摘要
目的:探讨天津市7~9岁儿童生活行为与超重抑郁共存风险的关联。方法:于2021年5月,采用随机整群抽样选取天津市1 632名7岁儿童青少年进行基线调查,并于2023年进行随访。基线和随访时均收集研究对象的年龄、性别、生活行为等信息,并进行体格检查和抑郁症状评价。选择含糖饮料摄入、体力活动、视屏时长和睡眠时长四种行为因素纳入生活行为综合评分,总分0~4分,得分越高表示生活行为越好。采用多分类logistic回归模型分析各时点生活行为及两时点间生活行为的变化情况与超重抑郁共存风险的关联。结果:研究对象基线时年龄为(7.72±0.62)岁,随访时为(9.61±0.62)岁,男生350名(52.08%)。调整相关混杂因素后,多分类logistic回归模型分析结果显示,与生活行为中等的儿童相比,生活行为较差者基线时和随访时的超重抑郁共存风险均较高(基线: OR=2.62,95% CI:1.28~5.37;随访: OR=2.28,95% CI:1.26~4.11),而生活行为较好者随访时的抑郁风险较低( OR=0.35,95% CI:0.19~0.64);综合基线和随访两时点的生活行为发现,生活行为改善儿童的超重抑郁共存状态更易于消失( OR=1.29,95% CI:1.04~1.61),更不易再次出现超重抑郁共存状况( OR=0.82,95% CI:0.69~0.97)。 结论:天津市7~9岁儿童青少年生活行为与超重抑郁共存存在关联,儿童生活行为的改善能够降低超重抑郁共存的风险。
ObjectiveTo explore the association between lifestyle behavior and the risk of overweight and depression comorbidity in children aged 7 to 9 years in Tianjin City.MethodsThe random cluster sampling was used to conduct a baseline survey among 16327-year-old children in Tianjin in 2021,and the follow-up survey was then conducted in 2023.Age,gender and lifestyle behavior of children were collected at baseline and follow-up,and physical examination and depression symptom evaluation were also performed.Four behavioral factors,including sugary beverage intake,physical activity,screen time duration,and sleep duration,were included in the comprehensive lifestyle score,with a total score of 0 to 4 points.A higher score means a better lifestyle.The multi-nominal logistic regression model was used to analyze the association between lifestyle behavior changes at different time points and the risk of overweight and depression comorbidity.ResultsThe mean age of the children was(7.72±0.62)years at baseline and(9.61±0.62)years at follow-up,with 350 boys(52.08%).After adjusting for confounding factors,the results showed that compared to children with moderate lifestyle behavior,those with poor lifestyle behavior had a higher risk of overweight and depression comorbidity both at baseline and follow-up(Baseline:OR=2.62,95%CI:1.28-5.37;Follow-up:OR=2.28,95%CI:1.26-4.11),while those with a better lifestyle behavior had a lower risk of depression during follow-up(OR=0.35,95%CI:0.19-0.64).Based on the comprehensive baseline and follow-up lifestyle behaviors,it was found that children with improved lifestyle were more likely to experience the disappearance of overweight and depression comorbidity(OR=1.29,95%CI:1.04-1.61),and were less likely to develop overweight and depression comorbidity(OR=0.82,95%CI:0.69-0.97).ConclusionThere is an association between lifestyle behavior and overweight and depression comorbidity among children aged 7 to 9 years in Tianjin.Improvement in children′s lifestyle behavior may reduce the risk of overweight and depression comorbidity.
作者
邓睿
冯天舒
董彬
Deng Rui;Feng Tianshu;Dong Bin(Institute of Child and Adolescent Health,School of Public Health,Peking University,Beijing,100191,China)
出处
《中华预防医学杂志》
北大核心
2025年第2期144-150,共7页
Chinese Journal of Preventive Medicine
基金
国家自然科学基金(81903344)。
关键词
儿童
生活行为
超重
抑郁
多病共存
Children
Lifestyle
Overweight
Depression
Comorbidity
