Proportion of Chinese Children and Adolescents Meeting 24-Hour Movement Guidelines and Associations with Overweight and Obesity

Yi Sun, Yuan Liu, Xiaojian Yin (), Ming Li, Ting Zhang, Feng Zhang, Yaru Guo and Pengwei Sun
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Yi Sun: College of Physical Education, Ludong University, Yantai 264025, China
Yuan Liu: College of Physical Education & Health, East China Normal University, Shanghai 200241, China
Xiaojian Yin: College of Economics and Management, Shanghai Institute of Technology, Shanghai 201418, China
Ming Li: College of Physical Education & Health, East China Normal University, Shanghai 200241, China
Ting Zhang: College of Physical Education & Health, East China Normal University, Shanghai 200241, China
Feng Zhang: College of Physical Education & Health, East China Normal University, Shanghai 200241, China
Yaru Guo: College of Physical Education & Health, East China Normal University, Shanghai 200241, China
Pengwei Sun: College of Physical Education & Health, East China Normal University, Shanghai 200241, China

IJERPH, 2023, vol. 20, issue 2, 1-13

Abstract: Background: Since there is little knowledge about the 24-hour movement behaviors of Chinese children and adolescents, the purposes of this study were to investigate the proportion of Chinese children and adolescents meeting the 24-Hour Movement Guidelines and to further evaluate its relationship with overweight and obesity. Methods: A total of 440 children and adolescents aged 7–18 years from 7 cities in China were selected to measure physical activity using accelerometers, and sleep (SLP) and screen time (ST) using questionnaires. The data were analyzed with the independent T -test, Mann–Whitney U test, Cox–Stuart test, chi-square test, and logistic regression. Results: The proportion of Chinese children and adolescents meeting the overall 24-Hour Movement Guidelines was 7.3%. Boys (11.8%) were higher than girls (3.4%) ( p < 0.001) and showed a downward trend with age ( P trend = 0.03). The rates of overweight and obesity among children and adolescents who met the ST, MVPA + ST, ST + SLP, and MVPA + SLP + ST guidelines were 39%, 15%, and 36%, and 25% did not meet any guidelines. The rates of overweight and obesity among those who met 1, 2, and 3 guidelines were lower than the rate among those who did not meet any guidelines (odds ratio ( OR ) = 0.51, 95% confidence interval ( CI ): 0.22–1.17; OR = 0.32, 95% CI : 0.13–0.77; OR = 0.23, 95% CI : 0.07–0.81) and showed a decreasing trend ( P trend = 0.006). Conclusions: The proportion of Chinese children and adolescents meeting the overall 24-Hour Movement Guidelines was low. The rate of overweight and obesity among children and adolescents who met the overall 24-Hour Movement Guidelines was the lowest compared with the rates among those who met any one or two. There was a dose–response relationship between the number of guidelines met and the overweight and obesity rate.

Keywords: physical activity; screen time; sleep; overweight and obesity; children and adolescents (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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