Child Care Health and Development最新文献_第8页

The association between sleep duration and cardiometabolic risk among children and adolescents in the United States (US): A NHANES study 美国儿童和青少年的睡眠时间与心脏代谢风险之间的关系：NHANES 研究。

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-05-13 DOI: 10.1111/cch.13273

Timothy Morgan, Abby Basalely, Pamela Singer, Laura Castellanos, Christine B. Sethna

Purpose

This work aims to assess the association of sleep duration with cardiometabolic risk (adiposity, blood pressure, lipids, albuminuria and A1C) and to investigate lifestyle factors (physical activity, light exposure, caffeine consumption and sugar consumption) associated with sleep duration in children.

Methods

A nationally representative sample of 3907 children ages 6–17 years enrolled in NHANES from 2011 to 2014 was included in this cross-sectional study. Sleep duration was defined as the daily average time spent sleeping over 7 days as measured by a physical activity monitor (PAM). Participants without valid sleep data for ≥95% of the study were excluded. Regression models were adjusted for age, sex, race, body mass index (BMI) Z score, physical activity and light exposure.

Results

In adjusted regression models, longer sleep duration was associated with lower systolic blood pressure index (β = −3.63 * 10⁻⁵, 95% CI −6.99 * 10⁻⁵, −2.78 * 10⁻⁶, p = 0.035) and BMI Z score (β = −0.001, 95% CI −0.001, 0.000, p = 0.002). In logistic regression models, longer sleep duration was associated with lower odds of obesity (OR = 0.998, 95% CI 0.997, 0.999, p < 0.001) and overweight status (OR = 0.998, 95% CI 0.997, 0.999, p = 0.004). Greater light exposure (β = 6.64 * 10⁻⁵, 95% CI 3.50 * 10⁻⁵, 9.69 * 10⁻⁵, p < 0.001) and physical activity (β = 0.005, 95% CI 0.004, 0.006, p < 0.001) were associated with longer sleep.

Conclusion

Longer sleep duration was associated with lower blood pressure and adiposity measures in children. Improving sleep quality by increasing physical activity and light exposure in childhood may decrease the lifetime risk of cardiometabolic disease.

目的：本研究旨在评估睡眠时间与心脏代谢风险（脂肪率、血压、血脂、白蛋白尿和 A1C）之间的关系，并调查与儿童睡眠时间相关的生活方式因素（体育锻炼、光照、咖啡因摄入量和糖摄入量）：这项横断面研究纳入了 2011 年至 2014 年参加 NHANES 的 3907 名具有全国代表性的 6-17 岁儿童样本。睡眠时间定义为通过体力活动监测仪（PAM）测量的 7 天内每天平均睡眠时间。没有≥95%有效睡眠数据的参与者将被排除在外。回归模型根据年龄、性别、种族、体重指数 Z 值、体力活动和光照进行了调整：在调整后的回归模型中，较长的睡眠时间与较低的收缩压指数（β = -3.63 * 10-5，95% CI -6.99 * 10-5，-2.78 * 10-6，p = 0.035）和体重指数 Z 值（β = -0.001，95% CI -0.001，0.000，p = 0.002）相关。在逻辑回归模型中，睡眠时间越长，肥胖几率越低（OR = 0.998，95% CI 0.997，0.999，p -5，95% CI 3.50 * 10-5，9.69 * 10-5，p 结论：睡眠时间越长，肥胖几率越低：延长睡眠时间与降低儿童血压和脂肪含量有关。在儿童时期通过增加体育锻炼和光照来改善睡眠质量，可降低终生罹患心脏代谢疾病的风险。

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引用次数: 0

The processes and outcomes related to ‘family-centred care’ in neuromotor and functional rehabilitation contexts for children with cerebral palsy: A scoping review 脑瘫儿童神经运动和功能康复中 "以家庭为中心的护理 "的相关过程和结果：范围综述。

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-05-13 DOI: 10.1111/cch.13271

Larissa Audi Teixeira Mota, Michelle Zampar Silva, Márcia dos Santos, Luzia Iara Pfeifer

Objective

The aim of this study is to identify the main processes and outcomes related to family-centred care (FCC) in neuromotor and functional rehabilitation of preschool children with cerebral palsy (CP).

Background

FCC is considered a reference for best practices in child rehabilitation. CP is the most common cause of physical disability in childhood with repercussions on functionality. There is a gap in knowledge of the practical principles of FCC, and it is necessary to develop a reference model for the practice of child rehabilitation professionals.

Methods

In this scoping review, the main databases selected were as follows: LILACS; Pubmed; Embase; The Cochrane Library; CINAHL (EBSCO); Scopus; Web of Science; PEDro (Physiotherapy Evidence Database); Open Gray and other banks of thesis. The terms combined in the search strategy were as follows: ‘Family-centered’, ‘Family-centred’ and ‘CP’. Inclusion criteria are as follows: studies on preschool-aged children with CP, undergoing family-centred functional therapeutic interventions (FCFTI) with outcomes on bodily structures and functions and/or activities and/or participation.

Results

The main participatory care methods identified were home intervention, environmental enrichment, collaborative realistic goal setting, planning of home-based activities and routine, child assessment feedback, family education/training, family coaching, encouraging discussion, observation of therapist and supervised practice. The main relational care qualities identified were as follows: respect, active listening, treat parents as equals, clear language, respect parents' ability to collaborate, demonstrate genuine care for the family, appreciate parents' knowledge and skills, demonstrate competence, experience and commitment. The main outcomes identified in children were improvement in motor and cognitive function and the child's functional ability. The main parentaloutcomes identified were empowerment, feeling of competence, self-confidence, motivation and engagement.

Conclusion

The main differences in FCFTI programs refer to the parental education/guidance component and the amount of intervention carried out by parents. It is possible that the elements chosen by the therapist in a FCFTI depend on characteristics of the child and caregivers.

研究目的本研究旨在确定以家庭为中心的护理（FCC）在学龄前脑瘫（CP）儿童神经运动和功能康复中的主要过程和结果：背景："以家庭为中心的护理 "被认为是儿童康复的最佳实践参考。脑瘫是导致儿童肢体残疾的最常见原因，并对儿童的功能产生影响。对 FCC 实用原则的认识还存在差距，因此有必要为儿童康复专业人员的实践开发一个参考模型：在此次范围审查中，选定的主要数据库如下：LILACS; Pubmed; Embase; The Cochrane Library; CINAHL (EBSCO); Scopus; Web of Science; PEDro (Physiotherapy Evidence Database); Open Gray 和其他论文库。检索策略中的术语组合如下：以家庭为中心"、"以家庭为中心 "和 "CP"。纳入标准如下：以学龄前儿童为研究对象，对其进行以家庭为中心的功能性治疗干预（FCFTI），并在身体结构和功能和/或活动和/或参与方面取得成果：发现的主要参与式护理方法包括家庭干预、丰富环境、合作性现实目标设定、家庭活动和常规计划、儿童评估反馈、家庭教育/培训、家庭辅导、鼓励讨论、治疗师观察和监督实践。确定的主要关系护理素质如下：尊重、积极倾听、平等对待家长、语言清晰、尊重家长的合作能力、表现出对家庭的真诚关怀、欣赏家长的知识和技能、表现出能力、经验和承诺。儿童的主要成果是运动和认知功能以及儿童的功能能力得到改善。父母的主要成果是增强能力、胜任感、自信心、积极性和参与度：家庭、儿童和青少年融合项目的主要差异在于家长教育/指导的内容以及家长干预的程度。治疗师可能会根据儿童和照顾者的特点来选择儿童早期智力开发项目的内容。

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引用次数: 0

Psychometric testing of the Chinese version of the Perceived Maternal Parenting Self-Efficacy Scale among postpartum women 对中文版产后妇女 "感知母亲养育子女自我效能感量表 "进行心理测试

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-05-09 DOI: 10.1111/cch.13267

Xiaoying Zhong, Christopher R. Barnes, Elvidina N. Adamson-Macedo, Xixi Li, Xiujing Guo, Tingting He, Dehua Li, Zuowei Li, Bangjun Wang, Hongjin Wu

<div> <section> <h3> Background</h3> <p>Maternal parenting self-efficacy plays a critical role in facilitating positive parenting practices and successful adaption to motherhood. The Perceived Maternal Parenting Self-Efficacy Scale (PMPS-E), as a task-specific measure, confirms its psychometric properties in cultural contexts. Compared with other tools, the advantages of the PMPS-E are as follows: (i) specific context or time period during the lifespan of a child, (ii) explicitly assess parenting self-efficacy across a diverse enough range of parenting tasks or activities during the perinatal/postnatal period and (iii) having robust psychometric properties. The aim of this study was to translate and determine the psychometric properties of the PMPS-E among Chinese postpartum women (C-PMPS-E).</p> </section> <section> <h3> Method</h3> <p>The cross-cultural adaptation process followed Beaton et al.'s intercultural debugging guidelines. A total of 471 women were included to establish the psychometric properties of the C-PMPS-E. Mothers were asked to complete the C-PMPS-E, Edinburgh Postnatal Depression Scale (EPDS), the Generalized Anxiety Disorder-7 (GAD-7) and several demographic questions. The psychometric testing of the C-PMPS-E was established through item analysis, construct validity and internal consistency reliability.</p> </section> <section> <h3> Results</h3> <p>Item analysis showed that the critical ratios of all items were greater than 3 between the low-score group and high-score group, and all item–total correlation coefficients were greater than 0.4. The fit indices showed that the original correlated four-factor model of C-PMPS-E was observed to be an excellent fit to the data. The PMPS-E was negatively correlated with the EPDS and GAD-7 demonstrating its discriminant validity. As expected, no significant correlation was found between PMPS-E total or subscale scores and mothers' age. In addition, statistically significant differences for parity were detected for C-PMPS-E total and subscale scores with multipara having higher scores. This was taken as further evidence of the scale known-groups discriminant validity. In terms of internal consistency, the Cronbach's alpha of the C-PMPS-E total scale was 0.950, and subscales ranged from 0.76 to 0.89. Furthermore, a ROC curve analysis was conducted to establish the ability of the C-PMPS-E to distinguish between symptoms of depression and symptoms of anxiety. A cut-off value of 55 was identified that resulted in good specificity and fair sensitivity.</p> </section> <section> <h3> Conclusion</h3> <p>The C-PMPS-E is a reliable and valid tool to assess maternal parenting self-e

背景母亲养育子女的自我效能感在促进积极的养育实践和成功适应母亲角色方面发挥着至关重要的作用。感知母性养育自我效能感量表（PMPS-E）作为一项针对特定任务的测量工具，证实了其在文化背景下的心理测量特性。与其他工具相比，PMPS-E 的优势如下：(i) 针对儿童生命周期中的特定环境或时间段，(ii) 明确评估围产期/产后期间各种育儿任务或活动中的育儿自我效能感，(iii) 具有稳健的心理测量特性。本研究旨在翻译并确定中国产后妇女养育自我效能感问卷（C-PMPS-E）的心理测量学特性。方法跨文化适应过程遵循 Beaton 等人的跨文化调试指南。共纳入了471名妇女，以确定C-PMPS-E的心理测量特性。母亲们被要求完成 C-PMPS-E、爱丁堡产后抑郁量表 (EPDS)、广泛性焦虑症-7 (GAD-7) 和几个人口统计学问题。通过项目分析、结构效度和内部一致性信度对 C-PMPS-E 进行了心理测试。结果项目分析显示，所有项目在低分组和高分组之间的临界比率均大于 3，所有项目-总相关系数均大于 0.4。拟合指数显示，C-PMPS-E 的原始相关四因素模型与数据的拟合效果非常好。PMPS-E 与 EPDS 和 GAD-7 呈负相关，这证明了它的区分有效性。正如预期的那样，PMPS-E 的总分或分量表得分与母亲的年龄之间没有发现明显的相关性。此外，C-PMPS-E 的总分和分量表得分在统计学上发现了明显的奇偶性差异，多胎妊娠的母亲得分更高。这进一步证明了量表的已知组别区分有效性。在内部一致性方面，C-PMPS-E 总量表的 Cronbach's alpha 为 0.950，分量表的 Cronbach's alpha 为 0.76 至 0.89。此外，还进行了 ROC 曲线分析，以确定 C-PMPS-E 区分抑郁症状和焦虑症状的能力。结果发现，55 的临界值具有良好的特异性和一般的敏感性。结论 C-PMPS-E 是在中国环境下评估母亲养育子女自我效能感的可靠而有效的工具。

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引用次数: 0

The 24-h movement behaviours composition is associated with parasympathetic modulation in preschoolers 学龄前儿童的 24 小时运动行为构成与副交感神经调节有关

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-05-09 DOI: 10.1111/cch.13263

Maria Luiza Pessoa, Cain Clark, Alesandra Souza, Fábio Nakamura, Maria do Socorro Brasileiro-Santos, André Ribeiro, Diego Cristofaro, Clarice Martins

Aim

To investigate the associations between 24-h movement behaviours and heart rate variability (HRV) in preschool children.

Methods

A total of 123 preschoolers (4.52 ± 0.25 years old; 62 girls) were assessed for physical activity (PA) and sedentary behaviour (SB) using an accelerometer (Actigraph WGT3x). Sleep duration (SD) was parent-reported. Children were laid down in a supine position for 10 min to assess HRV data. The R–R intervals recorded during the last 5 min of this period were analysed. We conducted compositional analysis in R studio, and the significance level was 95%. All ethical procedures were followed, and the study had the approval of the local ethical board.

Results

When considered as a composition, adjusted for age, body mass index and sex, the 24-h movement composition (PA, SB and SD) significantly predicted better parasympathetic modulation (Root mean square of the successive differences [RMSSD] [p = 0.04; r² = 0.13]), but not high frequency (HF) (nu) (p = 0.51, r² = 0.01), low frequency (nu) (p = 0.52, r² = 0.02),or standard deviation (standard deviation of normal-to-normal intervals) (p = 0.55, r² = 0.02), respectively.

Conclusion

These results suggest the 24-h movement composition predicted the RMSSD time-domain index related to parasympathetic activity.

目的研究学龄前儿童 24 小时运动行为与心率变异性（HRV）之间的关系。方法使用加速度计（Actigraph WGT3x）对 123 名学龄前儿童（4.52 ± 0.25 岁；62 名女孩）的体力活动（PA）和久坐行为（SB）进行评估。睡眠时间（SD）由家长报告。让儿童仰卧 10 分钟，以评估心率变异数据。对这一期间最后 5 分钟记录的 R-R 间期进行分析。我们在 R studio 中进行了成分分析，显著性水平为 95%。我们遵守了所有伦理程序，并获得了当地伦理委员会的批准。结果如果将 24 小时的运动组成（PA、SB 和 SD）视为一种组成，并对年龄、体重指数和性别进行调整，则可显著预测更好的副交感神经调节（连续差异的均方根[RMSSD] [p = 0.04；r2 = 0.13]），而不是高频率（HF）（nu）（p = 0.51，r2 = 0.01）、低频率（nu）（p = 0.52，r2 = 0.02）或标准偏差（正常至正常间隔的标准偏差）（p = 0.55，r2 = 0.02）。结论这些结果表明，24 小时运动组成可预测与副交感神经活动相关的 RMSSD 时域指数。

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引用次数: 0

Self-reported and accelerometry measures of sleep components in adolescents living in Pacific Island countries and territories: Exploring the role of sociocultural background 太平洋岛屿国家和地区青少年睡眠成分的自我报告和加速度测量：探索社会文化背景的作用

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-05-06 DOI: 10.1111/cch.13272

Guillaume Wattelez, Krestina L. Amon, Rowena Forsyth, Stéphane Frayon, Akila Nedjar-Guerre, Corinne Caillaud, Olivier Galy

Objectives

The objective of this study is to assess the concordance and its association with sociocultural background of a four-question survey with accelerometry in a multiethnic adolescent population, regarding sleep components. Based on questions from the Pittsburgh Sleep Quality Index and adapted to a school context, the questionnaire focussed on estimating sleep onset time, wake-up time and sleep duration on both weekdays and weekends. This subjective survey was compared with accelerometry data while also considering the influence of sociocultural factors (sex, place of living, ethnic community and socio-economic status).

Methods

Adolescents aged 10.5–16 years (n = 182) in New Caledonia completed the survey and wore an accelerometer for seven consecutive days. Accelerometry was used to determine sleep onset and wake-up time using validated algorithms. Based on response comparison, Bland–Altman plots provided agreement between subjective answers and objective measures. We categorized participants' answers to the survey into underestimated, aligned and overestimated categories based on time discrepancies with accelerometry data. Multinomial regressions highlighted the sociocultural factors associated with discrepancies.

Results

Concordance between the accelerometer and self-reported assessments was low particularly during weekends (18%, 26% and 19% aligned for onset sleep time, wake-up time and sleep duration respectively) compared with weekdays (36%, 53% and 31% aligned, respectively). This means that the overall concordance was less than 30%. When considering the sociocultural factors, only place of living was associated with discrepancies in onset sleep time and wake-up time primarily on weekdays. Rural adolescents were more likely to overestimate both onset sleep time (B = −1.97, p < 0.001) and wake-up time (B = −1.69, p = 0.003).

Conclusions

The study found low concordance between self-assessment and accelerometry outputs for sleep components. This was particularly low for weekend days and for participants living in rural areas. While the adapted four-item questionnaire was useful and easy to complete, caution should be taken when making conclusions about sleep habits based solely on this measurement.

研究目的本研究的目的是评估在多种族青少年群体中进行的有关睡眠成分的四问调查与加速度计的一致性及其与社会文化背景的关联。该问卷以匹兹堡睡眠质量指数中的问题为基础，并根据学校环境进行了调整，重点是估算平日和周末的睡眠开始时间、起床时间和睡眠持续时间。这项主观调查与加速度测量数据进行了比较，同时还考虑了社会文化因素（性别、居住地、民族社区和社会经济地位）的影响。方法新喀里多尼亚 10.5-16 岁的青少年（n = 182）完成了调查，并连续七天佩戴加速度计。加速度计采用经过验证的算法确定睡眠开始和醒来的时间。根据反应比较，布兰德-阿尔特曼图提供了主观答案与客观测量之间的一致性。根据与加速度测量数据的时间差异，我们将参与者的调查答案分为低估、一致和高估三类。多项式回归强调了与差异相关的社会文化因素。结果与平日（分别为 36%、53% 和 31%）相比，加速度计和自我报告评估之间的一致性较低，尤其是在周末（开始睡眠时间、起床时间和睡眠时间的一致性分别为 18%、26% 和 19%）。这意味着总体一致性低于 30%。在考虑社会文化因素时，只有居住地主要与平日开始睡眠时间和起床时间的差异有关。农村青少年更容易高估入睡时间（B = -1.97, p < 0.001）和起床时间（B = -1.69, p = 0.003）。结论该研究发现，自我评估与加速度计输出的睡眠成分之间的一致性较低。尤其是周末和居住在农村地区的参与者。虽然改编后的四项调查问卷有用且易于填写，但仅凭这一测量结果对睡眠习惯下结论时应谨慎。

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引用次数: 0

Cross-cultural translation and validation of the Chinese version Distress Tolerance Scale for adolescents with chronic physical disease 针对患有慢性疾病的青少年的压力耐受量表中文版的跨文化翻译与验证

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-05-06 DOI: 10.1111/cch.13270

Shu-Li Lee, Li-Min Wu, Shu-Yuan Lin, Tzu-Han Chen, Wei-Ting Lin

Introduction

Chronic physical disease (CPD) makes life filled with many negative events in adolescents, but not all adolescents experiencing negative life events proceed to develop emotional distress, only those with low emotional distress tolerance (EDT). A valid and reliable scale to measure EDT in CPD adolescents is important for caring for their emotional distress. Therefore, the purpose of this study is to translate the 15-item English version Distress Tolerance Scale (DTS) into a Chinese version and then validate the scale for measuring EDT of adolescents with CPD.

Methods

The 15-item English version DTS was translated into a Chinese version using the translation guidelines for cross-cultural research. Two cohorts of adolescents with CPD were recruited from four hospitals in southern Taiwan, with the first cohort including 124 adolescents with CPD employed to conduct exploratory factor analysis, corrected item-total correlation and reliability testing, while the second cohort, consisting of 238 adolescents with CPD, was utilized to examine confirmatory factor analysis and concurrent validity.

Results

The two-factor nine-item Chinese version DTS for Adolescents with CPD (C-DTS-A) was developed. Lower scores of the C-DTS-A were significantly associated with higher diabetes distress, poorer self-management, and worse glycaemic control; their correlation coefficients sequentially were −.40, .17 and −.23. Cronbach's α and the test–retest reliability of the two-factor C-DTS-A ranged from .81 to .87 and from .79 to .89, respectively.

Conclusion

The two-factor nine-item C-DTS-A with good cross-cultural translation quality was a reliable and valid scale to assess EDT for adolescents with CPD.

引言慢性躯体疾病（CPD）使青少年的生活充满了许多负面事件，但并非所有经历过负面生活事件的青少年都会产生情绪困扰，只有那些情绪困扰耐受力（EDT）较低的青少年才会产生情绪困扰。一个有效、可靠的量表来测量 CPD 青少年的 EDT，对于关注他们的情绪困扰非常重要。因此，本研究旨在将15个项目的英文版《情绪困扰耐受量表》（Distress Tolerance Scale，DTS）翻译成中文版，并对该量表测量CPD青少年EDT的有效性进行验证。方法根据跨文化研究的翻译指南，将15个项目的英文版DTS翻译成中文版。从台湾南部的四家医院招募了两组患有CPD的青少年，第一组包括124名患有CPD的青少年，用来进行探索性因子分析、校正项目-总相关和信度测试；第二组包括238名患有CPD的青少年，用来检验确认性因子分析和并发效度。结果开发出了双因素九项目的中文版 CPD 青少年 DTS（C-DTS-A）。C-DTS-A得分较低与糖尿病困扰程度较高、自我管理较差和血糖控制较差显著相关；其相关系数依次为-.40、.17和-.23。双因素 C-DTS-A 的 Cronbach's α 和测试-再测可靠性分别为 0.81 至 0.87 和 0.79 至 0.89。结论双因素九项目 C-DTS-A 具有良好的跨文化翻译质量，是评估 CPD 青少年 EDT 的可靠而有效的量表。

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引用次数: 0

International study of 24-h movement behaviors of the early years (SUNRISE): A pilot study from Iran 国际幼儿 24 小时运动行为研究（SUNRISE）：伊朗的试点研究

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-04-30 DOI: 10.1111/cch.13269

Najmeh Hamzavi Zarghani, Zahra Jafari, Fereshteh Amini, Seiedeh Zahra Marashi, Saeideh Ghaffarifar, Fazlollah Ghofranipour, Mahroo Baghbanian, Anthony D. Okely

Background

This study examined the proportion of Iranian children who met the World Health Organization (WHO) Guidelines for physical activity, sedentary behaviour and sleep for children under 5 years. Additionally, it investigated the feasibility and acceptability of the methods to be used in the SUNRISE study.

Methods

This pilot study was conducted among 83 children aged 3 and 4 years in preschools and health care centres in Iran, in 2022. Physical activity, sedentary behaviour and sleep (ActiGraph wGT3x-BT); fine and gross motor skills (validated activities); and executive functions (the Early Years Toolbox) were assessed.

Results

Only four (4.8%) children met all recommendations of the WHO guidelines. The proportion of children who met MVPA, TPA, screen time, restrained sitting and sleep were 44.6%, 38.6%, 19.3%, 38.6% and 65.1%, respectively. Fifty-two (62.6%) children wore the ActiGraph for at least three full days. A total of 97.6%, 95.1% and 91.5% of children completed anthropometric, EF and motor skill assessments, respectively.

Conclusion

This pilot study was feasible and acceptable among Iranian children. Regarding the low proportion of children who met the WHO guidelines, it is recommended that long-term and practical strategies be developed to promote healthier lifestyles among preschool children in Iran.

背景本研究调查了伊朗 5 岁以下儿童中符合世界卫生组织（WHO）关于体育锻炼、久坐行为和睡眠指导原则的儿童比例。此外，该研究还调查了 "SUNRISE "研究中使用的方法的可行性和可接受性。方法这项试点研究于 2022 年在伊朗学龄前学校和医疗保健中心的 83 名 3 岁和 4 岁儿童中进行。评估内容包括体力活动、久坐行为和睡眠（ActiGraph wGT3x-BT）；精细和粗大运动技能（验证活动）；以及执行功能（幼儿工具箱）。结果只有四名（4.8%）儿童达到了世界卫生组织指南的所有建议。符合 MVPA、TPA、屏幕时间、限制坐姿和睡眠的儿童比例分别为 44.6%、38.6%、19.3%、38.6% 和 65.1%。52名儿童（62.6%）佩戴 ActiGraph 至少整整三天。分别有 97.6%、95.1% 和 91.5% 的儿童完成了人体测量、EF 和运动技能评估。结论这项试点研究在伊朗儿童中是可行和可接受的。鉴于符合世卫组织指导原则的儿童比例较低，建议制定长期实用的策略，在伊朗学龄前儿童中推广更健康的生活方式。

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引用次数: 0

An updated systematic review of correlates of children's physical activity and sedentary time in early childhood education services 对幼儿教育服务中儿童体育活动和久坐时间相关因素的最新系统回顾

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-04-24 DOI: 10.1111/cch.13265

Karen L. Tonge, Myrto Mavilidi, Rachel A. Jones

Background

Early childhood education services (ECE) continue to be a key setting to promote physical activity and limit sedentary behaviour. Thus, the aim of this study was to (1) provide an updated systematic review of correlates of physical activity and sedentary behaviour among children in ECE settings and (2) discuss changes in physical activity and sedentary behaviour correlates among children in ECEC settings over time.

Methods

A systematic search of eight databases identified 40 studies published between 2015 and 2023 that met the inclusion criteria. The variables were categorized into four domains (child, educator, physical environmental and organizational). Fifty-eight variables were identified.

Results

For data from 2015 to 2023, strong associations were identified in all domains (child, educator, physical environmental and organizational) for physical activity, yet no strong associations for sedentary behaviour were identified. Aggregated data (i.e., combining data from previous review and this review) showed strong associations with children's physical activity and age, motor coordination and sex (child), educator behaviour and presence (educator), presence and size of outdoor environments (physical environmental) and active opportunities and service quality (organizational). For sedentary behaviour, sex, outdoor environments and active opportunities were strongly associated in the combined data.

Conclusion

The correlates of physical activity and sedentary behaviour in ECE settings continue to be multi-dimensional and span different domains. Variables such as educator behaviours and intentionality, provision of active opportunities, use of outdoor space and service quality should be the key focus area for improving physical activity and sedentary behaviour levels of young children.

背景幼儿教育服务（ECE）仍然是促进体育锻炼和限制久坐行为的关键场所。因此，本研究旨在：（1）对幼教机构中儿童体育锻炼和久坐行为的相关因素进行最新的系统综述；（2）讨论幼教机构中儿童体育锻炼和久坐行为相关因素随时间推移而发生的变化。方法通过对 8 个数据库进行系统检索，确定了 40 项在 2015 年至 2023 年间发表的符合纳入标准的研究。变量分为四个领域（儿童、教育者、物理环境和组织）。共确定了 58 个变量。结果在 2015 年至 2023 年的数据中，所有领域（儿童、教育者、物理环境和组织）都发现了与体育锻炼的密切联系，但没有发现与久坐行为的密切联系。汇总数据（即合并上一次回顾和本次回顾中的数据）显示，儿童体力活动与年龄、运动协调性和性别（儿童）、教育者行为和存在（教育者）、户外环境的存在和规模（物理环境）以及活动机会和服务质量（组织）有很强的关联。在久坐行为方面，性别、室外环境和活动机会在综合数据中具有很强的相关性。结论幼教机构中体育活动和久坐行为的相关因素仍然是多方面的，涉及不同的领域。教育者的行为和意向、积极机会的提供、户外空间的使用和服务质量等变量应成为提高幼儿体能活动和久坐行为水平的重点领域。

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引用次数: 0

Maternal dispositional mindfulness and mother–child relationship: The mediating role of emotional control during parenting 母亲的意念倾向与母子关系：育儿过程中情绪控制的中介作用

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-04-12 DOI: 10.1111/cch.13264

Ilenia Passaquindici, Odette Nardozza, Alessandra Sperati, Francesca Lionetti, Giulio D'Urso, Mirco Fasolo, Maria Spinelli

Background

The literature supports the role of parental dispositional mindfulness on parent–child relationship quality. However, little is known about the connection between these two aspects.

Objective

The aim of this study was to investigate whether emotion regulation during parenting, that is, the ability to control negative emotions, mediated the association between parental dispositional mindfulness and parent–child relationship quality. The study also explored the moderation role of child age on the association between parental dispositional mindfulness and parent's ability to control negative emotions during parenting.

Methods

Participants were 635 mothers of children aged between 12 months and 5 years. Mothers completed self-report questionnaires to measure maternal dispositional mindfulness, mother–child relationship quality and maternal control of negative emotions during parenting.

Results

Results showed that maternal ability to control negative emotions during parenting partially mediated the association between maternal dispositional mindfulness and mother–child relationship quality. Moreover, the moderation role of child age indicated that the association between maternal dispositional mindfulness and maternal ability to control negative emotions during parenting was stronger for older children's mothers.

Conclusion

Dispositional mindfulness has a protective role for the quality of parenting and the mother–child relationship. Theoretical and practical implications are discussed.

背景文献支持父母的倾向性正念对亲子关系质量的作用。然而，人们对这两方面之间的联系知之甚少。目的本研究旨在探讨养育子女期间的情绪调节（即控制负面情绪的能力）是否对父母的正念倾向与亲子关系质量之间的关联起到中介作用。研究还探讨了儿童年龄对父母的正念倾向与父母在养育子女过程中控制负面情绪的能力之间的关联所起的调节作用。方法参与研究的 635 位母亲的子女年龄在 12 个月到 5 岁之间。母亲们填写了自我报告问卷，以测量母亲的正念倾向、母子关系质量和母亲在养育过程中控制负面情绪的能力。结果结果显示，母亲在养育子女过程中控制负面情绪的能力在一定程度上调节了母亲正念倾向与母子关系质量之间的关系。此外，儿童年龄的调节作用表明，对于年龄较大的儿童母亲来说，母亲的正念倾向与母亲在养育子女过程中控制负面情绪的能力之间的关联性更强。结论正念对养育质量和母子关系具有保护作用。本文讨论了其理论和实践意义。

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引用次数: 0

Exploring the interplay: Maternal electronic health literacy and its impact on early childhood development and parenting practices 探索相互作用：孕产妇电子健康知识及其对幼儿发展和育儿实践的影响

IF 1.9 4区医学 Q2 PEDIATRICS

Child Care Health and Development

Pub Date : 2024-04-12 DOI: 10.1111/cch.13261

Ayse Oflu, Siddika Songul Yalcin

Background

Mothers need a competent electronic health literacy (eHL) skill for beneficial gains for the health of their children in the virtual environment, which is a new health platform. We predict that a competent eHL of mothers who play a central role in early childhood will positively affect the health of their children. This study aimed to determine the level of eHL of mothers of young children and investigate the relationship between mothers' eHL and early childhood development (ECD) and early parenting practices (EPP).

Methods

This cross-sectional study was conducted on mothers with children aged 36–59 months using eHealth. Sociodemographic and personal characteristics form, Early Childhood Development Module and eHealth Literacy Scale were administered to the participating mothers.

Results

The data from 440 mother–child pairs were analysed. Children of mothers with sufficient eHL levels were more likely to be Early Childhood Development Index (ECDI)-on-track, adjusted odds ratio (AOR), 95% confidence interval (CI): 2.16 (1.29–3.61); have adequate support in learning, AOR (%95 CI): 3.23 (1.69–6.18); and have adequate daily meals and snacks, AOR (%95 CI): 2.43 (1.56–3.78).

Conclusion

These results revealed that there is a need for interventions that will contribute to child health by improving mothers' eHL levels.

背景母亲需要具备合格的电子健康素养（eHL）技能，才能在虚拟环境这一新型健康平台中为子女的健康带来益处。我们预测，在幼儿期发挥核心作用的母亲具备合格的电子健康素养将对其子女的健康产生积极影响。本研究旨在确定幼儿母亲的 eHL 水平，并调查母亲的 eHL 与幼儿发展（ECD）和早期养育实践（EPP）之间的关系。方法这项横断面研究是针对有 36-59 个月大孩子的母亲使用电子保健进行的。对参与研究的母亲进行了社会人口学和个人特征表、儿童早期发展模块和电子健康素养量表的测量。结果分析了 440 对母子的数据。拥有足够电子健康素养水平的母亲的子女更有可能达到儿童早期发展指数（ECDI），调整后的几率比（AOR），95% 置信区间（CI）：2.16（1.29-3.61）；在学习方面获得充分支持，AOR（95% CI）：3.23（1.69-6.18）；以及获得充足的每日膳食和零食，AOR（95% CI）：2.43（1.56-3.78）。结论这些结果表明，有必要采取干预措施，通过提高母亲的电子保健水平来促进儿童健康。

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引用次数: 0