CAJ | 학술논문

过去几十年,人们心理应激水平显著性增加,甚至儿童和青少年也报告出较高的心理应激水平,心理应激已成为人类身心疾病的重要诱因,如何有效缓冲心理应激对人类健康的危害已成为日前亟待解决的重要课题,体育锻炼对身心健康的积极作用是否能够调节心理应激对健康的危害？目的：为了探讨大学生体育锻炼水平在心理应激与健康之间的调节作用.方法：采用身体活动记忆量表,中国大学生心理应激量表和疾病严重性等级量表,对405名在校大学生体育锻炼、心理应激水平和健康状况进行评估,体育锻炼水平的界定根据身体活动记忆量表的测量结果折算成代谢当量.采用纵向研究设计,追踪测量持续1年时间,每3个月测量一次,采用层次线性模型分析评估数据.结果显示,基线测量时的疾病状况与心理应激呈显著正相关（r=0.26,P＜0.05）,体育锻炼与疾病状况（r=0.06,P＞0.01）以及体育锻炼与心理应激之间相关性不显著（r=-0.04,P＞0.01）.多层线性模型分析表明,心理应激（β=0.23,P＜0.01）和体育锻炼（β=1,54,P＜0.01）对疾病发生状况预测作用显著,体育锻炼水平与心理应激的交互作用显著（β=0.05,P＜0.05）.结论：体育锻炼在心理应激和疾病的发生之间起调节作用,能够减缓心理应激对健康的负面作用.
과거궤십년,인문심리응격수평현저성증가,심지인동화청소년야보고출교고적심리응격수평,심리응격이성위인류신심질병적중요유인,여하유효완충심리응격대인류건강적위해이성위일전극대해결적중요과제,체육단련대신심건강적적겁작용시부능구조절심리응격대건강적위해？목적：위료탐토대학생체육단련수평재심리응격여건강지간적조절작용.방법：채용신체활동기억량표,중국대학생심리응격량표화질병엄중성등급량표,대405명재교대학생체육단련、심리응격수평화건강상황진행평고,체육단련수평적계정근거신체활동기억량표적측량결과절산성대사당량.채용종향연구설계,추종측량지속1년시간,매3개월측량일차,채용층차선성모형분석평고수거.결과현시,기선측량시적질병상황여심리응격정현저정상관（r=0.26,P＜0.05）,체육단련여질병상황（r=0.06,P＞0.01）이급체육단련여심리응격지간상관성불현저（r=-0.04,P＞0.01）.다층선성모형분석표명,심리응격（β=0.23,P＜0.01）화체육단련（β=1,54,P＜0.01）대질병발생상황예측작용현저,체육단련수평여심리응격적교호작용현저（β=0.05,P＜0.05）.결론：체육단련재심리응격화질병적발생지간기조절작용,능구감완심리응격대건강적부면작용.
In past several decades, people were perplexed with psychological stress, even children and adolescent were reported high stress. Whether exer- cise can moderate health problems exerted by psychological stress is not clear？ The objective of this study is to explore the interaction effects between exercise and psychological stress in predicting health among college students. Adolescent Physical Activity Recall Questionnaire, China College Student Psychological Stress Scale, and Seriousness of Illness Rating Scale were used to measure exercise, psychological stress level and health respectively for 4 times in lyear lon- gitude study. Exercise level was calculated into metabolic equivalent of energy. Result showed that the baseline illness level had significant positive relation- ship with psychological stress （r=-0.26, P〈0.05）, while there was no correlation between exercise and illness （r=-0.06, P〉0.01） or psychological stress （r=-0.04, P〉 0.01 ）. Hierarchical linear model analysis indicated that psychological stress （β=0.23, P〈0.01 ） and exercise （β=1.54, P〈0.01 ） can predict illness. Meanwhile the interaction effects between exercise and psychological was also significant （β=0.05, P〈0.05 ）. Exercise may play as a moderator between psychological stress and illness to buffer the negative effects that is exerted by psychological stress on health.