Institute of Physical Education and Training, Capital University of Physical Education and Sports, 100191, Beijing, China.
Body-Brain-Mind Laboratory, School of Psychology, Shenzhen University, 518060, Guangdong, China.
Complement Ther Clin Pract. 2024 Aug;56:101863. doi: 10.1016/j.ctcp.2024.101863. Epub 2024 May 28.
The 24-h movement behavior (24-HMB) guidelines suggest that the integration of adequate sleep (SL), increased physical activity (PA), and limited screen time (ST) has general health benefits. However, associations of meeting integrated guidelines with academic engagement and social-emotional functioning among obese/overweight youth have yet to be fully examined. Thus, we aimed to investigate the associations between meeting 24-HMB guidelines and the above-presented outcome measures among this unique group.
In this cross-sectional study, 2800 children and adolescents (youth aged 6-17 years old) that were retrieved from the National Survey of Children's Health (NSCH) were included for data analysis. Exposure of interests included adherence to 24-HMB guideline(s), while indicators of academic engagement and social-emotional functioning were operationalized. Furthermore, multiple logistic regression was conducted while adjusting for social-demographic variables including age, sex, ethnicity, household income, parental education level and mental health status.
The percentages of meeting 24-HMB guidelines varied greatly across different combinations: 1399 participants (49.96 %) met 1 of the 3 guidelines, 580 participants (20.91 %) met 2 guidelines, while only 91 participants (2.94 %) met all 3 guidelines. Meeting integrated guidelines was selectively associated with higher odds of indicators (showing interest/curiosity in learning, caring about school performance, and completing all required homework) of academic engagement. Additionally, Meeting SL + ST guideline (OR = 0.52, 95%CI: 0.29-0.93, p < 00.05) was associated with lower odds of serious difficulty in concentrating, remembering, and making decisions, while meeting ST + SL guideline (OR = 1.67, 95%CI: 1.03-2.69, p < 00.05) was more likely to be good at making and keeping friendships. Furthermore, meeting all 3 guidelines was associated with less argumentative behaviors (OR = 0.58, 95%CI: 0.33-0.99, p < 00.05) and a higher level of resilience (OR = 3.51, 95%CI: 1.88-6.54, p < 00.01), while meeting any two integrated guidelines was associated with a higher level of resilience (OR = 1.72, 95%CI: 1.09-2.71, p < 00.05).
Findings have indicated the role of meeting 24-HMB guidelines, especially integrated guidelines in the healthy development of obese/overweight youth. Policymakers should implement a long-term plan for this unique group to engage in physical activity, achieve enough sleep, and limit screen time.
24 小时运动行为（24-HMB）指南建议，将充足的睡眠（SL）、增加身体活动（PA）和限制屏幕时间（ST）相结合，对整体健康有益。然而，肥胖/超重青少年满足综合指南与学业参与度和社会情感功能之间的关联尚未得到充分研究。因此，我们旨在研究满足 24-HMB 指南与该特殊群体的上述结果指标之间的关联。
在这项横断面研究中，从全国儿童健康调查（NSCH）中纳入了 2800 名儿童和青少年（年龄在 6-17 岁之间）进行数据分析。感兴趣的暴露因素包括遵守 24-HMB 指南（s），而学业参与度和社会情感功能的指标则被操作化。此外，在调整社会人口统计学变量（包括年龄、性别、种族、家庭收入、父母教育水平和心理健康状况）后，进行了多项逻辑回归分析。
满足 24-HMB 指南的百分比在不同组合中差异很大：1399 名参与者（49.96%）满足 3 项指南中的 1 项，580 名参与者（20.91%）满足 2 项指南，而只有 91 名参与者（2.94%）满足 3 项指南。满足综合指南与更高的学业参与度指标（表现出对学习的兴趣/好奇心、关心学业成绩和完成所有要求的作业）相关。此外，满足 SL+ST 指南（OR=0.52，95%CI：0.29-0.93，p<00.05）与注意力集中、记忆力和决策能力严重困难的几率降低相关，而满足 ST+SL 指南（OR=1.67，95%CI：1.03-2.69，p<00.05）更有可能善于建立和维持友谊。此外，满足所有 3 项指南与较少的争吵行为（OR=0.58，95%CI：0.33-0.99，p<00.05）和更高的韧性水平（OR=3.51，95%CI：1.88-6.54，p<00.01）相关，而满足任何两项综合指南与更高的韧性水平相关（OR=1.72，95%CI：1.09-2.71，p<00.05）。
研究结果表明，满足 24-HMB 指南，尤其是综合指南在肥胖/超重青少年的健康发展中发挥了作用。政策制定者应针对这一特殊群体制定一项长期计划，让他们参与身体活动、获得足够的睡眠和限制屏幕时间。
