南京中学生体力活动现状及其及抑郁症状相关研究.doc

南京中学生体力活动现状及其及抑郁症状相关研究【摘要】 目的 了解南京地区中学生体力活动现状及其与抑郁症状的关系，为有针对性地改善青少年抑郁症状和开展健康行为干预提供依据。方法 抽取南京地区13个区县56所学校168个班级7 161名在校初一至高三年级中学生，采用儿童抑郁量表(Children’s Depression Inventory，CDI)进行抑郁症状评定。结果 南京中学生抑郁症状检出率为14.8%，每天平均体力活动时间为0 h，0～1 h，1～2 h，2 h的中学生分别占24.4%，40.2%，19.4%和15.9%。经多因素调整后，与每天无活动时间者相比，活动时间为0～1 h，1～2 h，2h的中学生罹患抑郁症状的风险分别降低30%，32%和34%(调整后分别为：OR=0.70，95%CI=0.57～0.86；OR=0.68，95%CI=0.53～0.88；OR=0.66，95%CI=0.50～0.87)。结论 体力活动时间与青少年抑郁症状的发生呈负性关联。 【关键词】 用力；运动活动；抑郁；统计学 【中图分类号】 G 479 R 179 R 395.6 【文献标识码】 A 【文章编号】 1000-9817(2007)12-1059-03 Physical Activity and Its Correlation with Depression Among High School Students in Nanjing/HONG Xin，LIANG Ya-qiong，WANG Zhi-yong，et al. Nanjing Municipal Center for Disease Control and Prevention，Nanjing(210003)，China 【Abstract】 Objective To investigate the current situation of physical activity and to analyze its association with depression among high school students in Nanjing. Methods 7 161 eligible participants from 56 schools in 13 administrative districts/counties were randomly selected and surveyed with Children’s Depression Inventory (CDI). Results The overall prevalence of depression (CDI) was 14.8%. Prevalence of students participating in no，0-1 h，1-2 h，2 h average daily physical activity was 24.4%，40.2%，19.4%，and 15.9%，respectively. After adjusting for possible confounding factors，odds ratios (OR) of depression was found decrease by 30%，32% and 34% with daily physical activity duration from 0 to 2 h (Adj. OR=0.70，95% CI=0.57?-0.86； Adj. OR=0.68，95% CI=0.53-0.88； Adj. OR=0.66，95% CI=0.50-0.87 for daily physical activity time with 0-1 h，1-2 h，2 h in comparison with no daily physical activity，respectively).Conclusion It seems that duration of daily physical activity is negatively associated with depressive symptoms among adolescents. 【Key words】 Exertion；Motor activity；Depression；Statistics 抑郁症状是一种情绪障碍性疾病，其发病原因涉及遗传、成长教育环境、生活应激事件等生物、心理和社会学多方面。近几年，青少年抑郁症状问题趋于严重，在我国已逐渐成为心理、教育及其他社会工作者普遍关心的重要心理卫生问题之一。有研究证实，青少年体力活动与抑郁症状的发生