Linking 24-h Movement Behavior Guidelines to Cognitive Difficulties,Internalizing and Externalizing Problems in Preterm Youth  

作　　者：Zhihui Cheng Ailikute Aikeremu Yanping Gao Zhihao Zhang Anthony G.Delli Paoli Paolo Marcello Cunha Alyx Taylor Fabian Herold Liye Zou 

机构地区：[1]Body-Brain-Mind Laboratory,School of Psychology,Shenzhen University,Shenzhen,518060,China [2]Department of Kinesiology and Health,Rutgers University,New Brunswick,NJ 08901,USA [3]Metropolitan University Center of Maringá,Maringá,87020,Brazil [4]School of Health and Rehabilitation Sciences,AECC University College,Bournemouth,BH52DF,UK [5]Research Group Degenerative and Chronic Diseases,Movement,Faculty of Health Sciences Brandenburg,University of Potsdam,Potsdam,14476,Germany

出　　处：《International Journal of Mental Health Promotion》2024年第8期651-662,共12页国际心理健康促进杂志（英文）

基　　金：supported by the Shenzhen Educational Research Funding(Grant No.zdzb2014);the Shenzhen Science and Technology Innovation Commission(Grant No.202307313000096);the Social Science Foundation from China’s Ministry of Education(Grant No.23YJA880093);a Post-Doctoral Fellowship(Grant No.2022M711174);the National Center for Mental Health(Grant No.Z014);a Research Excellence Scholarship of Shenzhen University(Grant No.ZYZD2305).

摘　　要：Background:Given the heightened risk of developmental challenges associated with preterm birth,it is crucial to explore interventions that may ameliorate potential adverse outcomes.This study aimed to examine whether meeting the 24-h movement behavior(24-HMB)guidelines,which include recommendations on physical activity(PA),screen time(ST),and sleep(SL),is related to indicators of cognitive difficulties,internalizing problems(e.g.,depression and anxiety),and externalizing problems(e.g.,difficulties in making friends and arguing)in a sample of preterm youth(children and adolescents born preterm).Methods:In this cross-sectional study,data from 3410 preterm youth(aged 6 to 17 years)were included for data analyses.Multivariable logistic regression was used to investigate associations between meeting the 24-HMB guidelines and the above-mentioned health outcomes,while controlling for sociodemographic and health-related factors.Results:The prevalence of meeting 24-HMB guidelines varied across independent and integrated components of the 24-HMB guidelines.Meeting the ST guideline alone(p<0.05)and integrated guidelines(i.e.,ST+SL and ST+SL+PA)were associated with fewer cognitive difficulties and reduced internalizing and externalizing problems(p<0.05).Specifically,meeting the SL guideline alone and integrated guidelines(i.e.,SL+ST)were associated with lower odds of depression and anxiety(p<0.01).Additionally,meeting independent,and integrated(PA and/or ST)guidelines were associated with less pronounced difficulties in making friends and arguing(p<0.05).Meeting 24-HMB guidelines in an isolated and integrated manner are linked to better cognitive performance and fewer internalizing and externalizing problems in preterm youth.Conclusion:Results suggest that advocating for the implementation of the 24-HMB guidelines may reduce cognitive challenges and behavioral issues,which is of high relevance for improving public health.Future longitudinal studies in preterm youth should investigate how modifying specific 24-HMB behaviors,e

关 键 词：Cognitive difficulties externalizing problems internalizing problems physical activity preterm youth 

分 类 号：R74[医药卫生—神经病学与精神病学] R395[医药卫生—临床医学]