摘要
目的分析2019—2022年内蒙古地区学生超重肥胖与抑郁的流行情况及其共患的相关因素,为预防共患的发生提供科学依据。方法于2019—2022年每年9月采用分层随机整群抽样方法,在内蒙古12个盟市抽取90519,71560,90079,91089名学生进行问卷调查和体格检查。采用χ^(2)检验进行人口学特征和单因素分析,采用二元Logistic回归模型探究生活习惯行为与超重肥胖和抑郁共患的关联。结果2019—2022年学生超重肥胖检出率分别为29.21%,34.38%,35.20%,34.61%,抑郁症状检出率分别为18.35%,17.53%,16.43%,16.00%,两者共患检出率分别为5.52%,5.93%,5.76%,5.46%。2022年检出超重肥胖与抑郁共患学生4978名,学生共患检出率在学段和家庭结构上差异均有统计学意义(χ^(2)值分别为103.51,99.90,P值均<0.01)。多因素Logistic回归分析结果显示,每天喝含糖饮料或吃油炸食品≥1次、有时吃或从来不吃早餐、每天看电脑或电视≥2 h、周末很少数做到或几乎做不到至少1 h中高强度运动与超重肥胖与抑郁共患的发生呈正相关(OR值分别为1.17~1.59,P值均<0.05),一周内每天吃新鲜水果或喝牛奶豆浆≥1次、每天户外活动时间≥1 h、每天睡眠时长≥8 h、不吸烟、不饮酒和超重肥胖与抑郁共患的发生呈负相关(OR=0.47~0.92,P值均<0.05)。结论学生超重肥胖和抑郁共患发生与饮食、运动及生活习惯行为相关,应采取针对性措施保持学生的健康体重及预防抑郁的发生。
Objective To analyze the prevalence of overweight,obesity and depression among students in the Inner Mongolia Autonomous Region in 2019-2022 and explore the relevant factors affecting the co-morbidity of overweight,obesity and depression among students,so as to provide scientific basis for the prevention of co-morbidity.Methods From September 2019 to 2022,used stratified random cluster sampling,90519,71560,90079,91089 students were selected from all 12 leagues in Inner Mongolia Au-tonomous Region for questionnaire survey and physical examination.The χ^(2) test was used for demographic characteristics and uni-variate analysis,and a binary Logistic regression model was used to explore the association between lifestyle behaviors and co-mor-bidity.Results The detection rate of overweight,obesity among students from 2019-2022 was 29.21%,34.38%,35.20%,34.61%,the detection rate of depression was 18.35%,17.53%,16.43%,16.00%,and the co-morbidity detection rate of the two was 5.52%,5.93%,5.76%,5.46%.The number of overweight,obesity and depression co-morbidity students in 2022 was 4978 students,and the co-morbidity detection rates of the students were significantly different in terms of the school segments and the family structures(X?=103.51,99.90,P<0.01).Multivariate Logistic regression analysis showed that consuming sugar-sweetened beverages or fried food≥1 time/d,sometimes or never eat breakfast,watching computer or TV≥2 h/d,and less than 1 h of moderate-to-vigorous physical activity on weekends were positively correlated with the occurrence of the co-morbidity of overweight,obesity and depres-sion,with the value of OR ranging from 1.17 to 1.59(P<0.05).Eated fresh fruits or drinking milk and soy milk≥1 time/d,out-door activities≥1 h/d,sleep≥8 h/d,not smoking and not drinking alcohol were negatively correlated with the occurrence of co-morbid overweight,obesity and depression,with the value of OR ranging from 0.47 to 0.92(P<0.05).Conclusion The occurrence of overweight,obesity and depressive symptoms co-morbidity in students is associated with dietary,exercise and lifestyle behavior.Targeted measures should be taken to maintain students'healthy weight and prevent the occurrence of depression from the aspects of diet,exercise and life habits.
作者
马彩霞
马军
宋逸
董彦会
袁雯
张秀红
高昇
杨田
MA Caixia;MA Jun;SONG Yi;DONG Yanhui;YUAN Wen;ZHANG Xiuhong;GAO Sheng;YANG Tian(School of Public Health,Inner Mongolia Medical University,Hohhot(010059),China;不详)
出处
《中国学校卫生》
CAS
北大核心
2023年第9期1308-1312,1318,共6页
Chinese Journal of School Health
基金
内蒙古自治区科技计划项目(2020GG0022)。
关键词
超重
肥胖症
抑郁
共病现象
回归分析
学生
少数民族
Overweight
Obesity
Depression
Comorbidity
Regression analysis
Students
Minority groups
