深圳宝安区中学生体力活动和含糖饮料摄入与心理亚健康的关联  

Association of physical activity and sugar-sweetened beverage consumption with psychological sub-health among middle school students in Bao'an District,Shenzhen

作　　者：王熙 高悦 魏瑞虹 王亚楠 周如意 刘艳红[4] 李云峰 任柳盈盈 万宇辉[2,3] WANG Xi;GAO Yue;WEI Ruihong;WANG Yanan;ZHOU Ruyi;LIU Yanhong;LI Yunfeng;REN Liuyingying;WAN Yuhui(Public Health Service Center,Bao'an District,Shenzhen(518000),Guangdong Province,China)

机构地区：[1]深圳市宝安区公共卫生服务中心,广东518000 [2]安徽医科大学公共卫生学院健康促进与行为科学系 [3]安徽医科大学公共卫生学院儿少卫生与妇幼保健系 [4]深圳市宝安区慢性病防治院健康教育与促进科

出　　处：《中国学校卫生》2025年第1期102-105,110,共5页Chinese Journal of School Health

基　　金：深圳市宝安区医学会2023—2024年度医疗卫生科研项目(BAYXH2024080)。

摘　　要：目的 探讨深圳市宝安区中学生体力活动、含糖饮料摄入与心理亚健康的关联,为促进青少年心理健康提供参考。方法 2024年11月,采用分层整群随机抽样方法从深圳市5所中学抽取6 926名初、高中学生进行问卷调查。使用青少年危险行为因素监测系统中的调查问卷评估中学生含糖饮料摄入,采用体育活动等级量表评估体力活动水平,采用青少年心理健康评定简明问卷评价心理亚健康状况。采用χ^(2)检验分析不同组别中学生心理亚健康检出率的差异;建立多因素Logistic回归模型,分析体力活动和含糖饮料摄入及其联合作用对中学生心理亚健康的影响。结果 深圳市宝安区中学生心理亚健康的检出率为18.93%。多因素Logistic回归分析结果显示,控制性别、学段、家庭居住地、家庭经济状况、父母文化程度、学习负担和朋友数量等混杂因素后,缺乏体力活动和过量摄入含糖饮料与中学生心理亚健康的发生风险增加均相关(OR值分别为1.36,1.45);体力活动缺乏且含糖饮料摄入过多的中学生心理亚健康风险最高(OR=2.59)(P值均<0.01)。进一步分学段分析显示,体力活动充足和含糖饮料摄入过多(ROR=2.10)、体力活动缺乏和含糖饮料摄入过多(ROR=2.31)的初中生发生心理亚健康的风险均高于高中生(P值均<0.05)。结论 体力活动不足和过量摄入含糖饮料与中学生心理亚健康风险增加密切相关。应针对性开展有效干预,降低中学生心理亚健康问题的发生风险。Objective To explore the association of physical activity and sugar-sweetened beverage consumption with psychological sub-health among middle school students in Bao'an District,Shenzhen,so as to provide a reference for adolescent mental health promotion.Methods A questionnaire survey was conducted in November 2024 by a stratified cluster random sampling method to select 6926 junior and senior middle school students from 5 middle schools in Shenzhen.The questionnaire from Youth Risk Behavior Surveillance System was used to assess the consumption of sugar-sweetened beverages,and physical activity Rating Scale was used to assess the level of physical activity,and Brief Instrument on Psychological Health of Youths was used to evaluate the psychological sub-health status.The Chi-square test was used to analyze the differences in the detection rates of psychological sub-health among different groups of middle school students,and a multivariate Logistic regression model was established to analyze the effects of physical activity and sugar-sweetened beverage consumption and their combined effects on the psychological sub-health of middle school students.Results The detection rate of psychological sub-health among middle school students in Bao'an District,Shenzhen was 18.93%.Multivariate Logistic regression analysis showed that,after controlling for confounding factors such as gender,school stage,family residence,family economic status,parental literacy,academic stress and number of friends,lack of physical activity or excessive sugar-sweetened beverage consumption were associated with increased risks of psychological sub-health among middle school students(OR=1.36,1.45);and the highest risk of psychological sub-health was found in middle school students who were lack of physical activity and excessive sugar-sweetened beverage consumption(OR=2.59)(P<0.01).Further analysis by school stages showed that junior high school students with sufficient physical activity and excessive intake of sugary drinks(ROR=2.10),lack of physi

关 键 词：运动活动 碳水化合物 饮料 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] R155.59[文化科学—运动人体科学]