Faculty of Kinesiology, University of Split, Teslina 6, 21000 Split, Croatia.
Faculty of Social Sciences, Institute of Psychology, University of Gdańsk, 80-309 Gdańsk, Poland.
Int J Environ Res Public Health. 2021 Nov 12;18(22):11899. doi: 10.3390/ijerph182211899.
Insufficient physical activity and alcohol consumption (AC) are important health-threatening behaviors in adolescence, but there are controversial findings regarding the association that may exist between AC and physical activity levels (PALs) at this age. This study aimed to prospectively examine the relationship that may exist between AC and PAL in younger adolescence, considering the potential confounding effect of sports participation. The participants ( = 669, 337 females) were adolescents from Bosnia and Herzegovina who were tested on two occasions, at baseline (14 years of age) and again at follow-up (16 years of age). The variables included AC (as indicated by the AUDIT questionnaire), sports participation, age, gender (predictors), and PAL (obtained by the PAQ-A questionnaire) criterion. The results indicated that PAL at baseline was higher in those adolescents (boys) with a higher AUDIT score, but this association was partially confounded by sports participation. Multinomial regression indicated a higher risk of a decline in PAL over the study course in adolescents with a higher AUDIT score at baseline (OR = 1.32, 95%CI: 1.11-1.54 for being in the high-risk group for a decline in PAL). The most probable explanation is likely found in the high drop-out from sports in the studied period and earlier initiation of AC in adolescents involved in sports. Public health and sports authorities should urgently act preventively and develop educational programs against alcohol drinking in youth athletes.
体力活动不足和饮酒（AC）是青少年时期的重要健康威胁行为，但关于 AC 与该年龄段体力活动水平（PAL）之间可能存在的关联，存在争议的发现。本研究旨在前瞻性地检查青少年早期 AC 和 PAL 之间可能存在的关系，同时考虑到运动参与的潜在混杂影响。参与者（n=669，女性 337 人）是来自波斯尼亚和黑塞哥维那的青少年，他们在两次测试中接受了测试，基线（14 岁）和随访（16 岁）。变量包括 AC（由 AUDIT 问卷表示）、运动参与、年龄、性别（预测因素）和 PAL（通过 PAQ-A 问卷获得）标准。结果表明，在基线时 AUDIT 得分较高的青少年（男孩）的 PAL 较高，但这种关联部分受到运动参与的混杂影响。多项回归表明，在基线时 AUDIT 得分较高的青少年中，PAL 在研究过程中下降的风险更高（OR=1.32，95%CI：1.11-1.54，处于 PAL 下降高风险组）。最可能的解释可能是在研究期间有大量青少年退出运动，以及运动参与的青少年更早开始饮酒。公共卫生和体育当局应紧急采取预防措施，并制定针对青年运动员饮酒的教育计划。
