Meeting 24-hour movement guidelines: Their relationships with overweight and obesity among Chinese children with autism spectrum disorder |
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| Affiliation: | 1. Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, PR China;2. Department of Pediatrics, the Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, PR China;1. Department of Human Genetics, McGill University, Montreal, Canada;2. Montreal Neurological Institute-Hospital, McGill University, Montréal, QC, Canada;3. CHU Sainte-Justine, Université de Montréal, Montréal, Canada;4. Centre de Recherche, Institut Universitaire en Santé Mentale de Montréal, Montreal, Canada;5. Université de Paris, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Laboratoire de Physiopathologie des Maladies Psychiatriques, Paris, France;6. Department of Neurology and Neurosurgery, McGill University, Montreal, Canada;7. MRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Western General Hospital, Edinburgh EH4 2XU, United Kingdom;8. Generation Scotland, Centre for Genomic and Experimental Medicine, Institute of Genetics and Cancer, University of Edinburgh, Western General Hospital, Edinburgh EH4 2XU, United Kingdom;9. Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Square J5, 68159 Mannheim, Germany;10. Discipline of Psychiatry, School of Medicine and Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin, Ireland;11. Centre for Population Neuroscience and Precision Medicine (PONS), Institute of Psychiatry, Psychology & Neuroscience, SGDP Centre, King’s College London, United Kingdom;12. NeuroSpin, CEA, Université Paris-Saclay, F-91191 Gif-sur-Yvette, France;13. Institut des Maladies Neurodégénératives, UMR 5293, CNRS, CEA, Université de Bordeaux, 33076 Bordeaux, France;14. PONS Research Group, Dept of Psychiatry and Psychotherapy, Campus Charite Mitte, Humboldt University, Berlin and Leibniz Institute for Neurobiology, Magdeburg, Germany, and Institute for Science and Technology of Brain-inspired Intelligence (ISTBI), Fudan University, Shanghai, PR China;15. Department of Psychiatry, McGill University, Montréal, Canada;p. GHU Paris Psychiatrie et Neurosciences, Centre de Référence des maladies rares à expression psychiatrique, Pôle PEPIT, Paris, France;1. Department of Pharmacology, Amity Institute of Pharmacy, Amity University Uttar Pradesh, Noida, India;2. Amity Institute of Pharmacy, Amity University Uttar Pradesh, Noida, India;3. Department of Pharmacology, KIET Group of Institutions, KIET School of Pharmacy, Ghaziabad, India;4. CNS and CVS Pharmacology, Conscience Research, Delhi, India;1. Coaching and Teaching Studies, College of Physical Activity and Sport Sciences, West Virginia University, 375 Birch Street, P.O. Box 6116, Morgantown, WV 26505, USA;2. Health and Physical Education, Department of Human Movement Sciences, Old Dominion University, VA, USA;3. Center for Leadership in Disability, School of Public Health, Georgia State University, Atlanta, GA, USA;4. Community Health Academic Group, School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland;1. Graduate Group in Epidemiology, School of Veterinary Medicine, University of California, Davis, Davis, CA, USA;2. Department of Public Health Sciences, School of Medicine, University of California, Davis, Davis, CA, USA;3. MIND Institute, School of Medicine, University of California, Davis, Sacramento, CA, USA;4. A.J. Drexel Autism Institute, Drexel University, Philadelphia, PA, USA;5. Center for Metabolic Disease Research, Department of Microbiology and Immunology, Temple University Lewis Katz School of Medicine, Philadelphia, PA, USA;1. Department of Nutrition and Food Hygiene, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou 510515, China;2. Department of Obstetrics & Gynecology, Guanzhou Baiyun District Maternal and Child Health Hospital, Guangzhou 510400, China;3. Department of Child Health Care, Guangzhou Women and Children''s Medical Center, Guangzhou Medical University, Guangdong Provincial Clinical Research Center for Child Health, Guangzhou 510623, China |
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| Abstract: | BackgroundCanada's and Australia's 24-hour movement guidelines for children and youth provide daily recommendations for physical activity (PA), screen time (ST), and sleep for optimal health. Previous studies have examined the associations between meeting these 24-hour movement guidelines and overweight and obesity among children without disabilities. Less is known about potential associations between the 24-hour movement behaviors and the weight status of children with disabilities.Therefore, the purpose of this study was to examine whether meeting movement behavior recommendations (i.e. ≥ 60 min of Moderate-to-vigorous activity MVPA] per day, ≤ 2 h of recreational ST per day, and 9–11 h of sleep for those aged 5–13 years or 8–10 h for children aged 14–17 years]), and combinations of these recommendations, are associated with overweight and obesity in Chinese children with ASD.MethodParticipants were 99 children with autism spectrum disorder (ASD) 7–17 years old recruited from one Chinese special school. MVPA and nightly sleep duration were measured using 24-hour wrist-worn accelerometer. ST was reported by parents by using reliable and valid items derived from the Health Behavior in School-aged Children (Chinese version). A series of binary logical regression analyses were performed for analysis.ResultsOnly 16.2% met all the three movement behavior recommendations. The proportions of children with ASD who met the recommendation for PA, ST, and sleep were 32.3%, 52.5%, and 65.7%, respectively. The children with ASD who met the MVPA (OR = 0.37, 95% CI: 0.15–0.94), MVPA + Sleep (OR = 0.27, 95% CI: 0.09–0.81), and all three 24-hour movement guidelines (OR = 0.14, 95% CI: 0.03–0.77), had significantly lower odds ratios for overweight/obesity than those who did not meet the respective recommendations.ConclusionsMeeting the MVPA, MVPA + Sleep, and all three of the guidelines was associated with lower odds ratios for overweight and obesity in children with ASD, and MVPA was the single most important activity for weight control among this population. Therefore, meeting the 24-hour movement guidelines, especially the MVPA guideline should be considered an effective intervention and can inform the design of strategies and policies for the prevention of overweight and obesity in children with ASD. |
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| Keywords: | Physical activity Screen time Sleep duration Overweight Obesity Children Autism spectrum disorder |
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