Is adherence to the Canadian 24-Hour Movement Behaviour Guidelines for Children and Youth associated with improved indicators of physical, mental, and social health?

Is adherence to the Canadian 24-Hour Movement Behaviour Guidelines for Children and Youth associated with improved indicators of physical, mental, and social health?
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DOI:
10.1139/apnm-2016-0681
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发表时间:
2017-07-01
影响因子:
3.4
通讯作者:
Thompson, Wendy
Thompson, Wendy
中科院分区:
医学3区
文献类型:
--
作者:
Janssen, Ian;Roberts, Karen C.;Thompson, Wendy

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加拿大儿童和青少年 24 小时运动指南于 2016 年发布。这些指南包含中度至剧烈体力活动、屏幕时间和睡眠时间的建议。本研究的目的是确定 (i) 实现指南中的个人建议和建议组合是否与儿童和青少年的身体、心理和社会健康指标相关; (ii) 与满足其他特定运动行为的建议相比,满足特定运动行为的建议是否与身体、心理和社会健康指标存在较大差异相关; (iii) 身体、心理和社会健康指标是否因所达到的指南建议的不同组合而有所不同。为了实现这些目标,我们研究了超过 17,000 名 10-17 岁加拿大人的代表性样本。研究结果表明,与未达到建议的参与者相比,达到任何给定建议的参与者在健康结果方面得分更高。实现的建议数量与健康结果之间存在剂量反应模式,表明随着更多建议的实现,健康结果得到改善。当达到的建议数量相同时,健康结果没有差异。例如,在达到睡眠和屏幕时间建议的组、达到睡眠和中度至剧烈体力活动建议的组、以及达到屏幕时间和中度至剧烈体力活动建议的组中,健康指标得分没有差异。
The Canadian 24-Hour Movement Guidelines for Children and Youth were released in 2016. These guidelines contained recommendations for moderate to vigorous physical activity, screen time, and sleep duration. The objectives of this study were to determine (i) if achieving the individual recommendations and combinations of the recommendations within the guidelines is associated with indicators of physical, mental, and social health within children and youth; (ii) if meeting the recommendation for a specific movement behaviour is associated with larger differences in physical, mental, and social health indicators compared with meeting the recommendations for the other specific movement behaviours; and (iii) if physical, mental, and social health indicators differ according to different combinations of the guideline recommendations achieved. To address these objectives, we studied a representative sample of over 17 000 Canadians aged 10-17 years. The findings indicated that participants achieving any given recommendation had preferable scores for the health outcomes compared with participants who did not meet the recommendations. There was a dose-response pattern between the number of recommendations achieved and the health outcomes, indicating that the health outcomes improved as more recommendations were achieved. When the number of recommendations achieved was the same, there were no differences in the health outcomes. For instance, health indicators scores were not different in the group who achieved the sleep and screen time recommendations, the group who achieved sleep and moderate to vigorous physical activity recommendations, and the group who achieved screen time and moderate to vigorous physical activity recommendations.