Zhu Na, Guo Hongzhi, Ma Dongmei, Wang Qiang, Ma Jiameng, Kim Hyunshik
Department of Sports, Shenyang Ligong University, Shenyang 110159, China.
Graduate School of Human Sciences, Waseda University, Tokorozawa 3591192, Japan.
Children (Basel). 2023 Jun 30;10(7):1146. doi: 10.3390/children10071146.
This study examined the relationship between adherence to 24 h movement guidelines (24 h MGs) and internalising and externalising behavioural problems in Chinese children aged 3-6 years, with a specific focus on the differences between weekdays and weekends. The guidelines include recommendations for physical activity (PA), screen time (ST), and sleep duration (SD). The results indicated a stronger association between adherence to these guidelines and behavioural problems on weekends compared to weekdays. Specifically, the odds of experiencing internalising problems were 1.33 higher (95% CI: 1.05-1.69) when not satisfying all three behaviours compared to not satisfying one or two. Moreover, on weekends, when ST was not fulfilled, there was a higher likelihood of externalising behaviour problems compared to when it was fulfilled (OR, 1.18, 95% CI, 1.01-1.38), and when all three behaviours were not met, the likelihood was even higher (OR, 1.50, 95% CI, 1.04-2.18). Children who met all three guidelines had fewer internalising and externalising behavioural problems, suggesting a potential beneficial effect on mental health. The study revealed that a higher adherence to these recommendations corresponded to a lower risk of mental health problems. Additionally, higher screen time was linked to an increase in externalising behavioural issues. These findings underscore the importance of adherence to 24 h MGs for optimal mental health in children. Future interventions should consider these behavioural factors and incorporate strategies to promote adherence to these guidelines, particularly on weekends.
本研究调查了3至6岁中国儿童遵守24小时运动指南（24 h MGs）与内化和外化行为问题之间的关系，特别关注工作日和周末的差异。这些指南包括身体活动（PA）、屏幕时间（ST）和睡眠时间（SD）的建议。结果表明，与工作日相比，周末遵守这些指南与行为问题之间的关联更强。具体而言，与不满足一种或两种行为相比，不满足所有三种行为时出现内化问题的几率高出1.33倍（95%CI：1.05-1.69）。此外，在周末，当屏幕时间未得到满足时，与得到满足时相比，出现外化行为问题的可能性更高（OR，1.18，95%CI，1.01-1.38），而当所有三种行为都未得到满足时，可能性更高（OR，1.50，95%CI，1.04-2.18）。遵守所有三项指南的儿童内化和外化行为问题较少，这表明对心理健康有潜在的有益影响。该研究表明，更高程度地遵守这些建议对应着更低的心理健康问题风险。此外，屏幕时间越长，外化行为问题增加。这些发现强调了遵守24小时运动指南对儿童最佳心理健康的重要性。未来的干预措施应考虑这些行为因素，并纳入促进遵守这些指南的策略，特别是在周末。
