上海市浦东新区8~9岁儿童身体活动量与代谢综合征的关联  

Association between physical activity levels and metabolic syndrome among children aged 8-9 years old in Pudong New Area, Shanghai

作　　者：秦存 麦合力亚克孜·吐尔孙尼亚孜 任亚萍 井光壮 胡卉 柏品清 史慧静 QIN Cun;MAIHELIYAKEZI Tuersunniyazi;REN Yaping;JING Guangzhuang;HU Hui;BAI Pinqing;SHI Huijing(Department of School Health and Nutrition Food,Pudong Center for Disease Control and Prevention,Pudong New Area Health Supervision Institute/Pudong Institute of Preventive Medicine,Fudan University,Shanghai(200136),China)

机构地区：[1]上海市浦东新区疾病预防控制中心(上海市浦东新区卫生健康监督所)学校卫生与营养食品科/复旦大学浦东预防医学研究院,200136 [2]复旦大学公共卫生学院妇幼与儿少卫生教研室

出　　处：《中国学校卫生》2025年第2期260-265,共6页Chinese Journal of School Health

基　　金：上海市浦东新区科技发展基金事业单位民生科研专项(医疗卫生)项目(PKJ2023-Y72);上海市浦东新区疾病预防控制中心“雄鹰”计划人才培养项目(PDCDC-XY-2024-05);上海市加强公共卫生体系建设三年行动计划(2023—2025年)重点学科建设项目(GWVI-11.1-32);浦东新区疾病预防控制中心(复旦大学浦东预防医学研究院)专项科技项目(YJY-2024-01)。

摘　　要：目的了解上海市浦东新区8~9岁儿童24 h身体活动量及其与代谢综合征的关联,为儿童参与身体活动、降低代谢综合征风险提供科学依据。方法采用分层整群随机抽样方法从上海市浦东新区抽取13所学校,纳入2013名8~9岁小学生,于2021年9月—2022年12月用Actigraph GT3X加速度传感器、身高坐高计、电子血压计、皮尺测量身体活动、身高、血压、腰围,采集学生空腹静脉血5 mL,检测甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、空腹血糖(FPG)水平,并进行线上问卷调查。采用t检验、单因素方差分析比较不同特征儿童24 h身体活动量差异,采用多因素Logistic回归分析24 h身体活动量与代谢综合征及其各组分的关联。结果小学生平均每日中高强度身体活动(MVPA)时长为(34.25±13.49)min,达标率为1.59%;睡眠(SLP)时长为(538.27±28.53)min,达标率为1.89%。代谢综合征、中心性肥胖(AO)、血压(BP)偏高、TG偏高、HDL-C偏低、FPG偏高检出率分别为2.48%,34.53%,10.38%,10.73%,1.24%,0.70%。多因素Logistic回归分析结果显示,静态行为(SB)时长每增加10 min,AO、BP偏高、TG偏高的风险分别增加2%(OR=1.02,95%CI=1.01~1.04)、5%(OR=1.05,95%CI=1.01~1.08)、6%(OR=1.06,95%CI=1.02~1.11);MVPA时长每增加10 min,代谢综合征的风险降低27%(OR=0.73,95%CI=0.57~0.93);SLP时长每增加10 min,AO、BP偏高、代谢综合征的风险分别降低16%(OR=0.84,95%CI=0.80~0.88)、9%(OR=0.91,95%CI=0.82~0.99)、15%(OR=0.85,95%CI=0.77~0.94)(P值均<0.05)。结论浦东新区8~9岁儿童MVPA和SLP时间严重不足,身体活动量与代谢综合征及其各组分之间存在关联。增加MVPA和SLP时间对维持儿童较低的代谢综合征风险具有重要意义。Objective To understand 24 h physical activity levels of children aged 8-9 years in Pudong New Area and to explore its association with metabolic syndrome,so as to provide scientific basis for children's participation in physical activities and reducing the risk of metabolic syndrome.Methods A stratified cluster random sampling method was adopted to select 13 schools in Pudong New Area,Shanghai.A total of 2013 primary school students aged 8-9 years old were included as the research subjects.During September 2021 to December 2022,Actigraph GT3X accelerometer,height measuring gauge,electronic sphygmomanometer and waist circumference tape was used to measure physical activity,height,blood pressure and waist circumference,respectively.A total of 5 mL of venous blood was collected from students,and the levels of triglycerides(TG),high-density lipoprotein cholesterol(HDL-C)and fasting plasma glucose(FPG)were detected,and online questionnaires were conducted.The t-test and one-way ANOVA were employed to compare the differences in 24 h physical activity levels among children with different characteristics.Multivariate Logistic regression was used to analyze the association between the 24 h physical activity levels and metabolic syndrome as well as its components.Results Among primary school students,the average daily time of moderate to vigorous physical activity(MVPA)was(34.25±13.49)min,the attainment rate was 1.59%.The average daily sleep(SLP)time was(538.27±28.53)min,attainment rate was 1.89%.The detection rates of metabolic syndrome,abdominal obesity(AO),elevated blood pressure(BP),elevated TG,low HDL-C,and elevated FPG were 2.48%,34.53%,10.38%,10.73%,1.24%and 0.70%,respectively.Multivariate Logistic regression analysis showed that,for every 10-minute increase in sedentary behavior(SB)time,the risks of AO,elevated BP,and elevated TG increased by 2%(OR=1.02,95%CI=1.01-1.04),5%(OR=1.05,95%CI=1.01-1.08),and 6%(OR=1.06,95%CI=1.02-1.11),respectively(P<0.05).For every 10-minute increase in MVPA time,the risk of metabolic

关 键 词：运动活动 代谢综合征X 回归分析 儿童 

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] R589[文化科学—运动人体科学]