大学生身体活动模式与负性情绪症状的关联  

Association between physical activity patterns and negative emotional symptoms among college students

作　　者：雷震洲 熊建萍[2] 王慧霞[1] 刘向东 毛超良 徐佳丽 蒋竞 LEI Zhenzhou;XIONG Jianping;WANG Huixia;LIU Xiangdong;MAO Chaoliang;XU Jiali;JIANG Jing(School of Tourism and Health,Lishui Vocational and Technical College,Lishui(323000),Zhejiang Province,China;不详)

机构地区：[1]丽水职业技术学院旅游健康学院,浙江323000 [2]江西财经大学体育学院 [3]萍乡学院体育学院 [4]上饶师范学院体育学院 [5]江西医学高等专科学校泊月科学中心

出　　处：《中国学校卫生》2024年第12期1727-1732,共6页Chinese Journal of School Health

基　　金：2024年江西省基础教育研究课题项目(SZUSYTY2024-1051);浙江省教育厅科研项目(Y202455785)。

摘　　要：目的探讨大学生身体活动模式与负性情绪症状的关联,为改善大学生心理健康提供参考。方法采用方便抽样方法,于2023年10—11月选取上海、江西、湖北、山西四省(市)7所高校的14767名大学生为研究对象,采用国际体力活动问卷中文版短卷(IPAQ)、抑郁-焦虑-压力量表-21(DASS-21)、自编问卷及失眠严重程度指数(ISI)调查一般人口学特征、身体活动情况、负性情绪症状、碳酸饮料消费、快餐消费、睡眠情况信息。使用Mann-Whitney U检验和Kruskal-Wallis H检验比较大学生身体活动相关因素与负性情绪的关联,运用Logistic回归分析大学生身体活动模式与抑郁、焦虑、压力症状程度的关联。结果不同性别大学生身体活动水平、近一周中高身体活动习惯、近一周中高身体活动达标情况和身体活动模式分布差异均有统计学意义(χ^(2)值分别为297.07,259.27,351.40,353.32,P值均<0.01)。大学生抑郁、焦虑和压力症状检出率分别为26.6%,34.9%,13.3%。不同身体活动水平分组、近一周中高身体活动习惯、近一周中高身体活动达标情况、身体活动模式组间大学生不同程度的抑郁、焦虑、压力症状检出率差异均有统计学意义(Z/H值分别为82.21,30.03,20.65;-8.83,-5.29,-5.01;-5.36,-5.43,-4.95;31.37,30.21,24.55,P值均<0.01)。Logistic回归分析模型结果显示,大学生身体活动模式与不同程度负性情绪症状存在正向关联,相比规律性身体活动模式,未充分身体活动模式大学生轻、重度抑郁,重度焦虑和中、重度压力症状风险均增加(OR=1.26~1.41,P值均<0.05)。结论大学生身体活动模式与负性情绪症状密切关联,通过优化大学生身体活动模式有助于负性情绪问题的防控。Objective To explore the association between physical activity patterns and negative emotional symptoms among college students,so as to provide a reference for improving college students'mental health.Methods A convenience sampling method was employed between October and November 2023 to select 14767 college students from seven institutions across Shanghai,Jiangxi,Hubei,and Shanxi Provinces(municipalities)as participants.Data were collected using the Chinese Short Form of the International Physical Activity Questionnaire(IPAQ),the Depression Anxiety and Stress Scale-21(DASS-21),a self-designed questionnaire,and the Insomnia Severity Index(ISI)to assess general demographic characteristics,physical activity levels,negative emotional symptoms,consumption of carbonated beverages and fast food,and sleep status.The Mann-Whitney U test and Kruskal-Wallis H test were used to examine associations between physical activity related factors and negative emotional symptoms.Logistic regression analysis was applied to evaluate the strength of the association between physical activity patterns and the severity of depression,anxiety,and stress symptoms.Results Statistically significant differences were observed in the distribution of male and female students across physical activity levels,moderate-to-vigorous physical activity(MVPA)habits over the past week,adherence to recommended MVPA levels,and physical activity patterns(χ^(2)=297.07,259.27,351.40,353.32,P<0.01).The prevalence rates of depression,anxiety,and stress symptoms among college students were 26.6%,34.9%,13.3%,respectively.Differences in the rate of depression,anxiety,and stress symptoms were significant across groups defined by physical activity levels,MVPA habits over the past week,adherence to recommended MVPA levels,and physical activity patterns(Z/H=82.21,30.03,20.65;-8.83,-5.29,-5.01;-5.36,-5.43,-4.95;31.37,30.21,24.55,P<0.01).Logistic regression analysis stratified showed a positive association between physical activity patterns and varying levels of negative

关 键 词：运动活动 情绪 精神卫生 回归分析 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] G806[医药卫生—公共卫生与预防医学] B844.2[文化科学—运动人体科学]