Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE, USA.
Department of Physical Education, State University of New York at Cortland, Cortland, NY, USA.
Am J Health Promot. 2020 Jun;34(5):505-511. doi: 10.1177/0890117120915687. Epub 2020 Apr 1.
To compare the degree to which youth with and without chronic conditions in the United States met physical activity (PA), screen time, and sleep duration guidelines.
A cross-sectional study using data from the 2016 National Survey of Children's Health.
A total of 24 405 youth (aged 10-17 years) with and without 1 of 19 prevalent chronic health conditions who participated in the 2016 National Survey of Children's Health.
Parents reported on the time spent by their children in PA, screen time, and sleep.
Descriptive and bivariate analyses were conducted to estimate and compare health behavior guideline adherence rates among children with and without chronic conditions.
Overall, 18.7% of children with chronic conditions did not meet any health behavior guidelines compared to 15.6% of children without chronic conditions. Children with hearing impairments, diabetes, and depression were most likely to not meet any health behavior guidelines (27.9%, 25.4%, and 21.7%, respectively). Of the 3 guidelines, children with and without chronic conditions were least likely to meet the PA guideline (18.6% and 21%, respectively).
This study identifies specific groups of children with chronic conditions that are most at risk of not meeting health behavior guidelines. The findings highlight specific behaviors in most need of intervention for children with chronic conditions; PA was identified as the most frequently unmet guideline. Overall findings suggest a need for a more integrated, holistic view of health promotion for children with chronic conditions.
比较美国有无慢性病的青少年在达到身体活动、屏幕时间和睡眠时长指南方面的程度。
使用 2016 年全国儿童健康调查数据的横断面研究。
共有 24405 名患有或不患有 19 种常见慢性健康状况之一的 10-17 岁青少年参加了 2016 年全国儿童健康调查。
家长报告了孩子在身体活动、屏幕时间和睡眠方面的时间。
进行了描述性和双变量分析，以估计和比较有和无慢性病儿童的健康行为指南遵守率。
总体而言，18.7%的慢性病儿童没有达到任何健康行为指南，而无慢性病儿童为 15.6%。有听力障碍、糖尿病和抑郁症的儿童最不可能达到任何健康行为指南（分别为 27.9%、25.4%和 21.7%）。在这 3 个指南中，有和无慢性病儿童最不可能达到身体活动指南（分别为 18.6%和 21%）。
本研究确定了最不符合健康行为指南的慢性病儿童的特定群体。研究结果突出了慢性病儿童最需要干预的特定行为；身体活动被确定为最常未满足的指南。总体研究结果表明，需要对慢性病儿童的健康促进采取更综合、更全面的方法。
