摘要
目的了解天津市中学生体力活动、睡眠时间、超重肥胖与抑郁症状的关系,为儿童青少年抑郁的干预提供理论依据。方法于2019—2021年每年9月采用分层整群抽样方法,从天津市16个区抽取52747名中学生进行问卷调查,问卷内容包括学生基本信息、抑郁症状、睡眠时间和体力活动时间。采用χ^(2)检验和Logistic回归对数据进行分析。结果天津市中学生抑郁症状检出率为19.07%,女生高于男生,城区高于农村,住校学生高于走读学生,留守学生高于非留守学生,差异均有统计学意义(χ^(2)值分别为128.44,155.77,35.29,19.15,P值均<0.05)。天津市中学生超重检出率为20.64%,肥胖检出率为22.13%,一周体力活动时间合格率为49.54%,每天户外活动时间合格率为33.64%,睡眠时间合格率为25.77%。Logistic回归分析结果显示,一周体力活动时间合格、每天户外活动时间合格、睡眠时间合格、体质量指数(BMI)合格均与抑郁症状检出率呈负相关,其中睡眠时间合格抑郁症状检出风险最低(OR=0.60,95%CI=0.57~0.63);与4项均不合格学生相比,4项均合格学生发生抑郁症状风险较低(OR=0.39,95%CI=0.34~0.46)(P值均<0.05)。结论天津市中学生抑郁症状水平居中,应从睡眠时间、体力活动、户外活动和超重肥胖方面进行综合干预,减少中学生抑郁症状的发生。
Objective To investigate the relationship between physical activity,sleep duration,overweight,obesity and depres⁃sive symptoms among middle school students in Tianjin,and to provide the evidence for targeted prevention of depression.Methods In September 2019 to 2021,the stratified cluster sampling method was used to select 52747 middle school students from 16 districts in Tianjin for questionnaire survey,including demographics,depressive symptom,sleep status and physical activity.Theχ^(2)test and multivariate Logistic regression were used to analyze the data.Results The prevalence of depressive symptoms among middle school students in Tianjin was 19.07%,with higher prevalence in female,urban areas,resident students and left⁃behind students(χ^(2)=128.44,155.77,35.29,19.15,P<0.05).The prevalence of overweight and obesity were 20.64%and 22.13%,the propor⁃tion of students who met physical activity,outdoor activity,sleep duration guideline were 49.54%,33.64%,25.77%,respectively.Logistic regression results showed that meeting the guidelines on physical activity,outdoor activity,sleep duration and BMI were negatively correlated with depression symptoms,with sleep duration showed the highest protective effects on depressive symptoms(OR=0.60,95%CI=0.57-0.63,P<0.05).Compared with students who did not meet any guidelines,students who met 4 guide⁃lines had a lower risk of depression symptoms(OR=0.39,95%CI=0.34-0.46,P<0.05).Conclusion The prevalence of depres⁃sive symptoms of middle school students in Tianjin is in moderate level,and the intervention should be comprehensively adminis⁃tered in terms of sleep duration,physical activity,outdoor activities,as well as overweight and obesity to reduce the occurrence of depression symptoms among middle school students.
作者
孙志颖
刘忠慧
冯宝佳
张献伟
徐渴
陈璐
SUN Zhiying;LIU Zhonghui;FENG Baojia;ZHANG Xianwei;XU Ke;CHEN Lu(Institute of Environ-ment and Health,Tianjin Center for Disease Control and Prevention,Tianjin 300011,China)
出处
《中国学校卫生》
CAS
北大核心
2023年第4期489-493,共5页
Chinese Journal of School Health
基金
天津市医学重点学科(专科)建设项目(TJYX2DXK-051A)。
关键词
运动活动
睡眠
超重
肥胖症
抑郁
回归分析
学生
Motor activity
Sleep
Overweight
Obesity
Depression
Regression analysis
Students
