J Phys Act Health. 2021 Sep 21;18(11):1325-1331. doi: 10.1123/jpah.2021-0282.
Research has established beneficial associations between 24-hour movement guideline adherence and several health outcomes in typically developing (TD) children, but these relationships are poorly understood in children with neurodevelopmental disorders (NDD). This study examined (1) 24-hour movement guideline adherence, (2) the influence of disability severity, and (3) associations between guideline adherence and health outcomes of TD children and children with NDD.
This cross-sectional study used data from the 2018 and 2019 cycles of the US National Survey of Children's Health. Parental/caregiver reports of movement behaviors (physical activity, screen time, and sleep), disability severity (limitations to daily activities), and health outcomes (general health status, anxiety, and depression) were provided for 8554 children with NDD and 19,669 TD children aged 6-17 years.
Children with NDD had significantly lower odds of meeting each movement behavior guideline compared to TD children; these effects were most pronounced for those who experienced consistent limitations to daily activities. Meeting at least 2 guidelines significantly lowered the odds for anxiety and depression, and increased the odds for better general health for children with NDD.
These findings suggest that degree of disability severity has a strong influence on adherence to 24-hour movement guidelines among children with NDD.
研究已经确定，在典型发育（TD）儿童中，遵守 24 小时运动指南与多项健康结果之间存在有益关联，但在神经发育障碍（NDD）儿童中，这些关联尚未得到充分理解。本研究旨在检验以下内容：（1）24 小时运动指南的遵守情况，（2）残疾严重程度的影响，以及（3）TD 儿童和 NDD 儿童遵守指南与健康结果之间的关联。
本横断面研究使用了美国国家儿童健康调查 2018 年和 2019 年周期的数据。家长/照顾者报告了运动行为（体力活动、屏幕时间和睡眠）、残疾严重程度（日常活动受限）和健康结果（一般健康状况、焦虑和抑郁），涉及 8554 名患有 NDD 的儿童和 19669 名 6-17 岁的 TD 儿童。
与 TD 儿童相比，患有 NDD 的儿童遵守每项运动行为指南的可能性明显较低；对于那些日常活动受限持续存在的儿童，这种影响更为明显。至少遵守 2 项指南显著降低了 NDD 儿童焦虑和抑郁的可能性，同时增加了他们一般健康状况良好的可能性。
这些发现表明，残疾严重程度对 NDD 儿童遵守 24 小时运动指南具有很强的影响。
