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The Canadian 24-hour movement guidelines and self-rated physical and mental health among adolescents

Abstract

Objective

The Canadian 24-hour movement guidelines for children and youth recommend a minimum of 60 min/day of moderate-to-vigorous physical activity, no more than 2 h/day of recreational screen time, and 8–11 h/night of sleep depending on age. The objective of this study was to examine the associations of meeting combinations of these recommendations with self-rated physical and mental health.

Methods

This study used data from the 2017 (n = 5739) and 2019 (n = 6960) cycles of the Ontario Student Drug Use and Health Survey (OSDUHS), a biennially repeated cross-sectional study of Ontario students in grades 7 through 12. Multivariable ordered logistic regression models were adjusted for age, gender, ethnoracial background, subjective socio-economic status, and body mass index z-scores.

Results

Similar patterns were seen in the 2017 and 2019 samples. Compared with meeting none of the recommendations, meeting different combinations of recommendations in the 2019 sample was associated with positive self-rated physical and mental health. A dose–response gradient between the number of recommendations met and self-rated physical (p < 0.001) and mental (p < 0.001) health was observed, with meeting one (AOR: 1.82; 95% CI: 1.58–2.09), two (AOR: 3.54; 95% CI: 2.98–4.22), or three recommendations (AOR: 6.34; 95% CI: 4.46–9.02) being increasingly associated with positive self-rated physical health compared with meeting none; and meeting one (AOR: 1.51; 95% CI: 1.33–1.71), two (AOR: 2.70; 95% CI: 2.31–3.17), or three recommendations (AOR: 3.58; 95% CI: 2.57–4.98) being increasingly associated with positive self-rated mental health compared with meeting none.

Conclusion

Meeting the 24-hour movement guidelines is associated with better self-rated physical and mental health among adolescents.

Résumé

Objectif

Les Directives canadiennes en matière de mouvement sur 24 heures pour les enfants et les jeunes recommandent un minimum de 60 min par jour d’activité physique d’intensité moyenne à élevée, un maximum de 2 heures par jour de temps de loisir devant un écran et de 8 à 11 heures de sommeil selon l’âge. L’objectif de cette étude était d’examiner les associations entre l’adoption d’une combinaison de ces recommandations et l’autoévaluation de la santé physique et mentale.

Méthode

Cette étude s’est appuyée sur les données tirées des cycles de 2017 (n = 5 739) et de 2019 (n = 6 960) du Sondage sur la consommation de drogues et la santé des élèves de l’Ontario (SCDSEO), un sondage transversal réalisé tous les deux ans auprès d’élèves de la 7e à la 12e année en Ontario. Les modèles de régression logistique multivariés ont été ajustés en ce qui a trait à l’âge, au genre, aux antécédents ethnoraciaux, au statut socioéconomique subjectif et aux scores-z de l’indice de masse corporelle.

Résultats

Des tendances similaires ont été observées dans les échantillons de 2017 et de 2019. L’adoption d’une combinaison des recommandations parmi l’échantillon de 2019, comparativement au fait de ne se conformer à aucune d’elles, était associée à une autoévaluation positive de la santé physique et mentale. Un gradient dose-réponse entre le nombre de recommandations adoptées et l’autoévaluation de la santé physique (p < 0,001) et mentale (p < 0,001) a été observé. L’adoption d’une (RCa : 1,82; IC de 95% : 1,58 à 2,09), de deux (RCa : 3,54; IC de 95% : 2,98 à 4,22) ou de trois recommandations (RCa : 6,34; IC de 95% : 4,46 à 9,02) était étroitement associée à une autoévaluation positive de la santé physique, comparativement au fait de ne se conformer à aucune d’elles; et l’adoption d’une (RCa : 1,51; IC de 95% : 1,33 à 1,71), de deux (RCa : 2,70; IC de 95% : 2,31 à 3,17) ou de trois recommandations (RCa : 3,58; IC de 95% : 2,57 à 4,98) était étroitement associée à une autoévaluation positive de la santé mentale, comparativement au fait de ne se conformer à aucune d’elles.

Conclusion

La conformité aux directives en matière de mouvement sur 24 heures est associée à une meilleure autoévaluation de la santé physique et mentale chez les adolescents.

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Fig. 1

Data availability

Our data cannot be made available in the manuscript, the supplemental files or a public repository due to the Centre for Addiction and Mental Health’s and The Ontario Public and Catholic School Board’s institutional Research Ethics Board agreements. Readers, however, may contact to request the public data file underlying the findings of this study by contacting the Centre for Addiction and Mental Health at info@camh.ca.

Code availability

Code is available upon request from the corresponding author.

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Acknowledgements

The Ontario Student Drug Use and Health Survey is an initiative of the Centre for Addiction and Mental Health that is funded by the ongoing support of the Ontario Ministry of Health and Long-Term Care, along with targeted funding from various provincial agencies.

Author information

Affiliations

Authors

Contributions

All the authors contributed to the study conception and design. Data analysis was performed by HS. All the authors interpreted results. The first draft of the manuscript was written by HS and all the authors commented on previous versions of the manuscript. All the authors read and approved the final manuscript.

Corresponding author

Correspondence to Jean-Philippe Chaput.

Ethics declarations

Ethics approval

Ethics approval was granted by the Research Ethics Boards at the Centre for Addiction and Mental Health, the school board research review committees, and York University. The study has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

Consent to participate

Informed consent was obtained from all subjects involved in the study.

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Not applicable.

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The authors declare no competing interests.

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Sampasa-Kanyinga, H., Lien, A., Hamilton, H.A. et al. The Canadian 24-hour movement guidelines and self-rated physical and mental health among adolescents. Can J Public Health (2021). https://doi.org/10.17269/s41997-021-00568-7

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Keywords

  • Physical activity
  • Screen time
  • Sleep
  • Physical health
  • Mental health
  • Youth

Mots-clés

  • Activité physique
  • temps d’écran
  • sommeil
  • santé physique
  • santé mentale
  • jeunes