Proportion, Correlates and the Associations of Meeting 24-h Movement Guidelines With Mental Well-Being and Psychological Distress: A Cross-Sectional Study of 10 589 Chinese Students

IF 1.8 4区 医学 Q2 PEDIATRICS
Hao Zhang, Jing Sheng, Xinpei Yue, Hao Lou, Xiaolei Ban, Wencan Wu, Ran Li, Genli Gao, Chongjian Wang, Xiaomin Lou, Xian Wang
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Abstract

Background

The increased trends in psychological distress and mental illness have been of great significance in public health concerns. The study aimed to investigate the proportion and correlates of meeting 24-h movement guidelines (including moderate to vigorous physical activity, screen time and sleep duration) and the associations between 24-h movement guidelines met and mental well-being and psychological distress in a large sample of Chinese students.

Methods

All participants received a physical examination and filled out questionnaires in this study. Chi-square tests were used to analyse the proportion of reaching 24-h guidelines by gender and logistic regression was used to analyse correlates of meeting 24-h guidelines. Two binary logistic regression models were used to analyse the association between meeting 24-h guidelines and mental well-being and psychological distress. The back-propagation artificial neural network was used to describe the importance of the independent variables.

Results

The findings revealed a generally low rate of meeting the 24-h movement guidelines, particularly concerning moderate to vigorous physical activity (16.5%). Meeting all three guidelines was related to better mental health in both boys and girls. Particularly, meeting screen time guideline and meeting sleep duration guideline appeared to be more important on mental outcomes, compared to meeting moderate to vigorous physical activity guideline. Compared with boys, girls were more susceptible to the influences of 24-h movement guidelines on mental health.

Conclusions

Meeting all three components of the 24-h movement guidelines was associated with the most favourable mental health outcomes for both boys and girls. Thus, maintaining a daily balance of sufficient physical activity, limited screen time, and adequate sleep is crucial for enhancing the mental health status of students.

符合 24 小时运动准则的比例、相关性及其与心理健康和心理困扰的关系:一项针对 10 589 名中国学生的横断面研究。
背景:心理困扰和精神疾病的增加趋势一直是公共卫生关注的重要问题。本研究旨在调查大样本中国学生中达到24小时运动指南(包括中强度体育锻炼、屏幕时间和睡眠时间)的比例和相关因素,以及达到24小时运动指南与心理健康和心理困扰之间的关联:方法:所有参与者都接受了体检并填写了调查问卷。采用卡方检验分析不同性别达到 24 小时运动量标准的比例,采用逻辑回归分析达到 24 小时运动量标准的相关因素。研究使用了两个二元逻辑回归模型来分析符合 24 小时指南与精神健康和心理困扰之间的关联。使用反向传播人工神经网络来描述自变量的重要性:研究结果表明,符合 24 小时运动指南的比例普遍较低,尤其是中度至剧烈运动(16.5%)。在男孩和女孩中,符合所有三项指导原则与改善心理健康有关。特别是,与达到中度至剧烈运动标准相比,达到屏幕时间标准和睡眠时间标准似乎对心理健康更为重要。与男孩相比,女孩更容易受到 24 小时运动指南对心理健康的影响:结论:对男孩和女孩而言,满足 24 小时运动量指南的所有三项要求与最有利的心理健康结果相关。因此,保持每天充足的体育锻炼、有限的屏幕时间和充足的睡眠对提高学生的心理健康状况至关重要。
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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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