大学生久坐行为/屏幕时间与心理健康的Meta分析

高雪蕾; 张景华; 杨漾; 曹振波

Abstract

高雪蕾,张景华,杨漾,曹振波.大学生久坐行为/屏幕时间与心理健康的Meta分析[J].Chinese journal of Epidemiology,2023,44(3):477-485

大学生久坐行为/屏幕时间与心理健康的Meta分析

Sedentary behavior, screen time and mental health of college students: a Meta-analysis

Received:July 28, 2022

DOI：10.3760/cma.j.cn112338-20220728-00669

KeyWord: 大学生久坐行为屏幕时间心理健康 Meta分析

English Key Word: College students Sedentary behavior Screen time Mental health Meta-analysis

FundProject:

Author Name	Affiliation	E-mail
Gao Xuelei	Physical Education Department, University of Shanghai for Science and Technology, Shanghai 200093, China
Zhang Jinghua	School of Exercise and Health, Shanghai University of Sport, Shanghai 200438, China
Yang Yang	Shanghai Research Centre for Physical Fitness and Health of Children and Adolescents, Shanghai 200438, China
Cao Zhenbo	School of Exercise and Health, Shanghai University of Sport, Shanghai 200438, China Shanghai Research Centre for Physical Fitness and Health of Children and Adolescents, Shanghai 200438, China	caozhenbo@sus.edu.cn

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Abstract:

目的系统梳理久坐行为/屏幕时间与大学生心理健康影响的相关文献，旨在探讨大学生久坐行为/屏幕时间与心理健康之间的关系，为促进大学生心理健康发展提供理论依据。方法在PubMed、Embase、Cochrane Library、中国知网、维普数据库和万方数据知识服务平台进行检索，截止日期为2022年7月14日，研究久坐行为/屏幕时间与大学生心理健康研究相关文献。由一名研究者按照拟订方案对纳入的文献进行数据提取并进行质量评分，再由另一名研究者进行复核；对符合纳入标准的文献进行系统综述，并根据文献可提取数据的情况，采用Stata 14.2软件进行Meta分析。结果共有36篇文献符合纳入标准，包括35篇观察性研究和1篇干预性研究。对久坐行为（4篇）、屏幕时间（9篇）与大学生抑郁、屏幕时间与大学生焦虑（4篇）进行Meta分析，对其他研究进行系统综述。久坐行为与大学生抑郁的Meta分析结果显示，较长的久坐时长增加了大学生抑郁风险（OR=1.07，95%CI：1.05~1.10）。亚组分析显示，未校正混杂因素模型中，较长的久坐时长与抑郁不存在相关性（OR=1.74，95%CI：0.93~3.25），但校正混杂因素后两者之间呈正相关（OR=2.15，95%CI：1.18~3.90）。屏幕时间与大学生抑郁的Meta分析结果显示，较长的屏幕时间与抑郁呈显著正相关（OR=1.03，95%CI：1.02~1.05）。亚组分析结果显示，未校正混杂因素模型和校正混杂因素模型中，较长的屏幕时间与抑郁均呈显著正相关（OR=1.27，95%CI：1.13~1.42；OR=1.45，95%CI：1.18~1.79）。久坐行为与大学生焦虑的Meta分析显示，较长的屏幕时间与较高的焦虑风险呈正相关（OR=1.44，95%CI：1.31~1.58）。亚组分析结果显示，原始模型和校正混杂因素模型中，较长屏幕时间与焦虑呈正相关（OR=1.47，95%CI：1.31~1.65；OR=1.38，95%CI：1.17~1.62）。对不符合Meta分析的文献综述发现，久坐行为/屏幕时间与大学生压力和其他心理健康具有显著相关性。结论久坐行为或屏幕时间与大学生心理健康呈显著负相关，特别是对大学生抑郁和焦虑情绪具有显著影响，且该影响可能存在学习日和休息日差异。

English Abstract:

Objective To evaluate the effects of sedentary behavior/screen time on mental health of college students by Meta-analysis based on the results of literature retrieval and provide theoretical basis for the improvement of college students' mental health. Methods The original research literatures about sedentary behavior (including screen time) and college students' mental health published as of 14 July 2022 were retrieved from PubMed, Embase, Cochrane Library, CNKI, VIP and Wanfang data. Data were extracted from the included studies and scored by one author in accordance with the proposed programme, and quality score was reviewed by another author. The literature that met the inclusion criteria was systematically reviewed and Meta-analysis was carried out by software Stata 14.2 based on the data from the literatures. Results A total of 36 studies met the inclusion criteria, including 35 observational studies and 1 interventional study. There are 4 papers about the effects of sedentary behavior and 9 papers about the effects of screening time on depression in college students and 4 papers about the effects of sedentary behavior/screening time on anxiety in college students were used for a Meta-analysis, and the other studies were also analyzed. The Meta-analysis on the effects of sedentary behavior on depression in college students showed that there was a significant positive correlation between higher level sedentary behavior and increased risk for depression (OR=1.07, 95%CI:1.05-1.10). Subgroup analysis indicated that there was no significant correlation between higher level sedentary behavior and depression (OR=1.74, 95%CI:0.93-3.25) in the unadjusted confounding factor model, but there was significance positive correlation after adjusting confounding factors (OR=2.15, 95%CI:1.18-3.90). Meta-analysis on the effects of screen time on depression in college students showed that longer screen time were significantly positively correlated with higher depression level (OR=1.03, 95%CI:1.02-1.05). The results of subgroup analysis showed that in both unadjusted confounding factor model and adjusted confounding factor model, longer screen time was significantly positively correlated with depression (OR=1.27, 95%CI:1.13-1.42; OR=1.45, 95%CI:1.18-1.79), respectively. Meta-analysis on the effects of sedentary behavior on anxiety showed that longer screen time was significantly positively correlated with increased anxiety risk (OR=1.44, 95%CI:1.31-1.58). The results of subgroup analysis showed that in both unadjusted confounding factor model and adjusted confounding factor model, there was a significant positive correlation between longer screen time and anxiety (OR=1.47, 95%CI:1.31-1.65; OR=1.38, 95%CI:1.17-1.62). The analysis for the literatures which were not eligible for Meta-analysis found that sedentary behavior/screen time was significantly associated with stress and other mental health in college students. Conclusions Sedentary behavior or screen time is significantly negatively correlated with college students' mental health, in particular, resulting in depression and anxiety. These effects might be be different between weekdays and weekend days.

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