校外活动与对24小时运动指南的遵循情况
Out-of-school Activities and Adherence to 24-hour Movement Guidelines.
作者信息
Pfledderer Christopher D, Brown Denver M Y, Lanza Kevin, Hunt Ethan T, Porter Carah D, Parker Hannah, Stoepker Peter, Brazendale Keith
机构信息
Department of Health Promotion and Behavioral Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas Health Science Center Houston (UTHealth Houston) School of Public Health, Austin, Texas.
Department of Psychology, The University of Texas at San Antonio, San Antonio, Texas.
出版信息
Am J Prev Med. 2025 Jan;68(1):66-74. doi: 10.1016/j.amepre.2024.08.016. Epub 2024 Aug 29.
INTRODUCTION
The purpose of this study was to explore associations between participation in out-of-school/weekend organized activities and adherence to the 24-hour movement guidelines among US adolescents.
METHODS
Data from the 2022 National Survey of Children's Health (N=16,403, age=15.1±1.4 years, 48.1% female) was used for analyses in 2024. A parent/guardian completed surveys regarding adolescents' 24-hour movement behaviors (physical activity [PA], sleep [SL], and screentime [ST]), as well as participation in out-of-school and weekend activities (sports, clubs, other organized activities, and volunteering). Weighted logistic regression models were used to examine associations between participation in out-of-school and weekend organized activities and 24-hour movement guideline adherence, adjusted for sex, age, race/ethnicity, federal poverty level status, metropolitan statistical area status, and overweight/obesity status.
RESULTS
Only 4.8% of adolescents met all three guidelines concurrently. Adolescents who participated in sports teams/lessons had higher odds of meeting PA (OR=2.11, 95% CI: 1.67-2.66), ST (OR=1.31, 95% CI: 1.12-1.53), PA+ST (OR=2.24, 95% CI: 1.63-3.07), PA+SL (OR=2.00, 95% CI: 1.53-2.63), SL+ST (OR=1.40, 95% CI; 1.19-1.66), and all three guidelines (OR=2.33, 95% CI: 1.61-3.39). Participation in other organized activities/lessons was associated with higher odds of meeting ST (OR=1.32, 95% CI: 1.13-1.56), and SL+ST guidelines (OR=1.39, 95% CI: 1.16-1.66). Adolescents who volunteered had higher odds of meeting ST (OR=1.68, 95% CI: 1.42-1.98), PA+ST (OR=1.75, 95% CI: 1.25-2.45), SL+ST (OR=1.64, 95% CI: 1.38-1.95), and all three guidelines (OR=1.80, 95% CI: 1.20-2.72).
CONCLUSIONS
Participating in sports teams/lessons and community service/volunteer work is beneficially associated with concurrently meeting all three 24-hour movement guidelines and participating in other organized activities or lessons is associated with adherence to individual components of the 24-hour movement guidelines among US adolescents.
引言
本研究旨在探讨美国青少年参与校外/周末有组织活动与遵守24小时运动指南之间的关联。
方法
2024年对2022年全国儿童健康调查的数据（N = 16403，年龄 = 15.1±1.4岁，48.1%为女性）进行分析。由家长/监护人完成关于青少年24小时运动行为（身体活动[PA]、睡眠[SL]和屏幕时间[ST]）以及参与校外和周末活动（体育、俱乐部、其他有组织活动和志愿服务）的调查。使用加权逻辑回归模型来检验参与校外和周末有组织活动与遵守24小时运动指南之间的关联，并对性别、年龄、种族/族裔、联邦贫困水平状况、大都市统计区状况以及超重/肥胖状况进行了调整。
结果
只有4.8%的青少年同时符合所有三项指南。参加运动队/课程的青少年更有可能符合身体活动（比值比[OR]=2.11，95%置信区间[CI]：1.67 - 2.66）、屏幕时间（OR = 1.31，95% CI：1.12 - 1.53）、身体活动 + 屏幕时间（OR = 2.24，95% CI：1.63 - 3.07）、身体活动 + 睡眠（OR = 2.00，95% CI：1.53 - 2.63）、睡眠 + 屏幕时间（OR = 1.40，95% CI：1.19 - 1.66）以及所有三项指南（OR = 2.33，95% CI：1.61 - 3.39）。参与其他有组织活动/课程与更有可能符合屏幕时间（OR = 1.32，95% CI：1.13 - 1.56）以及睡眠 + 屏幕时间指南（OR = 1.39，95% CI：1.16 - 1.66）相关。参与志愿服务的青少年更有可能符合屏幕时间（OR = 1.68，95% CI：1.42 - 1.98）、身体活动 + 屏幕时间（OR = 1.75，95% CI：1.25 - 2.45）、睡眠 + 屏幕时间（OR = 1.64，95% CI：1.38 - 1.95）以及所有三项指南（OR = 1.80，95% CI：1.20 - 2.72）。
结论
参加运动队/课程以及社区服务/志愿服务与同时符合所有三项24小时运动指南存在有益关联，而参与其他有组织活动或课程与美国青少年遵守24小时运动指南的各个组成部分相关。
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