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  • Yifan YANG, Li LI, Pingping ZHANG, Youxin WANG, Mingyue WANG, Shuhan YANG, Yuying WU, Hui WANG
    Chinese Journal of School Health. 2025, 46(4): 597-600.
    Objective

    To explore the associations between caregivers' nutrition literacy and pediatric nonalcoholic fatty liver disease (NAFLD), so as to provide scientific evidence for the key contents of family intervention measures.

    Methods

    In September 2022, a study involving 1 609 third-grade students and their caregivers from six schools in Yinzhou, Haishu, and Zhenhai Districts of Ningbo City, Zhejiang Province, was conducted. Venous blood samples were collected to measure lipid profiles and investigate the prevalence of nonalcoholic fatty liver disease (NAFLD) among the children. Family Food Environment Questionnaire was used to assess the nutrition literacy levels of the caregivers. Generalized linear regression analysis was employed to explore the correlation between caregivers' nutrition literacy levels and the prevalence of NAFLD in children.

    Results

    Among the surveyed students, 191 were in the NAFLD group, whereas 1 418 were in the non-NAFLD group. The median nutrition literacy score of caregivers in the NAFLD group and non-NAFLD group all were 11.00 (9.00, 12.00), which was not significantly different (Z=-0.40, P=0.71). The generalized linear regression results revealed that the level of nutrition literacy of caregivers had no significant effect on children's Triglyceride-glucose (TyG) index and Triglyceride-glucose-Waist-to-height ratio (TyG-WHtR) [β(95%CI) were 0.001(-0.005-0.006) and 0.000(-0.014-0.014), P>0.05].

    Conclusions

    The nutrition literacy level of caregivers has no significant correlation with the direct incidence of NAFLD in children. As for family intervention measures, it is necessary not only to improve the nutrition literacy level of caregivers but also to effectively apply nutritional knowledge in practice to optimize health management.

  • Jianjun ZHENG, Xi WANG, Danyang HONG, Yaling LI, Qiumeng XU, Huili ZHANG, Qian HAN, Da LU, Qiao ZHENG
    Chinese Journal of School Health. 2025, 46(4): 601-603.
    Objective

    To investigate the environmental contamination of norovirus in nurseries and primary/secondary schools, so as to provide a scientific basis for effective prevention and control measures.

    Methods

    A total of 483 external environmental samples were collected from 34 cluster outbreaks of norovirus gastroenteritis in kindergartens and primary/secondary schools in Linhai City from 2021 to 2024. Pathogen detection was conducted using a rapid nucleic acid extraction kit and real-time fluorescence RT-PCR, and the results were analyzed using the χ2 test or Fisher's exact test.

    Results

    Among the collected external environmental samples, the total positive rate of surface contamination was 13.66%. The positive rates in kindergartens and primary/secondary schools were 12.20% and 15.82%, respectively. In kindergartens, the five surfaces with the highest detection rates were desks/chairs (23.33%), toilet stool troughs (20.69%), urinal troughs (12.00%), washbasins/sinks (11.11%), and toilet mops (9.38%). In primary/secondary schools, the top five were toilet stool troughs (38.30%), urinal troughs (23.53%), toilet door handles (13.04%), toilet mops (12.50%), and drinking cups (11.11%). The difference in positive detection rates among different external environments in primary/secondary schools was statistically significant (Fisher's exact probability test, P < 0.01). The positive detection rate in sanitary toilets was higher than that in classroom environments (χ2=17.38), while the positive detection rate in classroom environments of kindergartens was higher than that in primary/secondary schools (χ2=5.42)(P < 0.05).

    Conclusions

    Norovirus exhibits a high contamination rate in nurseries and schools, particularly in restroom areas. Strengthening sanitation and disinfection in high-risk environments, and improving hygiene awareness among children and staff, are essential for the effective prevent and control of norovirus.

  • Bao DAI, Liying YANG, Yiqing ZHENG
    Chinese Journal of School Health. 2025, 46(4): 604-608.

    Cyberchondria is a growing mental health concern in the digital age, significantly impacting college students' physical and psychological well-being as well as their daily functioning. The paper systematically reviews existing domestic and international literature to synthesize key aspects of cyberchondria among college students, including its conceptualization, measurement tools, prevalence, contributing factors, consequences, and intervention approaches. Building on the foundation, the study identifies critical gaps and proposes future research directions. By establishing a comprehensive theoretical framework, the work aims to inform subsequent studies and targeted interventions, ultimately supporting the promotion of mental and physical health among college students affected by cyberchondria.

  • Fengyun ZHANG, Yi SONG, Lin ZHANG, Chunyan LUO, Wei DU, Bin DONG
    Chinese Journal of School Health. 2025, 46(3): 305-309.

    In order to understand and analyze the current standards and application of school desks and chairs for primary and secondary schools, and to promote the healthy growth of primary and secondary school students. The article conducts a comprehensive review of the functional and dimensional standards for school furniture both domestically and internationally, and objectively analyzes the current utilization and existing issues concerning desks and chairs in schools. It further explores the multifaceted factors that influence the allocation of desks and chairs, and proposes effective countermeasures, so as to provide a reference for the risk factors of common diseases related to desks and chairs, such as myopia and abnormal spinal curvature.

  • Yanping QIU, Lijuan WANG, Jing QI, Huan CHEN, Nan ZHENG, Xiaoqing LI
    Chinese Journal of School Health. 2025, 46(3): 310-314.

    To analyzes the characteristics, problems and enlightenment of physical activity observation tools, so as to provide reference for researchers to quickly and accurately choose appropriate observation tools to evaluate children's and adolescents' physical activity. Literature search is conducted in eight databases of Chinese and English, including CNKI, Wanfang, VIP, Web of Science, PubMed, Medline, ERIC, and SPORTDiscus. Ultimately, eight observation tools for assessing physical activity in children and adolescents are included. Through summarization and comparison, it is found that the applications of those tools cover multiple age groups, the observation indicators cover multiple dimensions for each with varying emphases, and the applicable contexts vary in their specific background information, and recording methods tend to be quantitative. However, several issues remain to be addressed in practical applications. First, the observation indicators need to be supplemented and improved; second, physical activity in community environments and academic classrooms requires further attention; third, physical activity intensity needs to be scientifically evaluated; fourth, observation and recording methods need to be integrated and innovated; fifth, the number of observation subjects needs to be expanded. Future research could focus on developing observation tools tailored to the characteristics of Chinese children and adolescents, while drawing on foreign observation tools to comprehensively assess physical activity among children and adolescents.

  • Yi XU, Xiaoyan ZHANG, Keqing SHI, Xinran YU, Fei GAO, Bin DONG, Yongbin GUAN, Guang YANG, Wanying QIAO, Ding ZHOU, Jie ZHANG, Dongxin LI, Lili FAN, Yijun WANG, Jia WANG
    Chinese Journal of School Health. 2025, 46(3): 315-320.
    Objective

    To analyze the change trends in the body shape indicators and proportions of students in Harbin from 2010 to 2024, and to investigate ergonomic compatibility of functional dimensions of school desks and chairs with current student shape indicators, so as to provide a reference for revising furniture standards of desks and chairs.

    Methods

    Between September and November of both 2010 and 2024, a combination of convenience sampling and stratified cluster random sampling was conducted across three districts in Harbin, yielding samples of 6 590 and 6 252 students, respectively. Anthropometric shape indicators cluding height, sitting height, crus length, and thigh length-and their proportional changes were compared over the 15-year period. The 2024 data were compared with current standard functional dimensions of school furniture. The statistical analysis incorporated t-test and Mann-Whitney U test.

    Results

    From 2010 to 2024, average height increased by 1.8 cm for boys and 1.5 cm for girls; sitting height increased by 1.5 cm for both genders; crus length increased by 0.3 cm for boys and 0.4 cm for girls; and thigh length increased by 0.5 cm for both genders. The ratios of sitting height to height, and sitting height to leg length increased by less than 0.1. The difference between desk-chair height and 1/3 sitting height ranged from 0.4-0.8 cm. Among students matched with size 0 desks and chairs, 22.0% had a desk-to-chair height difference less than 0, indicating that the desk-to-chair height difference might be insufficient for taller students. The differences between seat height and fibular height ranged from -1.4 to 1.1 cm; and the differences between seat depth and buttock-popliteal length ranged from -9.8 to 3.4 cm. Among obese students, the differences between seat width and 1/2 hip circumference ranged from -20.5 to -8.7 cm, while it ranged from -12.2 to -3.8 cm among non-obese students.

    Conclusion

    Current furniture standards basically satisfy hygienic requirements; however, in the case of exceptionally tall and obese students, ergonomic accommodations such as adaptive seating allocation or personalized adjustments are recommended to meet hygienic requirements.

  • Tao XU, Chunyan LUO, Zhonghui LIU, Yan WANG, Dongling YANG, Shuangxiao QU, Wenjuan QI, Shenglei HUANG, Keyang ZHENG, Fengyun ZHANG
    Chinese Journal of School Health. 2025, 46(3): 321-324.
    Objective

    To understand the subjective and objective comfort evaluations of students from different age groups on desks and chairs, so as to provide reference for standardized allocation and use of desks and chairs.

    Methods

    From January to April 2024, a total of 2 446 students were selected from 26 schools in 13 districts (counties/cities) in Shanghai, Tianjin, and Wuxi from Jiangsu Province by using cluster random method, including students in kindergartens, primary schools, junior high schools, senior high schools, colleges and universities. Standardized procedures were used to measure the height and weight of participants, and the matching desks and chairs models were selected according to the height. The subjective comfort of students on matching desks and chairs was investigated, and their objective comfort was evaluated by using a self-designed questionnaire. The χ2 test was used to analyze the differences of subjective perception and objective evaluation in comfort between different types of desks and chairs.

    Results

    About 84.1% of the students subjectively thought that large desks and small chairs were very comfortable or relatively comfortable, followed by large desks and chairs (75.7%), and the proportion of small desks and chairs was the lowest among the three types (46.2%), and the difference was statistically significant (χ2=722.46, P < 0.01). The reporting rates of primary school, junior high school and senior high school students who subjectively considered large desks and chairs to be very comfortable/relatively comfortable were higher than that of other types of desks and chairs, and the differences were statistically significant (χ2=297.49, 252.82, 343.67, P < 0.01). However, there was no significant difference in the subjective comfort evaluation of different types of desks and chairs among kindergarten children (χ2=3.21, P > 0.05), and 66.3% of the students in colleges and universities felt very comfortable/relatively comfortable when they used the matching standard desks and chairs. The objective evaluation results of the comfort for the three types of desks and chairs were consistent with the subjective evaluation, but the proportions of the objective evaluation as very comfortable/relatively comfortable were higher than that of the subjective evaluation (χ2=20.76-813.47,P < 0.01).

    Conclusions

    Large desks and chairs, as well as large desks with small chairs are perceived comfortable, while small desks and chairs are perceived less comfortable. It is recommended to match the large desks and chairs or large desks and small chairs that are suitable for them according to the "standard", to promote physical and mental health of students.

  • Keyang ZHENG, Chunyan LUO, Shuangxiao QU, Zhonghui LIU, Yan WANG, Wenjuan QI, Shenglei HUANG, Dongling YANG, Fengyun ZHANG
    Chinese Journal of School Health. 2025, 46(3): 325-329.
    Objective

    To investigate the differences in the comfort of desks and chairs furniture among students with different body types according to the standard, so as to provide a reference for guiding students with overweight and obesity to choose the correct study furniture and revising the standards.

    Methods

    From January to April 2024, 2 443 students from 26 schools in 13 districts (counties/cities) in Shanghai, Tianjin, and Jiangsu Province were selected by the cluster random sampling method to conduct physical examination. The subjective and objective evaluations of the comfort of height-matched desks and chairs were investigated. The students were divided into non-overweight, overweight, and obesity groups according to relevant criteria, and stratified analysis was performed. The χ2 test was used to analyze differences in the comfort evaluations of desks and chairs among students with different body types.

    Results

    Among the 2 443 students surveyed, 16.7% and 12.6% were respectively classified as overweight and obese. All students assigned the highest comfort ratings to large desks and small chairs (84.1%), and consistency was observed between students' subjective and objective evaluations. The reporting rate of samll desks and chairs of obesity students' subjective evaluation was lower (36.8%) than that of overweight and non-overweight/obesity students (52.1%, 48.0%) (χ2=14.63, P < 0.01). The overweight and obese group of primary school students had a worse evaluation of the comfort of large desks and chairs and small desks and chairs than those of the non-overweight and obese groups(χ2=15.78, 7.63, P < 0.05). Among high school students, the overweight and obese group had worse evaluation of the comfort of large desks and chairs, as well as large desks and small chairs, than those of the non-overweight and obese groups(χ2=9.62, 11.77, P < 0.05). The objective evaluations revealed low compliance ratings on the posture of the thighs and calves for naturally forming an angle greater than 90° (55.6%), and headroom height under the table (50.3%) with small desks and chairs (χ2=94.05, 166.47, P < 0.05).

    Conclusions

    Compared with non-overweight/obese students, students with overweight and obese students report poor comfort evaluations of height-matched desks and chairs. Revision of the standard should consider the body types of students, and evaluations of the comfort of desks and chairs furniture by students with overweight and obesity should be improved.

  • Jiu CHEN, Peiyu LIU, Zhe KONG, Jun XIE
    Chinese Journal of School Health. 2025, 46(3): 330-334.
    Objective

    To explore the effects of different types of acute exercise on the working memory of sedentary college students, so as to provide a basis for exercise intervention.

    Methods

    From April 15 to May 30, 2023, a total of 42 sedentary college students were recruited from one university in Beijing. Using a single-blind, completely randomized experimental design, participants were randomly assigned to an open-skill exercise group, a closed-skill exercise group, or a control group, with 14 participants in each group. The open-skill exercise group engaged in 30 minutes of badminton, the closed-skill exercise group performed 30 minutes of running, and the control group remained seated for 30 minutes. All participants completed a 2-back working memory task and had their electroencephalogram (EEG) data recorded before and after the intervention.

    Results

    The accuracy rates of the open-skill exercise group, closed-skill exercise group, and control group (0.90±0.06, 0.94±0.05; 0.88±0.05, 0.94±0.05; 0.85±0.10, 0.90±0.06) showed a significant main effect of time (F=37.14, P < 0.01). Reaction times [(923.65±145.08, 711.56±140.93; 909.59±180.28, 807.85±169.66; 917.05±166.35, 871.86±186.07)ms] showed both a significant main effect of time and a significant interaction between group and time (F=70.55, 11.83, P < 0.01). Repeated measures ANOVA revealed that all three groups improved in accuracy and reaction time compared to pre-test values, with no significant difference in accuracy between groups. However, the reaction time of the open-skill exercise group was significantly faster than that of the control group (P < 0.05), while there was no significant difference between the closed-skill exercise group and the control group (P > 0.05). For EEG data, the P2 amplitude showed a significant main effect of time and a significant interaction between groups and time (F=10.60, 7.66, P < 0.01), with the open-skill exercise group exhibiting a higher P2 amplitude than the control group (P < 0.05), while the closed-skill exercise group showed no significant difference compared to the control group (P > 0.05). The N2 amplitude showed a significant main effect of time (F=5.94, P < 0.05). The P3 amplitude showed significant main effects of time and electrode position, as well as a significant interaction between groups and time (F=23.16, 4.53, 5.85, P < 0.05), with both exercise groups exhibiting higher P3 amplitudes than the control group (P < 0.05), but no significant difference between the two exercise groups (P > 0.05).

    Conclusion

    Open-skill exercise is more effective than closed-skill exercise in improving the working memory of sedentary college students.

  • Qianqian ZHOU, Peipei ZUO, Jigui TIAN, Anzhong WU, Hua GUO, Shu ZHU
    Chinese Journal of School Health. 2025, 46(3): 335-338.
    Objective

    To assess the awareness and associated factors of wild mushroom poisoning among students in Guizhou Province, so as to provide a scientific foundation for wild mushroom poisoning prevention and control among students.

    Methods

    By a multi-stage stratified cluster random sampling method, 1 162 students from Guizhou Province were selected in May 2024. The questionnaire survey was administered to evaluate knowledge regarding wild mushroom poisoning. Data were analyzed employing the χ2 test and Logistic regression model.

    Results

    Among the nine questions assessing awareness of wild mushroom poisoning, only three had the awareness rate exceeding 70%. Binary Logistic regression analysis revealed that students who "actively learn about the prevention of wild mushroom poisoning" (OR=0.48, 95%CI=0.26-0.92) and "spread knowledge about wild mushroom poisoning to others" (OR=0.47, 95%CI=0.33-0.69) scored higher on the wild mushroom poisoning knowledge questions (P < 0.05). Conversely, students with a habit of consuming wild mushrooms (OR=1.52, 95%CI=1.15-2.02) scored lower (P < 0.05). 42.3% of the students suggested that scientific dissemination and publicity about wild mushrooms should be intensified.

    Conclusions

    The awareness rate of wild mushroom poisoning knowledge among students in Guizhou Province requires further attention. Comprehensive knowledge should be disseminated systematically through various channels to further improve students' awareness of the prevention and control of wild mushroom poisoning.