Risk Factors and Coping Strategies for Recurrent Mycoplasma Pneumonia Infection in Children Based on Physical Fitness and Healthy Behavior Development
Objective To explore the risk factors and coping strategies for recurrent Mycoplasma pneumoniae(MP)infection in children based on physical fitness and healthy behavior development.Methods A total of 208 children with recurrent MP infection who visited the Third People's Hospital of Henan Province from January 2022 to October 2023 were included in the recurrent infection group,and 416 healthy children who underwent physical examination in outpatient department during the same period were included in the health group according to a ratio of 1∶2.General information,physical fitness,health behavior,lack of trace elements and 25-hydroxyvitamin D[25(OH)D]levels of the two groups were investigated.Factors affecting children's recurrent MP infection were analyzed using univariate,Lasso regression and logistic regression equations,and a column graph model predicting the risk of recurrent MP infection in children was drawn using R language.Results Age≤6 years,physical fitness failing to meet standards,daily screen time≤63.84 minutes,failure to open windows for ventilation daily,irregular hand hygiene,weekly exercise time≤2.6 hours,failure to wear masks when going out,partial or picky eating,preference for fried/fast food,deficiency in trace elements,and 25(OH)D level 32.30 μg·L-1 were influencing factors for recurrent MP infection in children(P<0.05).Conclusion Young age,poor physical fitness,long daily video screen time,infrequent window ventilation,irregular hand hygiene,short weekly exercise time,do not wear a mask when going out,partial/picky eating,love to eat fried/fast food,lack of trace elements and vitamin D are the risk factors for recurrent MP infection in children.The nomogram constructed based on the risk factors of recurrent MP infection has reliable predictive value,which can be used to formulate targeted prevention and treatment measures to prevent recurrent MP infection.