The whole day matters: Understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan.
The whole day matters: Understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan.
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DOI：
10.1016/j.jshs.2020.07.004
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发表时间：
2020-12
影响因子：
11.7
通讯作者：
Tremblay MS
中科院分区：
文献类型：
--
作者：
Rollo S;Antsygina O;Tremblay MS
运动行为的24小时组成可能对所有年龄段的健康都有重要的意义。符合24小时运动指南建议的儿童和青年通常比不符合建议的儿童和青年报告更有利的健康指标。24小时运动指南建议的遵从率很低。社会人口学、生活方式和环境因素与指南的遵守有关。24小时运动行为的健康构成和满足推荐的指南对于一生中的疾病预防和健康促进非常重要。新的研究表明，24小时内运动行为的组成(混合)可能对整个生命周期的健康有重要影响。根据这一综合行动行为模式，世界上许多国家为特定年龄段制定并发布了24小时行动指导方针。这项系统性综述的目的是检查24小时运动行为的时间使用构成，或遵守24小时运动指南，与生命周期中的多种健康指标之间的关联。检索5个在线数据库(SqucINFO、PubMed、SPORTDiscus、Web of Science和Ovid MEDLINE)，查找2015年1月至2020年1月发表的符合先验纳入标准的相关同行评议研究，没有研究设计限制。每项单独研究和每个健康指标的研究证据的方法学质量是通过使用修改后的唐斯和布莱克清单进行评估的。来自20个不同国家的51项研究符合纳入标准。共有31项研究检查了对24小时运动指南的遵守情况(会议和不会议)，20项研究使用成分分析来探索24小时运动行为的时间使用构成。结果表明，满足24小时运动指南与幼儿肥胖无关，(2)与学龄前儿童的健康相关生活质量、社会认知发展以及行为和情感问题密切相关，(3)与儿童的整体认知、健康相关的生活质量和健康的饮食模式密切相关，(4)与儿童和青少年的肥胖、健康、心脏代谢、心理、社交和情感健康密切相关。24小时运动行为的组成与以下指标之间也发现了显著的关联：(1)学龄前儿童的肥胖和骨骼健康，(2)儿童的健康相关生活质量，(3)儿童和青年的肥胖、健康以及心脏代谢、社交和情绪健康，(4)成人的心脏代谢健康，(5)成人和老年人的肥胖和健康，以及(6)老年人的心理健康和死亡风险。现有证据的质量从差到好不等。目前的证据表明，24小时内运动行为的构成可能对所有年龄段的健康都有重要影响，满足目前的24小时运动指导方针与儿童和青年的一些理想健康指标有关。未来的研究应该采用纵向和实验设计，包括对24小时运动行为的有效和可靠的测量，并检查所有年龄组的广泛的健康指标。这样的研究将证实来自我们综述中的研究的主要横断面证据的结果，并进一步促进我们对24小时运动行为与健康之间关系的理解。
The 24-h composition of movement behaviors may have important implications for health at all ages. Children and youth who meet the 24-h movement guideline recommendations generally report more favorable health indicators than those who do not. Adherence rates to the 24-h movement guideline recommendations were low. Sociodemographic, lifestyle, and environmental factors were associated with guideline adherence. A healthy composition of 24-h movement behaviors and meeting the recommended guidelines are important for disease prevention and health promotion across the lifespan. New research suggests that the composition (mix) of movement behaviors within a 24-h period may have important implications for health across the lifespan. Consistent with this integrated movement behavior paradigm, a number of countries across the world have developed and released 24-h movement guidelines for specific age groups. The purpose of this systematic review was to examine the associations between the 24-h time-use composition of movement behaviors, or adherence to 24-h movement guidelines, and multiple health indicators across the lifespan. Five online databases (PsycINFO, PubMed, SPORTDiscus, Web of Science, and Ovid MEDLINE) were searched for relevant peer-reviewed studies published between January 2015 and January 2020 that met the a priori inclusion criteria, with no study design limits. The methodological quality of research evidence for each individual study and for each health indicator was assessed by using a modified version of the Downs and Black checklist. A total of 51 studies from 20 different countries met the inclusion criteria. A total of 31 studies examined adherence (meeting vs. not meeting) to 24-h movement guidelines, and 20 studies used compositional analyses to explore the 24-h time-use composition of movement behaviors. Findings indicated that meeting the 24-h movement guidelines were (1) not associated with adiposity among toddlers, (2) favorably associated with health-related quality of life, social-cognitive development, and behavioral and emotional problems among preschoolers, (3) favorably associated with global cognition, health-related quality of life, and healthy dietary patterns in children, and (4) favorably associated with adiposity, fitness, and cardiometabolic, mental, social, and emotional health among children and youth. Significant associations were also found between the composition of 24-h movement behaviors and indicators of (1) adiposity and bone and skeletal health among preschoolers, (2) health-related quality of life among children, (3) adiposity, fitness, and cardiometabolic, social, and emotional health among children and youth, (4) cardiometabolic health in adults, (5) adiposity and fitness among adults and older adults, and (6) mental health and risk of mortality among older adults. The quality of the available evidence ranged from poor to good. The current evidence indicates that the composition of movement behaviors within a 24-h period may have important implications for health at all ages and that meeting the current 24-h movement guidelines is associated with a number of desirable health indicators in children and youth. Future studies should employ longitudinal and experimental designs, include valid and reliable measures of 24-h movement behaviors, and examine a wide array of health indicators across all age groups. Such studies would confirm the results from the primarily cross-sectional evidence drawn from studies included in our review and further advance our understanding of the relationships between 24-h movement behaviors and health.
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DOI：
10.1186/s12966-018-0662-8
发表时间：
2018-03-21
期刊：
The international journal of behavioral nutrition and physical activity
影响因子：
--
作者：
Foley L;Dumuid D;Atkin AJ;Olds T;Ogilvie D
通讯作者：
Ogilvie D
DOI：
10.3390/ijerph15102171
发表时间：
2018-10-01
影响因子：
--
作者：
De Craemer, Marieke;McGregor, Duncan;Cardon, Greet
通讯作者：
Cardon, Greet
影响因子：
6.3
作者：
Downs, SH;Black, N
通讯作者：
Black, N
影响因子：
2.7
作者：
Chia, Michael Yong Hwa;Tay, Lee Yong;Chua, Terence Buan Kiong
通讯作者：
Chua, Terence Buan Kiong
影响因子：
4.9
作者：
Gupta, Nidhi;Hallman, David M.;Holtermann, Andreas
通讯作者：
Holtermann, Andreas