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2024-03-22
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How to Cite
Association between meeting the 24-hour movement guideline and anxiety status in Chinese school-aged adolescents
Xiaogang Zhou
School of Educational Studies, Universiti Sains Malaysia
Nor Shafrin Ahmad
School of Educational Studies, Universiti Sains Malaysia
Ahmad Zamri Khairani
School of Educational Studies, Universiti Sains Malaysia
Yongqian Chen
School of Educational Studies, Universiti Sains Malaysia
DOI: https://doi.org/10.54517/esp.v9i6.2509
Keywords: movement behaviors, physical activity, sedentary behavior, sleep, anxiety, school-aged adolescents, China
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.
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