Michaud P-A, Jeannin A, Suris J-C
Multidisciplinary Unit for Adolescent Health and Research group on Adolescent Health, University Hospital, Lausanne, Switzerland.
Eur J Pediatr. 2006 Aug;165(8):546-55. doi: 10.1007/s00431-006-0129-9. Epub 2006 Apr 7.
Based on a large national survey on the health of adolescents, this paper focuses on the socio-demographic and lifestyle correlates of sport practice among Swiss adolescents. The SMASH2002 database includes 7428 vocational apprentices and high school students between the ages of 16 and 20 who answered a self-administered anonymous questionnaire containing 565 items targeting perceived health, health attitudes and behaviour. Weekly episodes of extracurricular sport activity were measured by a four-category scale, and the sample was dichotomised between active (>or=two episodes of sport/week) and inactive (<two episodes of sport/week) respondents. Thirty percent of female respondents and 40.2% of male respondents reported engaging in sport activity at least two to three times a week; another 9.7% of the female and 19.4% of the male respondents reported participating in least one sport activity each day (p<0.01). The percentage of active respondents was higher among students than among vocational apprentices (p<.01), and the rates of sport activity decreased more sharply over time among the apprentices than among the students (p<0.01). Most active adolescents reported having a better feeling of well-being than their inactive peers [among male students: odds ratio (OR): 3.13; 95% confidence interval (95%CI): 1.28-7.70]. The percentage of active females who reported being on a diet was high, and female apprentices exhibited higher involvement in dieting than their inactive peers (OR: 1.68; 95%CI: 1.32-2.14). Relative to the inactive male respondents, the proportion of active male respondents smoking was lower; however, a lower proportion of the latter group did not report drunkenness, and the percentage of those who reported lifetime cannabis consumption was higher among active than inactive students (females, OR:1.57; 95%CI:1.09-2.25; males, OR:1.80; 95%CI: 20-2.69).
Organised sport activities should be better tailored to the work schedules of apprentices. Practitioners should be aware of the potential for problematic behaviour in the area of dieting and substance use among a subset of sport-oriented adolescents.
基于一项关于青少年健康的大型全国性调查,本文重点关注瑞士青少年体育锻炼的社会人口统计学和生活方式相关因素。SMASH2002数据库包含7428名年龄在16至20岁之间的职业学徒和高中生,他们回答了一份包含565个项目的自填式匿名问卷,这些项目针对的是感知健康、健康态度和行为。课外体育活动的每周次数通过一个四类量表进行测量,样本被分为活跃组(每周≥2次体育活动)和不活跃组(每周<2次体育活动)。30%的女性受访者和40.2%的男性受访者报告每周至少进行两到三次体育活动;另有9.7%的女性和19.4%的男性受访者报告每天至少参加一项体育活动(p<0.01)。学生中活跃受访者的比例高于职业学徒(p<0.01),学徒中体育活动率随时间下降的幅度比学生更大(p<0.01)。大多数活跃的青少年报告说,他们比不活跃的同龄人感觉更幸福[在男学生中:优势比(OR):3.13;95%置信区间(95%CI):1.28 - 7.70]。报告节食的活跃女性比例较高,女性学徒比不活跃的同龄人更热衷于节食(OR:1.68;95%CI:1.32 - 2.14)。相对于不活跃的男性受访者,活跃男性受访者吸烟的比例较低;然而,后一组中未报告醉酒情况的比例较低,并且报告有终生大麻消费的活跃学生比例高于不活跃学生(女性,OR:1.57;95%CI:1.09 - 2.25;男性,OR:1.80;95%CI:2.0 - 2.69)。
有组织的体育活动应更好地根据学徒的工作时间表进行调整。从业者应意识到在一部分以体育为导向的青少年中,节食和物质使用方面存在问题行为的可能性。