PDF(Pubmed)
Abstract：
To examine the relationship between regional socioeconomic deprivation and adherence to the 24-h movement guidelines among children and adolescents, a cross-sectional study was conducted. A total of 17,433 students aged 9-17 participated in a survey in winter 2021/2022. Daily screen time (ST), moderate-to-vigorous physical activity (MVPA), and sleep behavior were outcome variables. The German Index of Socioeconomic Deprivation (GISD), a regional socioeconomic objective measure, was the exposure variable. Associations between GISD and health behaviors were examined using regression models. Models were adjusted for age, gender, school type, and individual self-reported socioeconomic status (SES). The proportions of meeting the MVPA, ST, and sleep duration guidelines were 14%, 22%, and 34%, respectively. A total of 2.3% met all guidelines. Students from the most deprived communities were half as likely to meet all three guidelines compared to students from the most affluent regions (OR = 0.49 [0.28; -0.03], p = 0.010). There was a consistent relationship between GISD and lower levels of adherence to screen time guidelines (most deprived compared to most affluent: OR = 0.49 [0.38; 0.64], p < 0.001). There was no association between GISD and adherence to sleep time guidelines. We found mixed results for the association between GISD and MVPA. Regional SES appears to be an important factor associated with screen time. Screen time should be limited through intervention programs, especially in disadvantaged areas. Parents should be made aware of their children\'s increased media consumption. Recommendations for screen time should be clearly communicated, as should the health disadvantages of increased media consumption in childhood and adolescence.
摘要：
研究区域社会经济剥夺与儿童和青少年遵守24小时运动指南之间的关系，进行了横断面研究.共有17,433名9-17岁的学生参加了2021/2022年冬季的调查。每日屏幕时间（ST），中等至剧烈的身体活动（MVPA），睡眠行为是结果变量。德国社会经济剥夺指数(GISD)区域社会经济客观衡量标准，是曝光变量。使用回归模型检查了GISD与健康行为之间的关联。模型根据年龄进行了调整，性别,学校类型,和个人自我报告的社会经济地位(SES)。满足MVPA的比例，ST,睡眠持续时间指南为14%，22%,34%,分别。总共2.3%符合所有准则。与来自最富裕地区的学生相比，来自最贫困社区的学生满足所有三个准则的可能性只有一半（OR=0.49[0.28;-0.03]，p=0.010)。GISD与较低水平的屏幕时间指南依从性之间存在一致的关系（与最富裕相比，最贫困：OR=0.49[0.38;0.64]，p<0.001)。GISD与遵守睡眠时间指南之间没有关联。我们发现GISD和MVPA之间的关联结果好坏参半。区域SES似乎是与屏幕时间相关的重要因素。屏幕时间应该通过干预计划来限制，特别是在贫困地区。父母应该意识到他们孩子的媒体消费增加。屏幕时间的建议应明确传达，儿童和青少年时期媒体消费增加对健康的不利影响也是如此。
