父母支持或限制与儿童青少年24 h活动行为时间分配的关系基于全国大样本数据的调查分析

    Association between Parental Support or Restriction and the 24-hour Movement Behavior Time Allocation in Children and AdolescentsA National Large-sample Survey Analysis

    • 摘要:
      目的 探讨我国父母对子女24 h活动行为支持或限制的类型分布,并分析不同支持或限制类型与儿童青少年24 h活动时间分配的关系。
      方法 基于2024年青少年体育锻炼行为与身心发展的调查数据,来自我国10个省级行政区115所中小学的90 982名儿童青少年及其父母参与本研究。采用问卷调查父母支持或限制子女24 h活动行为情况,并运用成分数据分析方法,分析父母支持或限制与子女24 h活动时间分配的关系。
      结果 1)父母对子女24 h活动行为的支持或限制类型中,“全未支持或限制”人数占比最高(53.3%,n=48 565),而“全部支持或限制”占比最低(1.1%,n=1 002)。在具体支持或限制行为中,父母对子女的睡眠最为关注,而对中高强度身体活动(moderate-to-vigorous physical activity,MVPA)的支持比例最低。2)父母支持或限制类型在不同学段(χ2=4 988.006,P<0.001)、与研究参与者关系(χ2=235.222,P<0.001)及家庭社会经济地位(χ2=314.734,P<0.001)上存在显著差异。3)相较于“全未支持或限制”类型,父母对子女24 h活动行为的“独立支持”“组合支持”及“全部支持或限制”不仅显著影响其所针对的目标行为,还使得子女24 h活动时间重新分配。4)父母“全部支持或限制”与子女MVPA、低强度身体活动(light-intensity physical activity,LPA)时间增加以及久坐时间减少显著相关,呈现出“MVPA、LPA替代久坐”这一最利于我国儿童青少年健康促进的时间重新分配模式;而“仅睡眠支持”易导致“久坐、睡眠替代MVPA、LPA”的时间分配模式,这种分配模式对健康最为不利。5)在父母“全部支持或限制”中,子女每日活动行为的重新分配时间总量最大,达16.8 min。
      结论 父母“全部支持或限制”最利于促进子女24 h活动时间的合理分配,而“仅睡眠支持”则最为不利。建议父母对子女MVPA、LPA、久坐及睡眠进行协同管理,从“单一维度支持或限制”转向“全部支持或限制”,以推动儿童青少年形成健康的生活方式。

       

      Abstract: Objective: To examine the distribution of parental support or restriction types in China and to analyze the associations between different types of parental support or restriction and the 24-hour movement behavior time allocation of children and adolescents. Methods: This study was based on data from the 2024 Survey on Physical Activity Behaviors and Mental Development of Adolescents. A total of 90 982 children and adolescents and their parents from 115 primary and secondary schools in 10 provinces across China participated in the study. Questionnaires were used to assess parental support or restriction and their children’s 24-hour movement behaviors. Compositional data analysis was employed to examine the associations between parental support or restriction and the time allocation of their children’s 24-hour movement behaviors. Results: 1) Among the types of parental support or restriction regarding children’s 24-hour movement behaviors, the proportion of “no support or restriction for any 24-hour movement behavior” was the highest (53.3%, n =48 565), whereas “support or restriction for all 24-hour movement behaviors” accounted for the lowest proportion (1.1%, n =1 002). Regarding specific behaviors, parents paid the most attention to their children’s sleep, while support for moderate-to-vigorous physical activity (MVPA) was the lowest. 2) Significant differences in parental support or restriction types were observed across educational stages (χ2=4 988.006, P<0.001), parent-child relationship (χ2=235.222, P<0.001), and family socioeconomic status (χ2=314.734, P<0.001). 3) Compared with the “no support or restriction for any 24-hour movement behavior” type, parental independent, combined, and overall support or restriction for children’s 24-hour movement behaviors not only significantly influenced the targeted behaviors but also resulted in the reallocation of their children’s 24-hour movement time. 4) Parental “support or restriction for all 24-hour movement behaviors” was significantly associated with increased time spent in MVPA and light-intensity physical activity (LPA) and decreased sedentary time, reflecting a time reallocation pattern characterized by replacing sedentary behavior with MVPA and LPA, which was most beneficial for health promotion among Chinese children and adolescents. In contrast, “sleep support only” tended to produce a time allocation pattern characterized by replacing MVPA and LPA with sedentary behavior and sleep, which was the least favorable for health. 5) Under the “support or restriction for all 24-hour movement behaviors” type, the total amount of daily time reallocation among children and adolescents was the highest, reaching 16.8 minutes. Conclusions: Parental “support or restriction for all 24-hour movement behaviors” is most conducive to promoting a reasonable and health-enhancing allocation of 24-hour movement time among children and adolescents. In contrast, “sleep support only” is the least favorable. It is recommended that parents adopt coordinated management of MVPA, LPA, sedentary behavior, and sleep, shifting from “single-dimension support or restriction” to “support or restriction across all 24-hour movement behaviors”, in order to facilitate the development of healthy lifestyles among children and adolescents.

       

    /

    返回文章
    返回