Longitudinal relationships across sleep, physical activity, and mental wellbeing in early-to-mid-adolescence: a developmental cascades investigation.

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Quality of Life Research Pub Date : 2025-05-01 Epub Date: 2025-01-28 DOI:10.1007/s11136-025-03894-2
Jose Marquez, Margarita Panayiotou, Reihaneh Farzinnia, Qiqi Cheng, Neil Humphrey
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Abstract

Purpose: Sleep (SL), physical activity (PA), and wellbeing (WB) are three factors linked to positive development in adolescence. Despite theoretical support and some empirical evidence of developmental associations between these factors, few studies have rigorously investigated reciprocal associations over time separating between-person and within-person effects, and none have investigated all three in concert. Thus, it remains unclear how the interplay between SL, PA and WB unfolds across time within individuals. This study examines this question in the crucial early-to-mid-adolescence developmental transition.

Method: Separating between- and within-person effects, a random-intercept cross-lagged panel model was fitted to a dataset of N = 27,949 adolescents (age 12/13 at first timepoint) from Greater Manchester, England, using a three-by-three design (three annual timepoints: T1, T2, T3; three variables: SL, PA, WB).

Results: Analyses revealed gender-specific developmental cascade pathways. Specifically, we found positive reciprocal associations between SL and WB for girls (at T1→T2), whereas for boys, SL positively predicted WB (at both T1→T2 and T2→Τ3) but WB did not predict SL. We also found that WB predicted PA for boys (at T2→T3) but this finding was sensitive to model specification and yielded a smaller effect than other cross-lagged pathways.

Conclusion: Our results highlight the importance of sleep as a driver of adolescent wellbeing, and the role of gender in developmental cascade processes. Study strengths, limitations, and implications are discussed.

青少年早期至中期睡眠、身体活动和心理健康的纵向关系:一项发展级联调查。
目的:睡眠(SL),身体活动(PA)和健康(WB)是青春期积极发展的三个因素。尽管理论支持和一些经验证据表明这些因素之间存在发展关联,但很少有研究严谨地调查了随着时间的推移,人与人之间和人与人之间的相互关联,没有研究同时调查了这三者。因此,SL、PA和WB之间的相互作用如何在个体中随着时间的推移而展开尚不清楚。本研究在关键的青春期早期到中期的发展转变中探讨了这个问题。方法:分离人与人之间的影响,采用三乘三设计,对来自英格兰大曼彻斯特的N = 27,949名青少年(第一个时间点为12/13岁)的数据集进行随机截距交叉滞后面板模型拟合(三个年度时间点:T1, T2, T3;三个变量:SL, PA, WB)。结果:分析揭示了性别特异性的发育级联通路。具体来说,我们发现女孩(T1→T2)的SL和WB之间存在正相关关系,而男孩(T1→T2和T2→Τ3)的SL正预测WB,但WB不能预测SL。我们还发现男孩(T2→T3)的WB预测PA,但这一发现对模型规范很敏感,产生的影响小于其他交叉滞后通路。结论:我们的研究结果强调了睡眠作为青少年健康驱动因素的重要性,以及性别在发育级联过程中的作用。讨论了研究的优势、局限性和意义。
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来源期刊
Quality of Life Research
Quality of Life Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
8.60%
发文量
224
审稿时长
3-8 weeks
期刊介绍: Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.
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