超重/肥胖儿童久坐行为与行为问题之间的横断面和纵向关联

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2025-06-01 DOI:10.1016/j.mhpa.2025.100698

Kaiqi Guan , Jiayi Yang , Boris Cheval , Matthew Health , Fabian Herold , André O. Werneck , Cassandra J. Lowe , Mats Hallgren , Benjamin Tari , Dominika Pindus , Ryan S. Falck , Markus Gerber , Justin A. Haegele , Arthur F. Kramer , Neville Owen , Charles H. Hillman , Tianyou Guo , Liye Zou

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引用次数: 0

摘要

久坐行为（ST）与儿童的心理健康有关，包括内化和外化问题。在超重/肥胖儿童中对这些关联的研究是有限的。为此，我们研究了超重/肥胖儿童久坐时间（ST）与行为问题之间的横断面和纵向关联，随后调查了潜在的性别相关差异。方法我们纳入了来自英国千年队列研究的2273名超重/肥胖儿童（49.9%为男孩）。在7岁时收集加速度计测量的久坐时间（ST）和MVPA，并在7岁和11岁时通过优势和困难问卷（SDQ）评估行为问题。使用一般线性模型来检验7岁时的ST与外化和内化之间的横断面和纵向关系，而种族、SDQ分数、父母心理困扰、父母最高教育程度、家庭贫困和中等至剧烈体育活动（MVPA）在统计学上是受控制的。这些分析之后是一项调查性别相关差异的分析。结果在横断面分析中，在未控制MVPA的情况下，男孩（β: - 0.008, 95% CI: - 0.013, - 0.003）和女孩（β: - 0.006, 95% CI: - 0.011, - 0.001） 7岁时，更多的ST与较少的外化问题相关。当调整MVPA时，7岁时更多的ST与更少的外化问题相关（β: - 0.010, 95% CI: - 0.015, - 0.004）。在纵向分析中，在没有控制MVPA的情况下，男孩（β: - 0.006, 95% CI: - 0.010, - 0.001）和女孩（β: - 0.007, 95% CI: - 0.012, - 0.002） 7岁时更多的ST与11岁时更少的外化问题相关。当调整7岁时的MVPA时，7岁时更多的ST与11岁时更少的外化问题相关（β: - 0.006, 95% CI: - 0.013, 0.000）。结论：在超重/肥胖儿童中，7岁时装置测量的ST预测11岁时照顾者报告的外化问题较少，在MVPA调整后，男孩显示出更强的横断面和女孩的纵向关联。这表明ST的行为关系因性别和发育阶段而异，可能需要根据具体情况进行干预，以抵消其对心理健康的负面影响。

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Cross-sectional and longitudinal associations between sedentary behavior and behavioral problems in children with overweight/obesity

Background

Sedentary behaviors (ST) are linked to children's mental health, including internalizing and externalizing problems. Research on these associations in children with overweight/obesity is limited. To this end, we examined cross-sectional and longitudinal associations between sedentary time (ST) and behavioral problems in children with overweight/obesity, followed by an investigation of potential sex-related differences.

Methods

We included 2273 children with overweight/obesity (49.9 % boys) from the UK Millennium Cohort Study. Accelerometer-measured sedentary time (ST) and MVPA were collected at age 7, and behavioral problems were assessed at ages 7 and 11 via the Strengths and Difficulties Questionnaire (SDQ). General linear models were used to examine how ST at 7 years of age was cross-sectionally and longitudinally associated with externalizing and internalizing, while ethnicity, SDQ scores, parental psychological distress, highest parental education, household poverty, and moderate-to-vigorous physical activity (MVPA) were statistically controlled. These analyses are followed by an analysis investigating sex-related differences.

Results

In the cross-sectional analyses, more ST was associated with fewer externalizing problems at 7 years among boys (β: −0.008, 95 % CI: −0.013, −0.003) and girls (β: −0.006, 95 % CI: −0.011, −0.001) without controlling for MVPA. More ST at 7 years was associated with fewer externalizing problems (β: −0.010, 95 %CI: −0.015, −0.004) only among boys when adjusting for MVPA. In the longitudinal analysis, more ST at 7 years was associated with fewer externalizing problems at 11 years for boys (β: −0.006, 95 %CI: −0.010, −0.001) and girls (β: −0.007, 95 %CI: −0.012, −0.002) without controlling for MVPA. When adjusting for MVPA at 7 years, more ST at 7 years was associated with fewer externalizing problems at 11 years for girls (β: −0.006, 95 %CI: −0.013, 0.000).

Conclusions

In overweight/obese children, device-measured ST at the age of 7 years predicted fewer caregiver-reported externalizing problems at the age of 11 years, with boys showing stronger cross-sectional and girls longitudinal associations after MVPA adjustment. This suggests that the behavioral relationship of ST differs by sex and developmental stage, potentially warranting context-specific interventions to counteract its negative mental health influence.

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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;