Linking 24-hour movement behaviour guidelines to core symptoms and school engagement of youth with moderate/severe ADHD

Li, Jinming, Chen, Yanxia, Herold, Fabian, Logan, Nicole E, Brown, Denver M Y, Haegele, Justin A, Zhang, Zihao, Taylor, Alyx, Dastamooz, Sima, Geber, Markus, Kramer, Arthur F, Owen, Neville, Gao, Yanping and Zou, Liye (2025) Linking 24-hour movement behaviour guidelines to core symptoms and school engagement of youth with moderate/severe ADHD. Journal of Affective Disorders, 372. pp. 422-430. ISSN 0165-0327

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Abstract

Background: The independent associations of physical activity (PA), sleep duration (SL), and screen time (ST) with health outcome measures have been well-documented among children and adolescents, but not in youth with moderate/severe ADHD. To this end, the present study aimed to investigate the associations between three components within 24-hour movement behaviour (24-HMB) framework and core symptoms and school engagement in youth with moderate/severe ADHD. Methods: This study used pooled data from the 2021-2022 U.S. National Survey of Children's Health, which included a nationally representative sample of 4797 youth aged 6-17 years. Logistic/Ordinal regressions examined associations between meeting 24-HMB guideline combinations and core symptoms and school engagement among youth with moderate/severe ADHD, adjusting for age, sex, family income, body mass index, and ethnicity. Results: Only 6.9% of youth with moderate/severe ADHD met all three 24-HMB guidelines. Compared to those meeting no guidelines, youth meeting all guidelines was beneficially associated with inattention symptoms (self-regulation: OR=0.44, 95%CI: 0.35-0.57; concentration: OR= 1.26, 95%CI: 1.01-1.55) and better performance of school engagement (caring about doing well: OR = 0.52, 95%CI: 0.41-0.65; completing homework: OR = 0.49, 95%CI: 0.39-0.62). Meeting the ST + SL guidelines was associated with significantly lower odds of hyperactivity/impulsivity symptoms (argument, OR = 1.33, 95% CI: 1.12-1.58; staying calm, OR = 0.59, 95% CI: 0.46-0.75) compared to those who met none of guidelines. Conclusions: Meeting 24-HMB guidelines was associated with lower likelihood of ADHD core symptoms and greater likelihood of school engagement. Integrative "whole day" behavioural interventions warrant consideration for improving school engagement-related outcomes and reducing ADHD core symptoms in this vulnerable population.

Item Type:	Article
Keywords:	Neurodevelopmental disorder, Physical activity, School engagement, Screen time, Sleep
Schools:	School of Health and Rehabilitation Sciences
Depositing User:	Jessica Tovey
Date Deposited:	24 Jan 2025 11:56
Last Modified:	24 Jan 2025 11:56
URI:	https://hsu.repository.guildhe.ac.uk/id/eprint/504

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