Abstract：
BACKGROUND: Youth with disabilities are five times more likely to experience anxiety or depression than peers without disabilities. Engagement in sufficient daily physical activity (PA), adequate nightly sleep, and limited daily screen time (collectively known as 24-h movement guidelines) is associated with lower odds of anxiety and depression for peers without disabilities. Extending the investigation of these modifiable behaviors to youth with disabilities is warranted.
OBJECTIVE: To estimate the association between meeting 24-h movement guidelines and anxiety and depression among a nationally representative sample of youth with disabilities.
METHODS: A cross-sectional secondary analysis of the 2019-2020 NSCH was conducted and included youth 6-17 years old who were currently receiving special education services. Weighted prevalence estimates and logistic regressions were employed to estimate the association between meeting guidelines (separately and combined) and current anxiety or depression status.
RESULTS: Compared to youth with disabilities who met the guideline, those not meeting the sleep or screen time guidelines, independently, had significantly higher odds of depression, or anxiety (aOR range 1.53, 2.31 respectively). Comparable odds were observed between those meeting the PA guidelines, alone or in combination, and those meeting none of the 24-h movement guidelines.
CONCLUSIONS: Adequate nightly sleep, and limited screen time, were significantly associated with anxiety and depression among youth with disabilities, a pattern consistent to peers without disabilities. Yet, meeting more than one guideline did not further reduce odds of poor mental health, warranting further investigation of compounding benefits of the 24-h guidelines within this population.
OBJECTIVE: To estimate the association between meeting 24-h movement guidelines and anxiety and depression among a nationally representative sample of youth with disabilities.
METHODS: A cross-sectional secondary analysis of the 2019-2020 NSCH was conducted and included youth 6-17 years old who were currently receiving special education services. Weighted prevalence estimates and logistic regressions were employed to estimate the association between meeting guidelines (separately and combined) and current anxiety or depression status.
RESULTS: Compared to youth with disabilities who met the guideline, those not meeting the sleep or screen time guidelines, independently, had significantly higher odds of depression, or anxiety (aOR range 1.53, 2.31 respectively). Comparable odds were observed between those meeting the PA guidelines, alone or in combination, and those meeting none of the 24-h movement guidelines.
CONCLUSIONS: Adequate nightly sleep, and limited screen time, were significantly associated with anxiety and depression among youth with disabilities, a pattern consistent to peers without disabilities. Yet, meeting more than one guideline did not further reduce odds of poor mental health, warranting further investigation of compounding benefits of the 24-h guidelines within this population.
摘要：
背景：残疾青年焦虑或抑郁的可能性是没有残疾的同龄人的五倍。参与足够的日常体力活动（PA），充足的夜间睡眠，有限的每日屏幕时间（统称为24小时运动指南）与无残疾同龄人的焦虑和抑郁几率较低相关。有必要将这些可修改行为的调查扩展到残疾青年。
目的：在全国有代表性的残疾青年样本中，评估符合24小时运动指南与焦虑和抑郁之间的关联。
方法：对2019-2020年NSCH进行了横断面二次分析，包括目前正在接受特殊教育服务的6-17岁青年。加权患病率估计和逻辑回归用于估计会议指南（单独和组合）与当前焦虑或抑郁状态之间的关联。
结果：与符合指南的残疾青年相比，那些不符合睡眠或屏幕时间指南的人，独立,患抑郁症的几率明显更高，或焦虑（AOR范围分别为1.53，2.31）。在符合PA指南的人之间观察到了可比的几率，单独或组合，和那些不符合24小时运动指南的人。
结论：每晚充足的睡眠，和有限的屏幕时间，与残疾青年的焦虑和抑郁显著相关，一种与无残疾同龄人一致的模式。然而，满足一个以上的指导方针并没有进一步降低心理健康不良的可能性，有必要进一步调查该人群中24小时指南的复合益处。
目的：在全国有代表性的残疾青年样本中，评估符合24小时运动指南与焦虑和抑郁之间的关联。
方法：对2019-2020年NSCH进行了横断面二次分析，包括目前正在接受特殊教育服务的6-17岁青年。加权患病率估计和逻辑回归用于估计会议指南（单独和组合）与当前焦虑或抑郁状态之间的关联。
结果：与符合指南的残疾青年相比，那些不符合睡眠或屏幕时间指南的人，独立,患抑郁症的几率明显更高，或焦虑（AOR范围分别为1.53，2.31）。在符合PA指南的人之间观察到了可比的几率，单独或组合，和那些不符合24小时运动指南的人。
结论：每晚充足的睡眠，和有限的屏幕时间，与残疾青年的焦虑和抑郁显著相关，一种与无残疾同龄人一致的模式。然而，满足一个以上的指导方针并没有进一步降低心理健康不良的可能性，有必要进一步调查该人群中24小时指南的复合益处。
