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巴西青少年体质的长期变化趋势:体质下降是多数人的趋势,但对少数健康人群不适用。

Secular trends in the physical fitness of Brazilian youth: Evidence that fitness is declining for the majority but not for a fit minority.

机构信息

Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK.

Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, UK.

出版信息

Scand J Med Sci Sports. 2023 Oct;33(10):2079-2089. doi: 10.1111/sms.14440. Epub 2023 Jul 4.

Abstract

BACKGROUND

There has been a decline in children's physical fitness in recent decades. Such concerns are largely based on evidence from North America, Europe, and Asia. The current study describes the secular trend and variation (spread) in the physical fitness scores of young Brazilians from 2005 to 2022.

METHODS

This study is a repeated, cross-sectional surveillance study (1999-2022). Children and adolescents (n = 65 139; boys = 36 539) participated between 2005 and 2022. In each cohort six physical fitness tests were conducted: (1) 20-m sprint speed (m s ), (2) cardio-respiratory 6-min run test (m min ), (3) abdominal strength test (sit-ups per min), (4) horizontal jump test (cm), (5) the agility test (m s ), and (6) the medicine ball throw test (cm). Means and distributional characteristics of the population were assessed using ANOVA, ANCOVA adopting BMI as the body-size covariate, Levene's test of equality-of-error variances, and Box and whisker plots.

RESULTS

ANOVAs and ANCOVA's identified significant declines in physical fitness over time/year in 5 of the 6 physical fitness variables (e.g., 20-m sprint speed slope B = -0.018 (m s  y ); 95% CI -0.019 to -0.017; p < 0.001), the only exception being the medicine ball throw test (cm). The Levene's test of equality-of-error variances also identified a systematic increase in the variances/standard deviations over time/years.

CONCLUSIONS

Results provide powerful evidence that children and adolescents' physical fitness is declining, a trend that is also diverging asymmetrically, becoming more extreme in more recent years. The "fit" appear to be getting fitter, but the fitness of the "less-fit" appears to be declining further. These results have important implications for sports medicine and government policy makers.

摘要

背景

近几十年来,儿童的身体素质有所下降。这种担忧在很大程度上是基于来自北美、欧洲和亚洲的证据。本研究描述了 2005 年至 2022 年期间巴西年轻人群体身体素质得分的长期趋势和变化(分布)。

方法

本研究是一项重复的、横断面的监测研究(1999-2022 年)。儿童和青少年(n=65139;男孩=36539)在 2005 年至 2022 年期间参与了研究。在每个队列中进行了六项身体素质测试:(1)20 米冲刺速度(m/s),(2)心肺 6 分钟跑测试(m/min),(3)腹部力量测试(仰卧起坐/分钟),(4)水平跳跃测试(cm),(5)敏捷测试(m/s)和(6)药球投掷测试(cm)。采用方差分析(ANOVA)、采用 BMI 作为身体大小协变量的协方差分析(ANCOVA)、Levene 方差齐性检验和箱线图评估人群的平均值和分布特征。

结果

ANOVA 和 ANCOVA 发现,在 6 项身体素质测试中的 5 项测试中,身体素质随着时间/年份的推移而显著下降(例如,20 米冲刺速度斜率 B=-0.018(m/s/年);95%置信区间-0.019 至-0.017;p<0.001),唯一的例外是药球投掷测试(cm)。Levene 方差齐性检验还发现,随着时间/年份的推移,方差/标准差呈系统性增加。

结论

结果提供了有力的证据,表明儿童和青少年的身体素质正在下降,这一趋势也在不对称地发散,在最近几年变得更加极端。“健康”的人似乎变得更健康了,但“不健康”的人的身体素质似乎进一步下降了。这些结果对运动医学和政府政策制定者具有重要意义。

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