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Article

Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample

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College of Sports Science, Jishou University, Jishou 416000, China
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Hunan Academy of Education Sciences, Changsha 225002, China
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Swiss Center for Affective Sciences, University of Geneva, 1211 Geneva, Switzerland
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Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, 1211 Geneva, Switzerland
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Institute of KEEP Collaborative Innovation, Shenzhen University, Shenzhen 518060, China
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Exercise Psychophysiology Laboratory, School of Psychology, Shenzhen University, Shenzhen 518060, China
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Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA
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Institute for Health and Sport, Victoria University, Melbourne, VIC 8001, Australia
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School of Rehabilitation, Sport and Psychology, AECC University College, Bournemouth BH5 2DF, UK
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School of Physical Education and Sport Training, Shanghai University of Sport, Shanghai 200438, China
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Department of Physical Education, Limestone University, Gaffney, SC 29340, USA
*
Author to whom correspondence should be addressed.
Academic Editor: João Paulo Brito
Healthcare 2021, 9(11), 1532; https://doi.org/10.3390/healthcare9111532
Received: 11 August 2021 / Revised: 16 October 2021 / Accepted: 4 November 2021 / Published: 10 November 2021
(This article belongs to the Collection Stress Management for Health)
This study examined the associations between adherence to 24-hour movement behavior guidelines (24-HMB) and the mental-health-related outcomes of depressive symptoms and anxiety in Chinese children. Data on movement behavior from 5357 children (4th and 5th grades), including physical activity, recreational screen time and sleep, were self-reported using the Health Behavior School-Aged Children Survey. Depressive symptoms and anxiety were self-reported using the Chinese version of the nine-item Patient Health Questionnaire and the Generalized Anxiety Disorder Scale, respectively. Depressive symptoms and anxiety were treated as categorical variables. Only 3.2% of the participants met physical activity, screen time, and sleep 24-HMB guidelines. Ordinal logistic regressions showed that, compared with participants who met the 24-HMB guidelines, participants who met none (odds ratio (OR) = 2.62, 95% CI: 1.76–3.90) or any one of the guidelines (OR = 1.88, 95% CI: 1.27–2.77) had higher odds of depressive symptoms. Similarly, there were higher odds of anxiety in participants who met none (OR = 2.32, 95% CI: 1.45–3.70) or any one of the recommendations (OR = 1.62, 95% CI: 1.03–2.57) compared with participants who met all the 24-HMB guidelines. Meeting the 24-HMB guidelines is associated with better mental-health-related outcomes in Chinese children. Because of the low prevalence of Chinese children meeting the 24-HMB recommendations, the present findings highlight the need to encourage children to regularly engage in physical activity, decrease their time spent sitting, and improve their sleep patterns. View Full-Text
Keywords: movement behaviors; depression; anxiety; primary school students movement behaviors; depression; anxiety; primary school students
MDPI and ACS Style

Lu, S.; Cheval, B.; Yu, Q.; Hossain, M.M.; Chen, S.-T.; Taylor, A.; Bao, R.; Doig, S.; Li, J.; Wang, T.; Yan, Z.; Kuang, J.; Jiao, C.; Zou, L. Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample. Healthcare 2021, 9, 1532. https://doi.org/10.3390/healthcare9111532

AMA Style

Lu S, Cheval B, Yu Q, Hossain MM, Chen S-T, Taylor A, Bao R, Doig S, Li J, Wang T, Yan Z, Kuang J, Jiao C, Zou L. 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. https://doi.org/10.3390/healthcare9111532

Chicago/Turabian Style

Lu, Shenghua, Boris Cheval, Qian Yu, Md Mahbub Hossain, Si-Tong Chen, Alyx Taylor, Ran Bao, Scott Doig, Jinming Li, Ting Wang, Zhe Yan, Jin Kuang, Can Jiao, and Liye Zou. 2021. "Associations of 24-Hour Movement Behavior with Depressive Symptoms and Anxiety in Children: Cross-Sectional Findings from a Chinese Sample" Healthcare 9, no. 11: 1532. https://doi.org/10.3390/healthcare9111532

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