Centre for Active Living and Learning, University of Newcastle, Callaghan, New South Wales, Australia.
School of Education, College of Human and Social Futures, University of Newcastle, Callaghan, New South Wales, Australia.
Child Care Health Dev. 2024 Jan;50(1):e13191. doi: 10.1111/cch.13191. Epub 2023 Oct 30.
Emerging evidence suggests that meeting the 24-h movement guidelines is associated with optimal mental health. However, there remains some uncertainty regarding this association in children. Therefore, this study aimed to examine the association between meeting the 24-h movement guidelines and psychosocial health in children.
A cross-sectional study design was employed to investigate 2005 children aged 9-12 years from four districts of Shanghai, China. The 24-h movement behaviours were assessed using selected items from the Health Behaviour in School-aged Children (HBSC) survey questionnaire. Children's self-rated psychosocial health was evaluated using the Strengths or Difficulties Questionnaire (SDQ). Generalised Linear Models with the ordinal logistic module were employed to analyse the association between meeting the 24-h movement guidelines and psychosocial health.
The overall prevalence of meeting all three 24-h movement recommendations was 10.2%. Among children, 7.9% of them exhibited abnormal total difficulties, with a notable difference between sex (boys: 11.2%, girls: 7.0%, p = 0.001). Meeting all three 24-h movement behaviour recommendations was associated with reduced total difficulties, emotional symptoms, conduct problems, hyperactivity and peer problems. Furthermore, a dose-response association was observed, indicating that meeting a greater number of 24-h movement behaviour recommendations was associated with enhanced psychosocial health, particularly in boys.
The findings of this study highlight the positive association between meeting the 24-h movement guidelines and psychosocial health in children. Notably, meeting more of these recommendations was associated with a lower likelihood of experiencing psychosocial problems, with greater benefits observed in boys compared with girls.
新出现的证据表明，遵循 24 小时运动指南与最佳心理健康相关。然而，儿童中这种关联仍存在一些不确定性。因此，本研究旨在研究儿童遵循 24 小时运动指南与心理社会健康之间的关系。
采用横断面研究设计，调查了来自中国上海四个区的 2005 名 9-12 岁儿童。使用健康行为在学龄儿童（HBSC）调查问卷中的选定项目评估 24 小时运动行为。使用长处和困难问卷（SDQ）评估儿童的自我报告心理社会健康。使用广义线性模型和有序逻辑模块分析遵循 24 小时运动指南与心理社会健康之间的关系。
总体上，满足所有三项 24 小时运动建议的比例为 10.2%。在儿童中，有 7.9%的人表现出异常的总困难，性别之间存在显著差异（男孩：11.2%，女孩：7.0%，p=0.001）。满足所有三项 24 小时运动行为建议与减少总困难、情绪症状、行为问题、多动和同伴问题有关。此外，还观察到剂量反应关系，表明满足更多 24 小时运动行为建议与更好的心理社会健康相关，尤其是在男孩中。
本研究结果强调了儿童遵循 24 小时运动指南与心理社会健康之间的积极关联。值得注意的是，满足这些建议的更多建议与心理社会问题的可能性降低相关，与女孩相比，男孩的益处更大。
