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Associations between adherence to 24-Hour Movement Guidelines with continuous metabolic syndrome score among Chinese

Fangqu Liu1, Bingxuan Kong2, Zhuangyu Zhang2

  • 1Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; Shenzhen Center for Chronic Disease Control, Shenzhen, Guangdong, 518000, China.

Public Health
|September 15, 2024
PubMed

Insights

Adhering to more 24-Hour Movement Guidelines (24-HMG) is linked to a lower continuous metabolic syndrome score (cMetS) in Chinese children. Meeting all recommendations significantly reduces cMetS compared to meeting none.

Area of Science:

  • Pediatric Health
  • Public Health
  • Metabolic Health

Background:

  • Metabolic syndrome (MetS) poses a significant health risk in children and adolescents.
  • The 24-Hour Movement Guidelines (24-HMG) integrate physical activity, screen time, and sleep, but their association with MetS in Chinese youth is underexplored.

Purpose of the Study:

  • To investigate the relationship between adherence to the 24-Hour Movement Guidelines (24-HMG) and the continuous metabolic syndrome score (cMetS) in Chinese children.

Main Methods:

  • A cross-sectional study involving 4604 children aged 6-17 years in Shenzhen, China.
  • 24-HMG adherence was assessed via self-reported moderate-to-vigorous physical activity (MVPA), screen time (ST), and sleep duration.
  • cMetS was calculated using waist circumference, insulin resistance, blood pressure, HDL cholesterol, and triglycerides; multivariate linear regression analyzed associations.

Main Results:

  • Only 12.23% of participants met all three 24-HMG recommendations.
  • Greater adherence to 24-HMG recommendations showed a significant negative association with cMetS (P for trend <0.001).
  • Meeting ST + MVPA recommendations and meeting all recommendations were associated with lower cMetS.

Conclusions:

  • Adherence to more components of the 24-HMG is associated with reduced cMetS in Chinese children and adolescents.
  • Promoting adherence to physical activity, screen time, and sleep guidelines may be a strategy to mitigate metabolic risks in youth.
Abstract

Keywords:
24-Hour Movement Guidelines (24-HMG)Cardiometabolic riskChildren and adolescentsContinuous metabolic syndrome score (cMetS)

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