Background:The Canadian 24-hour movement behavior(24-HMB)guidelines suggest that a limited amount of screen time use,an adequate level of physical activity(PA),and sufficient sleep duration are beneficial for ensuring...Background:The Canadian 24-hour movement behavior(24-HMB)guidelines suggest that a limited amount of screen time use,an adequate level of physical activity(PA),and sufficient sleep duration are beneficial for ensuring and optimizing the health and quality of life(QoL)of children and adolescents.However,this topic has yet to be examined for children and adolescents with autism spectrum disorder(ASD)specifically.The aim of this cross-sectional observational study was to examine the associations between meeting 24-HMB guidelines and several QoLrelated indicators among a national sample of American children and adolescents with ASD.Methods:Data were taken from the 2020 U.S.National Survey of Children’s Health dataset.Participants(n=956)aged 617 years and currently diagnosed with ASD were included.The exposure of interest was adherence to the 24-HMB guidelines.Outcomes were QoL indicators,including learning interest/curiosity,repeating grades,adaptive ability,victimization by bullying,and behavioral problems.Categorical variables were described with unweighted sample counts and weighted percentages.Age,sex,race,preterm birth status,medication,behavioral treatment,household poverty level,and the educational level of the primary caregivers were included as covariates.Odds ratio(OR)and 95%confidence interval(95%CI)were used to present the strength of association between adherence to 24-HMB guidelines and QoL-related indicators.Results:Overall,452 participants(45.34%)met 1 of the 3 recommendations,216(22.65%)met 2 recommendations,whereas only 39 participants(5.04%)met all 3 recommendations.Compared with meeting none of the recommendations,meeting both sleep duration and PA recommendations(OR=3.92,95%CI:1.639.48,p<0.001)or all 3 recommendations(OR=2.11,95%CI:1.034.35,p=0.04)was associated with higher odds of showing learning interest/curiosity.Meeting both screen time and PA recommendations(OR=0.15,95%CI:0.040.61,p<0.05)or both sleep duration and PA recommendations(OR=0.24,95%CI:0.070.87,p<0.05)was associated with lower 展开更多
Chronic non-communicable diseases(NCDs)represent a significant impediment to improve life expectancy and remain a focal point in global public health and disease prevention efforts.24-hour movement behaviors,which inc...Chronic non-communicable diseases(NCDs)represent a significant impediment to improve life expectancy and remain a focal point in global public health and disease prevention efforts.24-hour movement behaviors,which include sleep,sedentary behavior(SED),and physical activity,underscore the inherent connections between different daily activities and the comprehensive impact of overall movement patterns on health.Evidence suggested that modifying patterns of 24-hour movement behaviors can aid in preventing and attenuating the progression of NCDs.This study systematically delineated the concept,evolution,analytical methods,and intrinsic associations of 24-hour movement behaviors,emphasizing their pivotal role in the prevention and management of NCDs such as obesity,mental disorders,cardiovascular diseases,diabetes,and renal diseases.Future research endeavors should focus on refining methodologies,broadening study populations,developing research tools,and exploring precise intervention strategies and interdisciplinary approaches to comprehensively enhance the effectiveness of NCDs prevention and management from a temporal perspective.Such efforts are poised to provide substantive guidance and support for public health practices.展开更多
目的应用成分数据分析方法研究幼儿24 h活动行为(24-hour Movement Behavior)与基本动作技能(Fundamental Movement Skills,FMS)之间的关联,以及各活动行为间等时替代后幼儿FMS的预期变化。方法采用ActiGraph wGT3-BT加速度计测量323名...目的应用成分数据分析方法研究幼儿24 h活动行为(24-hour Movement Behavior)与基本动作技能(Fundamental Movement Skills,FMS)之间的关联,以及各活动行为间等时替代后幼儿FMS的预期变化。方法采用ActiGraph wGT3-BT加速度计测量323名3~6岁幼儿(男童181名,女童142名)的身体活动(Physical Activity,PA)、静态行为(Sedentary Behaviour,SB)数据,采用美国大肌肉动作发展测试第3版工具(Test of Gross Motor Development,TGMD-3)测量FMS,睡眠时间由父母报告,成分数据的描述性统计分析、多元线性模型和等时替代均采用R软件完成。结果①幼儿24 h活动时间分布与动作发展关联紧密,中高强度身体活动(Moderate-to-Vigorous Physical Activity,MVPA)在成分之间分布相对稳定,与低强度身体活动(Light Physical Activity,LPA)转换的可能性更大;②幼儿MVPA对移动技能和总动作技能(Total Motor Skill,Total MS)的影响最大,MVPA等时替代其他行为均具有积极效益,其中替换LPA效果最为明显,其他行为等时替代MVPA预示着更低的动作能力,而且预测具有不对称性。结论虽然MVPA对幼儿动作发展影响最大,但更需要从整体视角平衡24 h活动行为对动作发展的影响;在幼儿园、家庭和社区环境中,强调将幼儿的LPA转换为MVPA,以更好地促进其FMS发展。展开更多
基金supported by Start-up Research Grant of Shenzhen University(20200807163056003)Start-Up Research Grant(PeacockPlan:20191105534C).
文摘Background:The Canadian 24-hour movement behavior(24-HMB)guidelines suggest that a limited amount of screen time use,an adequate level of physical activity(PA),and sufficient sleep duration are beneficial for ensuring and optimizing the health and quality of life(QoL)of children and adolescents.However,this topic has yet to be examined for children and adolescents with autism spectrum disorder(ASD)specifically.The aim of this cross-sectional observational study was to examine the associations between meeting 24-HMB guidelines and several QoLrelated indicators among a national sample of American children and adolescents with ASD.Methods:Data were taken from the 2020 U.S.National Survey of Children’s Health dataset.Participants(n=956)aged 617 years and currently diagnosed with ASD were included.The exposure of interest was adherence to the 24-HMB guidelines.Outcomes were QoL indicators,including learning interest/curiosity,repeating grades,adaptive ability,victimization by bullying,and behavioral problems.Categorical variables were described with unweighted sample counts and weighted percentages.Age,sex,race,preterm birth status,medication,behavioral treatment,household poverty level,and the educational level of the primary caregivers were included as covariates.Odds ratio(OR)and 95%confidence interval(95%CI)were used to present the strength of association between adherence to 24-HMB guidelines and QoL-related indicators.Results:Overall,452 participants(45.34%)met 1 of the 3 recommendations,216(22.65%)met 2 recommendations,whereas only 39 participants(5.04%)met all 3 recommendations.Compared with meeting none of the recommendations,meeting both sleep duration and PA recommendations(OR=3.92,95%CI:1.639.48,p<0.001)or all 3 recommendations(OR=2.11,95%CI:1.034.35,p=0.04)was associated with higher odds of showing learning interest/curiosity.Meeting both screen time and PA recommendations(OR=0.15,95%CI:0.040.61,p<0.05)or both sleep duration and PA recommendations(OR=0.24,95%CI:0.070.87,p<0.05)was associated with lower
基金supported by two grants from the Philosophy and Social Science Foundation of Hunan Province(23YBQ027)the Education Department of Hunan Province(HNJG-2022-0483).
文摘Chronic non-communicable diseases(NCDs)represent a significant impediment to improve life expectancy and remain a focal point in global public health and disease prevention efforts.24-hour movement behaviors,which include sleep,sedentary behavior(SED),and physical activity,underscore the inherent connections between different daily activities and the comprehensive impact of overall movement patterns on health.Evidence suggested that modifying patterns of 24-hour movement behaviors can aid in preventing and attenuating the progression of NCDs.This study systematically delineated the concept,evolution,analytical methods,and intrinsic associations of 24-hour movement behaviors,emphasizing their pivotal role in the prevention and management of NCDs such as obesity,mental disorders,cardiovascular diseases,diabetes,and renal diseases.Future research endeavors should focus on refining methodologies,broadening study populations,developing research tools,and exploring precise intervention strategies and interdisciplinary approaches to comprehensively enhance the effectiveness of NCDs prevention and management from a temporal perspective.Such efforts are poised to provide substantive guidance and support for public health practices.
文摘目的应用成分数据分析方法研究幼儿24 h活动行为(24-hour Movement Behavior)与基本动作技能(Fundamental Movement Skills,FMS)之间的关联,以及各活动行为间等时替代后幼儿FMS的预期变化。方法采用ActiGraph wGT3-BT加速度计测量323名3~6岁幼儿(男童181名,女童142名)的身体活动(Physical Activity,PA)、静态行为(Sedentary Behaviour,SB)数据,采用美国大肌肉动作发展测试第3版工具(Test of Gross Motor Development,TGMD-3)测量FMS,睡眠时间由父母报告,成分数据的描述性统计分析、多元线性模型和等时替代均采用R软件完成。结果①幼儿24 h活动时间分布与动作发展关联紧密,中高强度身体活动(Moderate-to-Vigorous Physical Activity,MVPA)在成分之间分布相对稳定,与低强度身体活动(Light Physical Activity,LPA)转换的可能性更大;②幼儿MVPA对移动技能和总动作技能(Total Motor Skill,Total MS)的影响最大,MVPA等时替代其他行为均具有积极效益,其中替换LPA效果最为明显,其他行为等时替代MVPA预示着更低的动作能力,而且预测具有不对称性。结论虽然MVPA对幼儿动作发展影响最大,但更需要从整体视角平衡24 h活动行为对动作发展的影响;在幼儿园、家庭和社区环境中,强调将幼儿的LPA转换为MVPA,以更好地促进其FMS发展。