TY - JOUR
T1 - Recent trends and disparities in 24-hour movement behaviors among US youth with mental, behavioral and neurodevelopmental conditions
AU - Hou, Meijun
AU - Herold, Fabian
AU - Cheval, Boris
AU - Owen, Neville
AU - Teychenne, Megan
AU - Gerber, Markus
AU - Ludyga, Sebastian
AU - Van Damme, Tine
AU - Hossain, M. Mahbub
AU - Yeung, Albert S.
AU - Raichlen, David
AU - Hallgren, Mats
AU - Pindus, Dominika
AU - Maltagliati, Silvio
AU - Werneck, André O.
AU - Kramer, Arthur F.
AU - Smith, Ashleigh E.
AU - Collins, Audrey M.
AU - Erickson, Kirk I.
AU - Healy, Sean
AU - Haegele, Justin A.
AU - Block, Martin E.
AU - Lee, Eun Young
AU - García-Hermoso, Antonio
AU - Stamatakis, Emmanuel
AU - Liu-Ambrose, Teresa
AU - Falck, Ryan S.
AU - Zou, Liye
N1 - Publisher Copyright:
© 2024 Elsevier B.V.
PY - 2024/12/15
Y1 - 2024/12/15
N2 - Background: Meeting 24-h movement behaviors (24-HMB: physical activity [PA], screen time [ST], and sleep [SL]) recommendations may be associated with positive health outcomes among youth with specific mental, behavioral, and neurodevelopmental (MBD) conditions. However, temporal trends and disparities in meeting 24-HMB guidelines in these higher-risk groups have not been investigated, hampering the development of evidence-based clinical and public health interventions. Methods: Serial, cross-sectional analyses of nationally National Survey of Children's Health (NSCH) data (including U.S. youth aged 6–17 years with MBD conditions) were conducted. The time-trends survey data was conducted between 2016 and 2021. The prevalence of 24-HMB adherence estimates were reported for the overall sample and for various sociodemographic subgroups. The subgroups analyzed included: age group (children[aged 6 to 13 years], adolescents[aged 14 to 17 years]), sex, socioeconomic status, and ethnicity. Results: Data on 52,634 individuals (mean age, 12.0 years [SD,3.5]; 28,829 [58.0 %] boys) were analyzed. From 2016 to 2021 the estimated trend in meeting PA + ST + SL guidelines declined (−0.8 % [95%CI, −1.0 % to −0.5 %], P for trend <0.001), whereas meeting none of 24-HMB guidelines increased (2.2 % [1.8 % to 2.6 %], P for trend <0.001). White participants, children, and boys reported higher estimated prevalence of meeting full integrated (PA + ST + SL) guidelines. Discussion: The temporal trends observed in this study highlight the importance of consistently monitoring movement behavior among MBD youth and identifying variations by sociodemographic groups in meeting 24-HMB guidelines for health promotion within these vulnerable groups.
AB - Background: Meeting 24-h movement behaviors (24-HMB: physical activity [PA], screen time [ST], and sleep [SL]) recommendations may be associated with positive health outcomes among youth with specific mental, behavioral, and neurodevelopmental (MBD) conditions. However, temporal trends and disparities in meeting 24-HMB guidelines in these higher-risk groups have not been investigated, hampering the development of evidence-based clinical and public health interventions. Methods: Serial, cross-sectional analyses of nationally National Survey of Children's Health (NSCH) data (including U.S. youth aged 6–17 years with MBD conditions) were conducted. The time-trends survey data was conducted between 2016 and 2021. The prevalence of 24-HMB adherence estimates were reported for the overall sample and for various sociodemographic subgroups. The subgroups analyzed included: age group (children[aged 6 to 13 years], adolescents[aged 14 to 17 years]), sex, socioeconomic status, and ethnicity. Results: Data on 52,634 individuals (mean age, 12.0 years [SD,3.5]; 28,829 [58.0 %] boys) were analyzed. From 2016 to 2021 the estimated trend in meeting PA + ST + SL guidelines declined (−0.8 % [95%CI, −1.0 % to −0.5 %], P for trend <0.001), whereas meeting none of 24-HMB guidelines increased (2.2 % [1.8 % to 2.6 %], P for trend <0.001). White participants, children, and boys reported higher estimated prevalence of meeting full integrated (PA + ST + SL) guidelines. Discussion: The temporal trends observed in this study highlight the importance of consistently monitoring movement behavior among MBD youth and identifying variations by sociodemographic groups in meeting 24-HMB guidelines for health promotion within these vulnerable groups.
KW - Children and adolescents
KW - Disparities
KW - Physical activity
KW - Screen time
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=85203004023&partnerID=8YFLogxK
U2 - 10.1016/j.jad.2024.08.209
DO - 10.1016/j.jad.2024.08.209
M3 - Article
AN - SCOPUS:85203004023
SN - 0165-0327
VL - 367
SP - 58
EP - 66
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
ER -