徐州市初中生肥胖、体力活动现状及其与心理健康关联性研究

发布时间：2018-05-25 03:08

本文选题：体力活动 + 肥胖　；参考：《安徽医科大学》2012年硕士论文

【摘要】：背景肥胖与儿童青少年心理健康相关联,影响终生生命质量。青少年体力活动的水平正在下降,体力活动缺乏已经成为21世纪最重要的公共健康问题之一,规律的体力活动能减少抑郁症状和焦虑症状,提高学习成绩、减少心理压力、缓解心理疾病,通过了解徐州初中学生心理健康现状及肥胖和体力活动的相关关系,可为制定相关心理健康干预措施提供科学依据。目的了解江苏省徐州市中学生体力活动及肥胖和心理健康现状,探讨体力活动、肥胖、心理健康三者的相互关系。方法采取整群随机抽样方法,于2011年10月至11月期间,对徐州市区5所中学初中年级学生进行横断面调查,通过问卷和人体测量方法获取主要信息。问卷收集信息包括：一般社会人口统计学、体力活动(每周大强度和中等强度体力活动天数)、视频时间(包括学习日和周末学生看电视和使用电脑时间)以及心理健康状况(包括抑郁症状和焦虑症状)等信息。其中使用儿童抑郁量表(CDI)、儿童焦虑相关情绪筛查量表(SCARED)调查对象心理健康状况。人体测量学调查包括对青少年身高、体重测量,计算其体质量指数(body mass index, BMI),根据青少年性别、年龄别BMI切点判定是否肥胖。使用χ2检验和多因素logistic回归模型分析体力活动、视频时间以及肥胖与青少年心理健康的相关性。结果共有3103名学生完成问卷和体格测量,其中男生占51.1%(1586/3103),女生占48.9%,(1517/3103)。徐州市区超重和肥胖检出率分别为20.9%和17.1%,男生显著多与女生；初中学生抑郁症状发生率为14.6%,焦虑症状发生率16.6%；每周参加中等强度体力活动缺乏和大强度体力活动缺乏的发生率分别为12.9%(400/3103)和36.1%(1119/3103),而每周视频时间过长的(2h/d)报告率为11.1%(341/3103),且男生显著多与女生。通过对中学生肥胖、体力活动缺乏与抑郁症状和焦虑症状的关系分析发现,控制了体力活动、视频时间变量后,肥胖增加了抑郁症状的发生风险(OR=1.25,95%CI=1.01～1.54)。同时调整了性别、年龄、独生子女、父母文化程度、自评家庭经济状况后,体力活动缺乏增加抑郁症状(OR=1.18,95%CI=1.02～1.37)和焦虑症状(OR=1.15,95%CI=1.01～1.30)的发生风险。体力活动缺乏作为调节作用增加了初中学生肥胖和抑郁症状的联系(由原OR=1.33,95%CI=1.02～1.37增加到OR=1.50,95%CI=1.11～2.04)。结论徐州市初中学生体力活动缺乏和视频时间过长问题较为普遍,尤以男生更为突出,肥胖与青少年抑郁症状相关联并受体力活动调节。通过增加青少年的体力活动,改变久坐少动的生活方式可能是促进肥胖青少年心理健康的途径之一。
[Abstract]:background
Obesity is associated with the mental health of children and adolescents, affecting the quality of life for life. The level of physical activity in adolescents is declining, and lack of physical activity has become one of the most important public health problems in the twenty-first Century. Regular physical activity can reduce the symptoms of depression and anxiety, improve academic performance, reduce psychological pressure and relieve the psychology. Diseases, through understanding the psychological health status of junior high school students in Xuzhou and the relationship between obesity and physical activity, can provide a scientific basis for the formulation of related psychological health intervention measures.
objective
Objective to understand the physical activity, obesity and mental health status of middle school students in Xuzhou city of Jiangsu Province, and to explore the relationship between physical activity, obesity and mental health in three.
Method
A cluster random sampling method was used to conduct a cross-sectional survey of junior middle school students in 5 middle schools in Xuzhou city from October 2011 to November. The main information was obtained through questionnaires and anthropometric methods. The questionnaire collected information including general social demography, physical activity (the number of large and medium intensity physical activity days per week). Frequency time (including study day and weekend students watching TV and computer time) and mental health status (including depressive symptoms and anxiety symptoms) and other information. Among them, children's Depression Scale (CDI), children's anxiety related emotion screening scale (SCARED) were used to investigate the physical health status of the subjects. Anthropometric survey included the height of adolescents, Weight measurement, the body mass index (body mass index, BMI) was calculated to determine whether obesity was determined according to adolescent sex and age BMI point. Using the chi 2 test and multiple factor Logistic regression model, the physical activity, the video time, and the correlation between obesity and adolescent mental health were analyzed.
Result
A total of 3103 students completed questionnaires and physical measurements, among which boys accounted for 51.1% (1586/3103), girls accounted for 48.9%, (1517/3103). The prevalence of overweight and obesity in Xuzhou was 20.9% and 17.1% respectively. There were more boys and girls than girls; the incidence of depressive symptoms in junior middle school students was 14.6%, the incidence of anxiety was 16.6%, and moderate physical activity every week. The incidence of lack and intensity of physical activity was 12.9% (400/3103) and 36.1% (1119/3103) respectively, while the weekly (2h/d) reporting rate was 11.1% (341/3103), and the male students were significantly more than girls. Obesity increased the risk of depressive symptoms (OR=1.25,95%CI=1.01 to 1.54) after video time variables. It also adjusted sex, age, only child, parents' educational level, and self-assessment of family economic conditions, and lack of depressive symptoms (OR=1.18,95%CI =1.02 ~ 1.37) and anxiety symptoms (OR=1.15,95%CI=1.01 to 1.30). Lack of physical activity increased the relationship between obesity and depressive symptoms in junior high school students (from OR=1.33,95%CI=1.02 to 1.37 to OR=1.50,95%CI=1.11 to 2.04).
conclusion
The lack of physical activity and the long video time in Xuzhou junior high school students are more common, especially the boys are more prominent. Obesity is associated with adolescent depression and is regulated by physical activity. By increasing the physical activity of teenagers, changing the sedentary lifestyle may be one of the ways to promote the mental health of obese adolescents.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R179

【参考文献】