School of Psycho-Education, University of Montreal, Montreal, Quebec.
School Environment Research Group, University of Montreal, Montreal, Quebec.
J Dev Behav Pediatr. 2022 Apr 1;43(3):159-167. doi: 10.1097/DBP.0000000000001005. Epub 2021 Sep 23.
This prospective longitudinal study assesses the reciprocal relationship between physical activity, including sport participation, and depressive and anxiety symptoms, conceptualized as emotional distress, over time.
Boys and girls are from the Quebec Longitudinal Study of Child Development birth cohort (N = 1428). Trajectories of emotional distress symptoms from ages 6 to 10 years, assessed by teachers, were generated using latent class analysis. Multinomial logistic regression analyses examined sport participation at age 5 years, measured by parents, as a predictor of emotional distress trajectory outcomes. Analyses of covariance compared physical activity, measured by children at age 12 years, across different trajectories of emotional distress.
We identified 3 emotional distress trajectories: "low" (77%), "increasing" (12%), and "declining" (11%). Boys who never participated in sport at age 5 years were more likely to be in the "increasing" (adjusted odds ratio [OR] = 1.63, 95% confidence interval [CI] = 1.01-2.63) or "declining" (adjusted OR = 2.19, 95% CI = 1.28-3.75) emotional distress trajectories compared with boys who participated in any sporting activity. Furthermore, boys in the "low" emotional distress trajectory demonstrated better physical activity outcomes at age 12 years (F(2, 1438) = 6.04, p < 0.05). These results, exclusively for boys, are above and beyond pre-existing individual and family factors.
This study supports the relevance of enhancing current public health strategies to understand and promote physical activity and emotional adjustment in early childhood to achieve better a more active lifestyle and overall health across development. We underscore male needs for physical activity for health promotion.
本前瞻性纵向研究评估了体育活动（包括运动参与）与抑郁和焦虑症状（即情绪困扰）之间的相互关系，这些症状随时间推移而发展。
男孩和女孩均来自魁北克儿童发展纵向研究出生队列（N=1428）。使用潜在类别分析生成了从 6 岁到 10 岁由教师评估的情绪困扰症状轨迹。多变量逻辑回归分析考察了父母在 5 岁时测量的运动参与情况作为情绪困扰轨迹结果的预测因素。协方差分析比较了在不同情绪困扰轨迹中儿童在 12 岁时测量的身体活动情况。
我们确定了 3 种情绪困扰轨迹：“低”（77%）、“增加”（12%）和“下降”（11%）。从未在 5 岁时参加过运动的男孩更有可能处于“增加”（调整后的优势比[OR] = 1.63，95%置信区间[CI] = 1.01-2.63）或“下降”（调整后的 OR = 2.19，95% CI = 1.28-3.75）情绪困扰轨迹中，而参加过任何运动的男孩。此外，处于“低”情绪困扰轨迹的男孩在 12 岁时表现出更好的身体活动结果（F（2，1438）=6.04，p<0.05）。这些结果仅适用于男孩，超出了现有个体和家庭因素的影响。
本研究支持增强当前公共卫生策略的相关性，以了解和促进儿童早期的身体活动和情绪调整，从而在整个发展过程中实现更积极的生活方式和整体健康。我们强调男性对促进健康的身体活动的需求。
