Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample
This study examined the associations between adherence to 24-hour movement behavior guidelines (24-HMB) and the mental-health-related outcomes of depressive symptoms and anxiety in Chinese children. Data on movement behavior from 5357 children (4th and 5th grades), including physical activity, recre...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/11/1532 |
| _version_ | 1797510128851746816 |
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| author | Shenghua Lu Boris Cheval Qian Yu Md Mahbub Hossain Si-Tong Chen Alyx Taylor Ran Bao Scott Doig Jinming Li Ting Wang Zhe Yan Jin Kuang Can Jiao Liye Zou |
| author_facet | Shenghua Lu Boris Cheval Qian Yu Md Mahbub Hossain Si-Tong Chen Alyx Taylor Ran Bao Scott Doig Jinming Li Ting Wang Zhe Yan Jin Kuang Can Jiao Liye Zou |
| author_sort | Shenghua Lu |
| collection | DOAJ |
| description | This study examined the associations between adherence to 24-hour movement behavior guidelines (24-HMB) and the mental-health-related outcomes of depressive symptoms and anxiety in Chinese children. Data on movement behavior from 5357 children (4th and 5th grades), including physical activity, recreational screen time and sleep, were self-reported using the Health Behavior School-Aged Children Survey. Depressive symptoms and anxiety were self-reported using the Chinese version of the nine-item Patient Health Questionnaire and the Generalized Anxiety Disorder Scale, respectively. Depressive symptoms and anxiety were treated as categorical variables. Only 3.2% of the participants met physical activity, screen time, and sleep 24-HMB guidelines. Ordinal logistic regressions showed that, compared with participants who met the 24-HMB guidelines, participants who met none (odds ratio (OR) = 2.62, 95% CI: 1.76–3.90) or any one of the guidelines (OR = 1.88, 95% CI: 1.27–2.77) had higher odds of depressive symptoms. Similarly, there were higher odds of anxiety in participants who met none (OR = 2.32, 95% CI: 1.45–3.70) or any one of the recommendations (OR = 1.62, 95% CI: 1.03–2.57) compared with participants who met all the 24-HMB guidelines. Meeting the 24-HMB guidelines is associated with better mental-health-related outcomes in Chinese children. Because of the low prevalence of Chinese children meeting the 24-HMB recommendations, the present findings highlight the need to encourage children to regularly engage in physical activity, decrease their time spent sitting, and improve their sleep patterns. |
| first_indexed | 2024-03-10T05:27:18Z |
| format | Article |
| id | doaj.art-2165f38261ae421eaf5234843265e8a9 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T05:27:18Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-2165f38261ae421eaf5234843265e8a92023-11-22T23:32:14ZengMDPI AGHealthcare2227-90322021-11-01911153210.3390/healthcare9111532Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese SampleShenghua Lu0Boris Cheval1Qian Yu2Md Mahbub Hossain3Si-Tong Chen4Alyx Taylor5Ran Bao6Scott Doig7Jinming Li8Ting Wang9Zhe Yan10Jin Kuang11Can Jiao12Liye Zou13College of Sports Science, Jishou University, Jishou 416000, ChinaSwiss Center for Affective Sciences, University of Geneva, 1211 Geneva, SwitzerlandInstitute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518060, ChinaDepartment of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USAInstitute for Health and Sport, Victoria University, Melbourne, VIC 8001, AustraliaSchool of Rehabilitation, Sport and Psychology, AECC University College, Bournemouth BH5 2DF, UKSchool of Physical Education and Sport Training, Shanghai University of Sport, Shanghai 200438, ChinaDepartment of Physical Education, Limestone University, Gaffney, SC 29340, USAInstitute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518060, ChinaInstitute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518060, ChinaInstitute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518060, ChinaInstitute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518060, ChinaInstitute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518060, ChinaInstitute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518060, ChinaThis study examined the associations between adherence to 24-hour movement behavior guidelines (24-HMB) and the mental-health-related outcomes of depressive symptoms and anxiety in Chinese children. Data on movement behavior from 5357 children (4th and 5th grades), including physical activity, recreational screen time and sleep, were self-reported using the Health Behavior School-Aged Children Survey. Depressive symptoms and anxiety were self-reported using the Chinese version of the nine-item Patient Health Questionnaire and the Generalized Anxiety Disorder Scale, respectively. Depressive symptoms and anxiety were treated as categorical variables. Only 3.2% of the participants met physical activity, screen time, and sleep 24-HMB guidelines. Ordinal logistic regressions showed that, compared with participants who met the 24-HMB guidelines, participants who met none (odds ratio (OR) = 2.62, 95% CI: 1.76–3.90) or any one of the guidelines (OR = 1.88, 95% CI: 1.27–2.77) had higher odds of depressive symptoms. Similarly, there were higher odds of anxiety in participants who met none (OR = 2.32, 95% CI: 1.45–3.70) or any one of the recommendations (OR = 1.62, 95% CI: 1.03–2.57) compared with participants who met all the 24-HMB guidelines. Meeting the 24-HMB guidelines is associated with better mental-health-related outcomes in Chinese children. Because of the low prevalence of Chinese children meeting the 24-HMB recommendations, the present findings highlight the need to encourage children to regularly engage in physical activity, decrease their time spent sitting, and improve their sleep patterns.https://www.mdpi.com/2227-9032/9/11/1532movement behaviorsdepressionanxietyprimary school students |
| spellingShingle | Shenghua Lu Boris Cheval Qian Yu Md Mahbub Hossain Si-Tong Chen Alyx Taylor Ran Bao Scott Doig Jinming Li Ting Wang Zhe Yan Jin Kuang Can Jiao Liye Zou Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample Healthcare movement behaviors depression anxiety primary school students |
| title | Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample |
| title_full | Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample |
| title_fullStr | Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample |
| title_full_unstemmed | Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample |
| title_short | Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample |
| title_sort | associations of 24 hour movement behavior with depressive symptoms and anxiety in children cross sectional findings from a chinese sample |
| topic | movement behaviors depression anxiety primary school students |
| url | https://www.mdpi.com/2227-9032/9/11/1532 |
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