Recent trends and disparities in 24-hour movement behaviors among US youth with mental, behavioral and neurodevelopmental conditions

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Hou, Meijun ; Herold, Fabian ; Cheval, Boris ; Owen, Neville ; Teychenne, Megan ; Gerber, Markus ; Ludyga, Sebastian ; Van Damme, Tine ; Hossain, M. Mahbub ; Yeung, Albert S. ; Raichlen, David ; Hallgren, Mats ; Pindus, Dominika ; Maltagliati, Silvio ; Werneck, Andre O. ; Kramer, Arthur F. ; Smith, Ashleigh E. ; Collins, Audrey M. ; Erickson, Kirk I. ; Healy, Sean ; Haegele, Justin A. ; Block, Martin E. ; Lee, Eun Young ; Garcia-Hermoso, Antonio ; Stamatakis, Emmanuel ; Liu-Ambrose, Teresa ; Falck, Ryan S. ; Zou, Liye

• Document type: Journal article
• Source: Journal of Affective Disorders; v. 367, p. 9-pg., 2024-09-04.

Abstract

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 socio- demographic 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 in- tegrated (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. (AU)

• FAPESP's process: 19/24124-7 - Prospective association of ultra-processed food consumption and physical inactivity in the prediction of depressive symptoms among adults
• Grantee: André de Oliveira Werneck
• Support Opportunities: Scholarships in Brazil - Doctorate