上海市青少年24小时活动与负性情绪的相关研究

doi:10.11852/zgetbjzz2022-1132

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (5): 475-480.DOI: 10.11852/zgetbjzz2022-1132

上海市青少年24小时活动与负性情绪的相关研究

缪宇铃¹, 林青敏¹, 姜艳蕊¹, 赵瑾¹, 张云婷¹, 王广海^1,2,3, 江帆^1,2,3

1.上海交通大学医学院附属上海儿童医学中心儿科转化医学研究所,发育行为儿科,上海 200127;
2.上海交通大学医学院附属新华医院教育部和上海市环境与儿童健康重点实验室;
3.上海脑科学与类脑研究中心

收稿日期:2022-09-19 修回日期:2022-11-22 发布日期:2023-05-06 出版日期:2023-05-10
通讯作者: 江帆,E-mail:fanjiang@shsmu.edu.cn; 王广海,E-mail:wang-guanghai@163.com
作者简介:缪宇铃(1997-),女,四川人,博士研究生在读,主要研究方向为儿童青少年睡眠健康。
基金资助:
上海市科委重大专项(2018SHZDZX05);上海市卫生健康委2020年“生命早期健康与疾病”协同创新集群项目(2020CXJQ01);上海市科委医学创新专项(西医引导类)(21Y11907400);上海市高水平地方高校建设创新团队:脑认知原理解析经费支持(SHSMU-ZDCX20211900)

Association between 24-hour movements and negative emotions in adolescents in Shanghai

MIAO Yuling¹, LIN Qingmin¹, JIANG Yanrui¹, ZHAO Jin¹, ZHANG Yunting¹, WANG Guanghai^1,2,3, JIANG Fan^1,2,3

1. Pediatric Translational Medicine Institution, Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China;
2. MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University;
3. Shanghai Center for Brain Science and Brain-Inspired Technology

Received:2022-09-19 Revised:2022-11-22 Online:2023-05-10 Published:2023-05-06
Contact: JIANG Fan, E-mail:fanjiang@shsmu.edu.cn; WANG Guanghai, E-mail:wang-guanghai@163.com

摘要/Abstract

摘要： 目的探索上海市青少年24小时活动情况及其与负性情绪的相关性,以期为24小时活动干预促进青少年心理健康的医教结合实践提供理论参考。方法采用多阶段分层整群随机抽样方法,于2017年11月—2018年1月抽取上海市6个行政区(县)6～12年级学生作为研究对象。通过学生自填标准化问卷评估睡眠时长、屏幕暴露时间和中高强度身体活动三项24小时活动达标情况,以及抑郁、焦虑和压力三种负性情绪。采用Logistic回归分析探索24小时活动达标情况与负性情绪的相关性。结果共入选2 312名青少年,平均年龄为(14.84±2.09)岁,其中女生1 113名(48.1%),初中生1 267名(54.8%)。初中生和高中生24小时活动全部达标率分别为13.4%和3.5%,而负性情绪发生率分别为11.4%～35.8%和19.5%～51.6%。24小时活动达标项目数量与负性情绪存在剂量-效应关系,达标项目数越多,负性情绪发生风险越低。与无一项达标者相比,初中生24小时活动全部达标者负性情绪发生风险下降78%～79%(焦虑OR=0.21,95%CI:0.11～0.39;抑郁OR=0.22,95%CI:0.09～0.51),而高中生下降49%~50% (压力OR=0.50,95%CI:0.29～0.86;抑郁OR=0.51,95%CI:0.30～0.87)。结论上海市青少年24小时活动达标情况不容乐观,而达标项目数越多的学生,负性情绪发生风险越低,提示加强24小时活动干预对提高青少年心理健康的重要性。

关键词: 青少年, 24小时活动, 负性情绪, 睡眠, 视屏时间, 焦虑, 抑郁

Abstract: Objective To examine the association of 24-hour movements with negative emotions in adolescents in Shanghai, in order to provide theoretical reference for the integration of medical-educational practice in 24-hour activity interventions for adolescent mental health. Methods Middle school students from 6 sample districts in Shanghai were selected by multi-stage stratified random cluster sampling method during November 2017 and January 2018. Standardized questionnaires were used to assess meeting 24-hour movement guidelines on nightly sleep duration, screen exposure time, and moderate-to-vigorous physical activity as well as negative emotions of depression, anxiety and stress. The association between 24-hour movements and negative emotions was analyzed by Logistic regression. Results Overall, 2 312 students were enrolled in this study, of whom 1 113(48.1%) were female students and 1 267 (54.8%) were junior-middle school students, with an average age of (14.84±2.09) years old. The prevalence rates of junior-middle school students and senior-middle school students meeting all the 24-hour movement guidelines were 14.4% and 3.5%, while the prevalence of negative emotions in junior-middle school students and senior-middle school students was 11.4% - 35.8% and 19.5% - 51.6%, respectively. There was a dose-dependent association between the number of meeting the 24-hour movement guidelines and negative emotions. Meeting more 24-hour movement guidelines was related to a lower risk of negative emotions. Compared with those meeting none of the guidelines, the risk of negative emotions decreased by 78% to 79% for junior-middle school students who met all 24-hour of activity (anxiety OR=0.21, 95%CI:0.11 - 0.39; depression OR=0.22, 95%CI:0.17 - 0.51), and by 49% to 50% for senior-middle school students (stress OR=0.50, 95%CI:0.29 - 0.86; depression OR=0.51, 95%CI:0.30 - 0.87). Conclusions The prevalence of Shanghai adolescents meeting the 24-hour movement guidelines is low and meeting more 24-hour movement guidelines is associated with lower risk of negative emotions. This study highlights the importance of enhancing 24-hour movement intervention for supporting mental health in adolescents.

Key words: adolescents, 24-hour movement, negative emotions, sleep, screen time, anxiety, depression

中图分类号:

R179

缪宇铃, 林青敏, 姜艳蕊, 赵瑾, 张云婷, 王广海, 江帆. 上海市青少年24小时活动与负性情绪的相关研究[J]. 中国儿童保健杂志, 2023, 31(5): 475-480.

MIAO Yuling>, LIN Qingmin>, JIANG Yanrui>, ZHAO Jin>, ZHANG Yunting>, WANG Guanghai>, JIANG Fan>. Association between 24-hour movements and negative emotions in adolescents in Shanghai[J]. Chinese Journal of Child Health Care, 2023, 31(5): 475-480.

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上海市青少年24小时活动与负性情绪的相关研究

Association between 24-hour movements and negative emotions in adolescents in Shanghai

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