上海市崇明区中小学生身体活动与久坐行为调查分析  

Investigation and analysis of physical activity and sedentary behavior of primary and middle school students in Chongming District,Shanghai

作　　者：陶晶 朱美文 韩小丽 周璇[1] 李欣[1] 袁海燕 郭海滨 杜青[1,2] TAO Jing;ZHU Meiwen;HAN Xiaoli;ZHOU Xuan;LI Xin;YUAN Haiyan;GUO Haibin;DU Qing(Department of Rehablitation,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences,Shanghai 202150,China;Chongming District Center for Disease Control and Prevention,Shanghai 202150,China)

机构地区：[1]上海交通大学医学院附属新华医院康复医学科,上海200092 [2]上海健康医学院附属崇明医院,上海202150 [3]上海市崇明区疾病预防控制中心,上海202150

出　　处：《教育生物学杂志》2024年第2期92-100,104,共10页Journal of Bio-education

基　　金：上海市进一步加快中医药传承创新发展三年行动计划(2021年—2023年)项目[ZY(2021-2023)-0201-05];上海申康市级医院诊疗技术推广及优化管理项目(SHDC2023118);上海市卫生健康委员会2023年卫生健康政策研究课题(2023HP70);上海市崇明区科学技术委员会项目(CKY2021-50)。

摘　　要：目的了解上海市崇明区中小学生身体活动与久坐行为现状,并分析影响因素。方法采用多阶段分层随机抽样方法,选取崇明区1914名小学四年级至高三年级(包括普通高中和职业高中)的学生进行问卷调查,内容涉及学生的身体活动、久坐行为、屏幕时间、家庭社会经济状况及学习与生活情况,对相关数据进行统计学分析。结果调查对象中,中高强度身体活动达到1 h/d者占比10.3%,久坐超过6 h/d者占比70.7%,屏幕时间>1 h/d者占比30.3%。Logistic回归分析发现:普通高中学生身体活动水平显著低于小学生(OR=0.415);男生(OR=1.521)、周末中高强度身体活动≥1 h/d(OR=7.236)、每周体育课≥3节(OR=2.368)、户外运动≥2 h/d(OR=1.468)和参加补习班≤2 h/d(OR=1.921)学生的身体活动水平更高。初中(OR=0.239)、普通高中(OR=0.189)、职业高中(OR=0.455)学生的久坐行为总量和屏幕时间显著多于小学生。相较于女生,男生久坐行为总量更少(OR=1.341),而屏幕时间更多(OR=0.775);寄宿(OR=0.512)、父亲受教育水平高(OR=0.533)的学生屏幕时间多,周末中高强度身体活动≥1 h/d(OR=1.366)、体育课≥3节/周(OR=1.604)学生的屏幕时间更少。结论上海市崇明区中小学生中高强度身体活动不足及久坐行为的发生率高,应重点关注女生、高年级学生和寄宿学生,增加校内体育课数量和体育设施,加强健康科普教育,促进中小学生身心健康发展。Objective To investigate the physical activity and sedentary behavior of primary and middle school students in Chongming District,Shanghai,and analyze the influencing factors.Methods By using multi-stage stratified random sampling method,1914 students were selected from grade four in primary schools and senior grade in high schools(including ordinary high school and vocational high school)in Chongming District to conduct the survey.Physical activity,sedentary behavior,family socio-economic status,and learning and living conditions were collected.The relevant data were statistically analyzed.Results Among the students,10.3%had at least 1 h of moderate-to-high intensity physical activity per day,70.7%were sedentary for more than 6 h per day,and 30.3%had more than 1 h of screen time per day.Compared with primary school students,ordinary high school students(OR=0.415)had less physical activity.Male students(OR=1.521),students who had weekend physical activity≥1 h/d(OR=7.236),physical education≥3 sessions per week(OR=2.368),outdoor exercise≥2 h/d(OR=1.468),and remedial classes≤2 h/d(OR=1.921)had more physical activity.Compared with primary school students,junior high school students(OR=0.239),ordinary high school students(OR=0.189),and vocational high school students(OR=0.455)spent more time on sedentary behavior and screen using.Male students(OR=1.341)spent less time on sedentary behavior and more time on screen(OR=0.775)than girls.Boarding student(OR=0.512)and students whose father had higher educational background(OR=0.533)spent more time on screen.Students who had moderate-to-intense physical activity≥1 h/d on weekend(OR=1.366)and physical education≥3 sessions per week(OR=1.604)spent less time on screen.Conclusion Sedentary behavior and a lack of moderate-to-intense physical activity are prevalent among primary and middle school students in Chongming District,Shanghai.The emphasis should be on older students,female students,and boarding students.Our school and government should increase the number of s

关 键 词：身体活动 久坐行为 回归分析 学生 

分 类 号：R179[医药卫生—妇幼卫生保健]