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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Yi Sun & Yuan Liu & Xiaojian Yin & Ming Li & Ting Zhang & Feng Zhang & Yaru Guo & Pengwei Sun, 2023. "Proportion of Chinese Children and Adolescents Meeting 24-Hour Movement Guidelines and Associations with Overweight and Obesity," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1408-:d:1033670
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    References listed on IDEAS

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    1. Li Ying & Xihe Zhu & Justin Haegele & Yang Wen, 2020. "Movement in High School: Proportion of Chinese Adolescents Meeting 24-Hour Movement Guidelines," IJERPH, MDPI, vol. 17(7), pages 1-9, April.
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