Association between 24-hour movement behavior composition and obesity indicators in children and adolescents

XIE Jichun; ZHAO Yang; XU Ruilin

doi:10.16835/j.cnki.1000-9817.2025224

Volume 46 Issue 8

Aug. 2025

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2025 > 46(8): 1093-1097

XIE Jichun, ZHAO Yang, XU Ruilin. Association between 24-hour movement behavior composition and obesity indicators in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(8): 1093-1097. doi: 10.16835/j.cnki.1000-9817.2025224

Citation:

XIE Jichun, ZHAO Yang, XU Ruilin. Association between 24-hour movement behavior composition and obesity indicators in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(8): 1093-1097. doi: 10.16835/j.cnki.1000-9817.2025224

Citation:

PDF( 1229 KB)

Association between 24-hour movement behavior composition and obesity indicators in children and adolescents

doi: 10.16835/j.cnki.1000-9817.2025224

1.
School of Physical Education, Henan University of Economics and Law, Zhengzhou 450016, Henan Province, China

Received Date: 2025-01-15
Rev Recd Date: 2025-04-30

Available Online: 2025-08-30

Publish Date: 2025-08-25

Abstract

Abstract

Objective To identify optimal recommendations for 24-hour movement behaviors in relation to obesity indicators among children and adolescents, so as to provide scientific evidences for targeted obesity prevention strategies. Methods From April to June 2024, 242 participants (96 children aged 6-11, 146 adolescents aged 12-18) were recruited from two schools(one combined junior and senior high school, one consistent school for 12 years) in Tianjin for performing physical examination. Obesity indicators including body mass index Z-scores (BMI Z), waist-to-hip ratio (WHR), body fat percentage (FAT), and fat mass index (FMI) were measured. Measurement of 24-hour movement behaviors using an accelerometer, comprised moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), sedentary behavior (SB), and sleep (SLP). The optimal movement duration and interval for children and adolescents were determined through optimal time zone analysis. Results Significant associations were found between 24-hour movement behaviors and BMI Z(F=2.35) and WHR (F=3.55) in children, as well as BMI Z(F=3.57), FAT (F=2.44), and WHR (F=3.61) in adolescents (all P < 0.05). The results of optimal time zone analysis showed that optimal daily durations were MVPA 63(40-70) min, LPA 257(220-270) min, SB 467(390-600) min, SLP 653(590-680) min for children, and MVPA 65(40-70) min, LPA 262(220-270) min, SB 484(440-600) min, SLP 629(510-670) min for adolescents. Conclusion The recommended amount of 24-hour movement for children and adolescents based on obesity indicators could provide reference for informing the development of Chinese-specific guidelines, and promote healthy lifestyles among children and adolescents.
- Motor activity,
- Obesity,
- Regression analysis,
- Child,
- Adolescent

FullText(HTML)

References(30)

References

[1]	常振亚, 王树明. 24小时动作行为对学龄前儿童体质健康影响的等时替代效益研究[J]. 体育科学, 2020, 40(10): 50-57. CHANG Z Y, WANG S M. Study on the isochronous substitution effect of 24-hour movement behavior on the physical health of preschool children[J]. China Sports Sci, 2020, 40 (10): 50-57. (in Chinese)
[2]	宋云峰, 谭思洁, 齐玉刚, 等. 24 h活动行为对大学生体质健康影响的等时替代效益[J]. 中国学校卫生, 2023, 44(9): 1382-1386. SONG Y F, TAN S J, QI Y G, et al. Isochronic substitution benefits of 24-hour activity behaviors on the physical health of college students[J]. Chin J Sch Health, 2023, 44(9): 1382-1386. (in Chinese)
[3]	梁果, 王丽娟, 陈欢, 等. 24 h活动时间分布及替代与儿童身体质量指数的关系研究: 基于成分分析模型[J]. 体育科学, 2022, 42(3): 77-84. LIANG G, WANG L J, CHEN H, et al. Study on the relationship between the distribution and substitution of 24-hour activity time and children's body mass index: based on component analysis model[J]. China Sport Sci, 2022, 42(3): 77-84. (in Chinese)
[4]	刘焱, 卢冬磊, 段金成, 等. 身体活动对儿童肥胖和体脂影响变化的等时替代效果分析[J]. 中国儿童保健杂志, 2023, 31(10): 1065-1069, 1075. LIU Y, LU D L, DUAN J C, et al. Analysis of isochronic substitution effect of physical activity on changes in childhood obesity and body fat[J]. Chin J Child Health Care, 2023, 31(10): 1065-1069, 1075. (in Chinese)
[5]	王瑞青, 孔宪菲, 张华, 等. 世界卫生组织身体活动和久坐行为指南[J]. 中国卒中杂志, 2021, 16(4): 390-397. WANG R Q, KONG X F, ZHANG H, et al. World health organization guidelines on physical activity and sedentary behavior[J]. Chin J Stroke, 2021, 16(4): 390-397. (in Chinese)
[6]	张云婷, 马生霞, 陈畅, 等. 中国儿童青少年身体活动指南[J]. 中国循证儿科杂志, 2017, 12(6): 401-409. ZHANG Y T, MA S X, CHEN C, et al. Physical activity guidelines for children and adolescents in China[J]. Chin J Evid Based Pediatr, 2017, 12(6): 401-409. (in Chinese)
[7]	杨兴隆, 王丽娟, 徐琪, 等. 基于体质健康、心理健康及执行功能的我国儿童青少年24 h活动推荐量研究[J]. 体育科学, 2024, 44(7): 75-86. YANG X L, WANG L J, XU Q, et al. Research on the recommended quantity of 24-hour activities for children and adolescents in China based on physical health, mental health and executive function[J]. China Sport Sci, 2024, 44(7): 75-86. (in Chinese)
[8]	DUMUID D, OLDS T, LANGE K, et al. Goldilocks Days: optimising children's time use for health and well-being[J]. J Epidemiol Commun Health, 2022, 76(3): 301-308. doi: 10.1136/jech-2021-216686
[9]	DUMUID D, WAKE M, BURGNER D, et al. Balancing time use for children's fitness and adiposity: evidence to inform 24-hour guidelines for sleep, sedentary time and physical activity[J]. PLoS One, 2021, 16(1): e0245501. doi: 10.1371/journal.pone.0245501
[10]	LUND R C, GÁBA A, STANFORD T, et al. The goldilocks day for healthy adiposity measures among children and adolescents[J]. Front Public Health, 2023(11): 1158634.
[11]	ZHU Z, CHEN P, ZHUANG J. Intensity classification accuracy of accelerometer-measured physical activities in Chinese children and youth[J]. Res Q Exerc Sport, 2013, 84(Suppl 2): S4-S11.
[12]	DUMUID D, SIMM P, WAKE M, et al. The "Goldilocks Day" for children's skeletal health: compositional data analysis of 24-hour activity behaviors[J]. J Bone Miner Res, 2020, 35(12): 2393-2403. doi: 10.1002/jbmr.4143
[13]	PAWLOWSKY-GLAHN V, EGOZCUE J J, TOLOSANA-DELGADO R. Modeling and analysis of compositional data[M]. Hoboken: John Wiley Sons, 2015.
[14]	GUPTA N, MATHIASSEN S E, MATEU-FIGUERAS G, et al. A comparison of standard and compositional data analysis in studies addressing group differences in sedentary behavior and physical activity[J]. Inter J Behav Nutr Phys Act, 2018, 15(1): 53. doi: 10.1186/s12966-018-0685-1
[15]	曾霞, 黄吉填, 陈亚军. 久坐时间及体力活动与儿童超重肥胖的联合关系研究[J]. 中国儿童保健杂志, 2022, 30(7): 720-724. ZENG X, HUANG J T, CHEN Y J. Research on the combined relationship between sedentary time, physical activity and overweight and obesity in children[J]. Chin J Child Health Care, 2022, 30(7): 720-724. (in Chinese)
[16]	汪容佳, 武宝爱, 郜艳晖, 等. 儿童青少年24 h活动行为与肥胖相关指标的关系[J]. 中国学校卫生, 2023, 44(1): 28-31. doi: 10.16835/j.cnki.1000-9817.2023.01.006 WANG R J, WU B A, GAO Y H, et al. The relationship between 24-hour activity behavior and obesity-related indicators in children and adolescents[J]. Chin J Sch Health, 2023, 44(1): 28-31. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.01.006
[17]	陈欢, 王丽娟, 梁果, 等. 上海市中小学生身体活动、久坐行为与BMI的等时替代关系[J]. 首都体育学院学报, 2024, 36(1): 88-96. CHEN H, WANG L J, LIANG G, et al. Isochronous substitution relationship between physical activity, sedentary behavior and BMI among primary and secondary school students in Shanghai[J]. J Cap Univ Phys Educ Sports, 2024, 36(1): 88-96. (in Chinese)
[18]	GÁBA A, HARTWIG T B, JAŠKOVÁ P, et al. Reallocating time between 24-hour movement behaviors for obesity management across the lifespan: a pooled data Meta-analysis of more than 9 800 participants from seven countries[J]. Sports Med, 2025, 55(3): 641-654.
[19]	齐静, 王丽娟. 加拿大、澳大利亚儿童青少年24小时活动指南的特征及启示[J]. 体育学刊, 2021, 28(3): 119-125. QI J, WANG L J. Characteristics and implications of the 24-hour activity guidelines for children and adolescents in Canada and Australia[J]. J Phys Educ, 2021, 28(3): 119-125. (in Chinese)
[20]	AREM H, MOORE S C, PATEL A, et al. Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship[J]. JAMA Intern Med, 2015, 175(6): 959-967.
[21]	宋云峰, 李凯欣, 谭思洁, 等. 基于等时替代模型的大学生24 h活动行为与健康体适能的关系[J]. 河南师范大学学报(自然科学版), 2024, 52(3): 150-157. SONG Y F, LI K X, TAN S J, et al. The relationship between 24-hour activity behavior and health fitness of college students based on isochronic substitution model[J]. J Henan Norm Univ(Nat Sci Edit), 2024, 52(3): 150-157. (in Chinese)
[22]	叶荣荣, 黄宝莹, 张东枚, 等. 青少年低强度身体活动久坐时间与体成分的关联[J]. 中国学校卫生, 2023, 44(10): 1488-1492. doi: 10.16835/j.cnki.1000-9817.2023.10.011 YE R R, HUANG B Y, ZHANG D M, et al. Association between sedentary time of low-intensity physical activity and body composition in adolescents[J]. Chin J Sch Health, 2023, 44(10): 1488-1492. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.10.011
[23]	HEALY S, BREWER B, GARCIA J, et al. Sweat, sit, sleep: a compositional analysis of 24-hour movement behaviors and body mass index among children with autism spectrum disorder[J]. Autism Res, 2021, 14(3): 545-550.
[24]	张婷, 李红娟, 张曌华, 等. 儿童青少年24 h活动行为与肥胖关联的系统评价[J]. 中国学校卫生, 2023, 44(1): 23-27. ZHANG T, LI H J, ZHANG Z H, et al. A systematic review of the association between 24-hour activity behavior and obesity in children and adolescents[J]. Chin J Sch Health, 2023, 44(1): 23-27. (in Chinese)
[25]	孙毅, 刘媛, 尹小俭, 等. 基于体质健康的多指标联合ROC曲线法建立儿童青少年24 h活动行为推荐量的探索性研究[J]. 中国体育科技, 2024, 60(4): 10-18, 28. SUN Y, L Y, YIN X J, et al. An exploratory study on establishing the recommended quantity of 24-hour activity behavior for children and adolescents based on the combined ROC curve method of multiple indicators of physical health[J]. Chin Sports Sci Technol, 2024, 60(4): 10-18, 28. (in Chinese)
[26]	张婷, 李红娟, 李超, 等. 基于成分数据分析的青少年24 h活动行为与体质关联的研究[J]. 中国体育科技, 2022, 58(12): 91-97. ZHANG T, LI H J, LI C, et al. Research on the association between 24-hour activity behavior and physical constitution of adolescents based on component data analysis[J] China Sports Sci Technol, 2022, 58(12): 91-97. (in Chinese)
[27]	WANG C, CHEN P, ZHUANG J. A national survey of physical activity and sedentary behavior of Chinese city children and youth using accelerometers[J]. Res Q Exerc Sport, 2013, 84(Suppl 2): S12-S28.
[28]	李凯欣, 赵越, 肖绛, 等. 成分等时替代模型分析大学生24 h活动行为与自测健康的关联[J]. 体育学刊, 2025, 32(2): 139-146. LI K X, ZHAO Y, XIAO J, et al. The component isochronic substitution model was used to analyze the association between 24-hour activity behavior and self-measured health of college students[J]. J Phys Educ, 2025, 32(2): 139-146. (in Chinese)
[29]	黄韵, 刘艳红, 黄莉, 等. 深圳市宝安区小学生睡眠状况及其与超重肥胖的关联[J]. 中国学校卫生, 2025, 46(4): 465-469. doi: 10.16835/j.cnki.1000-9817.2025108 HUANG Y, LIU Y H, HUANG L, et al. Sleep status of primary school students in Bao'an district, Shenzhen City and its association with overweight and obesity[J]. Chin J Sch Health, 2025, 46(4): 465-469. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2025108
[30]	王军利, 张思奇. 儿童青少年身体活动指南的国际经验与启示[J]. 沈阳体育学院学报, 2022, 41(5): 82-88. WANG J L, ZHANG S Q. International experience and inspiration of physical activity guidelines for children and adolescents[J]. J Shenyang Sport Univ, 2022, 41 (5): 82-88. (in Chinese)