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探究儿童对主动出行的心率反应:混合效应建模分析。

Investigating heart rate responses of children to active travel: a mixed effects modeling analysis.

机构信息

Institute of Transport Studies, University of Natural Resources and Life Sciences, Peter-Jordan-Str. 82, Vienna, 1190, Austria.

出版信息

BMC Public Health. 2024 Nov 16;24(1):3186. doi: 10.1186/s12889-024-20634-2.

Abstract

BACKGROUND

The active travel concept has gained recognition as an effective method to enhance physical activity in children's everyday mobility. Yet, there is a notable gap of quantitative evidence on its direct impacts, especially regarding physiological outcomes that can concretely demonstrate its influences on physical intensity and overall health of children.

METHODS

This study investigates the effects of active travel on children, focusing on trip-level physiological responses, specifically heart rate. Through a mixed survey design, we obtained a repeated-measures dataset from a cohort of 73 children (average age 13) across three Austrian secondary schools, each observed for 7 days. By applying mixed effects modelling approach, both fixed and random effects to children's heart rates were explored.

RESULTS

According to results from developed mixed linear models (maximum R = 0.22), it revealed a significant positive association between active travel mode(s) engagement and heightened physiological responses (Low, Medium and High active level of trip compare to None: β = 1.81, 5.01 and 8.34, t-value = 4.70, 10.29 and 21.34), indicating that increased usage of active travel modes led to elevated heart rate values. Additionally, subjective perceptions also played an important role in influencing children's physiological responses. Feelings of exhausted, anxiety, and stress contributing to a higher heart rate (β = 14.79, 16.69 and 1.99, t-value = 20.42, 5.67 and 3.0), while unhappiness was associated with a lower heart rate (β = -5.96, t-value = -14.62). Effects of social interactions were also found during the trip. The presence of adults was associated with a calming effect (β = -1.92, t-value = -5.72), whereas solo travel resulted in lower heart rate compared to travel with peers (β = -1.95, t-value = -6.59).

CONCLUSION

Our article innovatively employs mixed survey methods and heart rate data to quantitatively demonstrate the positive association between engagement in active travel modes and heightened physiological responses in children, elucidating the intricate interplay of subjective perceptions and social interactions during trips, thus offering valuable insights into the health implications of active travel at a trip level. Future research will keep on leveraging survey and experimental methods.

摘要

背景

积极出行的理念已被公认为是提高儿童日常出行中身体活动水平的有效方法。然而,关于其直接影响,尤其是关于可以具体展示其对儿童身体强度和整体健康影响的生理结果方面,仍存在显著的定量证据差距。

方法

本研究调查了积极出行对儿童的影响,重点关注行程层面的生理反应,特别是心率。通过混合调查设计,我们从奥地利三所中学的 73 名儿童(平均年龄 13 岁)的队列中获得了重复测量数据集,对每个儿童进行了 7 天的观察。通过应用混合效应模型方法,我们探索了儿童心率的固定效应和随机效应。

结果

根据开发的混合线性模型的结果(最大 R=0.22),积极出行模式的参与与增强的生理反应之间存在显著的正相关关系(与无出行相比,低、中、高活跃水平的行程:β=1.81、5.01 和 8.34,t 值=4.70、10.29 和 21.34),表明增加积极出行模式的使用会导致心率值升高。此外,主观感受在影响儿童的生理反应方面也起着重要作用。感到疲惫、焦虑和压力会导致更高的心率(β=14.79、16.69 和 1.99,t 值=20.42、5.67 和 3.0),而不开心则与较低的心率相关(β=-5.96,t 值=-14.62)。在行程中也发现了社会互动的影响。成年人的存在与镇静作用相关(β=-1.92,t 值=-5.72),而与同龄人相比,独自旅行会导致较低的心率(β=-1.95,t 值=-6.59)。

结论

我们的文章创新性地采用混合调查方法和心率数据,定量地证明了积极出行模式的参与与儿童生理反应的增强之间存在正相关关系,阐明了主观感受和社会互动在行程中的复杂相互作用,从而为积极出行在行程层面上对健康的影响提供了有价值的见解。未来的研究将继续利用调查和实验方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c227/11568576/175b709619b1/12889_2024_20634_Fig1_HTML.jpg

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