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[中小学生久坐行为及其相关因素的患病率]

[Prevalence of sedentary behavior and its correlates among primary and secondary school students].

作者信息

Ferreira Rodrigo Wiltgen, Rombaldi Airton José, Ricardo Luiza Isnardi Cardoso, Hallal Pedro Curi, Azevedo Mario Renato

机构信息

Programa de Pós-Graduação em Educação Física, Universidade Federal de Pelotas (Ufpel), Pelotas, RS, Brasil.

Programa de Pós-Graduação em Educação Física, Universidade Federal de Pelotas (Ufpel), Pelotas, RS, Brasil.

出版信息

Rev Paul Pediatr. 2016 Jan-Mar;34(1):56-63. doi: 10.1016/j.rpped.2015.06.005. Epub 2015 Dec 31.

Abstract

OBJECTIVE

: To determine the students’ exposure to four different sedentary behavior (SB) indicators and their associations with gender, grade, age, economic status and physical activity level.

METHODS

: A cross-sectional study was conducted in 2013. The SB was collected using the HELENA instrument, composed by screen time questions (TV, video games and internet) and sitting activities on school opposite shift. The cut point of ≥2h/day was used to categorize the outcome. The Poisson regression was used for associations between the outcome and the independent variables (95% significance level), controlling for confounding variables and the possible design effect.

RESULTS

: The sample was composed by 8661 students. The overall prevalence of SB was 69.2% (CI95% 68.1–70.2) on weekdays, and 79.6% (CI95% 78.7–80.5) on weekends. Females were more associated with the outcome, except to electronic games. Advanced grades students were more involved in sitting tasks when compared to the early grades. Older students were more likely to surf on net for ≥2h/day. Higher economic level students were more likely to engage in video games and internet. Active individuals were less likely to engage in SB on weekdays.

CONCLUSIONS

: The prevalence of SB was high, mainly on weekends. The associations with sex, age, grade and physical activity level should be considered into elaboration of more efficient interventions on SB control.

摘要

目的

确定学生接触四种不同久坐行为(SB)指标的情况及其与性别、年级、年龄、经济状况和身体活动水平的关联。

方法

2013年进行了一项横断面研究。使用HELENA工具收集久坐行为数据,该工具由屏幕时间问题(电视、电子游戏和互联网)以及学校非上课时间段的坐立活动组成。以每天≥2小时为切点对结果进行分类。采用泊松回归分析结果与自变量之间的关联(显著性水平为95%),同时控制混杂变量和可能的设计效应。

结果

样本包括8661名学生。工作日SB的总体患病率为69.2%(95%置信区间68.1 - 70.2),周末为79.6%(95%置信区间78.7 - 80.5)。除电子游戏外,女性与该结果的关联更大。与低年级学生相比,高年级学生更多地参与久坐任务。年龄较大的学生每天上网冲浪≥2小时的可能性更大。经济水平较高的学生更有可能玩电子游戏和上网。活跃的个体在工作日参与SB的可能性较小。

结论

SB的患病率较高,主要在周末。在制定更有效的SB控制干预措施时,应考虑其与性别、年龄、年级和身体活动水平的关联。

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