Yan X J, Luo D M, Zhang J S, Lei Y T, Hu P J, Song Y, Ma J
School of Public Health and Institute of Child and Adolescent Health, Peking University, Beijing 100191, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Mar 10;41(3):373-378. doi: 10.3760/cma.j.issn.0254-6450.2020.03.018.
To compare the probability of physical activity (PA) time ≥1 hour at school and influencing factors in students in China between 2010 and 2014. We used the data of 2010 and 2014 Chinese National Survey on Students' Constitution and Health (CNSSCH). The surveys covered the Han students aged 9-22 years and Tibetan students aged 9-18 years (Tibet). The participants were primary school students (9-12 years old), junior high school students (13-15 years old), senior high school students (16-18 years old) and college students (19-22 years old). The probability of PA time ≥1 hour at school was compared using (2) tests between 2010 and 2014 survey years. Log-binomial Regression was used to estimate the relative risk () for the probability of PA time ≥1 hour at school in different age groups. The overall probability of PA time ≥1 hour at school in students aged 9-22 years was 20.5 in 2010, and 23.8 in 2014. The difference between 2010 and 2014 was significant (<0.001). On the whole, the probability of PA time ≥1 hour at school increased in the eastern, central and western areas in 2014 compared with 2010 (<0.05), and the increase range was highest in eastern area, followed by western area and central area (<0.05). The probability of PA time of 1 hour at school in all age groups increased in 2014 compared with 2010 (<0.05). The increase in the probability of PA time ≥1 hour at school was larger in primary school students than that in high school students and college students (<0.05). The probability of PA time ≥1 hour at school increased in all age groups in three areas, except in junior and senior high school students in the central area where the probability of PA time ≥1 hour at school decreased. The probability of PA time ≥1 hour at school in primary and junior/senior high school students in the eastern area had the greatest increase, but in college students it had the smallest increase in the three areas. From 2010 to 2014, the changes in the probability of PA time ≥1 hour at school in students in different provinces were quite different, especially in primary school students. The probability of PA time ≥1 hour at school in four age groups increased in only three provinces. With the probability of PA time ≥1 hour at school in primary school students as the reference, the in junior high students had no significant change between 2010 and 2014. The in senior high school increased from 0.34 (0.33-0.35) in 2010 to 0.36 (0.36-0.37) in 2014, and the in college students increased from 0.33 (0.32-0.34) in 2010 to 0.43 (0.42-0.44) in 2014. The probability of PA time ≥1 hour at school in all age groups increased in 2014 compared with 2010, but there were great differences among provinces. The findings of our study suggests that although the national policy played a certain role, the provinces should take specific measures to improve the probability of PA time ≥1 hour at school in students according to their own conditions. In addition, more attention should be paid to PA of older students.
比较2010年至2014年间中国学生在校体育活动(PA)时间≥1小时的概率及其影响因素。我们使用了2010年和2014年中国学生体质与健康调研(CNSSCH)的数据。调查涵盖了9至22岁的汉族学生和9至18岁的藏族学生(西藏地区)。参与者包括小学生(9至12岁)、初中生(13至15岁)、高中生(16至18岁)和大学生(19至22岁)。采用卡方检验比较2010年和2014年调查年份间在校PA时间≥1小时的概率。使用对数二项回归估计不同年龄组在校PA时间≥1小时概率的相对风险(RR)。9至22岁学生在校PA时间≥1小时的总体概率在2010年为20.5%,2014年为23.8%。2010年和2014年之间的差异具有统计学意义(P<0.001)。总体而言,与2010年相比,2014年东部、中部和西部地区在校PA时间≥1小时的概率均有所增加(P<0.05),增加幅度以东部地区最高,其次是西部地区和中部地区(P<0.05)。各年龄组在校PA时间≥1小时的概率在2014年较2010年均有所增加(P<0.05)。小学生在校PA时间≥1小时概率的增加幅度大于高中生和大学生(P<0.05)。三个地区所有年龄组在校PA时间≥1小时的概率均有所增加,但中部地区的初中生和高中生在校PA时间≥1小时的概率有所下降。东部地区小学生和初/高中生在校PA时间≥1小时的概率增加幅度最大,但在三个地区中大学生的增加幅度最小。从2010年到2014年,不同省份学生在校PA时间≥1小时概率的变化差异较大,尤其是小学生。四个年龄组在校PA时间≥1小时的概率仅在三个省份有所增加。以小学生在校PA时间≥1小时的概率为参照,2010年至2014年初中生的RR无显著变化。高中生的RR从2010年的0.34(0.33 - 0.35)增至2014年的0.36(0.36 - 0.37),大学生的RR从2010年的0.33(0.32 - 0.34)增至2014年的0.43(0.42 - 0.44)。2014年与2010年相比,各年龄组在校PA时间≥1小时的概率均有所增加,但省份间差异较大。我们的研究结果表明,尽管国家政策起到了一定作用,但各省份应根据自身情况采取具体措施,提高学生在校PA时间≥1小时的概率。此外,应更加关注大龄学生的体育活动。