机构地区:[1]北京市通州区疾病预防控制中心,北京101100
出 处:《预防医学论坛》2022年第7期497-503,533,共8页Preventive Medicine Tribune
摘 要:目的 分析北京市通州区6~13岁中小学生身体活动及静态行为与超重肥胖的关系。方法 2018年9-11月采用方便抽样和分层整群抽样相结合的方法,对抽取到班级的所有学生开展调查。通过问卷调查收集调查对象的人口学特征、上下学交通方式、家务劳动时间、体育锻炼及参加舞蹈体育类辅导班情况、静态时间、睡眠时间、写作业时间等信息。体格检查测量身高、体重。结果 1 446名研究对象年龄为6~13岁、平均(9.68±2.25)岁,超重肥胖率为46.61%(674/1 446)。上下学交通方式以家长接送为主,占40.87%(591/1 446);上学日及休息日每天做家务≥10 min的比例分别为21.72%(314/1 446)、49.52%(716/1 446);上学日及休息日静态行为≥60 min的比例分别为63.76%(922/1 446)、93.43%(1351/1 446);上学日及休息日睡眠时间不足的比例分别为90.66%(1 311/1 446)、51.59%(746/1 446)。多因素logistic回归分析显示,与男生相比,女生超重肥胖风险更低(O R=0.78,95%CI为0.62~0.97);与6~7岁组儿童相比,10~11岁组以及12~13岁组儿童超重肥胖风险更高(10~11岁组:O R=3.72,95%CI为2.60~5.34;12~13岁组:O R=4.82,95%CI为3.31~7.01);相比于上学日每天做家务时间<10 min的学生,上学日每天做家务时间≥10 min的学生超重肥胖风险更低(O R=0.70,95%CI为0.52~0.95)。结论 北京市通州区中小学生日常身体活动和静态行为与超重肥胖有关。Objective To analyze the physical activity, sedentary behavior and obesity among children and adolescents of Tongzhou district, Beijing city. Methods From September to November, 2018,a survey was conducted on all the students selected to the class by the method of convenient sampling and stratified cluster sampling.Data included demographic characteristics, mode of transportation to and from school, housework time, physical activity, participate in dance and sports class, sedentary behavior, sleep time, doing homework was collected by questionnaires, and the height and weight were measured by physical examination. Results The 1 446 subjects were aged from 6 to 13 years old, with an average of(9.68±2.25) years old, and the rate of overweight and obesity was 46.61%(674/1 446).The main transportation of students was parents transfer for 40.87%,and the proportion of doing housework for more than 10 minutes on school day and rest day was 21.72% and 49.52% respectively, the proportion of sedentary behavior for more than 60 minutes on school day and rest day was 63.76% and 93.43% respectively, and the proportion of insufficient sleep time on school day and rest day was 90.66% and 51.59% respectively.The results of multivariate logistic analysis showed that, girls had lower risk of overweight and obesity compared with boys(O R=0.78,95%CI:0.62-0.97),and compared with the students aged 6-7,the risk factors of overweight and obesity were 10-11(O R=3.72,95%CI:2.60-5.34),12-13 students(O R=4.82,95% CI:3.31-7.01) respectively, and compared with students who did housework less than 10 minutes on school day, students who did housework more than 10 minutes had lower risk of overweight and obesity(O R=0.70,95%CI:0.52-0.95). Conclusion The daily physical activities and sedentary behavior of primary and secondary school students are associated with overweight and obesity in Tongzhou district, Beijing city.
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