Groves Claire I, Huong Christopher, Porter Carah D, Summerville Bryce, Swafford Isabella, Witham Braden, Hayward Matt, Kwan Matthew Y W, Brown Denver M Y
Department of Psychology, The University of Texas at San Antonio, San Antonio, TX, 78249, USA.
Dolph Briscoe Jr Library, University of Texas Health San Antonio, San Antonio, TX, 78229, USA.
J Act Sedentary Sleep Behav. 2024 Mar 14;3(1):9. doi: 10.1186/s44167-024-00048-6.
Researchers have adopted a variety of analytical techniques to examine the collective influence of 24-h movement behaviors (i.e., physical activity, sedentary behaviors, sleep) on mental health, but efforts to synthesize this growing body of literature have been limited to studies of children and youth. This systematic review investigated how combinations of 24-h movement behaviors relate to indicators of mental ill-being and well-being across the lifespan. A systematic search of MEDLINE, PsycINFO, Embase, and SPORTDiscus was conducted. Studies were included if they reported all three movement behaviors; an indicator of mental ill-being or well-being; and were published in English after January 2009. Samples of both clinical and non-clinical populations were included. A total of 73 studies (n = 58 cross-sectional; n = 15 longitudinal) met our inclusion criteria, of which 47 investigated children/youth and 26 investigated adults. Seven analytical approaches were used: guideline adherence (total and specific combinations), movement compositions, isotemporal substitution, profile/cluster analyses, the Goldilocks method and rest-activity rhythmicity. More associations were reported for indicators of mental ill-being (n = 127 for children/youth; n = 53 for adults) than well-being (n = 54 for children/youth; n = 26 for adults). Across the lifespan, favorable benefits were most consistently observed for indicators of mental well-being and ill-being when all three components of the 24-h movement guidelines were met. Movement compositions were more often associated with indicators of mental health for children and youth than adults. Beneficial associations were consistently observed for indicators of mental health when sedentary behavior was replaced with sleep or physical activity. Other analytic approaches indicated that engaging in healthier and more consistent patterns of movement behaviors (emphasizing adequate sleep, maximizing physical activity, minimizing sedentary behaviors) were associated with better mental health. Favorable associations were reported less often in longitudinal studies. Collectively, these findings provide further support for adopting an integrative whole day approach to promote mental well-being and prevent and manage mental ill-being over the status quo of focusing on these behaviors in isolation. This literature, however, is still emerging-for adults in particular-and more longitudinal work is required to make stronger inferences.
研究人员采用了多种分析技术来检验24小时运动行为（即身体活动、久坐行为、睡眠）对心理健康的综合影响，但对这一不断增长的文献进行综合分析的工作仅限于儿童和青少年研究。本系统综述调查了24小时运动行为的组合如何与全生命周期中心理健康不佳和良好的指标相关。对MEDLINE、PsycINFO、Embase和SPORTDiscus进行了系统检索。如果研究报告了所有三种运动行为、心理健康不佳或良好的指标，并且在2009年1月之后以英文发表，则纳入研究。纳入了临床和非临床人群的样本。共有73项研究（n = 58项横断面研究；n = 15项纵向研究）符合我们的纳入标准，其中47项研究调查了儿童/青少年，26项研究调查了成年人。使用了七种分析方法：指南依从性（总体和特定组合）、运动构成、等时替代、概况/聚类分析、金发姑娘方法和休息-活动节律。报告的与心理健康不佳指标相关的研究更多（儿童/青少年为n = 127项；成年人为n = 53项），而与心理健康良好指标相关的研究较少（儿童/青少年为n = 54项；成年人为n = 26项）。在整个生命周期中，当满足24小时运动指南的所有三个组成部分时，最一致地观察到对心理健康良好和不佳指标的有利益处。与成年人相比，运动构成与儿童和青少年的心理健康指标的关联更为频繁。当久坐行为被睡眠或身体活动取代时，始终观察到与心理健康指标的有益关联。其他分析方法表明，采用更健康、更一致的运动行为模式（强调充足睡眠、最大化身体活动、最小化久坐行为）与更好的心理健康相关。纵向研究中报告的有利关联较少。总体而言，这些发现为采用综合的全天方法来促进心理健康、预防和管理心理疾病提供了进一步支持，而不是像现状那样孤立地关注这些行为。然而，这一文献仍在不断涌现，尤其是针对成年人的研究，需要更多的纵向研究来做出更强有力的推断。
