积极的上学交通方式与青少年身体活动和久坐行为的关联：来自 80 个国家的全球视角。

Association of active school commuting with physical activity and sedentary behaviour among adolescents: A global perspective from 80 countries.

机构信息

School of Health and Rehabilitation Sciences, The University of Queensland, Australia; Active Healthy Kids Bangladesh (AHKBD), Bangladesh.

Active Living Laboratory, School of Physical Education, Sport and Exercise Sciences, University of Otago, New Zealand; Centre for Sustainability, University of Otago, New Zealand; School of Sport and Recreation, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 0627, New Zealand.

出版信息

J Sci Med Sport. 2021 Jun;24(6):567-572. doi: 10.1016/j.jsams.2020.12.002. Epub 2020 Dec 11.

DOI:10.1016/j.jsams.2020.12.002

PMID:33376077

Abstract

OBJECTIVES

To examine associations of active school commuting (ASC) with time spent in physical activity (PA) and sedentary behaviour (SB) among adolescents.

DESIGN

Cross-sectional study.

METHODS

Global School-based Student Health Survey data from 277,833 adolescents aged 11-17 years (48.9% girls), collected during 2007-2016, were analysed. Adolescents were asked how many days per week they walked or bicycled to and from school, were physically active, and how much time they spent sitting on a typical day. ASC was defined as ≥3 days/week, meeting PA recommendations as ≥60min/day, high SB as leisure-time sitting ≥3h/day. Multilevel logistic regression analysis was used to estimate the odds ratios (OR) and 95% confidence intervals (CI) of the association estimates.

RESULTS

Adolescents who used ASC≥3 days/week had over double the odds of meeting PA recommendations (OR: 2.06, 95% CI: 2.01-2.12), after adjusting for a set of covariates. Adolescents who reported ASC≥3 days/week had 17% lower odds of reporting high SB (0.83, 0.81-0.85). The estimated OR of ASC and PA was 2.57 (2.31-2.86) in low-income and 1.84 (1.75-1.94) in high-income countries. Adolescents with ASC≥3 days/week had 22% lower odds of reporting high SB in African and Eastern Mediterranean regions (0.78, 0.73-0.84 and 0.75-0.82, respectively). Country-wise estimates of the associations are presented.

CONCLUSIONS

ASC is strongly and positively associated with PA recommendations and moderately with lower SB in adolescents. These estimates vary across WHO regions and by country's income. Promoting ASC has the potential to promote active lifestyle among adolescents around the globe.

摘要

目的

研究积极上学交通方式（ASC）与青少年体育活动（PA）和久坐行为（SB）时间之间的关联。

设计

横断面研究。

方法

对 2007-2016 年期间收集的 277833 名 11-17 岁青少年（48.9%为女孩）的全球学校学生健康调查数据进行了分析。询问青少年每周有多少天上、下学步行或骑自行车，进行了多少分钟的体育活动，以及每天有多少时间坐着。ASC 定义为每周≥3 天，符合 PA 推荐标准（≥60 分钟/天），高 SB 定义为休闲时间坐着≥3 小时/天。使用多水平逻辑回归分析来估计关联的比值比（OR）和 95%置信区间（CI）。

结果

调整了一系列协变量后，每周使用 ASC≥3 天的青少年符合 PA 推荐标准的可能性是其他青少年的两倍多（OR：2.06，95% CI：2.01-2.12）。报告 ASC≥3 天/周的青少年报告高 SB 的可能性低 17%（0.83，0.81-0.85）。ASC 和 PA 的估计 OR 在低收入国家为 2.57（2.31-2.86），在高收入国家为 1.84（1.75-1.94）。ASC≥3 天/周的青少年在非洲和东地中海地区报告高 SB 的可能性低 22%（0.78，0.73-0.84 和 0.75-0.82，分别）。按国家报告了这些关联的估计值。