Physical Activity Levels and Screen Time among Youth with Overweight/Obesity Using Mental Health Services.

Physical Activity Levels and Screen Time among Youth with Overweight/Obesity Using Mental Health Services.
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DOI:
10.3390/ijerph19042261
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发表时间:
2022-02-17
影响因子:
--
通讯作者:
Wang NY
Wang NY
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Jerome GJ;Fink T;Brady T;Young DR;Dickerson FB;Goldsholl S;Findling RL;Stepanova EA;Scheimann A;Dalcin AT;Terry A;Gennusa J;Cook C;Daumit GL;Wang NY

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患有精神疾病的青少年比一般人群中的儿童肥胖程度更高。定期的身体活动和有限的屏幕时间都被推荐用于减少和预防儿童肥胖。这项研究探讨了基于加速度计的中等强度体力活动(MVPA)和屏幕时间在青少年超重/肥胖问题谁正在接受心理健康护理。这项研究观察了一项为期12个月的体重管理随机临床试验,对象是正在接受心理健康服务的8-18岁超重/肥胖青少年。在基线时,使用加速度计评估MVPA,并自我报告屏幕时间。在100名青年中,43%为女性,44%为黑人,48%为13岁以下。在调整后的一般线性模型中,MVPA水平较高与年龄较轻组(p = 0.012)、男性参与者(p = 0.013)和BMI z评分较低(p = 0.014)相关。在一个单独的模型中,较高的屏幕时间与黑人参与者相关(p = 0.007)。在人口层面实现最佳心血管健康需要了解最需要额外援助的群体。这些数据强化了有针对性的生活方式方法,以促进使用心理健康服务的超重/肥胖青少年增加身体活动和减少屏幕时间,可能需要针对性别,年龄和种族亚组进行额外的定制。
Youth with mental illness have higher levels of obesity than children in the general population. Both regular physical activity and limited screen time have been recommended to reduce and prevent childhood obesity. This study examines accelerometer-based moderate–vigorous physical activity (MVPA) and screen time among youth with overweight/obesity issues who are receiving mental health care. This study looked at a 12-month weight management randomized clinical trial for overweight/obese youth aged 8–18 years who are receiving mental health services. At baseline, MVPA was assessed using accelerometers, and screen time was self-reported. Among 100 youth, 43% were female, 44% were Black, and 48% were <13 years old. In an adjusted general linear model, higher levels of MVPA were associated with the younger age group (p = 0.012), male participants (p = 0.013), and lower BMI z-scores (p = 0.014). In a separate model, higher screen time was associated with participants who were Black (p = 0.007). Achieving optimal cardiovascular health at the population level requires an understanding of the groups that are most in need of additional assistance. These data reinforce that targeted lifestyle approaches to promote increased physical activity and decreased screen time among overweight/obese youth using mental health services may need additional tailoring for sex, age, and race subgroups.
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