儿童24 h活动行为等时替代与生活质量关系的追踪分析

佘港; 黄健; 任利敏; 张鹏鹏

doi:10.16835/j.cnki.1000-9817.2024274

儿童24 h活动行为等时替代与生活质量关系的追踪分析

doi: 10.16835/j.cnki.1000-9817.2024274

佘港¹,
黄健^1, ,,
任利敏¹,
张鹏鹏²

1.
重庆三峡学院体育与健康学院, 重庆 404120
2.
山西农业大学体育部

基金项目:

重庆市教委科技项目 KJQN202101211

重庆市教委人文社科项目 22SKGH351

详细信息

作者简介:
佘港(1990-), 男, 湖北利川人, 硕士, 助教, 主要研究方向为运动与健康促进、体育教学

通讯作者:
黄健, E-mail: 443150465@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G806 G479
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- 被引次数: 0
出版历程
- 收稿日期: 2024-06-07
- 修回日期: 2024-08-15
- 网络出版日期: 2024-10-08
- 刊出日期: 2024-09-25

Tracking analysis of the relationship between isotemporal substitution of 24 h movement behavior and quality of life in children

1.
College of Physical Education and Health, Chongqing Three Gorges University, Chongqing (404120), China

摘要

摘要: 目的探讨儿童24 h活动行为与健康相关生活质量(HRQoL)之间的横向和纵向联系, 并采用等时替代分析方法反映不同活动行为时间重新分配后对HRQoL得分的影响, 为促进儿童健康提供科学依据。方法 2022年5月, 采用整群随机抽样与方便抽样相结合的方法抽取重庆市万州区3所小学397名7~10岁儿童, 使用加速度计监测儿童1周的活动行为, 并通过儿童健康相关生活质量问卷测试儿童HRQoL; 1年后(2023年5月)使用相同问卷随访调查儿童HRQoL。采用成分多元线性回归模型分析儿童24 h活动行为与HRQoL之间的关系。结果儿童低强度体力活动(LPA)、中高强度体力活动(MVPA)、睡眠(SP)和久坐行为(SB)时间分别为(331.5±41.7, 61.9±28.6, 561.7±78.4, 484.9±67.3)min/d。儿童基线HRQoL总分均值为(69.5±6.6)分, 1年后为(67.6±5.1)分。MVPA和SP与基线(β值分别为0.59, 0.38)和1年后(β值分别为0.48, 0.39)的HRQoL总分均呈正相关, SB与基线和1年后的HRQoL总分均呈负相关(β值分别为-0.25, -0.53)(P值均＜0.05)。等时替代分析显示, 以30 min MVPA替代LPA或SB, 基线HRQoL总分分别提高1.81, 2.79分, 1年后HRQoL总分分别提高1.37, 2.12分; 以SP替代SB, 基线与1年后的HRQoL总分分别提高0.61和0.39分(P值均＜0.05)。结论儿童的24 h活动行为, 特别是体力活动(PA)和SP与儿童HRQoL密切相关。适当采取措施增加儿童PA和SP时间、减少SB时间, 可以改善儿童的HRQoL。
- 运动活动 /
- 等时替代 /
- 生活质量 /
- 回归分析 /
- 儿童
Abstract: Objective To explore the cross-sectional and longitudinal relationships between children's 24 h movement behaviors and health-related quality of life (HRQoL), and to reflect the impact of reallocating time between different activities on HRQoL scores using the isotemporal substitution analysis method, so as to provide a scientific basis for promoting children's health. Methods In May 2022, a method combining cluster random sampling and convenience sampling was employed to conduct baseline survey on 397 children aged 7-10 from three primary schools in Wanzhou District of Chongqing. Children's movement behaviors were monitored using accelerometers, and their HRQoL was assessed through a health-related quality of life questionnaire for children.The same questionnaire was used for assessing HRQoL of children on the follow-up survery after on year(May 2023). A component-based multiple linear regression model was used to analyze the relationship between children's 24 h movement behaviors and HRQoL. Results The average daily times for children's light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), sleep (SP), and sedentary behavior (SB) were (331.5±41.7, 61.9±28.6, 561.7±78.4, 484.9±67.3) min, respectively. The mean baseline HRQoL score was (69.5±6.6), and it was (67.6±5.1) after one year. MVPA and SP were positively correlated with HRQoL at baseline(β=0.59, 0.38) and after one year (β=0.48, 0.39), while SB was negatively correlated with HRQoL at baseline and after one year (β=-0.25, -0.53) (P < 0.05). An isotemporal substitution analysis showed that replacing 30 minutes of LPA or SB with MVPA increased the HRQoL scores by 1.81 and 2.79 at baseline, and by 1.37 and 2.12 after one year. Additionally, replacing SB with SP increased the HRQoL scores by 0.61 at baseline and by 0.39 after one year (P < 0.05). Conclusions Children's 24 h movement behaviors, particularly physical activity (PA) and sleep, are closely related to children's HRQoL. Appropriate measures should be taken to increase children's PA and SP time and reduce SB time to improve children's HRQoL.
- Motor activity /
- Isotemporal substitution /
- Quality of life /
- Regression analysis /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 儿童24 h活动行为与基线HRQoL多元线性回归分析[β值(95%CI)，n=397]

Table 1. Multiple linear regression analysis of children's 24 h activity behavior and HRQoL at baseline[β(95%CI), n=397]

变量	身体健康	情感健康	自尊	与家人关系	与朋友关系	学校功能	HRQoL总分
LPA	-0.13(-0.98~0.71)	0.41(-0.41~1.45)	1.19(0.27~1.51)^*	0.50(-0.50~1.52)	0.11(-1.20~1.21)	0.64(0.07~1.87)^*	0.34(-0.19~0.67)
MVPA	0.42(0.03~0.87)^**	0.41(0.18~0.81)^**	1.50(0.80~1.90)^*	0.12(-0.53~0.54)	1.02(0.38~1.67)^*	0.20(0.09~0.70)^*	0.59(0.09~0.98)^**
SP	0.05(-0.17~0.27)	0.16(0.01~0.38)^**	1.08(0.58~1.72)^**	0.24(0.04~0.41)^*	0.23(-0.07~0.76)	0.32(-0.03~0.49)	0.38(0.03~0.73)^*
SB	-0.33(-1.30~0.63)	0.23(-0.93~1.19)	-0.78(-1.31~-0.09)^**	0.42(-0.73~1.57)	-0.70(-2.07~-0.67)^*	-0.52(-1.90~-0.04)^*	-0.25(-0.98~-0.68)^*
R²值	0.54	0.67	0.49	0.55	0.65	0.71	0.64
注：^P＜0.05，^*P＜0.01。

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表 2 儿童24 h活动行为30 min等时替代与基线HRQoL得分预测值变化情况(n=397)

Table 2. Changes in predicted values of 30 min isochronous substitution and HRQoL scores of children for each dimension of 24 h activity behavior at baseline(n=397)

替代/被替代活动行为	HRQoL总分	身体健康	情感健康	自尊	与家人关系	与朋友关系	学校功能
LPA/MVPA	-2.09^**	-1.82^**	-2.42^**	-0.39	-0.98^*	-1.78^*	-1.34^**
LPA/SP	0.31	0.56	0.34	0.07	0.24	0.45	0.23
LPA/SB	0.56	0.45	0.81	0.32^*	0.45	0.12	0.18
MVPA/LPA	1.81^**	1.18^*	1.99^*	0.45	1.91^*	0.98^*	1.45^*
MVPA/SP	1.61^**	1.89^**	1.10^**	0.71^*	1.45^*	0.78^*	0.89^*
MVPA/SB	2.79^**	2.69^**	2.88^**	3.11^**	2.32^**	2.19^**	3.24^**
SP/LPA	-0.20	-0.35	-0.11	-0.29	-0.23	-0.32	-0.09
SP/MVPA	-2.26^**	-1.91^**	-2.67^**	-1.67^**	-2.41^**	-2.21^**	-1.24^**
SP/SB	0.61^*	0.71^**	0.61^**	0.98^**	0.56^**	0.70^**	0.92^**
SB/LPA	-0.57	-0.76	-0.58	-0.74^*	-0.32	0.45	0.65
SB/MVPA	-3.39^**	-3.71^**	-3.60^**	-2.67^**	-2.56^**	-2.86^**	-2.12^**
SB/SP	-0.63^**	-0.61^*	-0.76^*	-0.45^*	-0.78^*	-0.67^*	-0.56^*
注：^* P＜0.05，^** P＜0.01。

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表 3 儿童24 h活动行为与1年后HRQoL多元线性回归分析[β值(95%CI)，n=324]

Table 3. Multiple linear regression analysis of children's 24 h activity behavior and HRQol after one year[β(95%CI), n=324]

变量	身体健康	情感健康	自尊	与家人关系	与朋友关系	学校功能	HRQoL总分
LPA	-0.16(-0.78~0.61)	0.31(-0.41~1.45)	0.38(0.07~1.03)^*	0.20(-0.67~1.03)	0.21(-1.20~1.21)	0.44(0.07~1.47)^*	0.34(-0.19~1.01)
MVPA	0.47(0.01~0.97)^**	0.50(-0.17~0.98)	1.10(0.80~1.90)^*	0.32(-0.03~0.74)	0.92(0.38~1.66)^*	0.50(0.09~1.50)^*	0.48(0.09~0.85)^**
SP	0.10(-0.17~0.27)	0.36(0.11~0.68)^**	0.78(0.28~1.22)^**	0.34(0.04~0.76)^*	0.33(0.07~0.71)^*	0.32(-0.03~0.69)	0.39(0.01~0.59)^*
SB	-0.41(-1.20~0.33)	-0.45(-0.91~0.11)	-0.70(-1.36~-0.03)^**	0.32(-0.03~1.07)	-0.80(-1.87~-0.37)^*	-0.62(-1.70~0.04)^*	-0.53(-0.91~-0.18)^*
R²值	0.58	0.65	0.47	0.56	0.61	0.66	0.59
注：^P＜0.05，^*P＜0.01。

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表 4 儿童24 h活动行为30 min等时替代与1年后HRQoL得分预测值变化情况(n=324)

Table 4. Changes in predicted values of 30 min isochronous substitution and HRQoL scores of children for each dimension of 24 h activity behavior one year later(n=324)

替代/被替代活动行为	HRQoL总分	身体健康	情感健康	自尊	与家人关系	与朋友关系	学校功能
LPA/MVPA	-1.39^**	-1.62^**	-1.42^**	-0.39	-1.12^*	-1.58^**	-1.27^**
LPA/SP	0.11	0.16	0.14	0.07	0.04	0.12	0.21
LPA/SB	0.43	0.45	0.57	0.62^*	0.12	0.35	0.11
MVPA/LPA	1.37^**	1.02^*	1.29^*	0.67	1.81^*	1.18^*	1.55^*
MVPA/SP	1.06^**	1.69^**	1.01^**	0.61^*	1.15^**	0.88^*	0.79^*
MVPA/SB	2.12^**	2.39^**	2.28^**	2.88^**	2.02^**	1.19^**	1.24^**
SP/LPA	-0.10	-0.15	-0.14	-0.09	-0.13	-0.30	-0.05
SP/MVPA	-1.66^**	-1.71^**	-1.67^**	-1.32^**	-2.01^**	-1.31^**	-1.27^**
SP/SB	0.39^*	0.43^*	0.41	0.28	0.26	0.07	0.42^*
SB/LPA	-0.51	-0.56	-0.53	-0.64^*	-0.22	-0.25	0.35
SB/MVPA	-2.56^**	-2.71^**	-2.80^**	-2.47^**	-1.76^**	-1.96^**	-1.52^**
SB/SP	-0.53^*	-0.57^*	-0.46	-0.45	-0.48	-0.47	-0.66^*
注：^* P＜0.05，^** P＜0.01。

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