Trends in adherence to the 24-h movement guidelines among US adolescents from 2011 to 2019: Evidence from repeated cross-sectional cycles of the Youth Risk Behavior Surveillance System.

IF 3.8 2区 医学 Q1 SPORT SCIENCES Scandinavian Journal of Medicine & Science in Sports Pub Date : 2024-04-01 DOI:10.1111/sms.14609
Sitong Chen, Denver Brown, Kate Parker, Eun-Young Lee
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Abstract

Background: Adherence to the 24-h movement guidelines is associated with various health benefits, but given the novelty of these integrative recommendations, little is known about year-to-year trends in guideline adherence in adolescents. This study investigated trends of adherence to the 24-h movement guidelines among US adolescents.

Methods: Data from 2011 to 2019 cycles of the Youth Risk Behavior Surveillance System were used, which included 62 589 US adolescents aged 14-17 years (female: unweighted sample size = 31 876, 51%; weighted% = 50.1%). Participants self-reported their demographic information (i.e., sex, age, race/ethnicity), physical activity, screen time and sleep duration. Meeting the 24-h movement guidelines was operationalized as simultaneously engaging in 60 min or more of moderate-to-vigorous physical activity, no more than 2 h of screen time, and 8-10 h of sleep per day. Trend analysis was used to examine the secular changes in adherence to the integrated guidelines from 2011 to 2019.

Results: Downward trends in adherence to the 24-h movement guidelines were observed among adolescents from 2011 (3.6%) to 2019 (2.6%). After stratification by sex, age, and race/ethnicity, similar downward trends in the guideline adherence were observed in females and Black/African American adolescents. The lowest prevalence of meeting the individual guidelines was for the PA guidelines (25.6%). Movement guideline adherence was consistently lowest among females, older adolescents, and those who identified as Black/African American.

Conclusions: Adherence to the 24-h movement guidelines has declined among US adolescents over the past decade. Interventions should prioritize an integrative approach that could increase concurrent adherence to each of the 24-h movement guideline, particularly among female, older and minority adolescents.

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2011 年至 2019 年美国青少年遵守 24 小时运动指南的趋势:来自青少年危险行为监测系统重复横截面周期的证据。
背景:遵守 24 小时运动指南与各种健康益处有关,但鉴于这些综合建议的新颖性,人们对青少年遵守指南的逐年趋势知之甚少。本研究调查了美国青少年遵守24小时运动指南的趋势:研究使用了 2011 年至 2019 年青少年危险行为监测系统的数据,其中包括 62 589 名 14-17 岁的美国青少年(女性:未加权样本量 = 31 876,51%;加权比例 = 50.1%)。参与者自我报告了他们的人口统计学信息(即性别、年龄、种族/民族)、体育活动、屏幕时间和睡眠时间。符合 24 小时运动指南的标准是每天同时进行 60 分钟或更长时间的中度至剧烈运动、不超过 2 小时的屏幕时间和 8-10 小时的睡眠时间。我们采用趋势分析法来研究从2011年到2019年遵守综合指南的情况的长期变化:结果:从2011年(3.6%)到2019年(2.6%),青少年对24小时运动指南的遵守率呈下降趋势。按性别、年龄和种族/族裔进行分层后,女性和黑人/非裔青少年的指南遵守率出现了类似的下降趋势。符合单项指导原则的比例最低的是体育锻炼指导原则(25.6%)。女性、年龄较大的青少年以及自称为黑人/非洲裔美国人的青少年遵守运动指南的比例一直最低:结论:过去十年来,美国青少年对 24 小时运动指南的坚持率有所下降。干预措施应优先考虑综合方法,以提高同时遵守每项 24 小时运动指南的人数,尤其是女性、年龄较大的青少年和少数民族青少年。
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来源期刊
CiteScore
7.90
自引率
4.90%
发文量
162
审稿时长
3 months
期刊介绍: The Scandinavian Journal of Medicine & Science in Sports is a multidisciplinary journal published 12 times per year under the auspices of the Scandinavian Foundation of Medicine and Science in Sports. It aims to publish high quality and impactful articles in the fields of orthopaedics, rehabilitation and sports medicine, exercise physiology and biochemistry, biomechanics and motor control, health and disease relating to sport, exercise and physical activity, as well as on the social and behavioural aspects of sport and exercise.
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