Association of School Health Relationship Difficulties with Lack of Regular Physical Activity in Younger Adolescents: A Population Based Study.

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Title: Association of School Health Relationship Difficulties with Lack of Regular Physical Activity in Younger Adolescents: A Population Based Study.
Authors: Chau, Kénora, Gauchard, Gérome, Belbraouet, Slimane, Perrin, Philippe, Chau, Nearkasen
Source: Psychiatry: Interpersonal & Biological Processes. Fall2023, Vol. 86 Issue 3, p229-248. 20p. 4 Charts, 1 Graph.
Subjects: Mental depression risk factors, Middle schools, Cross-sectional method, Health status indicators, Mental health, Regression analysis, Socioeconomic factors, Physical activity, Interpersonal relations, Questionnaires, Age factors in disease, Descriptive statistics, Disease duration, Mental depression, Research funding, Logistic regression analysis, Odds ratio, Dose-response relationship in biochemistry, Adolescence
Geographic Terms: France
Abstract: Objective: Lack of regular physical activity (LPA) and the number of days/week with physical activity >60 minutes/day (Ndw) may be associated with school-health-relational difficulties (SHRDs) during the life-course. This study assessed their associations and the confounding role of socioeconomic features (nationality, family structure, parents' education/occupation/income) among younger adolescents. Methods: This cross-sectional population-based study included 1,559 middle-school adolescents from north-eastern France (10–18 years, 98% under 16 years, 778 boys and 781 girls). They completed over one-hour teaching period a questionnaire collecting last-12-month LPA and last-7-day Ndw (dependent variables), and risk factors including socioeconomic features, SHRDs (previous grade repetitions, last-12-month poor general health status/physical health/psychological health/social-relationships, depressive symptoms (and age at onset and duration from onset); cumulated number noted SHRDcn). Data were analyzed using logistic/linear regression models. Results: LPA was common (32.5%) and associated with all SHRDs (sex-age-adjusted odds ratio saOR reaching 1.99, p <.001) and depressive-symptoms duration (saOR 1.63 (p <.05) and 2.11 (p <.001) for 1–2 and ≥3 years, respectively, vs. no depressive symptoms). A dose-effect association was found between SHRDcn and LPA (24.0, 33.7, 45.6, and 53.5%; saOR 1.59, 2.58, and 3.43; for SHRDcn 1–2, 3–4, and ≥5 respectively, vs. SHRDcn = 0, p <.001). Ndw was similarly associated with all SHRDs and SHRDcn (sex-age-adjusted regression coefficient reaching −1.10 day/week, p <.001). These results were robust when controlling for socioeconomic features (18%60 min/day (Ndw). • These links are robust when controlling for socioeconomic features which have a strong confounding role. • The risk of LPA and reduced Ndw increase with the duration of depressive symptoms from their onset. • Prevention to detect/reduce SHRDs may improve physical activity, especially for most at-risk adolescents. [ABSTRACT FROM AUTHOR]
Copyright of Psychiatry: Interpersonal & Biological Processes is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Association of School Health Relationship Difficulties with Lack of Regular Physical Activity in Younger Adolescents: A Population Based Study.
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  Data: Objective: Lack of regular physical activity (LPA) and the number of days/week with physical activity &gt;60 minutes/day (Ndw) may be associated with school-health-relational difficulties (SHRDs) during the life-course. This study assessed their associations and the confounding role of socioeconomic features (nationality, family structure, parents&#39; education/occupation/income) among younger adolescents. Methods: This cross-sectional population-based study included 1,559 middle-school adolescents from north-eastern France (10–18 years, 98% under 16 years, 778 boys and 781 girls). They completed over one-hour teaching period a questionnaire collecting last-12-month LPA and last-7-day Ndw (dependent variables), and risk factors including socioeconomic features, SHRDs (previous grade repetitions, last-12-month poor general health status/physical health/psychological health/social-relationships, depressive symptoms (and age at onset and duration from onset); cumulated number noted SHRDcn). Data were analyzed using logistic/linear regression models. Results: LPA was common (32.5%) and associated with all SHRDs (sex-age-adjusted odds ratio saOR reaching 1.99, p &lt;.001) and depressive-symptoms duration (saOR 1.63 (p &lt;.05) and 2.11 (p &lt;.001) for 1–2 and ≥3 years, respectively, vs. no depressive symptoms). A dose-effect association was found between SHRDcn and LPA (24.0, 33.7, 45.6, and 53.5%; saOR 1.59, 2.58, and 3.43; for SHRDcn 1–2, 3–4, and ≥5 respectively, vs. SHRDcn = 0, p &lt;.001). Ndw was similarly associated with all SHRDs and SHRDcn (sex-age-adjusted regression coefficient reaching −1.10 day/week, p &lt;.001). These results were robust when controlling for socioeconomic features (18%&lt;contribution&lt;51%). Conclusions: Physical activity is associated with SHRDs, and socioeconomic features have an elevated confounding role. Healthcare providers can detect/reduce SHRDs and consequently improve physical activity among adolescents and prevent physical inactivity in adulthood. • Lack of physical activity (LPA) is strongly associated with school-health-relational difficulties (SHRDs) affecting most adolescents. • There are dose-effect associations between cumulative number of SHRDs and both LPA and number of days/week with physical activity &gt;60 min/day (Ndw). • These links are robust when controlling for socioeconomic features which have a strong confounding role. • The risk of LPA and reduced Ndw increase with the duration of depressive symptoms from their onset. • Prevention to detect/reduce SHRDs may improve physical activity, especially for most at-risk adolescents. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Psychiatry: Interpersonal &amp; Biological Processes is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/00332747.2023.2222639
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 20
        StartPage: 229
    Subjects:
      – SubjectFull: Mental depression risk factors
        Type: general
      – SubjectFull: Middle schools
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Mental health
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      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Interpersonal relations
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Age factors in disease
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Disease duration
        Type: general
      – SubjectFull: Mental depression
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      – SubjectFull: Research funding
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Odds ratio
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      – SubjectFull: Dose-response relationship in biochemistry
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: France
        Type: general
    Titles:
      – TitleFull: Association of School Health Relationship Difficulties with Lack of Regular Physical Activity in Younger Adolescents: A Population Based Study.
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              M: 09
              Text: Fall2023
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