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江西省大学生体力活动与焦虑抑郁症状的关联

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目的 调查江西省高校大学生的体力活动频率与焦虑抑郁症状之间的关联,为促进青少年身心健康发展提供参考依据。方法 2023年7-10月,采用方便抽样方法从江西省11所高校抽取5 761名大学生进行在线问卷调查,收集大学生体力活动信息,同时采用广泛性焦虑量表和患者健康量表评估焦虑和抑郁症状。使用列联表分析大学生不同焦虑和抑郁症状程度在体力活动频率间的分布,采用有序Logistic回归分析不同体力活动频率与焦虑、抑郁症状的关联,同时基于性别进行分层分析。结果 大学生焦虑症状检出率为43。6%(2 513名),抑郁症状检出率为63。9%(3 682名)。不同性别、体力活动频率组间大学生焦虑抑郁症状检出率差异均有统计学意义(x2值分别为15。98,106。32;30。65,150。88,P值均<0。05)。从不运动的男、女生重度焦虑和抑郁症状检出率均较高(重度焦虑症状:男生6。1%,女生5。2%;重度抑郁症状:男生8。7%,女生7。4%)。有序Logistic回归分析结果显示,与从不运动的大学生相比,几乎每天体力活动的男大学生与轻度焦虑症状和中度抑郁症状均呈负相关(OR值分别为0。53,0。33,P值均<0。05)。此外,每周3~4次体力活动的男大学生与中度抑郁症状呈负相关(OR=0。43),每周1~2次体力活动的男大学生与重度抑郁症状呈负相关(OR=0。21)(P值均<0。05)。女大学生体力活动与不同程度焦虑和抑郁症状的发生风险均呈负相关(焦虑症状:OR=0。27~0。74;抑郁症状:OR=0。18~0。75,P值均<0。05)。结论 大学生(尤其是女大学生)体力活动频率与其焦虑和抑郁症状呈负相关。建议提高体力活动频率,促进大学生身心健康。
Association between physical activity and anxiety/depression symptoms among college students in Jiangxi Province
Objective To investigate the association between physical activity frequency and anxiety/depression symptoms a-mong college students in Jiangxi Province,so as to provide a basis for the physical and mental health development of adolescents.Methods From July to October 2023,5 761 college students from 11 colleges and universities in Jiangxi Province were selected by convenience sampling to conduct an online questionnaire survey regarding physical activity and mental health.Anxiety symptoms and depressive symptoms were assessed by General Anxiety Disorder Scale-7 and Patient Health Questionnaires-9,respectively.Con-tingency table was used to analyze the distribution of different anxiety and depression symptoms by physical activity frequency,and ordered Logistic regression was used to analyze the association between physical activity frequency with anxiety and depressive symp-toms,and stratified analysis was performed based on gender.Results The detection rate of anxiety symptoms of college students was 43.6%(n=2 513),and the detection rate of depression symptoms was 63.9%(n=3 682).There were significant differences in the detection rate of anxiety and depression symptoms among different gender and physical activity frequency groups(x2=15.98,106.32;30.65,150.88,P<0.05).The detection rates of severe anxiety and depression symptoms of male and female who never ex-ercise were higher(severe anxiety:6.1%for male and 5.2%for female,severe depression:8.7%for male and 7.4%for female).The results of ordered Logistic regression analysis showed that compared with college students who never exercised,male college students who were physically active almost every day were negatively correlated with mild anxiety and moderate depression symptoms(OR=0.53,0.33,P<0.05).In addition,male college students who do physical activity 3-4 times a week were negatively correlated with moderate depressive symptoms(OR=0.43),while male college students who do physical activity 1-2 times a week were nega-tively correlated with severe depressive symptoms(OR=0.21)(P<0.05).Physical activity was negatively correlated with different degress of anxiety and depression symptoms in female college students(anxiety:OR=0.27-0.74,depression:OR=0.18-0.75,P<0.05).Conclusions The frequency of physical activity in college students(especially female college students)is negatively corre-lated with anxiety and depressive symptoms.It is suggested to improve the frequency of physical activity to promote physical and mental health.

Motor activityAnxietyDepressionMental healthRegression analysisStudents

周剑锋、马声、熊建萍、宋永晶、邹志勇

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上饶师范学院体育学院,江西 334001

北京市疾病预防控制中心营养与食品卫生所

江西财经大学体育学院

长江大学教育与体育学院

北京大学儿童青少年卫生研究所

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运动活动 焦虑 抑郁 精神卫生 回归分析 学生

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(12)