{"title":"青少年久坐行为与心理压力的前瞻性关联。","authors":"André O Werneck, Mats Hallgren, Brendon Stubbs","doi":"10.1016/j.jadohealth.2024.10.019","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the associations of different types and contexts of sedentary behavior during mid-adolescence (14 years) with later psychological distress (at 17 years).</p><p><strong>Methods: </strong>The data include 3,675 adolescents from the Millennium Cohort Study. During mid-adolescence, participants completed a time-use diary reporting time in different sedentary activities, which were also categorized into broader contexts (i.e., Leisure-based screen-time, leisure-based nonscreen time, and educational sedentary behavior). Participants reported psychological distress at the 17-year wave, through the Kessler scale. Gender, parent's education, family net income, parent's psychological distress, body mass index, physical activity, total sedentary time (time-use diary), depressive symptoms, and bullying victimization, all assessed during mid-adolescence, were used as covariates. Interaction terms were included to assess the effect-modification of gender.</p><p><strong>Results: </strong>Increasing 1 hour of playing video games, reading for leisure and total leisure-based screen-time was prospectively associated with a 3% (risk ratio: 1.03; 1.01-1.04), 5% (1.05; 1.01-1.08) and 2% (1.02; 1.01-1.03) higher psychological distress respectively. Only the groups with more than 180 min/day of leisure-based screen time were associated with higher psychological distress (180-300 min/day: 1.08; 95% confidence interval: 1.00-1.17. 300+ min/d: 1.13; 95% confidence interval: 1.03-1.23). Similarly, only higher levels of reading for leisure and playing video games were associated with higher psychological distress. Moderate (60-119 min) durations of homework (0.92; 0.86-0.99) and higher durations attending class (0.94; 0.89-0.99) were associated with lower psychological distress. There were only minor gender interactions.</p><p><strong>Discussion: </strong>Among adolescents, the association between sedentary behavior and psychological distress is domain-dependent. Future interventions should focus on reducing leisure-time screen-based behaviors to less than 3 h/day.</p>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":" ","pages":""},"PeriodicalIF":5.5000,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prospective Association of Sedentary Behavior With Psychological Distress Among Adolescents.\",\"authors\":\"André O Werneck, Mats Hallgren, Brendon Stubbs\",\"doi\":\"10.1016/j.jadohealth.2024.10.019\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To analyze the associations of different types and contexts of sedentary behavior during mid-adolescence (14 years) with later psychological distress (at 17 years).</p><p><strong>Methods: </strong>The data include 3,675 adolescents from the Millennium Cohort Study. During mid-adolescence, participants completed a time-use diary reporting time in different sedentary activities, which were also categorized into broader contexts (i.e., Leisure-based screen-time, leisure-based nonscreen time, and educational sedentary behavior). Participants reported psychological distress at the 17-year wave, through the Kessler scale. Gender, parent's education, family net income, parent's psychological distress, body mass index, physical activity, total sedentary time (time-use diary), depressive symptoms, and bullying victimization, all assessed during mid-adolescence, were used as covariates. Interaction terms were included to assess the effect-modification of gender.</p><p><strong>Results: </strong>Increasing 1 hour of playing video games, reading for leisure and total leisure-based screen-time was prospectively associated with a 3% (risk ratio: 1.03; 1.01-1.04), 5% (1.05; 1.01-1.08) and 2% (1.02; 1.01-1.03) higher psychological distress respectively. Only the groups with more than 180 min/day of leisure-based screen time were associated with higher psychological distress (180-300 min/day: 1.08; 95% confidence interval: 1.00-1.17. 300+ min/d: 1.13; 95% confidence interval: 1.03-1.23). Similarly, only higher levels of reading for leisure and playing video games were associated with higher psychological distress. Moderate (60-119 min) durations of homework (0.92; 0.86-0.99) and higher durations attending class (0.94; 0.89-0.99) were associated with lower psychological distress. There were only minor gender interactions.</p><p><strong>Discussion: </strong>Among adolescents, the association between sedentary behavior and psychological distress is domain-dependent. Future interventions should focus on reducing leisure-time screen-based behaviors to less than 3 h/day.</p>\",\"PeriodicalId\":56278,\"journal\":{\"name\":\"Journal of Adolescent Health\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":5.5000,\"publicationDate\":\"2024-11-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Adolescent Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jadohealth.2024.10.019\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Adolescent Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jadohealth.2024.10.019","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Prospective Association of Sedentary Behavior With Psychological Distress Among Adolescents.
Purpose: To analyze the associations of different types and contexts of sedentary behavior during mid-adolescence (14 years) with later psychological distress (at 17 years).
Methods: The data include 3,675 adolescents from the Millennium Cohort Study. During mid-adolescence, participants completed a time-use diary reporting time in different sedentary activities, which were also categorized into broader contexts (i.e., Leisure-based screen-time, leisure-based nonscreen time, and educational sedentary behavior). Participants reported psychological distress at the 17-year wave, through the Kessler scale. Gender, parent's education, family net income, parent's psychological distress, body mass index, physical activity, total sedentary time (time-use diary), depressive symptoms, and bullying victimization, all assessed during mid-adolescence, were used as covariates. Interaction terms were included to assess the effect-modification of gender.
Results: Increasing 1 hour of playing video games, reading for leisure and total leisure-based screen-time was prospectively associated with a 3% (risk ratio: 1.03; 1.01-1.04), 5% (1.05; 1.01-1.08) and 2% (1.02; 1.01-1.03) higher psychological distress respectively. Only the groups with more than 180 min/day of leisure-based screen time were associated with higher psychological distress (180-300 min/day: 1.08; 95% confidence interval: 1.00-1.17. 300+ min/d: 1.13; 95% confidence interval: 1.03-1.23). Similarly, only higher levels of reading for leisure and playing video games were associated with higher psychological distress. Moderate (60-119 min) durations of homework (0.92; 0.86-0.99) and higher durations attending class (0.94; 0.89-0.99) were associated with lower psychological distress. There were only minor gender interactions.
Discussion: Among adolescents, the association between sedentary behavior and psychological distress is domain-dependent. Future interventions should focus on reducing leisure-time screen-based behaviors to less than 3 h/day.
期刊介绍：
The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.
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