SPORTS PARTICIPATION ASSOCIATED WITH HEALTH RISK BEHAVIORS IN ADOLESCENT ATHLETES

ABSTRACT Introduction Participation in structured sports activities is essential for the health of adolescents, since adolescence is a period in which several physical, psychological, cognitive and social changes occur, where the sense of autonomy in decision-making may prompt them to adhere to certain health risk behaviors. Objective To verify the association of sports participation with health risk behaviors in adolescent athletes. Methods A cross-sectional study with 367 athletes (15.68 ± 0.78 years) from Curitiba/PR (state of Paraná). Associated factors and health risk behaviors (HRB) were assessed using questionnaires. Poisson regression with robust variance was used to analyze factors associated with HRB, adopting p <0.05. Results Team sport was positively associated with longer TV viewing time (PR: 3.11; 95% CI: 1.13-8.58). Years of participation were positively associated with longer TV viewing (PR: 1.14, 95% CI: 1.01-1.29) and video game playing time (PR: 1.12, 95% CI: 1.01-1.25). Negative associations were found for weekly training volume in longer video game playing time (OR: 0.92, 95% CI: 0.86-0.99), low vegetable consumption (PR: 0.98, 95% CI: 0.96-0.99), and in light (PR: 0.95, 95%CI: 0.92-0.99) and excessive (PR: 0.94, 95%CI: 0.89-0.99) alcoholic consumption. Conclusion The weekly training volume favors a reduction in video game playing time, lower alcohol consumption, and increased vegetable consumption in adolescent athletes. Level of Evidence III; Diagnostic studies - Investigation of a diagnostic test; Study of non-consecutive patients, without a “gold standard” applied uniformly.

【摘要】
引言
参与结构化体育活动对青少年健康至关重要，因为青春期是个体经历多项生理、心理、认知与社会层面变化的阶段，此时决策自主意识可能促使青少年出现部分健康风险行为（health risk behaviors, HRB）。
目的
本研究旨在探讨青少年运动员的体育参与情况与健康风险行为之间的关联。
方法
本研究为横断面研究，纳入来自巴西巴拉那州库里蒂巴市的367名青少年运动员（年龄15.68±0.78岁）。通过问卷评估相关影响因素及健康风险行为（HRB）。采用稳健方差泊松回归分析与HRB相关的影响因素，检验水准设定为p<0.05。
结果
参与团体项目体育活动与更长的看电视时长呈正相关（相对危险度PR=3.11；95%置信区间CI：1.13~8.58）；体育参与年限与更长的看电视时长（PR=1.14，95%CI：1.01~1.29）及电子游戏时长（PR=1.12，95%CI：1.01~1.25）呈正相关。周训练量与更长的电子游戏时长（比值比OR=0.92，95%CI：0.86~0.99）、较低的蔬菜摄入量（PR=0.98，95%CI：0.96~0.99）、轻度饮酒（PR=0.95，95%CI：0.92~0.99）及过量饮酒（PR=0.94，95%CI：0.89~0.99）呈负相关。
结论
周训练量可降低青少年运动员的电子游戏时长，减少饮酒量，并提升蔬菜摄入量。
证据等级III级；诊断性研究——诊断试验调查；非连续性患者研究，未统一应用"金标准"