School of Public Health and Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Department of Nutrition and Food Safety, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, Zhejiang, China.
J Psychosom Res. 2024 Jan;176:111544. doi: 10.1016/j.jpsychores.2023.111544. Epub 2023 Nov 8.
To examine the association between meeting the Canadian 24-Hour Movement Guidelines and physical-mental comorbidity among children and adolescents in a cross-sectional study.
A total of 21,061 students aged 11-17 years from Zhejiang Province, China was recruited in the study. We examined the coexistence of five specific physical illnesses - hypertension, high myopia, dental caries, scoliosis, and obesity - with mental illness, specifically depressive symptoms. Generalized linear mixed models were performed to assess the association between overall and specific combinations of movement guidelines and physical-mental comorbidity, presented by odds ratio (OR) and 95% confidence interval (CI). Population attributable fraction (PAF) was calculated to estimate the preventable proportion of comorbid cases via meeting all three movement recommendations.
Of the included participants, 19.3% had physical-mental comorbidity. There were 3.8% and 17.0% meeting all three and none of the recommendations, respectively. Meeting at least one recommendation, except for moderate-to-vigorous physical activity recommendation only, was associated with a lower risk of physical-mental comorbidity, with ORs (95% CIs) ranging from 0.72 (0.66-0.79) to 0.40 (0.31-0.51). Meeting more recommendations was associated with decreased comorbid risks, and the association was stronger in 4th-6th graders. The association between specific combinations of recommendations and comorbid risks showed differences by gender and grade. Of the comorbid cases, 42.1% were attributed to not adhering to all three recommendations, and the PAFs varied from 27.4% to 55.7% across different genders and grades.
Adherence to the 24-h movement guidelines was associated with lower risks of physical-mental comorbidity among children and adolescents.
通过横断面研究，考察儿童和青少年满足加拿大 24 小时运动指南与身心共病之间的关联。
共纳入中国浙江省 21061 名 11-17 岁的学生。我们检查了五种特定的身体疾病（高血压、高度近视、龋齿、脊柱侧凸和肥胖症）与精神疾病（特别是抑郁症状）共存的情况。使用广义线性混合模型评估了总体运动指南和特定运动指南组合与身心共病之间的关联，结果表示为比值比（OR）和 95%置信区间（CI）。计算人群归因分数（PAF）以估计通过满足所有三项运动建议来预防共病病例的比例。
在纳入的参与者中，19.3%存在身心共病。分别有 3.8%和 17.0%的人满足了所有三项和没有一项建议。除了仅满足中等到剧烈体力活动建议外，满足至少一项建议与身心共病风险降低相关，比值比（95%CI）范围为 0.72（0.66-0.79）至 0.40（0.31-0.51）。满足更多的建议与降低共病风险相关，这种关联在 4-6 年级学生中更强。建议的具体组合与共病风险之间的关联因性别和年级而异。在共病病例中，有 42.1%归因于未遵守所有三项建议，且不同性别和年级的人群归因分数在 27.4%至 55.7%之间变化。
遵守 24 小时运动指南与儿童和青少年身心共病风险降低相关。
