Prospective association of device-based physical activity and sedentary time during childhood with mental health outcomes during adolescence

IF 4.4 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2026-04-27 Epub Date: 2025-12-02 DOI:10.1111/camh.70048

André O. Werneck, Chih-Sung Liang, Lee Smith, Dara Aldisi, Nasser Al-Daghri, Arnold Baca, Liye Zou, Qian Yu, Jin Kuang, Zhihao Zhang, Marco Solmi, Brendon Stubbs

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引用次数: 0

Abstract

Background

The present study aimed to analyze associations between device-measured physical activity and sedentary time during childhood with mental health-related outcomes throughout adolescence.

Methods

Data from the Millennium Cohort Study were used. Device-measured physical activity (i.e., light and moderate-to-vigorous physical activity) and sedentary time were assessed at 7 years. Internalizing and externalizing symptoms were assessed at three time points (11 years, 14 years, and 17 years) via the Strengths and Difficulties Questionnaire. Depressive symptoms were estimated using the Mood and Feelings Questionnaire at 14 years. Psychological distress was assessed using the six-item Kessler psychological distress scale at 17 years. Negative binomial regression models, adjusting for potential confounders were used.

Results

Among boys, greater time spent in moderate-to-vigorous physical activity at 7 years was associated with higher hyperactivity and lower peer problems throughout adolescence. Higher moderate-to-vigorous (incidence rate ratio [IRR]: 0.95; 95% confidence interval [CI]: 0.93–0.98), light (0.90; 0.85–0.95), and total activity time (0.95; 0.93–0.98) at 7 years were associated with lower, while sedentary time was associated with higher (1.11; 1.07–1.16) psychological distress at 17 years in the adjusted models. Girls who spent more time in light physical activity at 7 years were more likely to have lower hyperactivity levels over adolescence, while higher sedentary time at the same age was associated with higher hyperactivity levels. Higher sedentary time at 7 years was associated with higher depressive symptoms at 14 years (1.06; 1.01–1.10), whereas light physical activity at 7 years (0.91; 0.85–0.97) was associated with lower depressive symptoms at 14 years in the adjusted models.

Conclusion

Higher moderate-to-vigorous, light physical activity, and lower sedentary time were associated with lower peer problems, depressive symptoms, and psychological distress throughout adolescence.

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儿童时期基于设备的身体活动和久坐时间与青春期心理健康结果的前瞻性关联

背景：本研究旨在分析儿童时期设备测量的身体活动和久坐时间与整个青春期心理健康相关结果之间的关系。方法：采用千禧年队列研究数据。设备测量的身体活动（即轻度和中度到剧烈的身体活动）和久坐时间在7岁时进行评估。内化和外化症状在三个时间点（11岁、14岁和17岁）通过优势和困难问卷进行评估。在14岁时使用情绪和感觉问卷评估抑郁症状。采用六项凯斯勒心理困扰量表对17岁儿童进行心理困扰评估。采用负二项回归模型，调整潜在混杂因素。结果：在男孩中，7岁时进行中高强度体育活动的时间越长，整个青春期越容易多动症，同龄人问题越少。在调整后的模型中，7岁时较高的中度至剧烈运动（发病率比[IRR]: 0.95； 95%可信区间[CI]: 0.93-0.98）、轻度运动（0.90;0.85-0.95）和总活动时间（0.95;0.93-0.98）与较低的心理困扰相关，而久坐时间与17岁时较高的心理困扰相关（1.11;1.07-1.16）。在7岁时花更多时间进行轻度体育锻炼的女孩，在青春期后更有可能出现较低的多动症，而在同一年龄，久坐的时间越长，多动症的程度越高。在调整后的模型中，7岁时久坐时间越长，14岁时抑郁症状越严重（1.06;1.01-1.10），而7岁时轻度体育活动（0.91;0.85-0.97）与14岁时抑郁症状越轻相关。结论：在整个青春期，较高的中度至剧烈、轻度的身体活动和较短的久坐时间与较低的同伴问题、抑郁症状和心理困扰有关。

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.