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Research progress on sleep and allergic diseases in children and adolescents 儿童青少年睡眠与过敏性疾病的研究进展
Pub Date : 2021-06-01 DOI: 10.16835/J.CNKI.1000-9817.2021.06.034
Li Rong, H. Lili, WU Yani, Long Siru, Li Shenghui
In recent years, the incidence of allergic diseases in children and adolescents has been on the rise globally, which has become an important public health problem. It is important to identify modifiable risk factors for allergic diseases in this group. In this paper, through research review on the association between sleep behavior and allergic diseases in children and adolescents, it is suggested that sleep deficiency, sleep disorder and sleep rhythm disturbance are closely related to children’s allergic diseases, which provides a new concept for prevention of allergic diseases through sleep behavioral improvement. 【摘要】 近年来全球儿童青少年过敏性疾病发病率呈上升趋势, 已成为一项重要的公共卫生问题。识别儿童青少年过敏 性疾病的可改变危险因素具有重要意义。本文通过综述儿童青少年睡眠行为与过敏性疾病的相关研究进展, 认为睡眠不 足、睡眠障碍和睡眠节律紊乱与儿童过敏性疾病联系密切, 通过改善以上睡眠行为对于预防过敏性疾病具有重要意义。
In recent years, the incidence of allergic diseases in children and adolescents has been on the rise globally, which has become an important public health problem. It is important to identify modifiable risk factors for allergic diseases in this group. In this paper, through research review on the association between sleep behavior and allergic diseases in children and adolescents, it is suggested that sleep deficiency, sleep disorder and sleep rhythm disturbance are closely related to children’s allergic diseases, which provides a new concept for prevention of allergic diseases through sleep behavioral improvement. 【摘要】 近年来全球儿童青少年过敏性疾病发病率呈上升趋势, 已成为一项重要的公共卫生问题。识别儿童青少年过敏 性疾病的可改变危险因素具有重要意义。本文通过综述儿童青少年睡眠行为与过敏性疾病的相关研究进展, 认为睡眠不 足、睡眠障碍和睡眠节律紊乱与儿童过敏性疾病联系密切, 通过改善以上睡眠行为对于预防过敏性疾病具有重要意义。
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引用次数: 0
Sugar-sweetened beverage knowledge and consumption among third-grade primary students in Nanjing 南京市小学三年级学生对含糖饮料的认知与消费
Pub Date : 2021-06-01 DOI: 10.16835/J.CNKI.1000-9817.2021.06.011
Wang Chenchen, Wang Weiwei, Zheng Yuhong, Zhou Hairong, Hong Xin
Objective To explore the knowledge and consumption of sugar-sweetened beverage (SSB) and its influencing factors among third-grade primary students, to provide basis for take targeted intervention measures. Methods In September 2019, 1 686 primary school students of grade 3 were randomly selected from 2 primary schools in 1 urban area and 1 outer suburb area of 12 districts in Nanjing by using a multistage cluster sampling method, and a self-administered questionnaire were offered to them to collect the knowledge about sugar-sweetened beverage and its intake. Results Totally 753 students (44.7%) answered 6 or more SSB knowledge questions correctly, and the rate of 389 students (50.2%) in urban areas was higher than that of 364 students (40.0%) in suburban areas. There were 780 (46.3%) students who knew that dairy-containing beverage could not replace milk, the rate of 403 (52.0%) students in urban area was higher than that of 377 (41.4%) students in suburban area (χ 2 = 17.76, 18.99, P<0.05). Logistic regression analysis showed that compared with the frequency of consumption of SSB <1 time per week, the behavioral risk factors of primary school students who drink SSB ≥4 times per week were: urban area ( OR = 1.55), low parents educational level ( OR = 2.44), and frequent storage of SSB at home ( OR = 1.62). The protective factors were as follows: duration of extracurricular physical activity <120 min/week ( OR = 0.68), video time <120 min/day ( OR = 0.50), awareness rate of SSB ≥60% ( OR = 0.75), and restriction of high-sugar snacks by parents ( OR =0.60). Conclusion The knowledge associated with SSB among third-grade students in Nanjing is relatively low. Consumption of SSB has been influenced by areas, parents’ educational level, knowledge about SSB and family factors. SSB consumption among primary students should be interfered at the school and family level. The health food education need to carry out based on the school and family, so as to create a supportive atmosphere integrating the school-family to drink less sugar beverages. 【摘要】 目的 了解南京市三年级学生含糖饮料知识知晓和饮用情况及其影响因素, 为采取有针对性的干预措施提供依 据。 方法 2019 年 9 月, 采用多阶段随机整群抽样方法, 在南京市 12 个行政区随机抽取 1 个城区和 1 个远郊地区, 每个区 随机抽取 2 所小学, 以所有在校三年级学生共 1 686 名为研究对象, 通过自填式问卷收集含糖饮料相关知识及摄人情况。 结果 含糖饮料相关知识答对 6 题及以上的学生有 753 名 (44.7%), 城区 (50.2%) 高于郊区 (40.0%); 含乳饮料不能替代 牛奶知晓率为 46.3% (780 名), 城区 (52.0%) 高于郊区 (41.4%), 差异均有统计学意义 (χ 2 值分别为 17.76, 18.99, P 值均<0.05)。Logistic 回归分析显示, 与喝含糖饮料频率 <1 次/周相比, 与小学生喝含糖饮料频率 ≥4 次/周呈正相关的因素有城 区 ( OR =1.55)、父母亲文化程度较低 ( OR = 2.44)、家中经常有含糖饮料储备 ( OR =1.62), 呈负相关的因素有校外体育活动 时长 <120 min/周 ( OR = 0.68)、视屏时间 <120 min/d ( OR = 0.50)、含糖饮料知识正确率 ≥60% ( OR = 0.75)、父母限制吃高糖 零食行为 ( OR = 0.60)。 结论 南京市三年级学生含糖饮料知识知晓水平较低, 学生含糖饮料摄人情况受地区、父母亲文化 程度、含糖饮料知识知晓及家庭因素影响。应在学校和家庭层面对学生的含糖饮料摄人行为进行干预, 营造学校-家庭一体的少喝含糖饮料支持性氛围。
目的了解小学三年级学生对含糖饮料的认知、消费情况及其影响因素,为采取针对性干预措施提供依据。方法采用多阶段整群抽样方法,于2019年9月在南京市12个区1个城区和1个远郊地区的2所小学随机抽取1 686名三年级小学生,对其进行自填问卷调查,了解其对含糖饮料及其摄入情况。结果共有753名学生(44.7%)正确回答了6道及以上SSB知识题,其中城区389名学生(50.2%)高于郊区364名学生(40.0%)。有780名(46.3%)学生知道含乳饮料不能代替牛奶,其中市区403名(52.0%)学生高于郊区377名(41.4%)学生(χ 2 = 17.76、18.99,P<0.05)。Logistic回归分析显示,与每周饮用SSB <1次的频率相比,每周饮用SSB≥4次的小学生的行为危险因素为:城市地区(OR = 1.55)、父母文化程度低(OR = 2.44)、家中频繁存放SSB (OR = 1.62)。保护因素为课外体育活动时间<120分钟/周(OR = 0.68),视频时间<120分钟/天(OR = 0.50), SSB知晓率≥60% (OR = 0.75),家长限制高糖零食(OR =0.60)。结论南京市三年级学生的SSB相关知识水平相对较低。SSB消费受地区、家长文化程度、SSB知识和家庭因素的影响。小学生的SSB消费应在学校和家庭层面进行干预。健康食品教育需要以学校和家庭为基础进行,营造学校家庭一体化的支持氛围,少喝含糖饮料。【摘要】 目的 了解南京市三年级学生含糖饮料知识知晓和饮用情况及其影响因素, 为采取有针对性的干预措施提供依 据。 方法 2019 年 9 月, 采用多阶段随机整群抽样方法, 在南京市 12 个行政区随机抽取 1 个城区和 1 个远郊地区, 每个区 随机抽取 2 所小学, 以所有在校三年级学生共 1 686 名为研究对象, 通过自填式问卷收集含糖饮料相关知识及摄人情况。 结果含糖饮料相关知识答对6题及以上的学生有753名(44.7%)、城区(50.2%)高于郊区(40.0%);含乳饮料不能替代牛奶知晓率为46.3%(780名),城区(52.0%)高于郊区(41.4%)、差异均有统计学意义(χ2值分别为17.76,18.99,P值均< 0.05)。物流回归分析显示,与喝含糖饮料频率< 1次/周相比,与小学生喝含糖饮料频率≥4次/周呈正相关的因素有城区(或= 1.55),父母亲文化程度较低(或= 2.44),家中经常有含糖饮料储备(或= 1.62),呈负相关的因素有校外体育活动时长< 120分钟/周(或= 0.68),视屏时间< 120分钟/ d(或= 0.50),含糖饮料知识正确率≥60%(或= 0.75),父母限制吃高糖零食行为(或= 0.60)。结论 南京市三年级学生含糖饮料知识知晓水平较低, 学生含糖饮料摄人情况受地区、父母亲文化 程度、含糖饮料知识知晓及家庭因素影响。应在学校和家庭层面对学生的含糖饮料摄人行为进行干预, 营造学校-家庭一体的少喝含糖饮料支持性氛围。
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引用次数: 0
Health risk assessment of heavy metals in direct drinking water among middle and primary schools in Huangpi District of Wuhan 武汉市黄陂区中小学直饮水中重金属健康风险评价
Pub Date : 2021-06-01 DOI: 10.16835/J.CNKI.1000-9817.2021.06.030
L. Liqing, Huang Yan-li, Liu Yanjie
Objective To analyze heavy metal health risks of direct drinking water in primary and secondary schools in Huangpi District, Wuhan, so as to provide reference basis for ensuring drinking water safety of teachers and students. Methods Cadmium (Cd), Plumbum (Pb) and arsenic (As) in water samples from primary and secondary schools were detected in accordance with the GB/T 5750–2006 “Standard Examination Methods for Drinking Water”, water quality was evaluated based on the Quality Standard for Fine Drinking Water (CJ 94–2005). Health risk assessment model was used to evaluate the potential risk of heavy metals in direct drinking water in primary and secondary schools. Results The unqualified rates of Pb, Cd and As were 0.95%, 1.22% and 0 in 66 primary and secondary schools in Huangpi District, Wuhan. The risk of noncarcinogens related to the direct drinking water of heavy metals (Pb, Cd, As) were less than 1. The range of carcinogenic risks related to the direct drinking water was within the range of 1.07×10 -8/year–5.58×10 -6/year which were both within the acceptable level. Conclusion Concentrations of cadmium, plumbum and arsenic were not found to be significantly elevated as compared to “Quality Standard for Fine Drinking Water” in Huangpi District of Wuhan. Pb and Cd slightly exceeded the standard, with no significant health risk. Water quality and health risk assessment should be strengthened to ensure the safety of drinking water for teachers and students. 【摘要】 目的 分析武汉市黄陂区中小学校直饮水重金属健康风险, 为保障师生饮水安全提供参考依据。 方法 采集武 汉市黄陂区66所中小学校直饮水, 按照«生活饮用水标准检验方法》(GB/T 5750—2006)检测水中重金属铅(Pb)、镉 (Cd)、砷(AS), 参照《饮用净水水质标准》(CJ 94—2005)进行评价。利用健康风险评价法(HRA)评价水质重金属健康风 险。 结果 检测结果显示, 水质Pb、Cd、As不合格率分别为0.95%, 1.22%和0,水质Pb、Cd、As非致癌风险均<1, 致癌风险 在1.07×10 -8/年~5.58×l0 -6/年范围, 均处于可接受水平。 结论 武汉市黄陂区中小学校直饮水重金属Pb、Cd、As质量体 积浓度符合标准要求, 较少部分水样Pb、Cd轻度超标, 尚未见明显健康风险性。需加强水质卫生管理、监测及健康风险评 价, 确保学校师生饮水安全。
目的分析武汉市黄陂区中小学直饮水重金属健康风险,为保障师生饮用水安全提供参考依据。方法采用GB/T 5750-2006《生活饮用水标准检验方法》对中小学水样中的镉(Cd)、铅(Pb)、砷(As)进行检测,水质评价参照《优良生活饮用水质量标准》(CJ 94-2005)。采用健康风险评价模型对中小学直饮水中重金属的潜在风险进行评价。结果武汉市黄陂区66所中小学铅、镉、砷不合格率分别为0.95%、1.22%和0。直接饮用水中与非致癌物相关的重金属(铅、镉、砷)风险均小于1。直接饮用水致癌风险范围为1.07×10 -8/ year-5.58×10 -6/年,均在可接受范围内。结论武汉市黄陂区饮用水中镉、铅、砷的浓度与《优良饮用水质量标准》相比没有明显升高。铅、镉略超标,无明显健康风险。加强水质和健康风险评估,确保师生饮用水安全。【摘要】 目的 分析武汉市黄陂区中小学校直饮水重金属健康风险, 为保障师生饮水安全提供参考依据。 方法采集武汉市黄陂区66所中小学校直饮水,按照«生活饮用水标准检验方法”(GB / T 5750 - 2006)检测水中重金属铅(Pb)、镉(Cd)、砷(),参照“饮用净水水质标准”(CJ 94 - 2005)进行评价。利用健康风险评价法(HRA)评价水质重金属健康风险。结果检测结果显示,水质Pb, Cd,作为不合格率分别为0.95%、1.22%和0,水质Pb, Cd,非致癌风险均< 1,致癌风险在1.07×10 8 /年~ 5.58×10 6 /年范围,均处于可接受水平。结论武汉市黄陂区中小学校直饮水重金属铅、Cd,像质量体积浓度符合标准要求,较少部分水样铅、Cd轻度超标,尚未见明显健康风险性。需加强水质卫生管理、监测及健康风险评 价, 确保学校师生饮水安全。
{"title":"Health risk assessment of heavy metals in direct drinking water among middle and primary schools in Huangpi District of Wuhan","authors":"L. Liqing, Huang Yan-li, Liu Yanjie","doi":"10.16835/J.CNKI.1000-9817.2021.06.030","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2021.06.030","url":null,"abstract":"Objective To analyze heavy metal health risks of direct drinking water in primary and secondary\u0000 schools in Huangpi District, Wuhan, so as to provide reference basis for ensuring\u0000 drinking water safety of teachers and students.\u0000 Methods Cadmium (Cd), Plumbum (Pb) and arsenic (As) in water samples from primary and secondary\u0000 schools were detected in accordance with the GB/T 5750–2006 “Standard Examination\u0000 Methods for Drinking Water”, water quality was evaluated based on the Quality Standard\u0000 for Fine Drinking Water (CJ 94–2005). Health risk assessment model was used to evaluate\u0000 the potential risk of heavy metals in direct drinking water in primary and secondary\u0000 schools.\u0000 Results The unqualified rates of Pb, Cd and As were 0.95%, 1.22% and 0 in 66 primary and\u0000 secondary schools in Huangpi District, Wuhan. The risk of noncarcinogens related to\u0000 the direct drinking water of heavy metals (Pb, Cd, As) were less than 1. The range\u0000 of carcinogenic risks related to the direct drinking water was within the range of\u0000 1.07×10\u0000 -8/year–5.58×10\u0000 -6/year which were both within the acceptable level.\u0000 Conclusion Concentrations of cadmium, plumbum and arsenic were not found to be significantly\u0000 elevated as compared to “Quality Standard for Fine Drinking Water” in Huangpi District\u0000 of Wuhan. Pb and Cd slightly exceeded the standard, with no significant health risk.\u0000 Water quality and health risk assessment should be strengthened to ensure the safety\u0000 of drinking water for teachers and students.\u0000 【摘要】 目的 分析武汉市黄陂区中小学校直饮水重金属健康风险, 为保障师生饮水安全提供参考依据。\u0000 方法 采集武 汉市黄陂区66所中小学校直饮水, 按照«生活饮用水标准检验方法》(GB/T 5750—2006)检测水中重金属铅(Pb)、镉 (Cd)、砷(AS), 参照《饮用净水水质标准》(CJ\u0000 94—2005)进行评价。利用健康风险评价法(HRA)评价水质重金属健康风 险。\u0000 结果 检测结果显示, 水质Pb、Cd、As不合格率分别为0.95%, 1.22%和0,水质Pb、Cd、As非致癌风险均<1, 致癌风险 在1.07×10\u0000 -8/年~5.58×l0\u0000 -6/年范围, 均处于可接受水平。\u0000 结论 武汉市黄陂区中小学校直饮水重金属Pb、Cd、As质量体 积浓度符合标准要求, 较少部分水样Pb、Cd轻度超标, 尚未见明显健康风险性。需加强水质卫生管理、监测及健康风险评\u0000 价, 确保学校师生饮水安全。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114497861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Correlation analysis of tactile abnormality and clinical symptoms of children in autism spectrum disorders 自闭症谱系障碍患儿触觉异常与临床症状的相关性分析
Pub Date : 2021-06-01 DOI: 10.16835/J.CNKI.1000-9817.2021.06.023
Zhai Jinhe, W. Xiaomin, Fan Lili, L. Qi, Xia Wei, Sun Cai-hong, Wang Jia
Objective To explore whether children in autism spectrum disorders (ASD) have more obvious tactile abnormalities than healthy children, and to analyze the correlation between tactile abnormalities and clinical symptoms of autism, so as to provide a scientific basis for intervening and treating tactile abnormalities among the children with autism. Methods Totally 265 ASD children aged 3.02–10.66 years who received rehabilitation training in designated rehabilitation institutions for autism in Heilongjiang Province were collected as case group, and 223 healthy children aged 3.15–10.99 years were recruited as control group in Harbin kindergartens and primary schools according to the principle of gender and age matching. The Short Sensory Profile (SSP) was used to evaluate children’s tactile behavior, and the differences between the two groups, as well as the scores of different genders and ages were analyzed. At the same time, Social Responsiveness Scale (SRS) was used to evaluate the clinical manifestations of ASD children. Spearman correlation analysis was used to explore the correlation between tactile behavior and autism symptoms. Results The tactile score of SSP in ASD group [33(33, 35)] was lower than that in control group [34(31, 35)], and the difference was statistically significant ( Z = −2.73, P<0.05); And the proportion of tactile abnormality grade (possible abnormality and obvious abnormality) in ASD group (19.6%) was higher than that in control group (11.7%) (χ 2 = 5.72, P<0.05). At the same time, the tactile sensation between the two groups of boys was significantly different ( Z= −2.17, P<0.05). There was a negative correlation between SSP tactile scores in ASD group and clinical scale scores including SRS social cognition, social communication and scale scores, Autism Behavior Checklist (ABC), Childhood Autism Behavior Scale (CARS), non-verbal communication of Autism Diagnostic Interview-Revised (ADI-R) ( r = −0.23, −0.28, −0.28, −0.35, −0.17, −0.27, P<0.05). Conclusion Autistic children show more obvious tactile abnormalities than healthy children, which is more significant in boys. And there is a correlation between tactile abnormalities and clinical manifestations such as autism social disorder. 【摘要】 目的 探索孤独症谱系障碍 (ASD) 儿童是否存在明显的触觉异常以及触觉异常与孤独症临床症状之间的相关 性, 为孤独症触觉异常的干预治疗提供科学依据。 方法 收集在黑龙江省孤独症定点康复机构接受康复训练的265 例 3.02~10.66 岁 ASD 儿童作为病例组, 并依据性别年龄匹配原则, 在哈尔滨市幼儿园和小学招募 223 名 3.15~10.99 岁健康 儿童作为对照组。采用简化版感觉特征问卷 (SSP) 评估儿童的触觉行为, 同时采用社交反应量表 (SRS) 等评估 ASD 儿童 的临床表现, 应用 Spearman 相关性分析探索触觉行为与孤独症症状之间的关联。 结果 ASD 组儿童 SSP 触觉得分 [33 (33,35)分] 低于对照组 [34 (31, 35)分], 差异有统计学意义 ( Z = −2.73, P<0.05); ASD 组触觉异常等级 (可能异常、明显异 常) 比例 (19.6%) 高于对照组 (11.7%) (χ 2=5.72, P<0.05)。两组男童 SSP 触觉得分差异有统计学意义 ( Z = −2.17, P<0.05)。ASD 组 SSP 触觉得分与 SRS 社交认知、社交沟通和量表总分, 儿童孤独症家长评定量表 (ABC)、孤独症行为量表 (CARS)、孤独症诊断访谈量表修订版 (ADI-R) 临床量表非语言沟通水平得分呈负相关 ( r 值分别为 −0.23, −0.28, −0.28, −0.35, −0.17, −0.27, P 值均<0.05)。 结论 孤独症儿童较健康儿童存在更为明显的触觉异常表现, 且在男童中更为显著。触觉异常与孤独
目的探讨自闭症谱系障碍(ASD)患儿是否比健康儿童有更明显的触觉异常,分析触觉异常与自闭症临床症状的相关性,为干预和治疗自闭症患儿的触觉异常提供科学依据。方法选取黑龙江省孤独症指定康复机构接受康复训练的3.02 ~ 10.66岁的ASD儿童265名作为病例组,按性别年龄匹配原则选取哈尔滨市幼儿园和小学3.15 ~ 10.99岁的健康儿童223名作为对照组。采用短感觉量表(Short Sensory Profile, SSP)评价儿童的触觉行为,分析两组之间的差异,以及不同性别和年龄的儿童的触觉行为得分。同时采用社会反应性量表(Social Responsiveness Scale, SRS)评价ASD患儿的临床表现。采用Spearman相关分析探讨触觉行为与自闭症症状的相关性。结果ASD组SSP触觉评分[33(33,35)]低于对照组[34(31,35)],差异有统计学意义(Z =−2.73,P<0.05);ASD组触觉异常等级(可能异常和明显异常)比例(19.6%)高于对照组(11.7%),差异有统计学意义(χ 2 = 5.72, P<0.05)。同时,两组男孩的触觉也有显著差异(Z= - 2.17, P<0.05)。ASD组SSP触觉得分与临床量表包括SRS社会认知、社会交际及量表得分、自闭症行为量表(ABC)、儿童自闭症行为量表(CARS)、自闭症诊断访谈-修订(di - r)非言语交际得分呈负相关(r = - 0.23, - 0.28, - 0.28, - 0.35, - 0.17, - 0.27, P<0.05)。结论自闭症儿童的触觉异常比健康儿童更为明显,且以男孩更为明显。触觉异常与自闭症、社交障碍等临床表现之间存在相关性。【摘要】目的探索孤独症谱系障碍(ASD)儿童是否存在明显的触觉异常以及触觉异常与孤独症临床症状之间的相关性,为孤独症触觉异常的干预治疗提供科学依据。方法收集在黑龙江省孤独症定点康复机构接受康复训练的265例3.02 ~ 10.66岁自闭症儿童作为病例组,并依据性别年龄匹配原则,在哈尔滨市幼儿园和小学招募223名3.15 ~ 10.99岁健康儿童作为对照组。采用简化版感觉特征问卷(SSP)评估儿童的触觉行为,同时采用社交反应量表(SRS)等评估自闭症儿童的临床表现,应用枪兵相关性分析探索触觉行为与孤独症症状之间的关联。结果ASD组儿童SSP触觉得分(33(33岁,35)分)低于对照组(34(31岁,35)分),差异有统计学意义(Z =−2.73,P < 0.05);ASD组触觉异常等级(可能异常,明显异常)比例(19.6%)高于对照组(11.7%)(χ2 = 5.72,P < 0.05)。(z = - 2.17, p <0.05)。ASD组SSP触觉得分与SRS社交认知,社交沟通和量表总分,儿童孤独症家长评定量表(ABC)、孤独症行为量表(汽车)、孤独症诊断访谈量表修订版(前者)临床量表非语言沟通水平得分呈负相关(r值分别为0.23−−0.28−0.28−0.35−0.17−0.27,P值均< 0.05)。结论 孤独症儿童较健康儿童存在更为明显的触觉异常表现, 且在男童中更为显著。触觉异常与孤独症社交障碍等临床表现之间存在相关性。
{"title":"Correlation analysis of tactile abnormality and clinical symptoms of children in autism spectrum disorders","authors":"Zhai Jinhe, W. Xiaomin, Fan Lili, L. Qi, Xia Wei, Sun Cai-hong, Wang Jia","doi":"10.16835/J.CNKI.1000-9817.2021.06.023","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2021.06.023","url":null,"abstract":"Objective To explore whether children in autism spectrum disorders (ASD) have more obvious\u0000 tactile abnormalities than healthy children, and to analyze the correlation between\u0000 tactile abnormalities and clinical symptoms of autism, so as to provide a scientific\u0000 basis for intervening and treating tactile abnormalities among the children with autism.\u0000 Methods Totally 265 ASD children aged 3.02–10.66 years who received rehabilitation training\u0000 in designated rehabilitation institutions for autism in Heilongjiang Province were\u0000 collected as case group, and 223 healthy children aged 3.15–10.99 years were recruited\u0000 as control group in Harbin kindergartens and primary schools according to the principle\u0000 of gender and age matching. The Short Sensory Profile (SSP) was used to evaluate children’s\u0000 tactile behavior, and the differences between the two groups, as well as the scores\u0000 of different genders and ages were analyzed. At the same time, Social Responsiveness\u0000 Scale (SRS) was used to evaluate the clinical manifestations of ASD children. Spearman\u0000 correlation analysis was used to explore the correlation between tactile behavior\u0000 and autism symptoms.\u0000 Results The tactile score of SSP in ASD group [33(33, 35)] was lower than that in control\u0000 group [34(31, 35)], and the difference was statistically significant (\u0000 Z = −2.73, P<0.05); And the proportion of tactile abnormality grade (possible abnormality and\u0000 obvious abnormality) in ASD group (19.6%) was higher than that in control group (11.7%)\u0000 (χ\u0000 2 = 5.72, P<0.05). At the same time, the tactile sensation between the two groups of boys was\u0000 significantly different (\u0000 Z= −2.17, P<0.05). There was a negative correlation between SSP tactile scores in ASD group and\u0000 clinical scale scores including SRS social cognition, social communication and scale\u0000 scores, Autism Behavior Checklist (ABC), Childhood Autism Behavior Scale (CARS), non-verbal\u0000 communication of Autism Diagnostic Interview-Revised (ADI-R) (\u0000 r = −0.23, −0.28, −0.28, −0.35, −0.17, −0.27, P<0.05).\u0000 Conclusion Autistic children show more obvious tactile abnormalities than healthy children,\u0000 which is more significant in boys. And there is a correlation between tactile abnormalities\u0000 and clinical manifestations such as autism social disorder.\u0000 【摘要】 目的 探索孤独症谱系障碍 (ASD) 儿童是否存在明显的触觉异常以及触觉异常与孤独症临床症状之间的相关 性, 为孤独症触觉异常的干预治疗提供科学依据。\u0000 方法 收集在黑龙江省孤独症定点康复机构接受康复训练的265 例 3.02~10.66 岁 ASD 儿童作为病例组, 并依据性别年龄匹配原则, 在哈尔滨市幼儿园和小学招募\u0000 223 名 3.15~10.99 岁健康 儿童作为对照组。采用简化版感觉特征问卷 (SSP) 评估儿童的触觉行为, 同时采用社交反应量表 (SRS) 等评估 ASD\u0000 儿童 的临床表现, 应用 Spearman 相关性分析探索触觉行为与孤独症症状之间的关联。\u0000 结果 ASD 组儿童 SSP 触觉得分 [33 (33,35)分] 低于对照组 [34 (31, 35)分], 差异有统计学意义 (\u0000 Z = −2.73, P<0.05); ASD 组触觉异常等级 (可能异常、明显异 常) 比例 (19.6%) 高于对照组 (11.7%) (χ\u0000 2=5.72, P<0.05)。两组男童 SSP 触觉得分差异有统计学意义 (\u0000 Z = −2.17, P<0.05)。ASD 组 SSP 触觉得分与 SRS 社交认知、社交沟通和量表总分, 儿童孤独症家长评定量表 (ABC)、孤独症行为量表 (CARS)、孤独症诊断访谈量表修订版\u0000 (ADI-R) 临床量表非语言沟通水平得分呈负相关 (\u0000 r 值分别为 −0.23, −0.28, −0.28, −0.35, −0.17, −0.27, P 值均<0.05)。\u0000 结论 孤独症儿童较健康儿童存在更为明显的触觉异常表现, 且在男童中更为显著。触觉异常与孤独","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125353703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of functional training specifically on physical and cognitive functions intervention among children aged 4–5 4-5岁儿童身体和认知功能干预的功能训练评价
Pub Date : 2021-06-01 DOI: 10.16835/J.CNKI.1000-9817.2021.06.020
Zhou Longfeng, Cui Jie, Zhang Xiaojuan, Chen Huiyan, J. Yanhong, Wu Yiping, Rong Xiangjiang, Fan Yongzhao, Liu Kun
Objective To investigate effects of functional training on physical and cognitive function in 4–5 years old children, so as to provide a reference for the research on development of children’s physical and cognitive functions. Methods The 173 participants aged 4–5 were enrolled from 6 kindergartens in Xicheng District, Beijing and were divided into experimental ( n = 94) and control groups ( n = 79) by randomized digital tables. The experimental group were asked to receive a 18-week special designed functional movement training, which were not performed to the control group. The two groups were tested with physical and cognitive assessments before and after the intervention, and the results were compared pre/post in individual group and between groups with t tests. Results Compared with control group, the score of standing long jump among children in the experimental group was improved by 5.72%, and that of feet jump was improved by 23.79%, that of 10-meter-shuttle run was improved by 13.95%, that of simple reaction was by 20.34%, and that of attention was by 18.96%, and all the improvement was of statistical significance ( t = −2.75, 6.68, 10.79, 5.07, 4.32, P<0.01). Conclusion Both physical and cognitive functions were enhanced by the functional physical training in 4–5-year-old children. 【摘要】 目的 探讨身体运动功能训练对儿童体质与认知功能的影响, 为儿童体质与认知功能的发展研究提供参考依 据。 方法 方便选取北京西城区 6 所幼儿园 4~5 岁儿童 173 名, 采用随机数字表法将其分为实验组 (94 名) 与对照组 (79 名)。实验组进行 18 周的身体运动功能训练, 对照组不进行任何干预。干预前后分别测试两组样本的体质和认知功能, 使用配对 t 检验和独立样本 t 检验比较干预前后组内和组间各个体质与认知功能指标的差异。 结果 干预后, 与对照组相 比, 实验组儿童立定跳远成绩提高 5.72%、双脚连续跳成绩提高 23.79%、10 m 折返跑成绩提高 13.95%、简单反应时测试成 绩提高 20.34%、注意力成绩提高 18.96%, 组间差异均有统计学意义 ( t 值分别为 −2.75, 6.68, 10.79, 5.07, 4.32, P 值均<0.01)。 结论 身体运动功能训练对儿童特定体质和认知功能发展有促进作用。
目的探讨功能训练对4-5岁儿童身体和认知功能的影响,为研究儿童身体和认知功能的发展提供参考。方法选取北京市西城区6所幼儿园的173名4 ~ 5岁儿童,采用随机数字表格法分为实验组94名和对照组79名。实验组被要求接受为期18周的特殊设计的功能运动训练,而对照组没有进行。两组在干预前后分别进行体能和认知能力评估,并采用t检验对干预前后的组间、组间结果进行比较。结果与对照组比较,实验组儿童立定跳远成绩提高5.72%,跳脚成绩提高23.79%,10米跳跑成绩提高13.95%,简单反应成绩提高20.34%,注意力成绩提高18.96%,差异均有统计学意义(t = - 2.75, 6.68, 10.79, 5.07, 4.32, P<0.01)。结论功能性体能训练对4 - 5岁儿童的身体功能和认知功能均有促进作用。【摘要】 目的 探讨身体运动功能训练对儿童体质与认知功能的影响, 为儿童体质与认知功能的发展研究提供参考依 据。 方法 方便选取北京西城区 6 所幼儿园 4~5 岁儿童 173 名, 采用随机数字表法将其分为实验组 (94 名) 与对照组 (79 名)。实验组进行 18 周的身体运动功能训练, 对照组不进行任何干预。干预前后分别测试两组样本的体质和认知功能,使用配对t检验和独立样本t检验比较干预前后组内和组间各个体质与认知功能指标的差异。结果干预后,与对照组相比,实验组儿童立定跳远成绩提高5.72%,双脚连续跳成绩提高23.79%,10米折返跑成绩提高13.95%,简单反应时测试成绩提高20.34%,注意力成绩提高18.96%,组间差异均有统计学意义(t值分别为−2.75,6.68,10.79,5.07,4.32,P值均< 0.01)。结论 身体运动功能训练对儿童特定体质和认知功能发展有促进作用。
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引用次数: 0
Research progress on the effect of late bedtime on children’s mental and physical development 晚睡对儿童身心发育影响的研究进展
Pub Date : 2021-06-01 DOI: 10.16835/J.CNKI.1000-9817.2021.06.035
Wang Lianzhen, Sun Kuili
Sleeping timely plays a key and complex role in maintaining health and optimal function. This review analyzed the relationship between late bedtime and children’s growth and development and its physiological mechanism, and proposed some strategies. Staying up late was associated with brain structure/cortical function, cognitive ability, academic performance, behavioral problems, emotional regulation, obesity-related indicators and other health problems. The mechanism might include direct or indirect effects os staying up late on brain structure/cortical function (by circadian rhythm disorder and sleep loss) through the interference of light and external environmental signals, thus affecting the growth and development. Sleep education, establishment of sleep norms and training of self-control are effective strategies to promote sleep timely. 【摘要】 适时就寝在维持健康和最佳功能方面起着关键而复杂的作用。该综述分析了晚睡与儿童生长发育某些指标之 间的关系及其生理机制, 并提出简要改善策略。晚睡与大脑结构/皮质功能、认知能力、学习成绩、行为问题、情绪调节能 力、肥胖指数及其他健康问题相关。影响机制可能是晚睡通过光和外部环境信号的干扰直接或间接 (昼夜节律失调和睡 眠缺失) 影响大脑结构/皮质功能等进而影响生长发育。睡眠宣教、建立睡眠规范、训练自控力等均是促进适时就寝的有 效策略。
Sleeping timely plays a key and complex role in maintaining health and optimal function. This review analyzed the relationship between late bedtime and children’s growth and development and its physiological mechanism, and proposed some strategies. Staying up late was associated with brain structure/cortical function, cognitive ability, academic performance, behavioral problems, emotional regulation, obesity-related indicators and other health problems. The mechanism might include direct or indirect effects os staying up late on brain structure/cortical function (by circadian rhythm disorder and sleep loss) through the interference of light and external environmental signals, thus affecting the growth and development. Sleep education, establishment of sleep norms and training of self-control are effective strategies to promote sleep timely. 【摘要】 适时就寝在维持健康和最佳功能方面起着关键而复杂的作用。该综述分析了晚睡与儿童生长发育某些指标之 间的关系及其生理机制, 并提出简要改善策略。晚睡与大脑结构/皮质功能、认知能力、学习成绩、行为问题、情绪调节能 力、肥胖指数及其他健康问题相关。影响机制可能是晚睡通过光和外部环境信号的干扰直接或间接 (昼夜节律失调和睡 眠缺失) 影响大脑结构/皮质功能等进而影响生长发育。睡眠宣教、建立睡眠规范、训练自控力等均是促进适时就寝的有 效策略。
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引用次数: 0
Investigation of AIDS cognition and testing willingness among freshmen in Fengtai District, Beijing 北京市丰台区新生艾滋病认知与检测意愿调查
Pub Date : 2021-06-01 DOI: 10.16835/J.CNKI.1000-9817.2021.06.010
Xiao Danzhao, Lin Yanqi, N. Na, Shi Wenya, Liu Chao, T. Lina, XU Jingchun, Ren Hang, W. Xinxin
Objective To examine college students’ awareness of AIDS (acquired immunodeficiency syndrome) and HIV (human immunodeficiency virus), as well as their willingness to undergo testing, and to provide guidance for further education targeted towards AIDS prevention. Methods The respondents were selected from two companies of military training camps in 4 universities in Fengtai District of Beijing using cluster sampling, and a questionnaire was used to obtain relevant information among 1 248 college freshmen. The content of the questionnaire included basic information about the students, awareness of AIDS, and willingness to undergo testing. Results A total of 87.18% students were familiar with AIDS-related knowledge, and 62.98% students intended to have HIV tests in the future. Willingness to be tested for HIV was higher among not local students (67.39%) than among local students (55.65%) (χ 2 = 17.32, P<0.05). The willingness to get HIV testing was higher among students who had an understanding of AIDS (65.26%) than among those who lacked an awareness (47.50%) (χ 2 = 18.87, P<0.05). In terms of the willingness to be tested for HIV, the main concerns focused on personal privacy (23.24%) and the cost (18.59%). Multivariate regression analysis showed that improving students’ awareness of five of the items related to a basic knowledge of AIDS may increase their willingness to get HIV testing ( P<0.05). Most students indicated a preference to get HIV testing at a hospital (68.51%) or at the Centers for Disease Control and Prevention (42.79%). Conclusion The willingness to get HIV testing can be increased by launching an AIDS health education program that targets weak knowledge points with respect to AIDS awareness. 【摘要】 目的 了解北京市丰台区大学新生艾滋病认知情况与检测意愿, 为进一步开展大学生防艾教育提供参考依据。 方法 采用整群抽样方法, 从北京市丰台区 4 所高等院校中的新生军训营中, 各随机抽取 2 个连, 被抽取到的连队中的全 部学生共 1 248 名参与调查问卷, 内容包括学生基本情况、艾滋病知晓情况、艾滋病检测意愿等。 结果 87.18% 的学生知 晓艾滋病相关知识, 62.98% 具有检测意愿。外地生源的学生艾滋病检测意愿 (67.39%) 高于北京生源学生 (55.65%) (χ 2 = 17.32, P<0.05)。知晓艾滋病相关知识的学生检测意愿 (65.26%) 强于不知晓者 (47.50%) (χ 2 = 18.87, P<0.05)。接受艾滋 病检测的主要顾虑是担心泄露隐私 (23.24%) 和费用问题 (18.59%)。多因素 Logistic 回归分析显示, 艾滋病基本知识 8 道 题目中, 提高其中 5 道题目的知晓率有助于提升检测意愿 ( P 值均<0.05)。多数学生更倾向在医院和疾病预防控制中心获 取艾滋病检测服务, 接受率分别为 68.51% 和 42.79%。 结论 有针对性地对大学生艾滋病认知的薄弱环节开展相关健康 教育活动, 有助于提升艾滋病检测意愿。
目的了解大学生对艾滋病(获得性免疫缺陷综合征)和HIV(人类免疫缺陷病毒)的认知情况及接受检测的意愿,为针对性地开展艾滋病预防教育提供指导。方法采用整群抽样的方法,从北京市丰台区4所高校军训营的2个连中抽取调查对象,对1 248名大学新生进行问卷调查。调查问卷的内容包括学生的基本情况、对艾滋病的认识和接受检测的意愿。结果87.18%的学生熟悉艾滋病相关知识,62.98%的学生有意向进行艾滋病检测。非本地学生的HIV检测意愿(67.39%)高于本地学生(55.65%)(χ 2 = 17.32, P<0.05)。对艾滋病有所了解的学生(65.26%)接受HIV检测的意愿高于对艾滋病缺乏了解的学生(47.50%)(χ 2 = 18.87, P<0.05)。在接受HIV检测的意愿方面,主要关注个人隐私(23.24%)和费用(18.59%)。多因素回归分析表明,提高学生对艾滋病基本知识相关5项的认识,可以提高学生接受HIV检测的意愿(P<0.05)。大多数学生表示倾向于在医院(68.51%)或疾病控制和预防中心(42.79%)进行艾滋病毒检测。结论针对艾滋病意识薄弱点开展艾滋病健康教育,可提高艾滋病检测意愿。【摘要】 目的 了解北京市丰台区大学新生艾滋病认知情况与检测意愿, 为进一步开展大学生防艾教育提供参考依据。 方法 采用整群抽样方法, 从北京市丰台区 4 所高等院校中的新生军训营中, 各随机抽取 2 个连, 被抽取到的连队中的全 部学生共 1 248 名参与调查问卷, 内容包括学生基本情况、艾滋病知晓情况、艾滋病检测意愿等。 62.98%的人说:“你是谁?”外地生源的学生艾滋病检测意愿(67.39%)高于北京生源学生(55.65%)(χ2 = 17.32,P < 0.05)。知晓艾滋病相关知识的学生检测意愿(65.26%)强于不知晓者(47.50%)(χ2 = 18.87,P < 0.05)。(23.24%)、(18.59%)。多因素物流回归分析显示,艾滋病基本知识8道题目中,提高其中5道题目的知晓率有助于提升检测意愿(P值均< 0.05)。多数学生更倾向在医院和疾病预防控制中心获取艾滋病检测服务,接受率分别为68.51%和42.79%。结论 有针对性地对大学生艾滋病认知的薄弱环节开展相关健康 教育活动, 有助于提升艾滋病检测意愿。
{"title":"Investigation of AIDS cognition and testing willingness among freshmen in Fengtai District, Beijing","authors":"Xiao Danzhao, Lin Yanqi, N. Na, Shi Wenya, Liu Chao, T. Lina, XU Jingchun, Ren Hang, W. Xinxin","doi":"10.16835/J.CNKI.1000-9817.2021.06.010","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2021.06.010","url":null,"abstract":"Objective To examine college students’ awareness of AIDS (acquired immunodeficiency syndrome)\u0000 and HIV (human immunodeficiency virus), as well as their willingness to undergo testing,\u0000 and to provide guidance for further education targeted towards AIDS prevention.\u0000 Methods The respondents were selected from two companies of military training camps in 4\u0000 universities in Fengtai District of Beijing using cluster sampling, and a questionnaire\u0000 was used to obtain relevant information among 1 248 college freshmen. The content\u0000 of the questionnaire included basic information about the students, awareness of AIDS,\u0000 and willingness to undergo testing.\u0000 Results A total of 87.18% students were familiar with AIDS-related knowledge, and 62.98%\u0000 students intended to have HIV tests in the future. Willingness to be tested for HIV\u0000 was higher among not local students (67.39%) than among local students (55.65%) (χ\u0000 2 = 17.32, P<0.05). The willingness to get HIV testing was higher among students who had an understanding\u0000 of AIDS (65.26%) than among those who lacked an awareness (47.50%) (χ\u0000 2 = 18.87, P<0.05). In terms of the willingness to be tested for HIV, the main concerns focused\u0000 on personal privacy (23.24%) and the cost (18.59%). Multivariate regression analysis\u0000 showed that improving students’ awareness of five of the items related to a basic\u0000 knowledge of AIDS may increase their willingness to get HIV testing (\u0000 P<0.05). Most students indicated a preference to get HIV testing at a hospital (68.51%)\u0000 or at the Centers for Disease Control and Prevention (42.79%).\u0000 Conclusion The willingness to get HIV testing can be increased by launching an AIDS health education\u0000 program that targets weak knowledge points with respect to AIDS awareness.\u0000 【摘要】 目的 了解北京市丰台区大学新生艾滋病认知情况与检测意愿, 为进一步开展大学生防艾教育提供参考依据。\u0000 方法 采用整群抽样方法, 从北京市丰台区 4 所高等院校中的新生军训营中, 各随机抽取 2 个连, 被抽取到的连队中的全 部学生共 1 248 名参与调查问卷, 内容包括学生基本情况、艾滋病知晓情况、艾滋病检测意愿等。\u0000 结果 87.18% 的学生知 晓艾滋病相关知识, 62.98% 具有检测意愿。外地生源的学生艾滋病检测意愿 (67.39%) 高于北京生源学生 (55.65%) (χ\u0000 2 = 17.32, P<0.05)。知晓艾滋病相关知识的学生检测意愿 (65.26%) 强于不知晓者 (47.50%) (χ\u0000 2 = 18.87, P<0.05)。接受艾滋 病检测的主要顾虑是担心泄露隐私 (23.24%) 和费用问题 (18.59%)。多因素 Logistic 回归分析显示, 艾滋病基本知识 8\u0000 道 题目中, 提高其中 5 道题目的知晓率有助于提升检测意愿 (\u0000 P 值均<0.05)。多数学生更倾向在医院和疾病预防控制中心获 取艾滋病检测服务, 接受率分别为 68.51% 和 42.79%。\u0000 结论 有针对性地对大学生艾滋病认知的薄弱环节开展相关健康 教育活动, 有助于提升艾滋病检测意愿。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130647738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
School canteen construction and canteen meal provision from 2012 to 2017 in schools under the National Nutrition Improvement Program for Rural Compulsory Eudcation Students 2012 - 2017年国家农村义务教育学生营养改善计划学校食堂建设及食堂伙食供应情况
Pub Date : 2021-06-01 DOI: 10.16835/J.CNKI.1000-9817.2021.06.007
Y. Titi, X. Peipei, Cao Wei, Gan Qian, L. Li, Xu Juan, Pan Hui, Hu Xiaoqi, Zhang Qian
Objective To analyze changes of school canteen construction and canteen meal provision in surveilled schools alter the initiation of the National Nutrition Improvement Program for Rural Compulsory Education Student (NNIPRCES), therefore to provide data basis for improving efficacy of school canteen meals. Methods From 2012 to 2017, among the 699 trial counties in 22 provinces under NNIPRCES, at least 10% of elementary schools and middle schools with each food supply model (canteen meals, enterprise meals, and family meals) were randomly selected in each county in each year. Questionnaire survey was conducted to collect school canteen construction and meal provision information. The sample size were around 8 000 to 11 000 schools every year. Results From 2012 to 2017, the proportion of schools that have canteens only, have both canteen and dining room, as well as those have canteen and dining room with tables and chairs significantly increased with years (χ 2 = 3 043.95, 6 383.85, 6 731.17, P <0.01). The proportion of schools having canteen increased from 59.5% in 2012 to 87.0% in 2017. The proportion of schools with canteen providing breakfast, lunch or dinner varied across years (χ 2 = 51.85, 144.96, 189.19, P<0.01). The varieties of food groups of three meals all significantly increased during 2012, 2014 and 2017 (χ 2 = 702.30, 892.38, 550.55, P<0.01). The canteen construction indicators, proportion of canteens providing three meals, and food groups included in three meals all significantly differed between elementary schools and middle schools, also between schools of central area and western area ( P<0.05). The changing patterns with year were significantly different in elementary schools and middle schools, and in schools of central area and western area ( P<0.05). Conclusion After the implementation of NNIPRCES, canteen construction and food variety in canteen meals significantly improved during 2012 to 2017. However, there are still gaps between changes of canteen construction and canteen meal provision. It is necessary to overcome obstacles to further increase the proportion of schools with canteen offering meals and the variety of food of meals. 【摘要】 目的 分析“农村义务教育学生营养改善计划”启动后学校食堂及供餐状况变化, 为提高学校食堂供餐成效提供 基础数据。 方法 2012—2017 年, 在“营养改善计划”覆盖的中国中西部 22 个省 699 个国家试点县中, 每年按照食堂供 餐、企业供餐和混合供餐 3 种模式, 随机抽取不少于 10% 的小学和初中, 采用问卷调查方法, 收集学校食堂建设及食堂供餐 情况, 每年样本量约 8 000~11 000 所学校。 结果 2012—2017 年, 不同年度间学校有食堂、学校有食堂和餐厅、学校有食 堂和餐厅且餐厅配备桌/椅的比例差异有统计学意义 (χ 2 值分别为 3 043.95, 6 383.85, 6 731.17, P 值均<0.01), 学校有食堂 的比例从 2012 年的 59.5% 升至 2017 年的 87.0%。食堂提供早、午、晚餐的比例在各年度有所波动 (χ 2 值分别为 51.85, 144.96, 189.19, P 值均<0.01)。食堂早、午、晚餐的食物种类在 2012, 2014 和 2017 年逐步丰富 (χ 2 值分别为 702.30, 892.38, 550.55, P 值均<0.01)。中、小学和中、西部学校的食堂建设指标、食堂供应三餐比例及食堂三餐食物种类整体差异均有统 计学意义, 且随年度变化情况整体不同 ( P 值均<0.05)。 结论 “营养改善计划”实施后, 试点学校食堂比例不断提高, 食 堂建设不断完善, 食堂供餐食物种类不断丰富, 但学校食堂建设与三餐供应比例变化不匹配。应尽快解决制约因素, 提高 学校食堂供餐比例, 丰富食物品种。
目的分析国家农村义务教育学生营养改善计划实施后,被监测学校食堂建设和食堂供餐情况的变化,为提高学校食堂供餐效果提供数据依据。方法2012 - 2017年,在全国22个省699个试点县中,每年在每个县随机抽取至少10%的采用食堂供餐、企业供餐和家庭供餐三种供餐模式的小学和中学。通过问卷调查收集学校食堂建设和供餐信息。每年的样本量约为8000至11000所学校。结果2012 - 2017年,仅设食堂、既有食堂又有餐厅、既有食堂又有桌椅的学校所占比例随年增率显著上升(χ 2 = 3 043.95、6 383.85、6 731.17,P <0.01)。设有食堂的学校比例由2012年的59.5%上升至2017年的87.0%。学校食堂提供早、中、晚餐的比例各年差异较大(χ 2 = 51.85、144.96、189.19,P<0.01)。2012年、2014年和2017年,三餐食物种类均显著增加(χ 2 = 702.30、892.38、550.55,P<0.01)。小学与中学食堂建设指标、食堂提供三餐的比例、三餐包含的食物种类在中部地区与西部地区的学校之间均存在显著差异(P<0.05)。小学与中学、中部地区与西部地区学校的年际变化格局差异显著(P<0.05)。结论2012 - 2017年食堂建设和食堂伙食种类明显改善。然而,食堂建设的变化与食堂伙食供应之间仍然存在差距。有必要克服障碍,进一步增加学校食堂提供膳食的比例和膳食的种类。【摘要】 目的 分析“农村义务教育学生营养改善计划”启动后学校食堂及供餐状况变化, 为提高学校食堂供餐成效提供 基础数据。 方法 2012—2017 年, 在“营养改善计划”覆盖的中国中西部 22 个省 699 个国家试点县中, 每年按照食堂供 餐、企业供餐和混合供餐 3 种模式, 随机抽取不少于 10% 的小学和初中, 采用问卷调查方法, 收集学校食堂建设及食堂供餐 情况, 每年样本量约 8 000~11 000 所学校。 结果2012 - 2017年,不同年度间学校有食堂,学校有食堂和餐厅,学校有食堂和餐厅且餐厅配备桌/椅的比例差异有统计学意义(χ2值分别为3 043.95,383.85,6 6 731.17,P值均< 0.01),学校有食堂的比例从2012年的59.5%升至2017年的87.0%。食堂提供早、午、晚餐的比例在各年度有所波动(χ2值分别为51.85,144.96,189.19,P值均< 0.01)。食堂早、午、晚餐的食物种类在2012、2014和2017年逐步丰富(χ2值分别为702.30,892.38,550.55,P值均< 0.01)。中,小学和中、西部学校的食堂建设指标,食堂供应三餐比例及食堂三餐食物种类整体差异均有统计学意义,且随年度变化情况整体不同(P值均< 0.05)。结论 “营养改善计划”实施后, 试点学校食堂比例不断提高, 食 堂建设不断完善, 食堂供餐食物种类不断丰富, 但学校食堂建设与三餐供应比例变化不匹配。应尽快解决制约因素, 提高 学校食堂供餐比例, 丰富食物品种。
{"title":"School canteen construction and canteen meal provision from 2012 to 2017 in schools under the National Nutrition Improvement Program for Rural Compulsory Eudcation Students","authors":"Y. Titi, X. Peipei, Cao Wei, Gan Qian, L. Li, Xu Juan, Pan Hui, Hu Xiaoqi, Zhang Qian","doi":"10.16835/J.CNKI.1000-9817.2021.06.007","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2021.06.007","url":null,"abstract":"Objective To analyze changes of school canteen construction and canteen meal provision in surveilled\u0000 schools alter the initiation of the National Nutrition Improvement Program for Rural\u0000 Compulsory Education Student (NNIPRCES), therefore to provide data basis for improving\u0000 efficacy of school canteen meals.\u0000 Methods From 2012 to 2017, among the 699 trial counties in 22 provinces under NNIPRCES, at\u0000 least 10% of elementary schools and middle schools with each food supply model (canteen\u0000 meals, enterprise meals, and family meals) were randomly selected in each county in\u0000 each year. Questionnaire survey was conducted to collect school canteen construction\u0000 and meal provision information. The sample size were around 8 000 to 11 000 schools\u0000 every year.\u0000 Results From 2012 to 2017, the proportion of schools that have canteens only, have both canteen\u0000 and dining room, as well as those have canteen and dining room with tables and chairs\u0000 significantly increased with years (χ\u0000 2 = 3 043.95, 6 383.85, 6 731.17, P <0.01). The proportion of schools having canteen increased from 59.5% in 2012 to\u0000 87.0% in 2017. The proportion of schools with canteen providing breakfast, lunch or\u0000 dinner varied across years (χ\u0000 2 = 51.85, 144.96, 189.19, P<0.01). The varieties of food groups of three meals all significantly increased during\u0000 2012, 2014 and 2017 (χ\u0000 2 = 702.30, 892.38, 550.55, P<0.01). The canteen construction indicators, proportion of canteens providing three\u0000 meals, and food groups included in three meals all significantly differed between\u0000 elementary schools and middle schools, also between schools of central area and western\u0000 area (\u0000 P<0.05). The changing patterns with year were significantly different in elementary\u0000 schools and middle schools, and in schools of central area and western area (\u0000 P<0.05).\u0000 Conclusion After the implementation of NNIPRCES, canteen construction and food variety in canteen\u0000 meals significantly improved during 2012 to 2017. However, there are still gaps between\u0000 changes of canteen construction and canteen meal provision. It is necessary to overcome\u0000 obstacles to further increase the proportion of schools with canteen offering meals\u0000 and the variety of food of meals.\u0000 【摘要】 目的 分析“农村义务教育学生营养改善计划”启动后学校食堂及供餐状况变化, 为提高学校食堂供餐成效提供 基础数据。\u0000 方法 2012—2017 年, 在“营养改善计划”覆盖的中国中西部 22 个省 699 个国家试点县中, 每年按照食堂供 餐、企业供餐和混合供餐 3 种模式, 随机抽取不少于\u0000 10% 的小学和初中, 采用问卷调查方法, 收集学校食堂建设及食堂供餐 情况, 每年样本量约 8 000~11 000 所学校。\u0000 结果 2012—2017 年, 不同年度间学校有食堂、学校有食堂和餐厅、学校有食 堂和餐厅且餐厅配备桌/椅的比例差异有统计学意义 (χ\u0000 2 值分别为 3 043.95, 6 383.85, 6 731.17, P 值均<0.01), 学校有食堂 的比例从 2012 年的 59.5% 升至 2017 年的 87.0%。食堂提供早、午、晚餐的比例在各年度有所波动 (χ\u0000 2 值分别为 51.85, 144.96, 189.19, P 值均<0.01)。食堂早、午、晚餐的食物种类在 2012, 2014 和 2017 年逐步丰富 (χ\u0000 2 值分别为 702.30, 892.38, 550.55, P 值均<0.01)。中、小学和中、西部学校的食堂建设指标、食堂供应三餐比例及食堂三餐食物种类整体差异均有统 计学意义, 且随年度变化情况整体不同 (\u0000 P 值均<0.05)。\u0000 结论 “营养改善计划”实施后, 试点学校食堂比例不断提高, 食 堂建设不断完善, 食堂供餐食物种类不断丰富, 但学校食堂建设与三餐供应比例变化不匹配。应尽快解决制约因素,\u0000 提高 学校食堂供餐比例, 丰富食物品种。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131240285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An investigation of bacillary dysentery outbreaks in three schools in Ankang 安康市3所学校细菌性痢疾暴发调查
Pub Date : 2021-06-01 DOI: 10.16835/J.CNKI.1000-9817.2021.06.029
Yuan Lingyun, Chen Guo, Z. Yi, Ni Shaoqi, Zhang Zhankui, Yang Min, Cheng Yuanhui, Jiao Huan, Du Dongdong, Li Wanjing, Jiang Wei
Objective To investigate risk factors and epidemiological characteristics of bacillary dysentery outbreaks in three schools, and to provide scientific basis for the prevention and control of the epidemic in the future. Methods Case definition was established. All suspected, possible and confirmed cases of all students and faculty members from 3 schools (A, B, C) were selected for epidemiological investigation. Control group was used for case-control analysis, and relevant samples were collected for laboratory testing. Results A total of 132 cases were found in 3 schools, all of which were from students, with the incidence rate of 17.74%. The morbidity in kindergarten A was 20.00%, in center primary school B it was 21.74%, and in junior middle school C it was 11.61%. Cohort studies and case-control studies suggested that schools are exposed places and that washing hands with raw water in schools was possible risk factor [ OR(95% CI) = 4.50 (1.01–20.11) ]. Nine stool samples were tested in laboratory, among which 8 were positive for Shigella (88.99%), and Shigella was detected in the end nodes of school’s pipeline network, the water samples from canteen bucket, and the floor drains of sewer pipe. Conclusion The bacillary dysentery outbreaks in 3 schools was caused by Shigella, which may be due to fecal contamination of domestic water in 3 schools before the start of the school year. It is suggested to strengthen the management of centralized water supply and construction in rural areas, intensify the supervision at all levels, and sanitation and disinfection before school opens at all levels. 【摘要】 目的 了解安康市某3所学校细菌性痢疾暴发原因, 分析疫情发生特点, 积累疫情处置经验, 为以后疫情防控提 供科学依据。 方法 建立病例定义, 选取3所学校 (A、B、C)全部学生和教职员工中所有疑似病例、可能病例、确诊病例开 展流行病学调查, 选择对照组进行病例对照分析, 采集相关样品进行实验室检测。 结果 3所学校共发病132例, 均为学 生, 罹患率为17.74%;A幼儿园罹患率为20.00%、B中心小学罹患率为21.74%、C初级中学罹患率为11.61%。队列和病例 对照研究提示学校为暴露场所, 学校内生水洗手为危险因素[ OR值(95% CI)=4.50 (1.01~20.11)]。实验室检测9份粪便 样品, 8份为志贺菌阳性, 阳性率为88.99%, 学校管网末梢、食堂水桶水样、下水管道地漏检出志贺菌。 结论 该疫情是一 起由志贺菌引起3所学校细菌性痢疾暴发疫情, 可能由于3所学校生活用水开学前被粪便污染导致。建议加强农村集中 供水和施工管理, 各级监督部门加大监管力度, 各级学校开学前做好卫生清洁和消毒工作。
目的了解3所学校细菌性痢疾暴发的危险因素及流行病学特征,为今后的疫情防控提供科学依据。方法建立病例定义。选取A、B、C 3所学校所有师生的疑似病例、可能病例和确诊病例进行流行病学调查。对照组进行病例-对照分析,并采集相关样本进行实验室检测。结果3所学校共发现病例132例,均为学生,发病率为17.74%。A幼儿园患病率为20.00%,B中心小学患病率为21.74%,C初中患病率为11.61%。队列研究和病例对照研究表明,学校是暴露场所,在学校用原水洗手可能是危险因素[OR(95% CI) = 4.50(1.01-20.11)]。实验室检测粪便样本9份,其中志贺氏菌阳性8份(88.99%),学校管网末端节点、食堂水桶水样、下水管道地漏均检出志贺氏菌。结论3所学校的细菌性痢疾暴发是由志贺氏菌引起的,可能是由于开学前3所学校的生活用水被粪便污染所致。建议加强农村集中供水和建设管理,加强各级监督,各级学校开学前卫生消毒。【摘要】 目的 了解安康市某3所学校细菌性痢疾暴发原因, 分析疫情发生特点, 积累疫情处置经验, 为以后疫情防控提 供科学依据。 方法建立病例定义,选3所取学校(A, B, C)全部学生和教职员工中所有疑似病例,可能病例,确诊病例开展流行病学调查,选择对照组进行病例对照分析,采集相关样品进行实验室检测。结果3所学校共发病132例,均为学生,罹患率为17.74%;一个幼儿园罹患率为20.00%,B中心小学罹患率为21.74%,C初级中学罹患率为11.61%。队列和病例对照研究提示学校为暴露场所、学校内生水洗手为危险因素(或值(95% CI) = 4.50(1.01 ~ 20.11)]。实验室检测9份粪便样品,8份为志贺菌阳性,阳性率为88.99%,学校管网末梢,食堂水桶水样,下水管道地漏检出志贺菌。结论 该疫情是一 起由志贺菌引起3所学校细菌性痢疾暴发疫情, 可能由于3所学校生活用水开学前被粪便污染导致。建议加强农村集中 供水和施工管理, 各级监督部门加大监管力度, 各级学校开学前做好卫生清洁和消毒工作。
{"title":"An investigation of bacillary dysentery outbreaks in three schools in Ankang","authors":"Yuan Lingyun, Chen Guo, Z. Yi, Ni Shaoqi, Zhang Zhankui, Yang Min, Cheng Yuanhui, Jiao Huan, Du Dongdong, Li Wanjing, Jiang Wei","doi":"10.16835/J.CNKI.1000-9817.2021.06.029","DOIUrl":"https://doi.org/10.16835/J.CNKI.1000-9817.2021.06.029","url":null,"abstract":"Objective To investigate risk factors and epidemiological characteristics of bacillary dysentery\u0000 outbreaks in three schools, and to provide scientific basis for the prevention and\u0000 control of the epidemic in the future.\u0000 Methods Case definition was established. All suspected, possible and confirmed cases of all\u0000 students and faculty members from 3 schools (A, B, C) were selected for epidemiological\u0000 investigation. Control group was used for case-control analysis, and relevant samples\u0000 were collected for laboratory testing.\u0000 Results A total of 132 cases were found in 3 schools, all of which were from students, with\u0000 the incidence rate of 17.74%. The morbidity in kindergarten A was 20.00%, in center\u0000 primary school B it was 21.74%, and in junior middle school C it was 11.61%. Cohort\u0000 studies and case-control studies suggested that schools are exposed places and that\u0000 washing hands with raw water in schools was possible risk factor [\u0000 OR(95%\u0000 CI) = 4.50 (1.01–20.11) ]. Nine stool samples were tested in laboratory, among which\u0000 8 were positive for Shigella (88.99%), and Shigella was detected in the end nodes\u0000 of school’s pipeline network, the water samples from canteen bucket, and the floor\u0000 drains of sewer pipe.\u0000 Conclusion The bacillary dysentery outbreaks in 3 schools was caused by Shigella, which may\u0000 be due to fecal contamination of domestic water in 3 schools before the start of the\u0000 school year. It is suggested to strengthen the management of centralized water supply\u0000 and construction in rural areas, intensify the supervision at all levels, and sanitation\u0000 and disinfection before school opens at all levels.\u0000 【摘要】 目的 了解安康市某3所学校细菌性痢疾暴发原因, 分析疫情发生特点, 积累疫情处置经验, 为以后疫情防控提 供科学依据。\u0000 方法 建立病例定义, 选取3所学校 (A、B、C)全部学生和教职员工中所有疑似病例、可能病例、确诊病例开 展流行病学调查, 选择对照组进行病例对照分析, 采集相关样品进行实验室检测。\u0000 结果 3所学校共发病132例, 均为学 生, 罹患率为17.74%;A幼儿园罹患率为20.00%、B中心小学罹患率为21.74%、C初级中学罹患率为11.61%。队列和病例\u0000 对照研究提示学校为暴露场所, 学校内生水洗手为危险因素[\u0000 OR值(95%\u0000 CI)=4.50 (1.01~20.11)]。实验室检测9份粪便 样品, 8份为志贺菌阳性, 阳性率为88.99%, 学校管网末梢、食堂水桶水样、下水管道地漏检出志贺菌。\u0000 结论 该疫情是一 起由志贺菌引起3所学校细菌性痢疾暴发疫情, 可能由于3所学校生活用水开学前被粪便污染导致。建议加强农村集中 供水和施工管理, 各级监督部门加大监管力度,\u0000 各级学校开学前做好卫生清洁和消毒工作。","PeriodicalId":106801,"journal":{"name":"Chinese Journal of School Health","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114344549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics and relationship between self-efficacy and physical activity of college students during COVID-19 epidemic 新冠肺炎疫情期间大学生自我效能感与体育活动的特征及关系
Pub Date : 2021-05-01 DOI: 10.16835/j.cnki.1000-9817.2021.05.014
Wang Dandan, Z. Lei, Liu Jinzhao, Wu Xueping
Objective To explore the characteristics and relationship between physical activity and self-efficacy of college students during the COVID-19 epidemic, so as to provide evidence for the orderly development of physical education and curriculum reform of college students after their return to school. Methods A total of 6 227 college students were collected from 8 districts of China by using convenient sampling method and snowball sampling method, and the physical activity and self-efficacy of all participants were assessed used by the International Physical Activity Questionnaire Short Form (IPAQ-S) and the General Self-Efficacy Scale (GSES). Results In the terms of general self-efficacy, the score of male students was significantly higher than that of female students, the score of freshman was significantly higher than that of other grades ( t/F = 7. 32, 5.56, P<0.01). In terms of physical activity, the middle and high level physical activity of girls was significantly higher than that of boys, but the proportion of boys meeting the recommended amount was higher ( P<0.01). Low level physical activity was the highest in junior college students (31.75%), medium level physical activity was the highest in freshmen (46.75%) and sophomore student (48.13%), and high level physical activity was the highest senior college students (30.40%). The moderate level of physical activity was the highest in all BMI groups, while the lean group had the lowest level of low level physical activity (15.70%) and the highest level of high level physical activity (37.31%), and the lowest proportion meeting the recommended amount ( P<0.05). Self-efficacy had a positive predictive effect on physical activity ( OR = 1.04, 95% CI = 1.03–1.05). Conclusion During the COVID-19 epidemic, there are significant differences in general self-efficacy and physical activity among college students by gender, grade and BMI. The general selfefficacy has a positive impact on physical activity, suggesting that college physical education should pay attention to students’ self-efficacy, while considering individual and group differences, and promote physical activity level through self-efficacy improvement. 【摘要】 目的 探索新型冠状病毒肺炎 (以下简称“新冠肺炎”)疫情期间在校大学生的自我效能和体力活动特征及关 系, 为大学生复学后体育工作的有序开展和课程改革提供依据。 方法 通过方便抽样法和滚雪球抽样法, 对中国 8 个片区 6 227 名在校大学生, 采用一般自我效能量表和国际体力活动问卷 (短卷)进行调查。 结果 在自我效能方面, 男生得分高 于女生, 大一学生高于其他年级 ( t/F 值分别为 7.32,5.56, P 值均<0.01); 在体力活动方面, 女生的中、高水平体力活动构成 比高于男生, 但男生满足推荐量的报告率更高 ( P 值均<0.01); 大三学生低水平体力活动占比最多 (31.75%), 大一学生 (46.75%)、大二学生 (48.13%)中等体力活动占比多, 大四学生的高水平体力活动占比多 (30.40%); 不同体质量指数 (BMI) 组, 中等水平体力活动占比均最多, 偏瘦组低水平体力活动占比最少 (15.70%), 高水平体力活动占比最多 (37.31%), 满足推荐量的报告率最低 ( P<0.05)。二兀 Logistic 回归分析显示, 自我效能与体力活动呈正相关 ( OR = 1.04, 95% CI = 1.03~1.05)。 结论 新冠肺炎疫情期间, 不同性别、年级和 BMI 大学生的自我效能和体力活动存在差异, 自我效 能对体力活动有积极影响。大学体育教学需重视学生的自我效能, 考虑个体和群体差异, 通过自我效能的改善促进体力活 动水平的提升。
目的探讨新冠肺炎疫情期间大学生体育活动与自我效能感的特征及关系,为大学生返校后体育教育的有序开展和课程改革提供依据。方法采用方便抽样法和滚雪球抽样法对全国8个地区的6 227名大学生进行问卷调查,采用国际体育活动问卷简表(IPAQ-S)和一般自我效能量表(GSES)对所有参与者的身体活动和自我效能感进行评估。结果在一般自我效能感方面,男生显著高于女生,大一显著高于其他年级(t/F = 7)。32, 5.56, p <0.01)。在体力活动方面,女生中高水平体力活动显著高于男生,但男生达到推荐量的比例更高(P<0.01)。低度体力活动以专科生最高(31.75%),中等强度体力活动以大一和大二学生最高(46.75%),高强度体力活动以大四学生最高(30.40%)。中等体力活动水平在各BMI组中最高,瘦肉组的低体力活动水平最低(15.70%),高体力活动水平最高(37.31%),达到推荐量的比例最低(P<0.05)。自我效能感对体力活动有正向预测作用(OR = 1.04, 95% CI = 1.03-1.05)。结论新冠肺炎疫情期间,不同性别、年级和BMI的大学生总体自我效能感和体力活动存在显著差异。总体自我效能感对体育活动有正向影响,提示高校体育教学应重视学生的自我效能感,同时考虑个体和群体差异,通过自我效能感的提高促进体育活动水平。【摘要】 目的 探索新型冠状病毒肺炎 (以下简称“新冠肺炎”)疫情期间在校大学生的自我效能和体力活动特征及关 系, 为大学生复学后体育工作的有序开展和课程改革提供依据。 方法 通过方便抽样法和滚雪球抽样法, 对中国 8 个片区 6 227 名在校大学生, 采用一般自我效能量表和国际体力活动问卷 (短卷)进行调查。 结果在自我效能方面,男生得分高于女生,大一学生高于其他年级(t / F值分别为7.32,5.56,P值均< 0.01);在体力活动方面,女生的中、高水平体力活动构成比高于男生,但男生满足推荐量的报告率更高(P值均< 0.01);大三学生低水平体力活动占比最多(31.75%),大一学生(46.75%),大二学生(48.13%)中等体力活动占比多,大四学生的高水平体力活动占比多(30.40%);不同体质量指数(BMI)组,中等水平体力活动占比均最多,偏瘦组低水平体力活动占比最少(15.70%)、高水平体力活动占比最多(37.31%),满足推荐量的报告率最低(P < 0.05)。二兀物流回归分析显示,自我效能与体力活动呈正相关(或= 1.04,95% CI = 1.03 ~ 1.05)。结论新冠肺炎疫情期间,不同性别,年级和BMI大学生的自我效能和体力活动存在差异,自我效能对体力活动有积极影响。大学体育教学需重视学生的自我效能, 考虑个体和群体差异, 通过自我效能的改善促进体力活 动水平的提升。
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引用次数: 1
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Chinese Journal of School Health
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