目的 分析我国学生每日户外活动时间现状,为学生近视防控提供科学数据支持。方法 利用2016年9-12月开展的全国学生常见病及健康危险因素监测资料,选取全国19个省(自治区、直辖市)共146 054名学生问卷调查结果,分析我国学生每天户外活动时间现状。结果 2016年我国学生每天户外活动时间不到1 h、1~2 h、2~4 h、>4 h分别占35.3%、39.0%、18.4%、7.3%。每天户外活动时间不到1 h的报告率:女生(39.3%)高于男生(31.1%),郊县(36.9%)高于城区(34.2%),普通高中(48.5%)>大学(39.8%)>初中(32.6%)>职业高中(31.4%)>小学(27.4%),差片(36.6%)>中片(35.2%)>好片(34.0%),中部(38.8%)>西部(35.2%)>东部(32.8%),差异均具有统计学意义(P<0.001)。每天户外时间不足1 h的报告率随年级变化明显,在高三达到顶峰,与各年级课业负担密切相关,性别差异在初一之后开始变得明显。河北、江西、河南、安徽等省份学生每天户外活动时间不足1 h的报告率最高,均超过40%,而北京、福建、广东最低,均低于30%。结论 我国学生每天户外活动时间偏低,其中女生、普通高中生户外活动不足情况尤其明显,学生户外活动应与体育锻炼有机结合,并充分考虑学生课业负担。
Abstract
Objective To investigate the current status of daily outdoor time of Chinese students. Methods Data were extracted from the National Monitoring of Common Diseases and Health Risk Factors among Students finished from September 2016 to December 2016.A total of 146 054 students' questionnaire Results about outdoor activity from 19 provinces (autonomous regions or municipalities) were used to analyze the current status of outdoor activity time per day for Chinese students. Results In 2016,the proportion of Chinese students who spent less than 1 hour,1~2 hours,2~4 hours and more than 4 hours for outdoor activities per day was 35.3%,39.0%,18.4% and 7.3% respectively.For the prevalence of less than 1 hour outdoor activity per day:female students (39.3%) was higher than male students (31.1%),suburban counties (36.9%) were higher than urban areas (34.2%),regular high school (48.5%)> university (39.8%)> junior high school (32.6%)> vocational high school (31.4%)> primary school (27.4%),poor social-economical region(36.6%)> medium social-economical region (35.2%)> good social-economical region (34.0%),central provinces (38.8%)> western provinces (35.2%)> eastern provinces (32.8%),the differences were all statistically significant (P<0.001).The prevalence of less than 1 hour outdoor activity per day changed with the grade significantly,peaking at third year in high school,which was closely related to academic burden.Gender differences became obvious after junior one.Hebei,Jiangxi,Henan,Anhui had the highest prevalence of less than 1 hour outdoor activity per day (more than 40%),while Beijing,Fujian,Guangdong showed the lowest prevalence (less than 30%). Conclusions In general,the daily outdoor activity time of Chinese students is low,especially among girls and regular high school students.The outdoor activities should be combined with the physical exercise,and the academic burden of students should be fully considered.
关键词
中国 /
学生 /
户外活动 /
现状分析
Key words
China /
students /
outdoor activity /
status analysis
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参考文献
[1] He MG,Xiang F,Zeng YF,et al.Effect of time spent outdoors at school on the development of myopia among children in China a randomized clinical trial[J].JAMA,2015,314(11):1142-1148.
[2] Morgan IG,He M,Saw SM,et al.Myopia:From research to practice[J].Asia Pac J Ophthalmol,2016,5(6):383-385.
[3] Larouche R,Garriguet D,Gunnell KE,et al.Outdoor time,physical activity,sedentary time,and health indicators at ages 7 to 14:2012/2013 Canadian Health Measures Survey[J].Health Rep,2016,27(9):3-13.
[4] Larson LR,Green GT,Cordell HK.Children's time outdoors:Results and implication of the National kids survey[J].J Park Recreat Admi,2011,29(2):1-20.
[5] 孙莹.中国儿童青春发动时相评定标准的建立及应用研究[D].合肥:安徽医科大学,2013.
[6] 于恩家,康贵江.铁岭市男女高中生体育意识与锻炼行为的差异分析[J].运动,2012,4(6):81-82.
[7] 秦孝俊.中学男女生课余体育锻炼意识和行为的差异性研究[J].桂林师范高等专科学校学报,2011,25(3):140-143.
[8] 周佳,马迎华,马军,等.中国6省市中小学生近视流行现状及其影响因素分析[J].中华流行病学杂志,2016,37(1):29-34.
[9] 王枬,唐荣德.区域素质教育实施现状的调查研究[J].广西师范大学学报:哲学社会科学版,2010,46(2):111-118.
[10] Rasberry CN,Lee SM,Robin L,et al.The association between school-based physical activity,including physical education,and academic performance:a systematic review of the literature[J].Prev Med,2011,52(Suppl 1):10.
[11] Rudnicka AR,Kapetanakis VV,Wathern AK,et al.Global variations and time trends in the prevalence of childhood myopia,a systematic review and quantitative meta-analysis:implications for aetiology and early prevention[J].Br J Ophthalmol,2016,100(7):882-890.
[12] Holden BA,Fricke TR,Wilson DA,et al.Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050[J].Ophthalmology,2016,123(5):1036-1042.
[13] 董彦会,刘慧彬,王政和,等.2005—2014年中国7~18岁儿童青少年近视流行状况与变化趋势[J].中华预防医学杂志,2017,51(4):285-289.
[14] Sherwin JC,Reacher MH,Keogh RH,et al.The association between time spent outdoors and myopia in children and adolescents:a systematic review and meta-analysis[J].Ophthalmology,2012,119(10):2141-2151.
[15] Morgan IG,Rose KA.Myopia and international educational performance[J].Ophthalmic Physiol Opt,2013,33(3):329-338.
[16] Rose KA,Morgan IG,Ip J,et al.Outdoor activity reduces the prevalence of myopia in children[J].Ophthalmology,2008,115(8):1279-1285.
[17] Ngo C,Saw SM,Dharani R,et al.Does sunlight (bright lights) explain the protective effects of outdoor activity against myopia?[J].Ophthalmic Physiol Opt,2013,33(3):368-372.
[18] Grodstein F,Speizer FE,Hunter DJ.A prospective study of incident squamous cell carcinoma of the skin in the nurses' health study[J].J Natl Cancer Inst,1995,87(14):1061-1066.
[19] 中华人民共和国中央政府.中共中央国务院关于加强青少年体育增强青少年体质的意见[EB/OL][2007-05-24].http://www.gov.cn/jrzg/2007-05/24/content_625090.htm.
[20] 新华网.《“健康中国2030”规划纲要》发布附全文[EB/OL][2016-10-25]http://news.xinhuanet.com/health/2016-10/25/c_1119786029_4.htm.
[21] 国家卫生计生委妇幼健康服务司.关于加强儿童青少年近视防控工作的指导意见[EB/OL][2016-10-30].http://www.nhfpc.gov.cn/fys/s3585/201610/a34775e90bbe4c07856a866
ae16c6f3a.shtml.
[22] 王政和,董彦会,宋逸,等.中国2014年9~22岁学生体育锻炼时间不足1小时的流行现状与影响因素分析[J].中华流行病学杂志,2017,38(3):341-345.
[23] 张鑫.东西部中小学学校体育场地设施建设现状对比研究[D].天津:天津体育学院,2015.
[24] 中华人民共和国教育部.教育部 国家体育总局 共青团中央 关于开展全国亿万学生阳光体育运动的决定[EB/OL][2006-12-12].http://old.moe.gov.cn//publicfiles/business/htmlfiles/moe/s3276/201001/80877.html.
基金
国家体育总局(2017B025); 国家自然科学基金(81302442)