發(fā)布時(shí)間：2018-05-25 03:08

  本文選題：體力活動(dòng) + 肥胖　； 參考：《安徽醫(yī)科大學(xué)》2012年碩士論文

【摘要】：背景 肥胖與兒童青少年心理健康相關(guān)聯(lián),影響終生生命質(zhì)量。青少年體力活動(dòng)的水平正在下降,體力活動(dòng)缺乏已經(jīng)成為21世紀(jì)最重要的公共健康問題之一,規(guī)律的體力活動(dòng)能減少抑郁癥狀和焦慮癥狀,提高學(xué)習(xí)成績(jī)、減少心理壓力、緩解心理疾病,通過了解徐州初中學(xué)生心理健康現(xiàn)狀及肥胖和體力活動(dòng)的相關(guān)關(guān)系,可為制定相關(guān)心理健康干預(yù)措施提供科學(xué)依據(jù)。 目的 了解江蘇省徐州市中學(xué)生體力活動(dòng)及肥胖和心理健康現(xiàn)狀,探討體力活動(dòng)、肥胖、心理健康三者的相互關(guān)系。 方法 采取整群隨機(jī)抽樣方法,于2011年10月至11月期間,對(duì)徐州市區(qū)5所中學(xué)初中年級(jí)學(xué)生進(jìn)行橫斷面調(diào)查,通過問卷和人體測(cè)量方法獲取主要信息。問卷收集信息包括：一般社會(huì)人口統(tǒng)計(jì)學(xué)、體力活動(dòng)(每周大強(qiáng)度和中等強(qiáng)度體力活動(dòng)天數(shù))、視頻時(shí)間(包括學(xué)習(xí)日和周末學(xué)生看電視和使用電腦時(shí)間)以及心理健康狀況(包括抑郁癥狀和焦慮癥狀)等信息。其中使用兒童抑郁量表(CDI)、兒童焦慮相關(guān)情緒篩查量表(SCARED)調(diào)查對(duì)象心理健康狀況。人體測(cè)量學(xué)調(diào)查包括對(duì)青少年身高、體重測(cè)量,計(jì)算其體質(zhì)量指數(shù)(body mass index, BMI),根據(jù)青少年性別、年齡別BMI切點(diǎn)判定是否肥胖。使用χ2檢驗(yàn)和多因素logistic回歸模型分析體力活動(dòng)、視頻時(shí)間以及肥胖與青少年心理健康的相關(guān)性。 結(jié)果 共有3103名學(xué)生完成問卷和體格測(cè)量,其中男生占51.1%(1586/3103),女生占48.9%,(1517/3103)。徐州市區(qū)超重和肥胖檢出率分別為20.9%和17.1%,男生顯著多與女生；初中學(xué)生抑郁癥狀發(fā)生率為14.6%,焦慮癥狀發(fā)生率16.6%；每周參加中等強(qiáng)度體力活動(dòng)缺乏和大強(qiáng)度體力活動(dòng)缺乏的發(fā)生率分別為12.9%(400/3103)和36.1%(1119/3103),而每周視頻時(shí)間過長(zhǎng)的(2h/d)報(bào)告率為11.1%(341/3103),且男生顯著多與女生。通過對(duì)中學(xué)生肥胖、體力活動(dòng)缺乏與抑郁癥狀和焦慮癥狀的關(guān)系分析發(fā)現(xiàn),控制了體力活動(dòng)、視頻時(shí)間變量后,肥胖增加了抑郁癥狀的發(fā)生風(fēng)險(xiǎn)(OR=1.25,95%CI=1.01～1.54)。同時(shí)調(diào)整了性別、年齡、獨(dú)生子女、父母文化程度、自評(píng)家庭經(jīng)濟(jì)狀況后,體力活動(dòng)缺乏增加抑郁癥狀(OR=1.18,95%CI=1.02～1.37)和焦慮癥狀(OR=1.15,95%CI=1.01～1.30)的發(fā)生風(fēng)險(xiǎn)。體力活動(dòng)缺乏作為調(diào)節(jié)作用增加了初中學(xué)生肥胖和抑郁癥狀的聯(lián)系(由原OR=1.33,95%CI=1.02～1.37增加到OR=1.50,95%CI=1.11～2.04)。 結(jié)論 徐州市初中學(xué)生體力活動(dòng)缺乏和視頻時(shí)間過長(zhǎng)問題較為普遍,尤以男生更為突出,肥胖與青少年抑郁癥狀相關(guān)聯(lián)并受體力活動(dòng)調(diào)節(jié)。通過增加青少年的體力活動(dòng),改變久坐少動(dòng)的生活方式可能是促進(jìn)肥胖青少年心理健康的途徑之一。
[Abstract]:background
Obesity is associated with the mental health of children and adolescents, affecting the quality of life for life. The level of physical activity in adolescents is declining, and lack of physical activity has become one of the most important public health problems in the twenty-first Century. Regular physical activity can reduce the symptoms of depression and anxiety, improve academic performance, reduce psychological pressure and relieve the psychology. Diseases, through understanding the psychological health status of junior high school students in Xuzhou and the relationship between obesity and physical activity, can provide a scientific basis for the formulation of related psychological health intervention measures.
objective
Objective to understand the physical activity, obesity and mental health status of middle school students in Xuzhou city of Jiangsu Province, and to explore the relationship between physical activity, obesity and mental health in three.
Method
A cluster random sampling method was used to conduct a cross-sectional survey of junior middle school students in 5 middle schools in Xuzhou city from October 2011 to November. The main information was obtained through questionnaires and anthropometric methods. The questionnaire collected information including general social demography, physical activity (the number of large and medium intensity physical activity days per week). Frequency time (including study day and weekend students watching TV and computer time) and mental health status (including depressive symptoms and anxiety symptoms) and other information. Among them, children's Depression Scale (CDI), children's anxiety related emotion screening scale (SCARED) were used to investigate the physical health status of the subjects. Anthropometric survey included the height of adolescents, Weight measurement, the body mass index (body mass index, BMI) was calculated to determine whether obesity was determined according to adolescent sex and age BMI point. Using the chi 2 test and multiple factor Logistic regression model, the physical activity, the video time, and the correlation between obesity and adolescent mental health were analyzed.
Result
A total of 3103 students completed questionnaires and physical measurements, among which boys accounted for 51.1% (1586/3103), girls accounted for 48.9%, (1517/3103). The prevalence of overweight and obesity in Xuzhou was 20.9% and 17.1% respectively. There were more boys and girls than girls; the incidence of depressive symptoms in junior middle school students was 14.6%, the incidence of anxiety was 16.6%, and moderate physical activity every week. The incidence of lack and intensity of physical activity was 12.9% (400/3103) and 36.1% (1119/3103) respectively, while the weekly (2h/d) reporting rate was 11.1% (341/3103), and the male students were significantly more than girls. Obesity increased the risk of depressive symptoms (OR=1.25,95%CI=1.01 to 1.54) after video time variables. It also adjusted sex, age, only child, parents' educational level, and self-assessment of family economic conditions, and lack of depressive symptoms (OR=1.18,95%CI =1.02 ~ 1.37) and anxiety symptoms (OR=1.15,95%CI=1.01 to 1.30). Lack of physical activity increased the relationship between obesity and depressive symptoms in junior high school students (from OR=1.33,95%CI=1.02 to 1.37 to OR=1.50,95%CI=1.11 to 2.04).
conclusion
The lack of physical activity and the long video time in Xuzhou junior high school students are more common, especially the boys are more prominent. Obesity is associated with adolescent depression and is regulated by physical activity. By increasing the physical activity of teenagers, changing the sedentary lifestyle may be one of the ways to promote the mental health of obese adolescents.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R179

【參考文獻(xiàn)】

相關(guān)期刊論文 前3條

1 肖利敏;陶芳標(biāo);陳欽;郝加虎;劉業(yè)勛;蘇普玉;;安徽省農(nóng)村寄宿制學(xué)校學(xué)生抑郁焦慮癥狀及其影響因素分析[J];中國學(xué)校衛(wèi)生;2008年09期

2 馬軍;吳雙勝;;中國學(xué)齡兒童青少年超重肥胖流行趨勢(shì)分析[J];中國學(xué)校衛(wèi)生;2009年03期

3 陳桂存;黃瑩;李燕;胡安艷;劉宏;李姣;黃鑫;呂慧;;昆明市中學(xué)生抑郁癥狀及其相關(guān)因素分析[J];中國公共衛(wèi)生;2011年04期

，

本文編號(hào)：1931801