Li Ruoyu, He Haiyan, Niu Zhongpeng, Xiao Wan, Wu Jun, Zhou Yang, Huang Yongling, Wan Yuhui
Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei230032, Anhui, Anhui, China.
Wuhu Maternal and Child Health and Family Planning Service Center, Wuhu, China.
Child Psychiatry Hum Dev. 2025 May 14. doi: 10.1007/s10578-025-01849-9.
This study investigated three waves of data from the Anhui Preschool Children Cohort study, with a total of 1,987 mother-child dyads participating. The questionnaires on sleep problems (Wave 1), executive function (EF) (Wave 2), physical activity (PA) (Wave 2), and emotional and behavioral problems (EBPs) (Wave 1 & Wave 3) were assessed by the mothers of the children. Results showed that sleep problems, GEC (total executive dysfunction scores), and PA are all positively related to EBPs. After controlling for covariates, GEC partially mediated the association between sleep problems and EBPs (β = 0.015, 95%CI: 0.002-0.028). PA moderated the relationship between sleep problems and preschoolers' GEC (β = -0.06, P<0.05). These findings reveal the mediating role of executive dysfunction in the association between sleep problems and EBPs. It also highlights that targeted interventions to reduce sleep problems and increase PA could help reduce the risk of EBPs in preschoolers.
本研究调查了来自安徽学龄前儿童队列研究的三波数据，共有1987对母婴参与。儿童母亲对睡眠问题（第1波）、执行功能（EF）（第2波）、身体活动（PA）（第2波）以及情绪和行为问题（EBP）（第1波和第3波）的问卷进行了评估。结果表明，睡眠问题、GEC（总执行功能障碍得分）和PA均与EBP呈正相关。在控制协变量后，GEC部分介导了睡眠问题与EBP之间的关联（β = 0.015，95%CI：0.002 - 0.028）。PA调节了睡眠问题与学龄前儿童GEC之间的关系（β = -0.06，P<0.05）。这些发现揭示了执行功能障碍在睡眠问题与EBP关联中的中介作用。它还强调，针对性地干预以减少睡眠问题和增加PA有助于降低学龄前儿童出现EBP的风险。
