Prospective associations between physical activity and internalizing/externalizing problems in preterm youth across 7 years

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-10-01 DOI:10.1016/j.mhpa.2024.100646

Zhihui Cheng , Fabian Herold , Kaiqi Guan , Yanping Gao , Markus Gerber , André Oliveira Werneck , Fred Paas , Peter A. Hall , Yanxia Chen , Liye Zou

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引用次数: 0

Abstract

Objectives

Physical activity (PA) is associated with better mental health in youth. However, most studies involving preterm-born youth and studying the associations between PA and mental health used a cross-sectional design, which limits our understanding of the long-term, dynamic associations between PA and internalizing/externalizing problems in this age group. To address this knowledge gap, this study aims to examine the prospective associations between the time spent in different PA intensity levels and internalizing/externalizing problems in preterm youth.

Methods

In this study, a total of 349 children and adolescents from the Millennium Cohort Study were followed at 7, 11, and 14 years. PA levels were measured using accelerometers at 7 years, and internalizing/externalizing problems were measured at 7 years, 11 years, and 14 years. To determine the associations between the time spent in different PA intensity levels and later internalizing/externalizing problems in preterm youth, linear regression models were performed after adjusting for confounding variables such as gender, ethnicity, and sedentary behavior.

Results

Significant associations between moderate-to-vigorous-intensity PA (MVPA) at 7 years and lower internalizing problems at 11 years (β = −0.024, 95% CI: 0.037, −0.010, p = 0.001) and at 14 years (β = −0.023, 95% CI: 0.037, −0.009, p = 0.001], p = 0.001) were observed.

Conclusions

Among preterm youth, MVPA is prospectively associated with lower internalizing problems, whereas no significant association was found between MVPA and externalizing problems. Thus, future research should investigate how early PA interventions can influence trajectories of internalizing problems in preterm youth.

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早产青少年 7 年间体育活动与内化/外化问题之间的前瞻性联系

目标体力活动（PA）与青少年心理健康的改善有关。然而，大多数涉及早产青少年并研究 PA 与心理健康之间关系的研究都采用了横断面设计，这限制了我们对该年龄组中 PA 与内化/外化问题之间长期、动态关系的了解。为了填补这一知识空白，本研究旨在探讨早产青少年不同强度的活动时间与内化/外化问题之间的前瞻性关联。方法在本研究中，我们对千禧年队列研究（Millennium Cohort Study）中的 349 名儿童和青少年进行了 7、11 和 14 年的跟踪调查。在 7 岁时使用加速度计测量 PA 水平，在 7 岁、11 岁和 14 岁时测量内化/外化问题。为了确定不同强度 PA 所花费的时间与早产青少年日后的内化/外化问题之间的关系，在调整了性别、种族和久坐行为等混杂变量后，建立了线性回归模型。结论在早产青少年中，MVPA 与较低的内化问题有前瞻性关联，而 MVPA 与外化问题之间没有发现显著关联。因此，未来的研究应探讨早期 PA 干预如何影响早产青少年的内化问题轨迹。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;