Volume 42 Issue 8
Aug.  2021
Turn off MathJax
Article Contents
GUI Zhaohuan, WANG Hui, ZHANG Jingshu, CHEN Yajun. Associations of physical activity and screen time with emotional and behavioral problems in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1135-1139. doi: 10.16835/j.cnki.1000-9817.2021.08.004
Citation: GUI Zhaohuan, WANG Hui, ZHANG Jingshu, CHEN Yajun. Associations of physical activity and screen time with emotional and behavioral problems in children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1135-1139. doi: 10.16835/j.cnki.1000-9817.2021.08.004

Associations of physical activity and screen time with emotional and behavioral problems in children

doi: 10.16835/j.cnki.1000-9817.2021.08.004
  • Received Date: 2020-11-19
  • Rev Recd Date: 2020-12-26
  • Available Online: 2021-08-20
  • Publish Date: 2021-08-25
  •   Objective  To investigate the associations of moderate-to-vigorous intensity physical activity (MVPA) and screen time (ST) with emotional and behavioral problems in children and to provide evidence for related intervention measures.  Methods  In March 2017, a total of 4 922 children aged 6-12 years from 5 primary schools in Guangzhou were enrolled using stratified random cluster sampling method. Questionnaires were used to assess children's socio-demographic information, MVPA, ST and emotional and behavioral problems. The associations of MVPA and ST with behavioral problems were explored by using generalized linear mixed models.  Results  Students with MVPA≥60 min per day accounted for 37.5%, and with ST≤2 h per day accounted for 87.7%. Children who were physically active showed lower scores for total difficulties, hyperactivity, and peer problems and higher score for prosocial than inactive peers(t=2.80, 2.47, 2.56, -1.97, all P < 0.05). Also, children who spent less than 2 h ST per day reported lower scores for total difficulties, emotional symptoms, conduct problems, hyperactivity, and peer problems and higher score for prosocial compared to those with high ST(t=3.18, 3.35, 3.70, 3.80, -3.21, 4.97, all P < 0.05). Children who met neither MVPA nor ST recommendations had significantly increased risks of total difficulties(OR=1.73, 95%CI=1.12-2.68), conduct problems(OR=1.45, 95%CI=1.02-2.05), peer problems(OR=1.93, 95%CI=1.11-3.36), and prosocial (OR=1.55, 95%CI=1.08-2.23) than those who met both.  Conclusion  MVPA and ST are independently related to children's emotional and behavioral problems, and the risks of emotional and behavioral problems increased in children with insufficient MVPA and longer ST.
  • loading
  • [1]
    Committee PAGA. Physical activity and guidelines advisory committee scientific report[R]. Washington, DC: US Department of Health and Human Services, 2018.
    [2]
    SALLIS J F, BULL F, GUTHOLD R, et al. Progress in physical activity over the olympic quadrennium[J]. Lancet, 2016, 388(10051): 1325-1336. doi: 10.1016/S0140-6736(16)30581-5
    [3]
    ROMAN-VINAS B, CHAPUT J P, KATZMARZYK P T, et al. Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study[J]. Int J Behav Nutr Phys Act, 2016, 13(1): 123. doi: 10.1186/s12966-016-0449-8
    [4]
    Sedentary Behaviour Research Network. Letter to the editor: standardized use of the terms "sedentary" and "sedentary behaviours"[J]. Appl Physiol Nutr Metab, 2012, 37(3): 540-542. doi: 10.1139/h2012-024
    [5]
    WIJNDAELE K, WHITE T, ANDERSEN LB, et al. Substituting prolonged sedentary time and cardiovascular risk in children and youth: a meta-analysis within the International Children's Accelerometry database(ICAD)[J]. Int J Behav Nutr Phys Act, 2019, 16(1): 96. doi: 10.1186/s12966-019-0858-6
    [6]
    COSTIGAN S A, BARNETT L, PLOTNIKOFF R C, et al. The health indicators associated with screen-based sedentary behavior among adolescent girls: a systematic review[J]. J Adolesc Health, 2013, 52(4): 382-392. doi: 10.1016/j.jadohealth.2012.07.018
    [7]
    HANCOX R J, MILNE B J, POULTON R. Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study[J]. Lancet, 2004, 364(9430): 257-262. doi: 10.1016/S0140-6736(04)16675-0
    [8]
    American Academy of Pediatrics. Committee on public education. American Academy of Pediatrics: Children, adolescents, and television[J]. Pediatrics, 2001, 107(2): 423-426. doi: 10.1542/peds.107.2.423
    [9]
    ZHU Z, TANG Y, ZHUANG J, et al. Physical activity, screen viewing time, and overweight/obesity among Chinese children and adolescents: an update from the 2017 physical activity and fitness in China-the youth study[J]. BMC Public Health, 2019, 19(1): 197. doi: 10.1186/s12889-019-6515-9
    [10]
    POLANCZYK G V, SALUM G A, SUGAYA L S, et al. Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents[J]. J Child Psychol Psychiatry, 2015, 56(3): 345-365. doi: 10.1111/jcpp.12381
    [11]
    CASPI A, MOFFITT T E, NEWMAN D L, et al. Behavioral observations at age 3 years predict adult psychiatric disorders. Longitudinal evidence from a birth cohort[J]. Arch Gen Psychiatry, 1996, 53(11): 1033-1039. doi: 10.1001/archpsyc.1996.01830110071009
    [12]
    MARMOT M, AI E. The marmot review: fair society, healthy lives. strategic review of health inequalities in England post 2010[R]. London: Institute of Health Equity, 2010.
    [13]
    KANTOMAA M T, TAMMELIN T H, EBELING H E, et al. Emotional and behavioral problems in relation to physical activity in youth[J]. Med Sci Sports Exerc, 2008, 40(10): 1749-1756. doi: 10.1249/MSS.0b013e31817b8e82
    [14]
    AHN J V, SERA F, CUMMINS S, et al. Associations between objectively measured physical activity and later mental health outcomes in children: findings from the UK Millennium Cohort Study[J]. J Epidemiol Commun Health, 2018, 72(2): 94-100. doi: 10.1136/jech-2017-209455
    [15]
    SLYKERMAN R F, BUDD C, THOMPSON J M D, et al. Physical activity, sleep, body mass index, and associated risk of behavioral and emotional problems in childhood[J]. J Dev Behav Pediatr, 2020, 41(3): 187-194. doi: 10.1097/DBP.0000000000000754
    [16]
    WU X, TAO S, RUTAYISIRE E, et al. The relationship between screen time, nighttime sleep duration, and behavioural problems in preschool children in China[J]. Eur Child Adolesc Psychiatry, 2017, 26(5): 541-548. doi: 10.1007/s00787-016-0912-8
    [17]
    GUERRERO M D, BARNES J D, CHAPUT J P, et al. Screen time and problem behaviors in children: exploring the mediating role of sleep duration[J]. Int J Behav Nutr Phys Act, 2019, 16(1): 105. doi: 10.1186/s12966-019-0862-x
    [18]
    CARLSON S A, FULTON J E, LEE S M, et al. Influence of limit-setting and participation in physical activity on youth screen time[J]. Pediatrics, 2010, 126(1): e89-e96. doi: 10.1542/peds.2009-3374
    [19]
    GARCÍA-HERMOSO A, SAAVEDRA J M, RAMÍREZ-VÉLEZ R, et al. Reallocating sedentary time to moderate-to-vigorous physical activity but not to light-intensity physical activity is effective to reduce adiposity among youths: a systematic review and meta-analysis[J]. Obes Rev, 2017, 189(9): 1088-1095.
    [20]
    ROSENBERGER M E, FULTON J E, BUMAN M P, et al. The 24-hour activity cycle: a new paradigm for physical activity[J]. Med Sci Sports Exerc, 2019, 51(3): 454-464. doi: 10.1249/MSS.0000000000001811
    [21]
    GARCIA-HERMOSO A, HORMAZABAL-AGUAYO I, FERNANDEZ-VERGARA O, et al. Physical activity, screen time and subjective well-being among children[J]. Int J Clin Health Psychol, 2020, 20(2): 126-134. doi: 10.1016/j.ijchp.2020.03.001
    [22]
    曹慧. 体力活动、视屏时间与青少年心理健康关系研究[D]. 合肥: 安徽医科大学, 2012.

    CAO H. Physical activity, screen time and mental health among adolescents in China[D]. Hefei: Anhui Medical University, 2012.
    [23]
    屈宁宁, 李可基. 国际体力活动问卷中文版的信度和效度研究[J]. 中华流行病学杂志, 2004, 25(3): 87-90. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200403030.htm

    QU N N, LI K J. Study on the relibility and validity of international physical activity questionnaire(Chinese version, IPAQ)[J]. Chin J Epidemiol, 2004, 25(3): 87-90. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200403030.htm
    [24]
    WHO. Global recommendations on physical activity for health: WHO guidelines approved by the guidelines review committee[Z]. Geneva: WHO, 2010.
    [25]
    DU Y, KOU J, COGHILL D. The validity, reliability and normative scores of the parent, teacher and self report versions of the strengths and difficulties questionnaire in China[J]. Child Adolesc Psychiatry Ment Health, 2008, 2(1): 8. doi: 10.1186/1753-2000-2-8
    [26]
    SILVA D, CHAPUT J P, KATZMARZYK P T, et al. Physical education classes, physical activity, and sedentary behavior in children[J]. Med Sci Sports Exerc, 2018, 50(5): 995-1004. doi: 10.1249/MSS.0000000000001524
    [27]
    DAY K. Physical environment correlates of physical activity in developing countries: a review[J]. J Phys Act Health, 2018, 15(4): 303-314. doi: 10.1123/jpah.2017-0184
    [28]
    ZHANG T. Modeling the effect of physical activity on obesity in China: evidence from the longitudinal China health and nutrition study 1989-2011[J]. Int J Environ Res Public Health, 2017, 14(8): 844. doi: 10.3390/ijerph14080844
    [29]
    BELL S L, AUDREY S, GUNNELL D, et al. The relationship between physical activity, mental wellbeing and symptoms of mental health disorder in adolescents: a cohort study[J]. Int J Behav Nutr Phys Act, 2019, 16(1): 138. doi: 10.1186/s12966-019-0901-7
    [30]
    BORNHORST C, WIJNHOVEN T M, KUNESOVA M, et al. WHO european childhood obesity surveillance initiative: associations between sleep duration, screen time and food consumption frequencies[J]. BMC Public Health, 2015, 15(3): 442. http://smartsearch.nstl.gov.cn/paper_detail.html?id=bdb242e8af0261b6fdab998e1d8ab9a0
    [31]
    HALE L, GUAN S. Screen time and sleep among school-aged children and adolescents: a systematic literature review[J]. Sleep Med Rev, 2015, 21: 50-58. doi: 10.1016/j.smrv.2014.07.007
    [32]
    WILSON P B, HAEGELE J A, ZHU X. Mobility status as a predictor of obesity, physical activity, and screen time use among children aged 5-11 years in the united states[J]. J Pediatr, 2016, 176: 23-29. doi: 10.1016/j.jpeds.2016.06.016
    [33]
    NIGHTINGALE C M, RUDNICKA A R, DONIN A S, et al. Screen time is associated with adiposity and insulin resistance in children[J]. Arch Dis Child, 2017, 102(7): 612-616. doi: 10.1136/archdischild-2016-312016
    [34]
    MARAS D, FLAMENT M F, MURRAY M, et al. Screen time is associated with depression and anxiety in Canadian youth[J]. Prev Med, 2015, 73: 133-138. doi: 10.1016/j.ypmed.2015.01.029
    [35]
    盛玉璐, 何晓燕, 孙蕾, 等. 学龄前儿童视屏时间对情绪和行为问题的影响[J]. 中国妇幼卫生杂志, 2018, 9(5): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-YZWS201805001.htm

    SHENG Y L, HE X Y, SUN L, et al. Effects of the screen time on emotional and behavioral problems among preschool children[J]. Chin J Women Child Health, 2018, 9(5): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-YZWS201805001.htm
    [36]
    GUERRERO M D, BARNES J D, CHAPUT J P, et al. Screen time and problem behaviors in children: exploring the mediating role of sleep duration[J]. Int J Behav Nutr Phys Act, 2019, 16(1): 105. doi: 10.1186/s12966-019-0862-x
    [37]
    VILLANI S. Impact of media on children and adolescents: a 10-year review of the research[J]. J Am Acad Child Adolesc Psychiatry, 2001, 40(4): 392-401. doi: 10.1097/00004583-200104000-00007
    [38]
    SEGEV A, MIMOUNI-BLOCH A, ROSS S, et al. Evaluating computer screen time and its possible link to psychopathology in the context of age: a cross-sectional study of parents and children[J]. PLoS One, 2015, 10(11): e140542. http://www.ncbi.nlm.nih.gov/pubmed/26536037
    [39]
    TRINH L, WONG B, FAULKNER G E. The independent and interactive associations of screen time and physical activity on mental health, school connectedness and academic achievement among a population-based sample of youth[J]. J Can Acad Child Adolesc Psychiatry, 2015, 24(1): 17-24. http://europepmc.org/articles/PMC4357330
    [40]
    MATIN N, KELISHADI R, HESHMAT R, et al. Joint association of screen time and physical activity on self-rated health and life satisfaction in children and adolescents: the CASPIAN-Ⅳ study[J]. Int Health, 2017, 9(1): 58-68. doi: 10.1093/inthealth/ihw044
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (1360) PDF downloads(129) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return