Racial/Ethnic Differences in the Age-Varying Association Between Adherence to 8-5-2-1-0 Guidelines in Adolescents with High BMI.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-09-03 DOI:10.1007/s40615-024-02102-0

Marie-Rachelle Narcisse, Monica L Wang, Fatima C Stanford, Aviva G Schwarz, Pearl A McElfish

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Abstract

Purpose: To examine the association between adherence to sleep, dietary, screen time, and physical activity (PA) (8-5-2-1-0) guidelines and risk of high body mass index (BMI ≥ 85 percentile) among U.S. adolescents and to assess for racial inequities and age-varying effects in these associations.

Methods: Data from the 2019 Youth Risk Behavior Surveillance System survey were used to conduct multivariable logistic regression models and moderation analysis by race/ethnicity and age using time-varying varying effect models (TVEM) and estimate associations of interest.

Results: Of the 13,518 adolescents aged ≥ 14 years, only 0.5% met all guidelines. Adolescents adhering to sleep guidelines had a 21% reduction in their odds of having a high BMI (OR 0.79, 95% CI 0.67-0.93). Those adhering to PA guidelines had a 34% reduction in their odds of having a high BMI (OR 0.66, 95% CI 0.56-0.79), and those adhering to screen time guidelines had a 17% reduction in their odds of having a high BMI (OR 0.83, 95% CI 0.72-0.95). TVEM showed associations between adherence to sleep and screen time guidelines with high BMI fluctuate and are at specific ages. TVEM revealed substantial racial/ethnic differences in the age-varying association between adherence to 8-5-2-1-0 guidelines and high BMI throughout adolescence.

Conclusions: Associations between adherence to sleep and screen time guidelines and high BMI fluctuate with age, highlighting the need for nuanced interventions targeting 24-h movement guidelines (sleep, PA, and screen time) across adolescence, particularly given racial/ethnic disparities.

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高体重指数青少年遵守 8-5-2-1-0 指南的年龄差异中的种族/族裔差异。

目的：研究美国青少年遵守睡眠、饮食、屏幕时间和体育活动（PA）（8-5-2-1-0）指南与高体重指数（BMI ≥ 85 百分位数）风险之间的关联，并评估这些关联中的种族不平等和年龄变化效应：利用2019年青少年危险行为监测系统调查的数据，采用时变效应模型（TVEM）建立多变量逻辑回归模型，并按种族/族裔和年龄进行调节分析，估计相关关联：在 13,518 名年龄≥ 14 岁的青少年中，仅有 0.5%的青少年符合所有指南。遵守睡眠指南的青少年患高体重指数的几率降低了 21%（OR 0.79，95% CI 0.67-0.93）。遵守体育锻炼指南的青少年体重指数偏高的几率降低了 34%（OR 0.66，95% CI 0.56-0.79），遵守屏幕时间指南的青少年体重指数偏高的几率降低了 17%（OR 0.83，95% CI 0.72-0.95）。TVEM显示，遵守睡眠和屏幕时间指南与高体重指数之间的关系是波动的，而且是在特定年龄段。TVEM显示，在整个青春期，遵守8-5-2-1-0准则与高体重指数之间的关系因年龄而异，存在很大的种族/民族差异：结论：遵守睡眠和屏幕时间准则与高体重指数之间的关系会随着年龄的变化而波动，这突出表明需要针对整个青春期的 24 小时运动准则（睡眠、PA 和屏幕时间）采取细致的干预措施，特别是考虑到种族/民族差异。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.