银川市中学生身体活动及久坐行为与功能性便秘的关系

doi:10.11852/zgetbjzz2024-0758

摘要/Abstract

摘要： 目的探讨中学生身体活动(PA)强度、久坐行为(SB)与功能性便秘(FC)的关系,为合理安排中学生每日PA、预防FC提供参考。方法 2024年3月,采用分层整群方便法抽取银川市1 371名初一～初三中学生(13～15岁)为研究对象,依照《7～18岁儿童青少年体力活动水平评价》(WS/T10008-2023)调查中学生PA、SB,依照罗马Ⅳ儿童/青少年FC诊断标准调查中学生FC。采用二元logistic回归探讨中学生PA时长对FC的影响。结果 987名(71.99%)中学生达到推荐的每天≥70min中高强度身体活动(MVPA),其中男生521人(74.86%),女生466人(69.04%),性别间差异无统计学意义(χ²=2.69,P＞0.05)。FC检出106人(7.73%),其中男生50人(7.18%),女生56人(8.29%),不同年龄段性别间差异均有统计学意义(χ²值分别为7.45、8.69、8.51,P＜0.05)。Cochran-Armitage趋势检验结果显示,中学生PA时长与FC检出存在线性趋势(P＜0.05)。二元logistic回归分析结果显示,LPA和MVPA时长与FC呈负相关(OR＝0.751、0.893),SB时长跟FC呈正相关(OR＝1.035)(P＜0.05)。结论 LPA和MVPA时长与FC呈负相关,SB时长跟FC呈正相关。学校、家庭应根据中学生身心发育特点、性别差异,增加身体活动时长和强度,减少久坐时长,促进青少年健康成长。

关键词: 功能性便秘, 身体活动, 久坐, 中学生

Abstract: Objective To explore the association of physical activity (PA) intensity and sedentary behavior (SB) with functional constipation (FC) among middle school students, so as to provide evidence for rational daily PA planning and FC prevention in this population. Methods A total of 1 371 students in grades 7 - 9 (aged 13 - 15 years) from Yinchuan were selected using stratified cluster convenience sampling in March 2024.PA and SB levels were assessed according to the Assessment of Physical Activity Levels in Children and Adolescents Aged 7-18 (WS/T 10008-2023), and FC was diagnosed based on the Rome Ⅳ criteria for children/adolescents.Binary logistic regression was used to examine the association between PA duration and FC. Results Among the participants, 987 (71.99%) met the recommended daily moderate-to-vigorous physical activity (MVPA) level of ≥70 minutes, including 521 boys (74.86%) and 466 girls (69.04%), with no significant gender difference (χ² =2.69, P>0.05).FC was identified in 106 students (7.73%), including 50 boys (7.18%) and 56 girls (8.29%).Significant gender differences were observed across all age groups (χ²=7.45, 8.69, 8.51, all P<0.05).The Cochran-Armitage trend test indicated a significant linear trend between PA duration and FC prevalence (P<0.05).Binary logistic regression analysis revealed that both light physical activity (LPA) and MVPA duration were negatively associated with FC(OR＝0.751、0.893), while SB duration was positively associated with FC (OR＝1.035)(P<0.05). Conclusions LPA and MVPA are negatively correlated with FC, whereas SB is positively correlated with FC.Schools and families should promote increased duration and intensity of physical activity and reduce sedentary time according to the developmental characteristics and gender differences of middle school students, so as to support healthy adolescent development.

Key words: functional constipation, physical activity, sedentary behavior, secondary school students

中图分类号:

R574.62
G806

殷鼎, 王慧, 陈妙, 翟锁. 银川市中学生身体活动及久坐行为与功能性便秘的关系[J]. 中国儿童保健杂志, 2025, 33(10): 1145-1150.

YIN Ding, WANG Hui, CHEN Miao, ZHAI Suo. Relationship between physical activity and sedentary behavior and functional constipation among secondary school students in Yinchuan City[J]. Chinese Journal of Child Health Care, 2025, 33(10): 1145-1150.

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