背景:24小时运动行为(24-HMB)指南建议,充足睡眠(SL)的整合,增加体力活动(PA),和有限的屏幕时间(ST)具有一般的健康益处。然而,在肥胖/超重青年中,满足综合指南与学术参与和社会情绪功能的关联尚未得到充分研究。因此,我们的目的是调查符合24-HMB指南与上述结局指标之间的相关性.
方法:在这项横断面研究中,纳入了从全国儿童健康调查(NSCH)中检索的2800名儿童和青少年(6-17岁的青年)进行数据分析。兴趣的暴露包括遵守24-HMB指南,而学术投入和社会情绪功能的指标是可操作的。此外,在调整包括年龄在内的社会人口统计学变量的同时进行多元逻辑回归,性别,种族,家庭收入,父母的教育水平和心理健康状况。
结果:满足24-HMB指南的百分比在不同组合中差异很大:1399名参与者(49.96%)满足3个指南中的1个,580名参与者(20.91%)符合2条准则,而只有91名参与者(2.94%)符合所有3项指南。满足综合指南有选择地与较高的指标几率相关(显示对学习的兴趣/好奇心,关心学校的表现,并完成所有必需的作业)的学术参与。此外,符合SL+ST指南(OR=0.52,95CI:0.29-0.93,p<00.05)与注意力严重困难的较低几率相关,记住,做决定,而符合ST+SL指南(OR=1.67,95CI:1.03-2.69,p<00.05)更有可能善于建立和保持友谊。此外,满足所有3个指南与较少的争论行为(OR=0.58,95CI:0.33-0.99,p<00.05)和较高的弹性水平(OR=3.51,95CI:1.88-6.54,p<00.01)相关,而符合任何两个综合指南与较高的弹性水平相关(OR=1.72,95CI:1.09-2.71,p<00.05).
结论:研究结果表明满足24-HMB指南的作用,特别是肥胖/超重青少年健康发展的综合指南。政策制定者应该为这个独特的群体实施一项长期计划,以从事体育活动,达到足够的睡眠,限制屏幕时间。
BACKGROUND: The 24-h movement behavior (24-HMB) guidelines suggest that the integration of adequate sleep (SL), increased physical activity (PA), and limited screen time (ST) has general health benefits. However, associations of meeting integrated guidelines with academic engagement and social-emotional functioning among obese/overweight youth have yet to be fully examined. Thus, we aimed to investigate the associations between meeting 24-HMB guidelines and the above-presented outcome measures among this unique group.
METHODS: In this cross-sectional study, 2800 children and adolescents (youth aged 6-17 years old) that were retrieved from the National Survey of Children\'s Health (NSCH) were included for data analysis. Exposure of interests included adherence to 24-HMB
guideline(s), while indicators of academic engagement and social-emotional functioning were operationalized. Furthermore, multiple logistic regression was conducted while adjusting for social-demographic variables including age, sex, ethnicity, household income, parental education level and mental health status.
RESULTS: The percentages of meeting 24-HMB guidelines varied greatly across different combinations: 1399 participants (49.96 %) met 1 of the 3
guidelines, 580 participants (20.91 %) met 2
guidelines, while only 91 participants (2.94 %) met all 3
guidelines. Meeting integrated guidelines was selectively associated with higher odds of indicators (showing interest/curiosity in learning, caring about school performance, and completing all required homework) of academic engagement. Additionally, Meeting SL + ST
guideline (OR = 0.52, 95%CI: 0.29-0.93, p < 00.05) was associated with lower odds of serious difficulty in concentrating, remembering, and making decisions, while meeting ST + SL
guideline (OR = 1.67, 95%CI: 1.03-2.69, p < 00.05) was more likely to be good at making and keeping friendships. Furthermore, meeting all 3 guidelines was associated with less argumentative behaviors (OR = 0.58, 95%CI: 0.33-0.99, p < 00.05) and a higher level of resilience (OR = 3.51, 95%CI: 1.88-6.54, p < 00.01), while meeting any two integrated guidelines was associated with a higher level of resilience (OR = 1.72, 95%CI: 1.09-2.71, p < 00.05).
CONCLUSIONS: Findings have indicated the role of meeting 24-HMB guidelines, especially integrated guidelines in the healthy development of obese/overweight youth. Policymakers should implement a long-term plan for this unique group to engage in physical activity, achieve enough sleep, and limit screen time.