Exploring the Impact of Adherence to 24-h Movement Guidelines on Psychological Health and Academic Engagement in Children and Adolescents with Speech/Language Impairment

Abstract

Purpose

The significance of the 24-h movement guidelines (24-HMG) for the health of typically developing children and adolescents has gained considerable attention in recent years. However, there has been limited research on the impact of adhering to 24-HMG among children and adolescents with speech/language impairments. Therefore, the present study aimed to examine the relationship between adherence to 24-HMG and psychological health and academic engagement in this population.

Methods

This cross-sectional study involved a secondary analysis of data from 1609 students aged 6–17 years with speech/language impairment. Self-report questionnaires were employed to measure the movement behaviours, psychological indicators, and academic engagement. Multivariable regressions were used to analyze the associations between adherence to 24-HMG and psychological health and academic engagement.

Results

The findings revealed that merely 10.82% of participants adhered to all three 24-HMG. Multivariable logistic regression analysis showed that, compared to meeting none of the recommendations, meeting all the three recommendations was significantly associated with lower levels of depression, anxiety, and cognitive difficulties, higher psychological resilience and increased academic engagement.

Conclusions

The findings underscore that adherence to the 24-HMG is associated with enhanced psychological health and academic engagement among children and adolescents with speech/language impairments.

References

[1] Andermo S, Hallgren M, Nguyen TTD, Jonsson S, Petersen S, Friberg M, Romqvist A, Stubbs B, Elinder LS. School-related physical activity interventions and mental health among children: a systematic review and meta-analysis Sport Med Open, 2020, 6(25): 1-27.

[2] Belcher BR, Zink J, Azad A, Campbell CE, Chakravartti SP, Herting MM. The roles of physical activity, exercise, and fitness in promoting resilience during adolescence: effects on mental well-being and brain development Biol Psychiatry Cogn Neurosci Neuroimaging, 2021, 6(2): 225-237.

[3] Biddle SJH, Ciaccioni S, Thomas G, Vergeer I. Physical activity and mental health in children and adolescents: an updated review of reviews and an analysis of causality Psychol Sport Exerc, 2019, 42(5): 146-155.

[4] Botting N, Conti-Ramsden G. The role of language, social cognition, and social skill in the functional social outcomes of young adolescents with and without a history of SLI Br J Dev Psychol, 2008, 26(2): 281-300.

[5] Brown DMY, Hill RM, Wolf JK. Cross-sectional associations between 24-h movement guideline adherence and suicidal thoughts among Canadian post-secondary students Ment Health Phys Act, 2022, 23(2): 1755-2966.

[6] Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput JP, Saunders TJ, Katzmarzyk PT, Okely AD, Connor Gorber S, Kho ME, Sampson M, Lee H, Tremblay MS. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update Appl Physiol Nutr Metab, 2016, 41(6): S240-S265.

[7] Chastin SFM, Palarea-Albaladejo J, Dontje ML, Skelton DA. Combined effects of time spent in physical activity, sedentary behaviors and sleep on obesity and cardio-metabolic health markers: a novel compositional data analysis approach PLoS ONE, 2015, 10(10): e0139984.

[8] da Costa BGG, Chaput JP, Lopes MVV, Malheiros LEA, Tremblay MS, Silva KS. Prevalence and sociodemographic factors associated with meeting the 24-hour movement guidelines in a sample of Brazilian adolescents PLoS ONE, 2020, 15(9): e0239833.

[9] Cusick CN, Isaacson PA, Langberg JM, Becker SP. Last night’s sleep in relation to academic achievement and neurocognitive testing performance in adolescents with and without ADHD Sleep Med, 2018, 52(12): 75-79.

[10] Delgado CEF, Vagi SJ, Scott KG, Delgado CEF, Vagi SJ, Scott KG. Early risk factors for speech and language impairments early risk factors for speech and language impairments Exceptionality, 2010, 13(3): 173-191.

[11] Erickson KI, Leckie RL, Weinstein AM. Physical activity, fitness, and gray matter volume Neurobiol Aging, 2014, 35(9): S20-S28.

[12] Faulkner G, Weatherson K, Patte K, Qian W, Leatherdale ST. Are one-year changes in adherence to the 24-hour movement guidelines associated with flourishing among Canadian youth? Prev Med (Baltim), 2020, 139(10): 1-12.

[13] Feurer DP, Andrews JJW. School-related stress and depression in adolescents with and without learning disabilities: an exploratory study Alta J Educ Res, 2009, 55(1): 92-108

[14] Fung H, Yeo BTT, Chen C, Lo JC, Chee MWL, Ong JL. Adherence to 24-hour movement recommendations and health indicators in early adolescence: cross-sectional and longitudinal associations in the adolescent brain cognitive development study J Adolesc Heal, 2023, 72(3): 460-470.

[15] Gao Y, Yu Q, Schuch FB, Herold F, Hossain MM, Ludyga S, Gerber M, Mullen SP, Yeung AS, Kramer AF, Taylor A, Schinke R, Cheval B, Delli Paoli AG, Ng JL, Van Damme T, Block M, Cunha PM, Olds T, Haegele JA, Zou L. Meeting 24-h movement behavior guidelines is linked to academic engagement, psychological functioning, and cognitive difficulties in youth with internalizing problems J Affect Disord, 2024, 349(3): 176-186.

[16] García-Hermoso A, Marina R. Relationship of weight status, physical activity and screen time with academic achievement in adolescents Obes Res Clin Pract, 2017, 11(1): 44-50.

[17] Geraudie A, Battista P, García AM, Allen IE, Miller ZA, Gorno-Tempini ML, Montembeault M. Speech and language impairments in behavioral variant frontotemporal dementia: a systematic review Neurosci Biobehav Rev, 2021, 131(10): 1076-1095.

[18] Gradisar M, Terrill G, Johnston A, Douglas P. Adolescent sleep and working memory performance Sleep Biol Rhythms, 2008, 6(3): 146-154.

[19] Grgic J, Dumuid D, Bengoechea EG, Shrestha N, Bauman A, Olds T, Pedisic Z. Health outcomes associated with reallocations of time between sleep, sedentary behaviour, and physical activity: a systematic scoping review of isotemporal substitution studies Int J Behav Nutr Phys Act, 2018, 15(1): 1-68.

[20] Gubert C, Hannan AJ. Exercise mimetics: harnessing the therapeutic effects of physical activity Nat Rev Drug Discov, 2021, 20(11): 862-879.

[21] Haegele JA, Zhu X, Healy S, Patterson F. The 24-hour movement guidelines and body composition among youth receiving special education services in the United States J Phys Act Health, 2021, 18(7): 838-843.

[22] Hulst RY, Gorter JW, Obeid J, Voorman JM, van Rijssen IM, Gerritsen A, Visser-Meily JMA, Pillen S, Verschuren O. Accelerometer-measured physical activity, sedentary behavior, and sleep in children with cerebral palsy and their adherence to the 24-hour activity guidelines Dev Med Child Neurol, 2023, 65(3): 393-405.

[23] Jessup B, Ward E, Cahill L, Keating D. Prevalence of speech andor language impairment in preparatory students in Northern Tasmania Int J Speech Lang Pathol, 2008, 10(5): 364-377.

[24] Karasinski C. Behavior problems and social functioning in adolescents with language impairment Perspect Lang Learn Educ, 2013, 20(2): 36-43.

[25] Kerling A, Kück M, Tegtbur U, Grams L, Weber-Spickschen S, Hanke A, Stubbs B, Kahl KG. Exercise increases serum brain-derived neurotrophic factor in patients with major depressive disorder J Affect Disord, 2017, 215(6): 152-155.

[26] Khan A, Lee EY, Tremblay MS. Meeting 24-h movement guidelines and associations with health related quality of life of Australian adolescents J Sci Med Sport, 2021, 24(5): 468-473.

[27] Kong C, Chen A, Ludyga S, Herold F, Healy S, Zhao M, Taylor A, Müller NG, Kramer AF, Chen S, Tremblay MS, Zou L. Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder J Sport Heal Sci, 2023, 12(1): 73-86.

[28] Lee EY, Hesketh KD, Hunter S, Kuzik N, Rhodes RE, Rinaldi CM, Spence JC, Carson V. Meeting new Canadian 24-hour movement guidelines for the early years and associations with adiposity among toddlers living in Edmonton, Canada BMC Public Health, 2017, 17(5): 155-165.

[29] Lemos L, Clark C, Brand C, Pessoa ML, Gaya A, Mota J, Duncan M, Martins C. 24-Hour movement behaviors and fitness in preschoolers: a compositional and isotemporal reallocation analysis Scand J Med Sci Sport, 2021, 31(6): 1371-1379.

[30] Li C, Haegele JA, Sun F, Alves MLT, Ang SHC, Lee J, Ng K, dos Santos-Alves I, Healy S, Huang WY, Rintala P. Meeting the 24-h movement guidelines and health-related outcomes among youth with autism spectrum disorder: a seven-country observational study Child Adolesc Psychiatry Ment Health, 2022, 16(1): 1-8.

[31] Liang K, Chen S, Chi X. Differential associations between meeting 24-hour movement guidelines with mental wellbeing and mental illness among Chinese adolescents J Adolesc Health, 2023, 72(5): 658-666.

[32] Liangruenrom N, Dumuid D, Craike M, Biddle SJH, Pedisic Z. Trends and correlates of meeting 24-hour movement guidelines: a 15-year study among 167,577 Thai adults Int J Behav Nutr Phys Act, 2020, 17(8): 1-17.

[33] Lien A, Sampasa-Kanyinga H, Colman I, Hamilton HA, Chaput JP. Adherence to 24-hour movement guidelines and academic performance in adolescents Public Health, 2020, 183(6): 8-14.

[34] Maggio V, Grañana NE, Richaudeau A, Torres S, Giannotti A, Suburo AM. Behavior problems in children with specific language impairment J Child Neurol, 2014, 29(2): 194-202.

[35] Marciano L, Camerini AL. Recommendations on screen time, sleep and physical activity: associations with academic achievement in Swiss adolescents Public Health, 2021, 198(9): 211-217.

[36] Moll K, Kunze S, Neuhoff N, Bruder J, Schulte-Körne G. Specific learning disorder: prevalence and gender differences PLoS ONE, 2014, 9(7): e103537.

[37] Nes RB, Hauge LJ, Kornstad T, Landolt MA, Irgens L, Eskedal L, Kristensen P, Vollrath ME. Maternal work absence: a longitudinal study of language impairment and behavior problems in preschool children J Marriage Fam, 2015, 77(5): 1282-1298.

[38] van der Niet AG, Hartman E, Moolenaar BJ, Smith J, Visscher C. Relationship between physical activity and physical fitness in school-aged children with developmental language disorders Res Dev Disabil, 2014, 35(12): 3285-3291.

[39] Özcebe E, Noyan Erbas A, Karahan Tiğrak T. Analysis of behavioural characteristics of children with developmental language disorders Int J Speech Lang Pathol, 2020, 22(1): 30-36.

[40] Pearson N, Sherar LB, Hamer M. Prevalence and correlates of meeting sleep, screen-time, and physical activity guidelines among adolescents in the United Kingdom JAMA Pediatr, 2019, 173(10): 993-994.

[41] Poitras VJ, Gray CE, Borghese MM, Carson V, Chaput JP, Janssen I, Katzmarzyk PT, Pate RR, Connor Gorber S, Kho ME, Sampson M, Tremblay MS. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth Appl Physiol Nutr Metab, 2016, 41(6): S197-S239.

[42] Rodriguez-Ayllon M, Cadenas-Sánchez C, Estévez-López F, Muñoz NE, Mora-Gonzalez J, Migueles JH, Molina-García P, Henriksson H, Mena-Molina A, Martínez-Vizcaíno V, Catena A, Löf M, Erickson KI, Lubans DR, Ortega FB, Esteban-Cornejo I. Role of physical activity and sedentary behavior in the mental health of preschoolers, children and adolescents: a systematic review and meta-analysis Sport Med, 2019, 49(9): 1383-1410.

[43] Rollo S, Antsygina O, Tremblay MS. The whole day matters: understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan J Sport Health Sci, 2020, 9(6): 493-510.

[44] Roman-Viñas B, Chaput JP, Katzmarzyk PT, Fogelholm M, Lambert EV, Maher C, Maia J, Olds T, Onywera V, Sarmiento OL, Standage M. Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study Int J Behav Nutr Phys Act, 2016, 13(1): 1-10.

[45] Sampasa-Kanyinga H, Colman I, Goldfield GS, Janssen I, Wang J, Podinic I, Tremblay MS, Saunders TJ, Sampson M, Chaput JP. Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review Int J Behav Nutr Phys Act, 2020, 17(1): 1-16.

[46] Sampasa-Kanyinga H, Lien A, Hamilton HA, Chaput JP. The Canadian 24-hour movement guidelines and self-rated physical and mental health among adolescents Can J Public Health, 2022, 113(2): 312-321.

[47] Singh AS, Saliasi E, Van Den Berg V, Uijtdewilligen L, De Groot RHM, Jolles J, Andersen LB, Bailey R, Chang YK, Diamond A, Ericsson I, Etnier JL, Fedewa AL, Hillman CH, McMorris T, Pesce C, Pühse U, Tomporowski PD, Chinapaw MJM. Effects of physical activity interventions on cognitive and academic performance in children and adolescents: a novel combination of a systematic review and recommendations from an expert panel Br J Sports Med, 2019, 53(10): 640-647.

[48] Taylor A, Kong C, Zhang Z, Herold F, Ludyga S, Healy S, Gerber M, Cheval B, Pontifex M, Kramer AF, Chen S. Associations of meeting 24-h movement behavior guidelines with cognitive difficulty and social relationships in children and adolescents with attention deficit/hyperactive disorder Child Adolesc Psychiatry Ment Health, 2023, 17(1): 1-17.

[49] Tremblay MS, Carson V, Chaput JP, Connor Gorber S, Dinh T, Duggan M, Faulkner G, Gray CE, Grube R, Janson K, Janssen I, Katzmarzyk PT, Kho ME, Latimer-Cheung AE, LeBlanc C, Okely AD, Olds T, Pate PR, Phillips A, Poitras VJ, Rodenburg S, Sampson M, Saunders TJ, Stone JA, Stratton G, Weiss SK, Zehr L. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep Appl Physiol Nutr Metab, 2016, 41(6 Suppl. 3): S311-S327.

[50] Wadman R, Botting N, Durkin K, Conti-Ramsden G. Changes in emotional health symptoms in adolescents with specific language impairment Int J Lang Commun Disord, 2011, 46(6): 641-656.

[51] Wadman R, Durkin K, Conti-Ramsden G. Social stress in young people with specific language impairment J Adolesc, 2011, 34(3): 421-431.

[52] Walsh JJ, Barnes JD, Cameron JD, Goldfield GS, Chaput JP, Gunnell KE, Ledoux AA, Zemek RL, Tremblay MS. Associations between 24 hour movement behaviours and global cognition in US children: a cross-sectional observational study Lancet Child Adolesc Health, 2018, 2(11): 783-791.

[53] Wang W, Haegele JA, Wu Y, Li C. Meeting the 24-hour movement guidelines and outcomes in adolescents with ADHD: a cross-sectional observational study Int J Environ Res Public Health, 2022, 19(4): 2132.

[54] Westendorp M, Hartman E, Houwen S, Smith J, Visscher C. The relationship between gross motor skills and academic achievement in children with learning disabilities Res Dev Disabil, 2011, 32(6): 2773-2779.

[55] Wilhite K, Booker B, Huang BH, Antczak D, Corbett L, Parker P, Noetel M, Rissel C, Lonsdale C, Del Pozo Cruz B, Sanders T. Combinations of physical activity, sedentary behavior, and sleep duration and their associations with physical, psychological, and educational outcomes in children and adolescents: a systematic review Am J Epidemiol, 2023, 192(4): 665-679.

[56] Xu WH, Qi J. Meeting 24-hour movement guidelines: their relationships with overweight and obesity among Chinese children with autism spectrum disorder Res Autism Spectr Disord, 2022, 99(11): 102066.

[57] Zeng X, Cai L, Yang W, Tan W, Huang W, Chen Y. Association between the 24-hour movement guidelines and executive function among Chinese children BMC Public Health, 2022, 22(1): 1-11.

[58] Zhang Y, Chen S, Wang C, Zhang X, Zou L, Chi X, Jiao C. Does more sedentary time associate with higher risks for sleep disorder among adolescents? A pooled analysis Front Pediatr, 2021, 9(8): 1-8.

[59] Zhang J, Yang SX, Wang L, Han LH, Wu XY. The influence of sedentary behaviour on mental health among children and adolescents: a systematic review and meta-analysis of longitudinal studies J Affect Disord, 2022, 306(6): 90-114.

[60] Zhu X, Haegele JA, Healy S. Movement and mental health: behavioral correlates of anxiety and depression among children of 6–17 years old in the U.S Ment Health Phys Act, 2019, 16(4): 60-65.

Funding

Guangdong Provincial Department of Science and Technology(2022SB0022)

Humanities and Social Science Fund of Ministry of Education of China(24YJC890073)

RIGHTS & PERMISSIONS

Beijing Sport University

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