On Relationship Between 24-hour Movement Behavior And Anxiety For Middle School Students

Purpose: Anxiety is a common negative emotion,which seriously affects the life quality and well-being of individuals.Adolescents stay in a critical developing period of individual psychology,and their associated health is vulnerable to external influences.The occurrence of anxiety symptoms not only harms the health status in such period,but also increases the risk of depression and other mental health disorders for adulthood.In order to promote the healthy development of adolescents,it is particularly important to explore the influencing factors related to adolescent anxiety.Among them,24-hour movement behavior is considered to be an important way to alleviate adolescents’ anxiety symptoms.Hubei Province,as the leader of the central region,plays an important role in promoting the Rise of Central China.Therefore,one of the purposes of this study is to understand the basic situation of 24-hour movement behavior and anxiety of adolescents in Hubei Province.The second one is to analyze the relationship between 24-hour movement behavior and anxiety of adolescents,thereby exploring the impact of 24-hour movement behavior in different genders,periods and regions on anxiety of adolescents in Hubei Province.Methods: Firstly,the literature method was used to search and sort out the required literature and data from multiple databases at home and abroad.Secondly,using the method of questionnaire survey,a total of 3266 students from 8 middle schools in Wuhan,Yichang,Enshi,and Jingzhou city respectively(all in Hubei Province),which composed of 2 learning segments(junior high school,senior high school)and 6 grades(From junior one to senior three),were investigated by questionnaire.Then,2690 students were included in the analysis(average age was14.86 ± 5.97 years),and the effective rate was 90.0%.Among them,there were 1344 males and 1446 females.Finally,based on mathematical statistics using SPSS 25.0 software,descriptive statistics were applied to analyze the basic situation of respondents;Chi-square analysis was used to analyze the differences in 24-hour movement behavior,anxiety in demographics,and the relationship between 24-hour movement behavior and anxiety.The binary logistic regression analysis was also used to conduct the regression analysis with the reference group that all met the recommended quantity standard.The relationship between 24-hour movement behavior and anxiety was calculated,and gender,school period and region were distinguished.Results:(1)For the basic situation of middle school students’ 24-hour movement behavior,the recommended amount of Moderate-to-Vigorous Physical Activity(MVPA)is 15.8 %,the recommended amount of Screen Time(ST)is 27.1%,the recommended amount of Sleep(SLP)is 64.2%,the recommended amount of MVPA+ ST is 5.8%,the recommended amount of MVPA + SLP is 11.2%,the recommended amount of ST + SLP is 15.9%,the recommended amount of MVPA + ST + SLP is4.2%,and the recommended amount of all three items is 21.6%.(2)For the gender,the recommended amount of ST,MVPA + ST,ST + SLP,MVPA + ST + SLP and none of the three items are higher for girls than for boys,and the recommended amount of MVPA and MVPA + SLP are higher for boys than for girls,and the proportion of boys and girls reaching the recommended amount of SLP is the same;For the section,the recommended amount of MVPA,ST,MVPA + ST,MVPA + SLP,ST + SLP,MVPA+ ST + SLP and the three did not reach the recommended amount of junior high school is more than that of high school,and the recommended amount of SLP is more than that of high school.For the region,the recommended amount of MVPA,ST,SLP,MVPA + ST,MVPA + SLP,ST + SLP,MVPA + ST + SLP is higher in urban areas than in rural areas,and the recommended amount is higher in rural areas than in urban areas.For the basic situation of middle school students’ anxiety,21.7% of them have anxiety symptoms.(3)Among them,girls share higher possibility than boys,high school higher than junior high school,and rural higher than urban.(4)Overall,24-hour activity behavior has a positive effect on middle school students ’ anxiety(MVPA: OR= 2.622;ST: OR = 2.220;SLP: OR = 2.798;MVPA + ST: OR = 2.618;MVPA + SLP:OR = 2.521).For the gender,male SLP and female MVPA,ST,SLP,MVPA + ST,MVPA + SLP have significant effects on anxiety.ST,SLP,MVPA + ST,MVPA +SLP of junior high school students have significant anxiety,MVPA of senior high school students have significant anxiety.For the region,MVPA and SLP of students with urban household registration are significant for anxiety,while ST and MVPA +SLP of students with rural household registration are significant for anxiety.Conclusion:(1)The 24-hour activity behavior level of middle school students in Hubei Province is low,and the lack of physical activity level is the main part.(2)The anxiety symptoms of middle school students in Hubei Province are more serious,especially girls,high school students and rural registered students.(3)The 24-hour activity behavior of middle school students in Hubei Province has a positive effect on the relief of anxiety symptoms,and the effect is more obvious in girls and junior middle school students.The relationship between physical activity and sleep and anxiety was stronger for urban students,while the combination of physical activity and sleep was more helpful to alleviate anxiety symptoms for rural students.