Relationships between physical activity, sleep, and screen time with academic performance and psychological functioning among US children and adolescents with depression

Kong Fanxing; Yanping Gao; Fabian Herold; M Mahbub Hossain; Albert S Yeung; Jonathan Leo Ng; Arthur F Kramer; Liye Zou

doi:10.1016/j.ctcp.2023.101806

Relationships between physical activity, sleep, and screen time with academic performance and psychological functioning among US children and adolescents with depression

Complement Ther Clin Pract. 2023 Nov:53:101806. doi: 10.1016/j.ctcp.2023.101806. Epub 2023 Oct 24.

Authors

Kong Fanxing¹, Yanping Gao², Fabian Herold³, M Mahbub Hossain⁴, Albert S Yeung⁵, Jonathan Leo Ng⁶, Arthur F Kramer⁷, Liye Zou²

Affiliations

¹ School of Physical Education, Suihua University, Suihua, 152000, China; School of Physical Education, Anqing Normal University, Anqing, 246052, China.
² Body-Brain-Mind Laboratory, School of Psychology, Shenzhen University, Shenzhen, China.
³ Research Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences, Brandenburg, University of Potsdam, Potsdam, Germany.
⁴ Department of Decision and Information Sciences, C.T. Bauer College of Business, University of Houston, TX, 77204, USA; Department of Health Systems and Population Health Sciences, Tilman J. Fertitta Family College of Medicine, University of Houston, TX, 77204, USA.
⁵ Massachusetts General Hospital, Boston, MA, USA.
⁶ School of Education, College of Design and Social Context, RMIT University, Victoria, 3083, Australia.
⁷ Center for Cognitive and Brain Health, Northeastern University, Boston, MA, USA; Beckman Institute, University of Illinois at Urbana-Champaign, Champaign, IL, 61820, USA.

PMID: 37944191
DOI: 10.1016/j.ctcp.2023.101806

Abstract

Objective: This cross-sectional study examined the relationships between adherence to 24-HMB guidelines (including physical activity [PA], screen time [ST], and sleep) with academic performance and psychological functioning among children and adolescents with depression.

Methods: This study consists of 2165 participants aged 6-17 years with depression. Independent variables were components of 24-HMB guideline adherence, while outcomes of interest were academic performance (i.e., caring about school performance and completion of required homework) and psychological functioning (i.e., resilience and self-regulation). Logistic regression analysis was conducted while adjusting for confounding variables.

Results: Only 1.03 % of the participants adhered to PA + ST + Sleep guidelines. Compared to non-adherence, adherence to PA + ST guidelines was significantly linked to a greater likelihood of caring about school performance (OR = 2.17), while ST + Sleep guidelines adherence was significantly linked to a greater likelihood of caring about school performance (OR = 2.02), completing homework (OR = 2.91), resilience (OR = 2.51), and self-regulation (OR = 2.51). Furthermore, adherence to PA + ST + Sleep guidelines was significantly linked to a higher likelihood of caring about school performance (OR = 5.01), resilience (OR = 2.49), and self-regulation (OR = 2.88) among these participants with depression.

Conclusion: Adhering to 24-HMB guidelines is positively linked to academic performance and psychological functioning among children and adolescents with depression. Thus, establishing healthy lifestyle behaviors should be promoted in school settings.

MeSH terms

Academic Performance*
Adolescent
Child
Cross-Sectional Studies
Depression
Exercise / physiology
Humans
Screen Time*
Sleep