Association between meeting the 24-hour movement guideline and anxiety status in Chinese school-aged adolescents
Vol 9, Issue 6, 2024, Article identifier:
VIEWS - 453 (Abstract) 140 (PDF)
Abstract
Background/Objective: Adherence to the 24-hour movement guidelines (24-HMG) and various favorable health outcomes has been extensively documented; however, its relationship with anxiety among school-aged adolescents in China remains less explored. This study aims to examine the association between complying with the 24-HMG and anxiety status among school-aged adolescents in China.
Methods: Cross-sectional data on movement behavior, encompassing physical activity, sedentary behavior, and sleep, were collected through the Health Behavior School-aged Children Survey from 670 adolescents (mean age=13.57±0.98). Anxiety was self-reported using the Self-Rating Anxiety Scale. Logistic regression was employed to assess the association between meeting the 24-HMG and anxiety status.
Results: Only 2.1% of participants met all three 24-HMG, while 26.0% did not meet any of the recommendations. Additionally, 8.2% of participants reported experiencing anxiety. Logistic regression analyses indicated a significant association between adherence to the sedentary behavior guidelines (Odds Ratio [OR] = 0.301, p < 0.05), sleep guidelines (OR = 0.260, p < 0.005), or both (OR = 0.168, p < 0.005), and a reduced likelihood of anxiety compared to non-adherence. Conversely, adherence to none of the 24-HMG was significantly associated with an increased likelihood of anxiety (OR=3.343, p<0.05), highlighting a greater probability of experiencing anxiety among these individuals compared to those who adhered to the guidelines.
Conclusion: Only a minority of Chinese adolescents adhere to healthy movement behavior guidelines. It is important to consider the holistic approach of 24-HMG in mitigating anxiety among school-aged adolescents in China. Encouraging more high-quality research is essential to identify the correlates of movement behaviors in adolescents and design effective interventions.
Keywords
Full Text:
PDFReferences
1. Costello EJ, Mustillo S, Erkanli A, et al. Prevalence and Development of Psychiatric Disorders in Childhood and Adolescence. Archives of General Psychiatry. 2003; 60(8): 837. doi: 10.1001/archpsyc.60.8.837
2. Kessler RC, Amminger GP, Aguilar-Gaxiola S, et al. Age of onset of mental disorders: a review of recent literature. Current Opinion in Psychiatry. 2007; 20(4): 359-364. doi: 10.1097/yco.0b013e32816ebc8c
3. Erik H, Erikson. Childhood and society. Vintage; 1995.
4. Bitsko RH, Holbrook JR, Ghandour RM, et al. Epidemiology and Impact of Health Care Provider–Diagnosed Anxiety and Depression Among US Children. Journal of Developmental & Behavioral Pediatrics. 2018; 39(5): 395-403. doi: 10.1097/dbp.0000000000000571
5. Hill RM, Castellanos D, Pettit JW. Suicide-related behaviors and anxiety in children and adolescents: A review. Clinical Psychology Review. 2011; 31(7): 1133-1144. doi: 10.1016/j.cpr.2011.07.008
6. de Lijster JM, Dieleman GC, Utens EMWJ, et al. Social and academic functioning in adolescents with anxiety disorders: A systematic review. Journal of Affective Disorders. 2018; 230: 108-117. doi: 10.1016/j.jad.2018.01.008
7. Khalid-Khan S, Santibanez MP, McMicken C, et al. Social Anxiety Disorder in Children and Adolescents. Pediatric Drugs. 2007; 9(4): 227-237. doi: 10.2165/00148581-200709040-00004
8. Polanczyk GV, Salum GA, Sugaya LS, et al. Annual Research Review: A meta‐analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry. 2015; 56(3): 345-365. doi: 10.1111/jcpp.12381
9. WHO. Depression and Other Common Mental Disorders Global Health Estimates. Available online: https://apps.who.int/iris/handle/10665/254610 (accessed on 15 March 2024).
10. McCarthy C. Anxiety in teens is rising: What’s going on. Available online: https://www.paracletehs.org/wp-content/uploads/Anxiety-in-Teens-is-Rising_-Whats-Going-On_-HealthyChildren.org-Apr-2019.pdf (accessed on 15 March 2024).
11. Chi X, Liang K, Chen ST, et al. Mental health problems among Chinese adolescents during the COVID-19: The importance of nutrition and physical activity. International Journal of Clinical and Health Psychology. 2021; 21(3): 100218. doi: 10.1016/j.ijchp.2020.100218
12. Zhang Y, Ma S, Chen C, et al. Chinese physical activity guidelines for children and adolescents. Chinese Journal of Evidence-Based Pediatrics. 2017; 12(06): 401–409. doi: 10.3969/i.issn.1673-5501.2017.06.001
13. Tremblay MS, Warburton DER, Janssen I, et al. New Canadian Physical Activity Guidelines. Applied Physiology, Nutrition, and Metabolism. 2011; 36(1): 36-46. doi: 10.1139/h11-009
14. Piercy KL, Troiano RP, Ballard RM, et al. The Physical Activity Guidelines for Americans. JAMA. 2018; 320(19): 2020. doi: 10.1001/jama.2018.14854
15. Twisk JWR. Physical Activity Guidelines for Children and Adolescents. Sports Medicine. 2001; 31(8): 617-627. doi: 10.2165/00007256-200131080-00006
16. Janssen I, LeBlanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity. 2010; 7(1): 40. doi: 10.1186/1479-5868-7-40
17. Paterson DH, Warburton DE. Physical activity and functional limitations in older adults: a systematic review related to Canada’s Physical Activity Guidelines. International Journal of Behavioral Nutrition and Physical Activity. 2010; 7(1): 38. doi: 10.1186/1479-5868-7-38
18. Chaput JP, Carson V, Gray C, et al. Importance of All Movement Behaviors in a 24 Hour Period for Overall Health. International Journal of Environmental Research and Public Health. 2014; 11(12): 12575-12581. doi: 10.3390/ijerph111212575
19. Tremblay MS, Carson V, Chaput JP, et al. Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. Applied Physiology, Nutrition, and Metabolism. 2016; 41(6 (Suppl. 3)): S311-S327. doi: 10.1139/apnm-2016-0151
20. Tremblay MS, Chaput JP, Adamo KB, et al. Canadian 24-Hour Movement Guidelines for the Early Years (0–4 years): An Integration of Physical Activity, Sedentary Behaviour, and Sleep. BMC Public Health. 2017; 17(S5). doi: 10.1186/s12889-017-4859-6
21. AGDH. For chirldre and young people (5 to 17 years). Available online: https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians/for-children-and-young-people-5-to-17-years?language=und (accessed on 15 March 2024).
22. Lien A, Sampasa-Kanyinga H, Colman I, et al. Adherence to 24-hour movement guidelines and academic performance in adolescents. Public Health. 2020; 183: 8-14. doi: 10.1016/j.puhe.2020.03.011
23. Sampasa-Kanyinga H, Chaput JP, Goldfield GS, et al. 24-hour movement guidelines and suicidality among adolescents. Journal of Affective Disorders. 2020; 274: 372-380. doi: 10.1016/j.jad.2020.05.096
24. Roman-Viñas B, Chaput JP, et al. Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study. International Journal of Behavioral Nutrition and Physical Activity. 2016; 13(1). doi: 10.1186/s12966-016-0449-8
25. Walsh JJ, Barnes JD, Cameron JD, et al. Associations between 24 hour movement behaviours and global cognition in US children: a cross-sectional observational study. The Lancet Child & Adolescent Health. 2018; 2(11): 783–791. doi: 10.1016/s2352-4642(18)30278-5
26. Sampasa-Kanyinga H, Colman I, Goldfield GS, et al. Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review. International Journal of Behavioral Nutrition and Physical Activity. 2020; 17(1). doi: 10.1186/s12966-020-00976-x
27. Zhu X, Haegele JA, Healy S. Movement and mental health: Behavioral correlates of anxiety and depression among children of 6–17 years old in the U.S. Mental Health and Physical Activity. 2019; 16: 60-65. doi: 10.1016/j.mhpa.2019.04.002
28. Lu S, Cheval B, Yu Q, et al. Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample. Healthcare. 2021; 9(11): 1532. doi: 10.3390/healthcare9111532
29. Liu Y, Wang M, Tynjälä J, et al. Test-retest reliability of selected items of Health Behaviour in School-aged Children (HBSC) survey questionnaire in Beijing, China. BMC Medical Research Methodology. 2010; 10(1). doi: 10.1186/1471-2288-10-73
30. Zung WWK. Self-Rating Anxiety Scale. PsycTESTS Dataset. Published online 1971. doi: 10.1037/t04092-000
31. Liu X, Sun L, Tang M, et al. Analysis of the results of the Self-Rating Scale for Anxiety in 2462 adolescents. Chinese Mental Health Journal, 1997; 11(2): 12–14.
32. Yuan Y, Zhang Y, Liu R, et al. The reliability and validity of a Chinese-version Short Health Anxiety Inventory: an investigation of university students. Neuropsychiatric Disease and Treatment. Published online July 2015: 1739. doi: 10.2147/ndt.s83501
33. Carson V, Chaput JP, Janssen I, et al. Health associations with meeting new 24-hour movement guidelines for Canadian children and youth. Preventive Medicine. 2017; 95: 7-13. doi: 10.1016/j.ypmed.2016.12.005
34. Sampasa-Kanyinga H, Colman I, Goldfield GS, et al. 24-Hour Movement Behaviors and Internalizing and Externalizing Behaviors Among Youth. Journal of Adolescent Health. 2021; 68(5): 969-977. doi: 10.1016/j.jadohealth.2020.09.003
35. Huang T, Zheng K, Li S, et al. Screen-based sedentary behaviors but not total sedentary time are associated with anxiety among college students. Frontiers in Public Health. 2022; 10. doi: 10.3389/fpubh.2022.994612
36. Silva DAS, Duncan MJ, Kuzik N, et al. Associations between anxiety disorders and depression symptoms are related to 24-hour movement behaviors among Brazilian adolescents. Journal of Affective Disorders. 2023; 339: 280-292. doi: 10.1016/j.jad.2023.07.004
DOI: https://doi.org/10.54517/esp.v9i6.2509
(453 Abstract Views, 140 PDF Downloads)
Refbacks
- There are currently no refbacks.
Copyright (c) 2024 Zhou Xiaogang, Nor Shafrin Ahmad, Ahmad Zamri Khairani, Chen Yongqian
License URL: https://creativecommons.org/licenses/by/4.0/