看电视40 min以上、使用电脑40 min以上、玩手机40 min以上、做家庭作业60 min以上、端坐90 min以上、经常平均每天端坐时间累计10 h以上(OR=1.34,95%CI:1.30~1.38;OR=1.35,95%CI:1.31~1.39;OR=1.43,95%CI:1.39~1.48;OR=1.32,95%CI:1.28~1.36;OR=1.43,95%CI:1.39~1.48;OR=1.42,95%CI:1.38~1.46)等行为增加颈肩症状的风险,且随着频率的增加颈肩症状发生的风险增加。χ~2检验的显示,在不同人口学特征中,性别、年级、家庭经济条件不同的中学生颈肩疼痛症状检出率差异有统计学意义(χ~2=33.017,P0.001;χ~2=115.028,P0.001;χ~2=66.414,P0.001)。在不同生活习惯中,习惯趴在桌子上睡觉、习惯体育锻炼、习惯学习或游戏到深夜2点以后、习惯睡前玩手机、学业压力不同的中学生颈肩疼痛症状检出率差异有统计学意义(χ~2=199.737,P0.001;χ~2=97.405,P0.001;χ~2=240.151,P0.001;χ~2=132.409,P0.001;χ~2=260.524,P0.001)。学习日,中学生写家庭作业时间≥4 h、看电视时间≥4 h、使用电脑时间≥4 h、玩手机或平板时间≥4 h、上辅导班时间≥4 h的颈肩疼痛症状检出率高于其他组,差异有统计学意义(χ~2=218.769,P0.001;χ~2=57.309,P0.001;χ~2=40.662,P0.001;χ~2=78.517,P0.001;χ~2=61.600,P0.001);周末,中学生写家庭作业时间、看电视时间、使用电脑时间、玩手机或平板时间、上辅导班时间越长颈肩疼痛症状的检出率越高,且差异有统计学意义(χ~2=177.843,P0.001;χ~2=33.560,P0.001;χ~2=18.452,P0.001;χ~2=93.293,P0.001;χ~2=39.878,P0.001)。眼睛到书本、电视屏幕、电脑屏幕、手机或平板屏幕不同距离的颈肩疼痛症状检出率差异有统计学意义(χ~2=42.799,P0.001;χ~2=25.777,P0.001;χ~2=28.059,P0.001;χ~2=33.895,P0.001)。调整地区、年级、性别、家庭经济条件、体育锻炼时间及自评学业压力后,最近3个月以来经常持续看电视40 min以上、经常持续使用电脑40 min以上、经常持续玩手机40 min以上、经常持续做家庭作业60 min以上、经常持续端坐90 min以上、经常平均每天端坐时间累计10 h以上(OR=1.29,95%CI:1.23~1.35;OR=1.29,95%CI:1.24~1.35;OR=1.44,95%CI:1.38~1.51;OR=1.33,95%CI:1.28~1.39;OR=1.45,95%CI:1.38~1.51;OR=1.44,95%CI:1.38~1.51)等行为增加颈肩疼痛症状的风险,且随着频率的增加颈肩疼痛症状发生的风险增加。结论我国青少年颈肩症状现状严峻,导致青少年颈肩症状的因素复杂,其中高年级、女生、家庭经济条件差、父母和自己有脊柱健康问题、习惯高枕头硬枕头、习惯趴着睡觉、习惯学习或游戏导致晚睡、习惯睡前长时间玩手机、体育锻炼时间相对较少、学业压力大的中学生颈肩症状检出率更高,且长时间、高频率的静坐行为是中学生患颈肩症状较大的危险因素,建议学校和相关部门加大宣传力度和健康教育,鼓励学生减少静坐行为,并有效地增加体育活动和减轻学业压力。
[Abstract]:Objective to understand the distribution of sedentary behavior and neck symptoms in middle school students, association of sedentary behavior and neck symptoms, and provide a theoretical basis for adolescent health promotion of neck and shoulder. Methods this study is a cross-sectional survey of.2015 in December March 2016 in Shenyang, Zhengzhou, Jiangxi (Nanchang, Yujiang, Dexing) conducted a questionnaire survey of middle school students in 4 areas and Shenzhen. The questionnaire included general demographic characteristics, middle school students' personal habits, parents spinal health, personal health and spinal trauma history, watching TV, playing computer, mobile phone, writers homework Shangfudaoban, meditation time, eyes to the TV, computer, mobile phone or tablet screen and the distance. The books sit x ~2 test to compare the general demographic characteristics, personal habits, spinal parents and personal health, watching TV, playing computer, mobile phone, homework, class time and meditation Eyes to the TV, computer, mobile phone or tablet screen and books in distance distribution between different groups of neck and neck and shoulder pain symptoms. And the establishment of single factor and multi factor two classification logistic regression model to analyze the effects of different sedentary behavior for neck and neck and shoulder pain symptoms and symptoms. Results the x ~2 test showed that in different demographic characteristics, gender, grade, family economic conditions of different students' neck symptoms detection rate difference was statistically significant (x ~2=86.121, P0.001 x ~2=152.628, P0.001 X;; ~2=70.351, P0.001). In different living habits, the habit of lying on the table to sleep, physical exercise habits, habits or to learn the game late into the night 2 I used to play before the mobile phone, the academic pressure of different students neck symptoms detection rate difference was statistically significant (x ~2=301.869, P0.001 x ~2=180.643; P0.001; P0.001; X ~2=15 x ~2=312.764. 4.790, P0.001; X ~2=444.236, P0.001). In the past history, often have a stiff neck phenomenon, often feel throat pain or discomfort in the neck and middle school symptoms detection rate was statistically significant (x ~2=442.090, P0.001 x ~2=932.782, P0.001;). Study on students' homework time more than 4 h, see TV time for more than 4 h, the use of computer time is more than 4 h, mobile phone or tablet to play longer than 4 h, the class time is more than 4 h neck symptoms detection rate is higher than that of other groups, and the difference was statistically significant (x ~2=330.727, P0.001 x ~2=30.885, P0.001; P0.001; ~2=22.284; X, X ~2=96.256, P0.001; X ~2=51.582, P0.001); middle school students weekend, homework time, time spent watching television, using a mobile phone or tablet computer time, play time, class time is long shoulder symptoms detection rate is higher, and the difference was statistically significant (x ~2=226.799, P0.001 x ~2=69.009, P0.001 X; ~2=; 47.072, P0.001; X ~2=203.832, P0.001 x ~2=32.654, P0.001);. Eye to books, TV screens, computer screens, mobile phone or tablet screen of different distance neck and the positive rates of symptoms decreased with increasing distance, and the difference was statistically significant (x ~2=60.321, P0.001 x ~2=22.861, P0.001 X;; ~2=18.026, P0.001; X ~2=38.484, P0.001). Adjust the area, grade, gender, family history, family economic conditions, physical exercise and self rating academic pressure, since the last 3 months constantly watching TV more than 40 min, the use of computer to play mobile phone more than 40 min, 40 min and above, do homework more than 60 min, sitting above 90 min, the average daily sitting time often accumulated more than 10 h (OR=1.34,95%CI:1.30~1.38; OR=1.35,95%CI:1.31~1.39; OR=1.43,95%CI:1.39~1.48; OR=1.32,95%CI:1.28~1.36; OR=1.43,95%CI: 1.39~1.48; OR=1.42,95%CI:1.38~1.46) and increase of neck and shoulder The risk of symptoms, and with the increase of frequency of symptoms increased. The risk of neck x ~2 test showed that in different demographic characteristics, gender, grade, family economic conditions of different students' neck and shoulder pain symptoms detection rate difference was statistically significant (x ~2=33.017, P0.001 x ~2=115.028, P0.001 X;; ~2=66.414, P0.001). In different life habit, the habit of lying on the table to sleep, physical exercise habits, habits or to learn the game late into the night after 2, used to play before the mobile phone, the middle school students of different academic pressure of neck and shoulder pain symptoms detection rate difference was statistically significant (x ~2=199.737, P0.001 x ~2=97.405, P0.001; P0.001; ~2=240.151; X, X ~2=132.409, P0.001; X ~2=260.524, P0.001). Study on middle school students homework time more than 4 h, the time of watching TV for more than 4 h, the use of computer time is more than 4 h, mobile phone or tablet to play longer than 4 h, the class time is more than 4 h The neck pain symptoms detection rate is higher than that of other groups, the difference was statistically significant (x ~2=218.769, P0.001 x ~2=57.309, P0.001; P0.001; ~2=40.662; X, X ~2=78.517, P0.001 x ~2=61.600, P0.001;); middle school students weekend, homework time, time spent watching television, using a mobile phone or tablet computer, play on time class time is long neck shoulder pain detection rate is higher, and the difference was statistically significant (x ~2=177.843, P0.001 x ~2=33.560, P0.001; P0.001; ~2=18.452; X, X ~2=93.293, P0.001; X ~2=39.878, P0.001). The eye to the books, TV screens, computer screens, mobile phone or tablet screen from neck the pain detection rate difference was statistically significant (x ~2=42.799, P0.001 x ~2=25.777, P0.001; P0.001; ~2=28.059; X, X ~2=33.895, P0.001). Adjust the area, grade, gender, family economic conditions, physical exercise and self rating academic pressure, Since the last 3 months constantly watching TV more than 40 min, often continue to use the computer for more than 40 min, often continue to play mobile phone more than 40 min, often continue to do homework more than 60 min, often sitting continued for more than 90 min, the average daily sitting time often accumulated more than 10 h (OR=1.29,95%CI:1.23~1.35; OR=1.29,95%CI:1.24~1.35; OR=1.44,95%CI:1.38~1.51; OR=1.33,95%CI:1.28~1.39; OR=1.45,95%CI:1.38~1.51 OR=1.44,95%CI:1.38~1.51); behavior such as increased risk of neck and shoulder pain symptoms, and with the increase of frequency of occurrence of neck and shoulder pain symptoms increased risk of neck symptoms. Conclusion adolescents present situation in our country is serious, cause neck symptoms in adolescents is complex, including high grade girls, family economic conditions are poor, and their parents have spinal health problems, high habits hard pillow pillow, used to sleep on their stomachs, learning habits or lead of the game late, habit Before a long time playing mobile phone, less physical exercise, the academic pressure of students higher positive rates of symptoms of neck and shoulder, and for a long time, sedentary behavior is high frequency of middle school students' neck and shoulder greater symptoms of risk factors, it is suggested that the schools and relevant departments to intensify propaganda and health education, encourage students to reduce sedentary behavior, and effectively to increase physical activity and reduce stress.

【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R179

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