Association between 24-hour movements and negative emotions in adolescents in Shanghai

MIAO Yuling&gt;; LIN Qingmin&gt;; JIANG Yanrui&gt;; ZHAO Jin&gt;; ZHANG Yunting&gt;; WANG Guanghai&gt;; JIANG Fan&gt;

doi:10.11852/zgetbjzz2022-1132

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (5) : 475-480. DOI: 10.11852/zgetbjzz2022-1132

Original Articles

Association between 24-hour movements and negative emotions in adolescents in Shanghai

MIAO Yuling¹, LIN Qingmin¹, JIANG Yanrui¹, ZHAO Jin¹, ZHANG Yunting¹, WANG Guanghai^1,2,3, JIANG Fan^1,2,3

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Abstract

Objective To examine the association of 24-hour movements with negative emotions in adolescents in Shanghai, in order to provide theoretical reference for the integration of medical-educational practice in 24-hour activity interventions for adolescent mental health. Methods Middle school students from 6 sample districts in Shanghai were selected by multi-stage stratified random cluster sampling method during November 2017 and January 2018. Standardized questionnaires were used to assess meeting 24-hour movement guidelines on nightly sleep duration, screen exposure time, and moderate-to-vigorous physical activity as well as negative emotions of depression, anxiety and stress. The association between 24-hour movements and negative emotions was analyzed by Logistic regression. Results Overall, 2 312 students were enrolled in this study, of whom 1 113(48.1%) were female students and 1 267 (54.8%) were junior-middle school students, with an average age of (14.84±2.09) years old. The prevalence rates of junior-middle school students and senior-middle school students meeting all the 24-hour movement guidelines were 14.4% and 3.5%, while the prevalence of negative emotions in junior-middle school students and senior-middle school students was 11.4% - 35.8% and 19.5% - 51.6%, respectively. There was a dose-dependent association between the number of meeting the 24-hour movement guidelines and negative emotions. Meeting more 24-hour movement guidelines was related to a lower risk of negative emotions. Compared with those meeting none of the guidelines, the risk of negative emotions decreased by 78% to 79% for junior-middle school students who met all 24-hour of activity (anxiety OR=0.21, 95%CI:0.11 - 0.39; depression OR=0.22, 95%CI:0.17 - 0.51), and by 49% to 50% for senior-middle school students (stress OR=0.50, 95%CI:0.29 - 0.86; depression OR=0.51, 95%CI:0.30 - 0.87). Conclusions The prevalence of Shanghai adolescents meeting the 24-hour movement guidelines is low and meeting more 24-hour movement guidelines is associated with lower risk of negative emotions. This study highlights the importance of enhancing 24-hour movement intervention for supporting mental health in adolescents.

Key words

adolescents / 24-hour movement / negative emotions / sleep / screen time / anxiety / depression

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MIAO Yuling>, LIN Qingmin>, JIANG Yanrui>, ZHAO Jin>, ZHANG Yunting>, WANG Guanghai>, JIANG Fan>. Association between 24-hour movements and negative emotions in adolescents in Shanghai[J]. Chinese Journal of Child Health Care. 2023, 31(5): 475-480 https://doi.org/10.11852/zgetbjzz2022-1132

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