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Is Meeting 24-Hour Movement Guidelines Associated with Emotion Regulation among Children and Adolescents?
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作者 Shanshan Xu Liang Hu 《International Journal of Mental Health Promotion》 2025年第6期771-785,共15页
Background:The Canadian 24-h movement guidelines(24-HMG)emphasize the holistic consideration of physical activity(PA),sedentary behavior,and sleep in shaping health outcomes.This study aimed to examine the association... Background:The Canadian 24-h movement guidelines(24-HMG)emphasize the holistic consideration of physical activity(PA),sedentary behavior,and sleep in shaping health outcomes.This study aimed to examine the associations between meeting 24-HMG and emotion regulation-related indicators among children and adolescents.Methods:A total of 534 Chinese children and adolescents aged 12.94±1.10 years(49.81%males)participated in this study and completed self-report measures assessing 24-h movement behaviors,emotion regulation strategies,emotion regulation flexibility,and regulatory emotional self-efficacy.Results:Only 7.12% of theparticipants adhered to two or all three guidelines.The number of guidelines met was positively associated with the use of emotion regulation strategies,emotion regulation flexibility,and regulatory emotional self-efficacy.Compared with meeting none of the guidelines,participants whomet one ormore guidelines reported significantly better performance in these outcomes.Conclusion:Meeting 24-HMG was associated with superior emotion regulation in children and adolescents.The importance of engaging in regular PA,limiting recreational screen time,and getting enough sleep should be highlighted for fostering emotion regulation in this demographic. 展开更多
关键词 24-hour movement guidelines emotion regulation strategies emotion regulation flexibility regulatory emotional self-efficacy
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Associations between meeting 24-hour movement guidelines and quality of life among children and adolescents with autism spectrum disorder 被引量:4
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作者 Chuidan Kong Aiguo Chen +9 位作者 Sebastian Ludyga Fabian Herold Sean Healy Mengxian Zhao Alyx Taylor Notger G.Muller Arthur F.Kramer Sitong Chen Mark S.Tremblay Liye Zou 《Journal of Sport and Health Science》 SCIE CSCD 2023年第1期73-86,共14页
Background:The Canadian 24-hour movement behavior(24-HMB)guidelines suggest that a limited amount of screen time use,an adequate level of physical activity(PA),and sufficient sleep duration are beneficial for ensuring... Background:The Canadian 24-hour movement behavior(24-HMB)guidelines suggest that a limited amount of screen time use,an adequate level of physical activity(PA),and sufficient sleep duration are beneficial for ensuring and optimizing the health and quality of life(QoL)of children and adolescents.However,this topic has yet to be examined for children and adolescents with autism spectrum disorder(ASD)specifically.The aim of this cross-sectional observational study was to examine the associations between meeting 24-HMB guidelines and several QoLrelated indicators among a national sample of American children and adolescents with ASD.Methods:Data were taken from the 2020 U.S.National Survey of Children’s Health dataset.Participants(n=956)aged 617 years and currently diagnosed with ASD were included.The exposure of interest was adherence to the 24-HMB guidelines.Outcomes were QoL indicators,including learning interest/curiosity,repeating grades,adaptive ability,victimization by bullying,and behavioral problems.Categorical variables were described with unweighted sample counts and weighted percentages.Age,sex,race,preterm birth status,medication,behavioral treatment,household poverty level,and the educational level of the primary caregivers were included as covariates.Odds ratio(OR)and 95%confidence interval(95%CI)were used to present the strength of association between adherence to 24-HMB guidelines and QoL-related indicators.Results:Overall,452 participants(45.34%)met 1 of the 3 recommendations,216(22.65%)met 2 recommendations,whereas only 39 participants(5.04%)met all 3 recommendations.Compared with meeting none of the recommendations,meeting both sleep duration and PA recommendations(OR=3.92,95%CI:1.639.48,p<0.001)or all 3 recommendations(OR=2.11,95%CI:1.034.35,p=0.04)was associated with higher odds of showing learning interest/curiosity.Meeting both screen time and PA recommendations(OR=0.15,95%CI:0.040.61,p<0.05)or both sleep duration and PA recommendations(OR=0.24,95%CI:0.070.87,p<0.05)was associated with lower odds of repeating any grades.With respect to adaptive ability,participants who met only the PA recommendation of the 24-HMB were less likely to have difficulties dressing or bathing(OR=0.11,95%CI:0.020.66,p<0.05)than those who did not.For participants who met all 3 recommendations(OR=0.38,95%CI:0.150.99,p=0.05),the odds of being victimized by bullying was lower.Participants who adhered to both sleep duration and PA recommendations were less likely to present with severe behavioral problems(OR=0.17,95%CI:0.040.71,p<0.05)than those who did not meet those guidelines.Conclusion:Significant associations were found between adhering to 24-HMB guidelines and selected QoL indicators.These findings highlight the importance of maintaining a healthy lifestyle as a key factor in promoting and preserving the QoL of children with ASD. 展开更多
关键词 24-hour movement guidelines Autism spectrum disorder Physical activity Quality of life
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Interdialytic 24-Hours Ambulatory Blood Pressure versus Dialysis Unit Blood Pressure for the Diagnosis of Electrocardiographic-Left Ventricular Hypertrophy in Chronic Hemodialysis Black Patients 被引量:1
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作者 Cédric Kabemba Ilunga Francois Bompeka Beka Lepira +8 位作者 Jean Robert Rissassi Makulo Yves Lubenga Trésor Mvunzi Noel Utshudi Aliocha Nkodila Vieux Momeme Mokoli Ernest Kiswaya Sumaili Nazaire Mangani Nseka Eleuthère Vita Kintoki 《World Journal of Cardiovascular Diseases》 2019年第11期846-856,共11页
Background and Aim: In hemodialysis patients, 24-hours interdialytic ABPM better detects TOD than dialysis unit blood pressure. Therefore, the present study was aimed to assess the diagnostic performance of 24-hours A... Background and Aim: In hemodialysis patients, 24-hours interdialytic ABPM better detects TOD than dialysis unit blood pressure. Therefore, the present study was aimed to assess the diagnostic performance of 24-hours ABPM vs. dialysis unit BPs for the diagnosis of ECG-LVH in steady state chronic hemodialysis black patients. Methods: From March 31 to September 30, 2018, interdialytic ABPM was performed after a mid-week hemodialysis session for 24 hours using a Spacelab 90207 ABPM monitor in the non-access arm in 45 stable chronic hemodialysis black patients (age ≥ 20 years, hemodialysis for at least 3 months and informed consent) attending 3 hemodialysis centers in Kinshasa. Ambulatory BP was recorded every 20 minutes during the day (6 AM to 10 PM) and every 30 minutes during the night (10 PM to 6 AM). ECG-LVH was defined using Cornell product criteria. ROC curve method was used to assess the performance of dialysis unit BPs vs. interdialytic 24-hours ABPM in diagnosing ECG-LVH. P 0.05 defined the level of statistical significance. Results: Whatever the method of BP measurement, all the SBP values were related to ECG-LVH with similar AUC and overlapping 95% CI;however, they were not significantly different from each other. 24-hours interdialytic ambulatory SBP (AUC 0.748;95% CI 0.58 - 0.94) had the highest area under the curve. Conclusion: The present study showed that although all the two BP measurement methods equally detected ECG-LVH, 24-hours ABPM tended to have the highest diagnostic performance. 展开更多
关键词 24-hours ABPM Dialysis Unit BPs ECG-LVH Diagnostic Performance Chronic Hemodialysis Black Africans
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The nurses’ voice of working in a newly established community based 24-hour support center for people with psychiatric disabilities 被引量:1
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作者 Ann-Christin Janlov Agneta Berg 《Open Journal of Nursing》 2013年第2期195-201,共7页
This study explores the perceptions of a small group of nurses working at a newly established 24-hour community-based service enter (SC) for users with psychiatric disability using a qualitative approach. Since the me... This study explores the perceptions of a small group of nurses working at a newly established 24-hour community-based service enter (SC) for users with psychiatric disability using a qualitative approach. Since the mental health reform in Sweden in 1995 where the communities (in Sweden called municipalities) were given the responsibility to establish service and support to people with severe psychiatric disabilities, they have struggled in finding suitable forms of these kinds of areas. In 2010, this led to the creation and development of a new center aiming to provide services and support based on the expressed needs of people with physchiatric disability in a community located in southern Sweden. During 2011, a total of three group interviews were performed to capture the employed nurses’ perceptions of this newly established SC. The interview texts were analyzed by way of qualitative content analysis. A first reading of the interview texts revealed that the nurses’ perceptions of the service center were unwaveringly positive but that their beliefs about who the specific target group were differed. The main finding was summarized by the theme: Making a difference—on an individual, professional, and organizational level. The sub themes were: 24-hour availability, unclear assignment, and preventing mental illness. The findings indicate a need for a community round-the-clock service center in this Swedish community and a more clear definition of the target group. 展开更多
关键词 Psychiatric Disability Mental Health Nursing Community Mental Health Service 24-hour Service Center Qualitative Content Analysis
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China introduces the 24-hour rule
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作者 Bergami Roberto 《Chinese Business Review》 2009年第3期1-7,共7页
Recently, international movement measures that may be causing tension between the of cargo had been the subject of increasing border control needs for security and the needs for trade facilitations. On the one hand cu... Recently, international movement measures that may be causing tension between the of cargo had been the subject of increasing border control needs for security and the needs for trade facilitations. On the one hand customs authorities are charged with the responsibility for policing a country's borders, and consequently they need to have in place measures to ensure that only legitimate trade takes place and that this trade does not present security concerns. On the other hand we have the requirements of traders, who benefit from an environment of trade facilitation with speedy and efficient movement of cargo across international borders, with minimal bureaucratic intervention. This paper focuses on and provides early discussion and comments on the possible ramifications of the introduction of the 24-hour rule in China, effective for all exports and imports of sea freight container traffic since January 1, 2009. The new rules will have significant impact on the logistics flows of exporters and importers alike. Specifically, the reporting requirements timelines are likely to result in increased costs in cargo processing at wharves that traders will have to bear; place added pressure on storage facilities at wharves, or at container depots; and may additionally increase the amount of inventory buffer because of the timing of the data reporting requirements. The paper concludes that security needs have prevailed over trade facilitation considerations and that traders should urgently implement a review of existing practices to ensure they comply with the China Customs requirements, whilst simultaneously minimizing cost increases. 展开更多
关键词 24-hour rule cargo security ANTI-TERRORISM international regulations China Customs
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The lived experience of a 24-hour support center for persons with psychiatric disabilities: Making me feel almost like an ordinary person
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作者 Ann-Christin Janlov Irene Persson Agneta Berg 《Open Journal of Nursing》 2014年第1期42-50,共9页
This study illuminates nine psychiatric disabled persons’ lived experience of a newly established community-based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in ... This study illuminates nine psychiatric disabled persons’ lived experience of a newly established community-based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenological-hermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life. 展开更多
关键词 Psychiatric Disability Lived Experience Community Mental Health Service 24-hour Service Center Phenomenological-Hermeneutical Method Mental Health Nursing
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Esophageal manometry and 24-hour pH monitoring in esophagus surgery:28-year Chinese experience in a single center
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作者 邓波 《外科研究与新技术》 2011年第3期164-164,共1页
Objective To retrospectively review the experience of esophageal manometry and 24-hour pH monitoring in e-sophagus surgery. Methods From 1982 to 2010,patients with unspecific chest pain and undergone esophageal surger... Objective To retrospectively review the experience of esophageal manometry and 24-hour pH monitoring in e-sophagus surgery. Methods From 1982 to 2010,patients with unspecific chest pain and undergone esophageal surgery were received esophageal manometry and 24-hour pH monitoring. Results Among the patients with 展开更多
关键词 Esophageal manometry and 24-hour pH monitoring in esophagus surgery pH
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Analysis of 24-hour Monitoring of Intraocular Pressure in 1055 Eyes 被引量:1
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作者 Bo Wang Tao Dai +3 位作者 Yu Zhao Chuanwen Gao Jianrong Liu Peng Chen 《眼科学报(英文版)》 CAS 2013年第3期119-123,共5页
Purpose:.To investigate the clinical significance of 24-hour monitoring of intraocular pressure(IOP).Methods: A total of 571 cases(1055 eyes) undergoing 24-hour monitoring of IOP in the Second People's Hospital of... Purpose:.To investigate the clinical significance of 24-hour monitoring of intraocular pressure(IOP).Methods: A total of 571 cases(1055 eyes) undergoing 24-hour monitoring of IOP in the Second People's Hospital of Zhengzhou between June 2012 and March 2013 were retrospectively analyzed.Results: Among all 1055 eyes,.298 had suspected glaucoma(28.2%); 390(37.0%) were diagnosed with glaucoma but received no treatment(312 with primary open angle glaucoma(POAG).and 78 with primary angle closure glaucoma(PACG));215(20.4%) were diagnosed with glaucoma and received medical treatment;. 132( 12. 5 %). underwent glaucoma filtration surgery;.and there were 20 others..Through 24-hour IOP monitoring,.104 among 298 cases with suspected glaucoma were diagnosed with normal tension glaucoma(NTG),.110 with POAG,.and 28 with the secondary glaucoma..Condition assessment and treatment plans were presented for 390 glaucoma cases receiving no treatment..Adjustment was made in the medical treatment of 138 eyes..Following glaucoma filtration surgery,.52 eyes received clinical advice on subsequent treatment.Conclusion: The simplified 24-hour IOP monitoring method is readily accepted by patients,.which is of great significance for providing guidance on the diagnosis of glaucoma and the assessment of the efficacy of glaucoma surgery..However,one-time 24-hour IOP monitoring is not sufficiently efficacious to make a definite diagnosis of NTG..Therefore,.long-term follow-up and repeated 24-hour IOP monitoring are required to diagnose NTG,.along with a variety of related examinations. 展开更多
关键词 监测分析 小时 眼压 青光眼 临床意义 NTG 监测方法 原发性
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Research progress of 24-hour movement behaviors in chronic non-communicable disease
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作者 Rong-Xuan Li Qing-Qing Fan Di Cui 《Life Research》 2024年第3期24-34,共11页
Chronic non-communicable diseases(NCDs)represent a significant impediment to improve life expectancy and remain a focal point in global public health and disease prevention efforts.24-hour movement behaviors,which inc... Chronic non-communicable diseases(NCDs)represent a significant impediment to improve life expectancy and remain a focal point in global public health and disease prevention efforts.24-hour movement behaviors,which include sleep,sedentary behavior(SED),and physical activity,underscore the inherent connections between different daily activities and the comprehensive impact of overall movement patterns on health.Evidence suggested that modifying patterns of 24-hour movement behaviors can aid in preventing and attenuating the progression of NCDs.This study systematically delineated the concept,evolution,analytical methods,and intrinsic associations of 24-hour movement behaviors,emphasizing their pivotal role in the prevention and management of NCDs such as obesity,mental disorders,cardiovascular diseases,diabetes,and renal diseases.Future research endeavors should focus on refining methodologies,broadening study populations,developing research tools,and exploring precise intervention strategies and interdisciplinary approaches to comprehensively enhance the effectiveness of NCDs prevention and management from a temporal perspective.Such efforts are poised to provide substantive guidance and support for public health practices. 展开更多
关键词 chronic non-communicable diseases 24-hour movement behaviors time-use epidemiology isotemporal substitution model compositional data analysis
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24小时尿电解质在慢性肾病中的变化及其参考区间的建立
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作者 徐曼 翟素平 +4 位作者 汪海霞 刘月 柴森 胡天喜 杜伟鹏 《中国医药指南》 2025年第22期108-112,共5页
目的分析24 h尿电解质在慢性肾病中的变化,初步评估其对慢性肾病的诊断价值,并制定本地区健康人群24 h尿钾、钠、钙、磷和镁的参考区间。方法收集2020年7月至2021年3月在南阳市中心医院住院的140例慢性肾病患者的24 h尿标本,同时收集本... 目的分析24 h尿电解质在慢性肾病中的变化,初步评估其对慢性肾病的诊断价值,并制定本地区健康人群24 h尿钾、钠、钙、磷和镁的参考区间。方法收集2020年7月至2021年3月在南阳市中心医院住院的140例慢性肾病患者的24 h尿标本,同时收集本地区166名健康人员的24 h尿标本,采用罗氏Cobas8000全自动生化分析仪测定钾、钠、钙、磷和镁,计算出24 h含量,比较慢性肾病组与健康人组之间的差异,根据健康人群制定这些指标的参考区间并进行验证。结果慢性肾病组24 h尿磷、镁均高于健康人组,24 h尿钙低于健康人组,差异均有统计学意义(P<0.05),两组尿钾、钠比较,差异无统计学意义(P>0.05);166名健康人员的24 h尿钾、钠、钙、磷和镁水平在性别上差异无统计学意义(P>0.05),在不同年龄组差异也无统计学意义(P>0.05),按照95%置信区间制定这些指标的正常参考值范围分别为16.70~80.70 mmol/d,73.10~261.80 mmol/d,1.05~8.11 mmol/d,5.22~27.44 mmol/d,1.27~5.23 mmol/d。结论24 h尿钾、钠、钙、磷水平变化在慢性肾病中有适当的筛查价值,可进一步研究其对慢性肾病进展的影响,尿镁水平是否有差异还需进一步参考慢性肾病不同分期再进一步确认;本地区健康人群24 h尿钾、钠、钙、磷和镁在性别和年龄上差异无统计学意义,本研究成功建立了中原某地区健康人群24 h钾、钠、钙、磷和镁的参考区间。 展开更多
关键词 慢性肾病 24 h尿钾 24 h尿钠 24 h尿钙 24 h尿磷 24 h尿镁 参考区间
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儿童万古霉素血药谷浓度、24小时药时曲线下面积/最低抑菌浓度与临床疗效及肾功能的相关性分析
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作者 李娟 何瑾 +1 位作者 吴晖 王茜 《儿科药学杂志》 2025年第10期9-13,共5页
目的:回顾性分析昆明医科大学第一附属医院应用万古霉素的患儿血药浓度结果,统计万古霉素血药谷浓度(C_(min))、24小时药时曲线下面积(AUC_(24h))/最低抑菌浓度(MIC)与临床疗效和肾功能的相关性,为儿童患者基于血药浓度结果调整万古霉... 目的:回顾性分析昆明医科大学第一附属医院应用万古霉素的患儿血药浓度结果,统计万古霉素血药谷浓度(C_(min))、24小时药时曲线下面积(AUC_(24h))/最低抑菌浓度(MIC)与临床疗效和肾功能的相关性,为儿童患者基于血药浓度结果调整万古霉素剂量提供参考。方法:回顾性收集2019年7月至2023年8月符合纳入标准和排除标准的患儿相关信息,采用组间比较及组内前后对照的分析方法考察不同万古霉素AUC_(24h)/MIC、C_(min)区间与临床疗效及肾功能的相关性。绘制受试者工作特征(ROC)曲线评估AUC_(24h)/MIC、C_(min)对临床疗效及肾损伤的预测效能。结果:共144例患儿纳入研究,AUC_(24h)/MIC≤400 mg·h/L、400 mg·h/L<AUC_(24h)/MIC≤600 mg·h/L及AUC_(24h)/MIC>600 mg·h/L的3组患儿间万古霉素AUC_(24h)/MIC与临床有效率及微生物清除率比较差异均无统计学意义(P>0.05);C_(min)≤10μg/mL、10μg/mL<C_(min)≤20μg/mL及C_(min)>20μg/mL 3组患儿临床有效率及微生物清除率比较差异均无统计学意义(P>0.05);3组患儿使用万古霉前后Δ血肌酐、Δ尿素氮及Δ尿素氮/血肌酐比较差异均无统计学意义(P>0.05)。通过ROC曲线分析,AUC_(24h)/MIC的有效暴露阈值为310.40 mg·h/L,肾损伤的暴露阈值为528.11 mg·h/L,C_(min)的有效暴露阈值为5.63μg/mL,肾损伤的暴露阈值为11.51μg/mL。结论:儿童患者万古霉素AUC_(24h)/MIC、C_(min)的有效性及肾损伤阈值与成人比较存在差异,为保证临床疗效及安全性,有必要使儿童患者310.40 mg·h/L≤AUC_(24h)/MIC≤528.11 mg·h/L或5.63μg/mL≤C_(min)≤11.51μg/mL。但本研究样本量偏小,后续仍需大样本量研究加以验证。 展开更多
关键词 万古霉素 儿童 24小时药时曲线下面积/最低抑菌浓度 疗效 肾功能
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成分等时替代模型分析大学生24 h活动行为与自测健康的关联 被引量:5
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作者 李凯欣 赵越 +2 位作者 肖绛 彭俊歌 李晏 《体育学刊》 北大核心 2025年第2期139-146,共8页
对河南省某高校1406名18~24岁大学生开展横断面调查,通过国际体力活动问卷与匹兹堡睡眠指数量表进行24h活动行为调查,采用自测健康评定量表评估健康水平,运用成分分析和等时替代模型方法分析大学生24 h活动行为与自测健康的关联及替代... 对河南省某高校1406名18~24岁大学生开展横断面调查,通过国际体力活动问卷与匹兹堡睡眠指数量表进行24h活动行为调查,采用自测健康评定量表评估健康水平,运用成分分析和等时替代模型方法分析大学生24 h活动行为与自测健康的关联及替代效应。结果显示:(1)24h活动行为与大学生自测健康各因子、维度及总分均显著相关(P<0.001),MVPA、LPA及睡眠时间占比均与大学生自测健康总分呈显著正相关(MVPA:β=3.68,P<0.05;LPA:β=1.45,P=0.05;睡眠:β=1.95,P<0.05),久坐行为时间占比与大学生自测健康总分呈显著负相关(β=-4.31,P<0.05);(2)15 min等时替代模型预测变化显示,MVPA替换其他活动行为后大学生自测健康得分均显著上升,且MVPA替代久坐行为对提高自测健康得分的效应最佳;(3)在从-40min到40min的剂量-效应关系中,其他行为替代MVPA产生的不利影响大于MVPA替代其他行为产生的益处,同时5min是健康效益变化的最佳转折点。研究认为,大学生24h活动行为的综合效应值需高度重视,尤其应关注MVPA不足和久坐时间过长对大学生整体健康的负面影响。促使久坐行为向MVPA适度转化可以有效改善大学生的健康水平,而睡眠可能是健康干预的另一重要方向。此外,每天45min的MVPA最低推荐量能够让大学生获得最高效的体质健康效益。 展开更多
关键词 24h活动行为 成分分析 等时替代模型 自测健康 大学生
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大学生24 h体力活动、久坐行为、睡眠对心肺耐力的积累效应 被引量:1
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作者 宋云峰 徐驰 +2 位作者 李凯欣 谭思洁 齐玉刚 《中国医学科学院学报》 北大核心 2025年第2期155-163,共9页
目的探索大学生体力活动、久坐行为、睡眠对心肺耐力(CRF)的积累效应,为提升大学生CRF水平提供有效措施。方法2023年5至6月在天津科技大学招募223名18~24岁大学生进行24 h活动行为调查及CRF测试。采用成分分析方法探讨身体活动、久坐行... 目的探索大学生体力活动、久坐行为、睡眠对心肺耐力(CRF)的积累效应,为提升大学生CRF水平提供有效措施。方法2023年5至6月在天津科技大学招募223名18~24岁大学生进行24 h活动行为调查及CRF测试。采用成分分析方法探讨身体活动、久坐行为、睡眠与CRF之间的关系,并建立等时替代模型预测各活动行为替代后对CRF产生的影响。结果中高强度体力活动(MVPA)时间占比与大学生CRF呈显著正相关(β=6.40,P=0.002),久坐行为时间占比与大学生CRF呈显著负相关(β=-3.02,P=0.004),低强度体力活动(LPA)和睡眠时间占比与CRF无相关性(β=-1.06,P=0.504)。15 min等时替代结果显示,MVPA替代其他活动行为后,大学生CRF均显著提高[久坐行为:1.72 mL/(kg·min),95%CI=0.94~2.51;LPA:1.82 mL/(kg·min),95%CI=0.95~2.68;睡眠:1.64 mL/(kg·min),95%CI=0.84~2.45]。在从-30 min到30 min的剂量-效应关系中,从其他行为重新分配时间到MVPA对CRF的不利影响大于将MVPA重新分配到其他行为的益处;在所有替代中,MVPA替代LPA对提高CRF的效应最佳。此外,5 min的增量被认为是MVPA替代其他活动的最佳转折点。结论强调参与MVPA对改善大学生CRF的重要性。等时替代模型为这些行为的时间分配提出了明确的目标,有助于未来的干预措施和政策制定。 展开更多
关键词 24 h活动行为 成分分析 等时替代 心肺耐力
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龙砂开阖六气针法结合24 h眼压曲线探析青风内障证治
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作者 孙文英 杨薇 +5 位作者 张丽霞 陈曦 张丰 李雪菲 师宜鹏 解晓斌 《中医药学报》 CAS 2025年第1期52-56,共5页
龙砂开阖六气针法是在顾植山教授三阴三阳开阖枢理论指导下,结合六经辨证、六脉辨证、脏腑辨证、经络辨证、象态辨证、运气辨证等多种辨证方式进行针刺的一种方法。开阖枢理论是对人体三阴三阳之气升降出入状态的概括,从开阖枢角度,青... 龙砂开阖六气针法是在顾植山教授三阴三阳开阖枢理论指导下,结合六经辨证、六脉辨证、脏腑辨证、经络辨证、象态辨证、运气辨证等多种辨证方式进行针刺的一种方法。开阖枢理论是对人体三阴三阳之气升降出入状态的概括,从开阖枢角度,青风内障的病机可概括为开机不利、阖机不利、枢机不利。开机不利,当辨太阳或太阴开机不利;阖机不利,当辨厥阴阖之太过、厥阴阖之不足或阳明阖之太过、阳明阖之不足;枢机不利,当辨少阴枢机不利或少阳枢机不利。此外,导师解晓斌主任医师将24 h眼压曲线与“六经病欲解时”相结合,以眼压峰值的时间节点对应“六经病欲解时”的病变之经来辨时定经。临证以开阖枢理论结合24 h眼压曲线为指导,采用龙砂开阖六气针法,通过辨时定经、辨证定经来明确青风内障所主之经,指导青风内障的临床诊治。 展开更多
关键词 青风内障 龙砂开阖六气针法 开阖枢 24 h眼压曲线 六经病欲解时
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脑卒中患者出院后24 h活动行为达标情况及影响因素
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作者 卫佳宁 杨范家一 +2 位作者 郭丽娜 刘延锦 董小方 《护理学杂志》 北大核心 2025年第9期1-4,39,共5页
目的探讨脑卒中患者出院后24 h活动行为现状及相关影响因素,为制订针对性干预措施提供参考。方法采用便利抽样法,于2023年5-12月选取182例脑卒中出院患者为研究对象。采用一般资料调查表、Barthel指数评定量表、营养风险筛查2002、领悟... 目的探讨脑卒中患者出院后24 h活动行为现状及相关影响因素,为制订针对性干预措施提供参考。方法采用便利抽样法,于2023年5-12月选取182例脑卒中出院患者为研究对象。采用一般资料调查表、Barthel指数评定量表、营养风险筛查2002、领悟社会支持量表、运动锻炼自我效能感量表进行调查,并要求患者在出院后1周内连续7 d佩戴三轴加速度计,测量其出院后的身体活动、久坐行为和睡眠时间,以判断其是否满足24 h活动行为指南推荐的3项标准。结果脑卒中患者出院后每日睡眠时长为(7.12±1.46)h,久坐时间为(5.79±2.24)h,中高强度身体活动时间为1.04(0.47,1.93)h,其中分别有8、23、100、51例患者满足0、1、2、3项指南推荐标准。有序logistic回归分析结果显示,年龄、日常生活活动能力、领悟社会支持和运动锻炼自我效能感是脑卒中患者24 h活动行为达标的影响因素(均P<0.05)。结论脑卒中患者出院后24 h活动行为达标情况不佳,对年龄较大、日常生活活动能力较低、社会支持程度较弱及运动锻炼自我效能感较低者,护理人员应给予针对性健康教育,以提高此类患者的24 h活动行为水平。 展开更多
关键词 脑卒中 24 h活动行为 身体活动 久坐行为 睡眠 社会支持 运动锻炼 健康教育
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大学生24 h活动行为对新型肥胖指标的成分等时替代效应分析
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作者 宋云峰 徐驰 +1 位作者 谭思洁 齐玉刚 《中国医学科学院学报》 北大核心 2025年第2期164-174,共11页
目的基于成分等时替代法探索中高强度体力活动(MVPA)、低强度体力活动(LPA)、久坐行为(SB)、睡眠之间重新分配对大学生身体形态指数(ABSI)、体形圆度指数(BRI)、锥削指数(CI)和相对脂肪量(RFM)的替代效应,为改善大学生肥胖问题提供有效... 目的基于成分等时替代法探索中高强度体力活动(MVPA)、低强度体力活动(LPA)、久坐行为(SB)、睡眠之间重新分配对大学生身体形态指数(ABSI)、体形圆度指数(BRI)、锥削指数(CI)和相对脂肪量(RFM)的替代效应,为改善大学生肥胖问题提供有效措施。方法2023年4至6月在天津科技大学招募210名18~22岁大学生(男111名、女99名)。采用三维加速度传感器收集大学生的MVPA、LPA、SB、睡眠;测量身高、体重、腰围,计算ABSI、BRI、CI和RFM;预测各活动行为替代15 min后对肥胖相关指标的影响,并以5 min为间隔,探讨-30~30 min的剂量-效应关系。结果MVPA与ABSI(β=-0.03,P=0.001)、BRI(β=-0.27,P=0.049)、CI(β=-0.10,P=0.001)和RFM(β=-9.95,P=0.004)均呈显著负相关,LPA与CI(β=-0.05,P=0.011)和RFM(β=-8.74,P=0.007)均呈显著负相关,SB与睡眠和ABSI、BRI、CI、RFM均无相关性。15 min等时替代结果显示,增加MVPA活动时间时,ABSI值减少0.006~0.008个单位、BRI值减少0.306~0.393个单位、CI值减少0.162~0.205个单位、RFM值减少2.468~2.897个单位;减少MVPA活动时间时,ABSI值增加0.012~0.014个单位、BRI值增加0.548~0.632个单位、CI值增加0.286~0.328个单位、RFM值增加4.358~4.748个单位。在-30 min~30 min的剂量-效应关系中,MVPA具有不可替代性,其他活动行为替代MVPA产生的负向效益远大于MVPA替代其他行为产生的正向效益。结论未来研究应着眼于24 h活动行为整体,其中通过增加MVPA、LPA和降低SB是改善大学生肥胖问题的有效方法之一。 展开更多
关键词 24 h活动行为 成分分析 等时替代 肥胖
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食物频率问卷与24小时膳食回顾法和称重法在评估孕妇食物和营养素摄入量中的比较
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作者 张晶 于江帆 +10 位作者 段一凡 杨振宇 毕烨 张玉雯 刘长青 赵永丽 谷旭阳 高江华 段景涛 赖建强 郭浩岩 《卫生研究》 北大核心 2025年第3期455-464,共10页
目的 比较食物频率问卷(food frequency questionnaire, FFQ)与24小时膳食回顾法和称重法在评估孕妇食物、能量和营养素摄入量之间的异同,评估其效度。方法 2017年6—9月在河北省武强县全县范围内共招募82名孕妇作为调查对象,对调查对... 目的 比较食物频率问卷(food frequency questionnaire, FFQ)与24小时膳食回顾法和称重法在评估孕妇食物、能量和营养素摄入量之间的异同,评估其效度。方法 2017年6—9月在河北省武强县全县范围内共招募82名孕妇作为调查对象,对调查对象分别开展最近一周FFQ调查,连续3天24小时膳食回顾调查,连续3天入户称重调查,计算并分别比较孕妇FFQ和其他两种方法获得的食物、能量和营养素日均摄入量的差异;通过Spearman相关系数和Bland-Altman图分别评估FFQ与其他两种方法的相关性和一致性。结果 FFQ与24小时膳食回顾法评估大豆及其制品、水果类、乳类及其制品和坚果类食物平均每日摄入量的差异无统计学意义,其中两种方法评估的水果类和乳类及其制品摄入量均呈正相关(r=0.34~0.56,P<0.01)。FFQ与称重法评估谷类、大豆及其制品、蔬菜类、水果类、水产类、蛋类、乳类及其制品及坚果类食物平均每日摄入量的差异无统计学意义,其中两种方法评估的谷类、蔬菜类和坚果摄入量均呈正相关(r=0.53~0.58,P<0.05)。FFQ与24小时膳食回顾法评价能量、蛋白质、碳水化合物、碳水化合物供能比、膳食纤维、总维生素A、硫胺素、核黄素、维生素C、钙、磷、钾、镁、铁及锌平均每日摄入量的差异无统计学意义,其中能量、蛋白质、脂肪和碳水化合物摄入量均呈正相关(r=0.41~0.58,P<0.05)。FFQ与称重法评价能量、脂肪、脂肪供能比、碳水化合物、碳水化合物供能比、总维生素A、硫胺素、核黄素、维生素C、钙、钾、钠及镁平均每日摄入量的差异无统计学意义,其中能量、蛋白质和碳水化合物两种方法所得摄入量均呈正相关(r=0.49~0.52,P<0.05)。Bland-Altman分析结果显示,无论是24小时膳食回顾法(91.1%~94.9%)还是称重法(92.9%~100%),大部分调查对象能量、蛋白质、脂肪和碳水化合物摄入量均在95%一致性界限范围内。结论 FFQ能够较准确评价孕妇食物与营养素摄入量。 展开更多
关键词 膳食调查 食物频率法 称重法 24小时膳食回顾法 孕妇
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子宫动脉血流动力学参数联合24 h尿蛋白D-二聚体及视黄醇结合蛋白4与妊娠期高血压疾病患者妊娠结局的关系分析 被引量:1
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作者 陈志鹏 赵文龙 俞佳丽 《中国妇幼保健》 2025年第5期943-947,共5页
目的探讨子宫动脉血流动力学参数联合24 h尿蛋白、D-二聚体、视黄醇结合蛋白4(RBP4)与妊娠期高血压疾病患者妊娠结局的关系。方法收集2021年2月—2022年12月义乌市中心医院收治的妊娠期高血压疾病孕妇80例为妊娠期高血压疾病组,正常妊... 目的探讨子宫动脉血流动力学参数联合24 h尿蛋白、D-二聚体、视黄醇结合蛋白4(RBP4)与妊娠期高血压疾病患者妊娠结局的关系。方法收集2021年2月—2022年12月义乌市中心医院收治的妊娠期高血压疾病孕妇80例为妊娠期高血压疾病组,正常妊娠孕妇80例为对照组。采用子宫动脉超声血流显像检测血流动力学参数[搏动指数、阻力指数、收缩期最大血流速度(S)与舒张期末期血流速度(D)的比值(S/D比值)]。收集孕妇24 h尿液,采用双缩脲法检测24 h尿蛋白水平。采用酶联免疫吸附法检测D-二聚体和RBP4水平。比较不同妊娠结局的妊娠期高血压疾病孕妇子宫动脉血流动力学参数、24 h尿蛋白、D-二聚体、RBP4水平。结果妊娠期高血压疾病组孕妇搏动指数(1.42±0.19)、阻力指数(0.80±0.09)、S/D比值(5.08±0.95)均明显高于对照组,差异均有统计学意义(t=7.518、6.094、6.421,均P<0.05)。重度子痫前期组孕妇搏动指数(1.98±0.24)、阻力指数(0.99±0.14)、S/D比值(6.76±1.04)均明显高于轻度子痫前期组、妊娠期高血压组,轻度子痫前期组孕妇搏动指数(1.40±0.21)、阻力指数(0.82±0.10)、S/D比值(5.15±0.95)均明显高于妊娠期高血压组,差异均有统计学意义(均P<0.05)。妊娠期高血压疾病组孕妇24 h尿蛋白[(0.71±0.13)g/24 h]、D-二聚体[(757.96±56.71)μg/L]、RBP4[(41.72±4.90)μg/ml]水平均明显高于对照组,差异均有统计学意义(t=14.508、27.926、21.719,均P<0.05)。重度子痫前期组孕妇24 h尿蛋白[(1.71±0.24)g/24 h]、D-二聚体[(854.72±64.53)μg/L]、RBP4[(60.44±6.11)μg/ml]水平均明显高于轻度子痫前期组、妊娠期高血压组,轻度子痫前期组孕妇24 h尿蛋白[(0.82±0.15)g/24 h]、D-二聚体[(762.76±59.92)μg/L]、RBP4[(43.48±5.05)μg/ml]水平均明显高于妊娠期高血压组,差异均有统计学意义(均P<0.05)。妊娠结局不良的妊娠期高血压疾病孕妇搏动指数(1.91±0.25)、阻力指数(0.97±0.15)、S/D比值(6.58±1.14)均明显高于妊娠结局正常的妊娠期高血压疾病孕妇(t=9.037、5.591、4.816,均P<0.05)。妊娠结局不良的妊娠期高血压疾病孕妇24 h尿蛋白[(1.27±0.19)g/24 h]、D-二聚体[(839.57±72.71)μg/L]、RBP4[(57.59±6.28)μg/ml]水平均明显高于妊娠结局正常的妊娠期高血压疾病孕妇(t=8.571、23.085、16.910,均P<0.05)。受试者工作特征(ROC)曲线显示:搏动指数、阻力指数、S/D比值、24 h尿蛋白、D-二聚体、RBP4预测妊娠期高血压疾病孕妇不良妊娠结局均具有较高的应用价值(均P<0.05),其中各指标联合检测的预测价值最高,曲线下面积为0.962。结论搏动指数、阻力指数、S/D比值、24 h尿蛋白、D-二聚体、RBP4与妊娠期高血压疾病孕妇病情严重程度密切相关,联合检测对妊娠结局具有较高的预测价值。 展开更多
关键词 妊娠期高血压疾病 子宫动脉 血流动力学参数 24 h尿蛋白 D-二聚体 视黄醇结合蛋白4 妊娠结局
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中学生24 h活动行为与焦虑的关系 被引量:2
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作者 徐君 蔡玉军 刘诗洁 《中国心理卫生杂志》 北大核心 2025年第3期266-271,共6页
目的:探究中学生24 h活动行为与焦虑之间的关系。方法:选取湖北省8所中学2690名学生,采用学龄儿童青少年健康行为量表、匹兹堡睡眠质量指数、焦虑自评量表分别调查24 h活动行为(身体活动、屏幕时间(ST)和睡眠时长(SD)和焦虑状况)。运用... 目的:探究中学生24 h活动行为与焦虑之间的关系。方法:选取湖北省8所中学2690名学生,采用学龄儿童青少年健康行为量表、匹兹堡睡眠质量指数、焦虑自评量表分别调查24 h活动行为(身体活动、屏幕时间(ST)和睡眠时长(SD)和焦虑状况)。运用二元logistic回归分析24 h活动行为与焦虑的关系。结果:本样本24 h活动行为达标率为4.2%,其中中高强度身体活动(MVPA)达标率为15.8%、ST达标率为27.1%、SD达标率为64.2%;焦虑症状检出率为21.7%。二元logistic回归分析显示,相较于3项因子达标而言,仅单项因子达标(MVPA、ST、SD)或部分两项因子组合达标(MVPA+ST、MVPA+SD)时,中学生焦虑风险增加(OR=2.62、2.22、2.80、2.62、2.52)。结论:中学生24 h活动行为达标率与焦虑检出率负向关联。 展开更多
关键词 焦虑 24 h活动行为 中学生
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病发24 h内急性胰腺炎严重程度的早期预测模型构建及验证
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作者 夏雨彤 袁磊 +2 位作者 沈磊 付萍 季梦遥 《胃肠病学和肝病学杂志》 2025年第4期482-487,共6页
目的构建并验证病发24 h内早期预测急性胰腺炎(acute pancreatitis,AP)严重程度的模型,以帮助临床及时制定诊疗策略。方法纳入2020年8月至2022年8月在武汉大学人民医院诊断为AP的245例患者,并依据严重程度分为轻症AP(mild AP,MAP)组(n=... 目的构建并验证病发24 h内早期预测急性胰腺炎(acute pancreatitis,AP)严重程度的模型,以帮助临床及时制定诊疗策略。方法纳入2020年8月至2022年8月在武汉大学人民医院诊断为AP的245例患者,并依据严重程度分为轻症AP(mild AP,MAP)组(n=85)和非轻症AP(non-mild AP,NMAP)组(n=160)。单因素分析及多因素二元Logistic回归分析筛选独立预测因子并构建预测模型。用曲线下面积(area under the curve,AUC)评估模型预测的区分度,Hosmer-Lemesshow检验和临床校正曲线来评估模型的校准度。Delong检验用于比较模型间的统计学差异。用临床决策曲线分析评估模型的临床应用价值。结果单因素分析显示,年龄、饮酒史、平均红细胞体积(mean corpuscular volume,MCV)、白细胞计数(white blood cell,WBC)、中性粒细胞计数(neutrophils,Neu)、降钙素原(procalcitonin,PCT)、血小板平均体积(mean platelet volume,MPV)、C反应蛋白(C-reactive protein,CRP)、血清淀粉酶(serum amylase,AMY)、血清脂肪酶(serum lipase,LPS)、门冬氨酸氨基转移酶(aspartate aminotransferase,AST)、碱性磷酸酶(alkaline phosphatase,ALP)、谷酰转肽酶(gamma-glutamyl transpeptidase,GGT)、尿素(ureogenesis,Urea)、血糖(blood glucose,Glu)、直接胆红素(direct bilirubin,DBIL)、红细胞计数(red blood cell,RBC)、血红蛋白(hemoglobin,Hb)、红细胞比容(hematocrit,HCT)、淋巴细胞计数(lymphocyte,Lym)、血小板计数(platelet,PLT)、胆碱酯酶(cholinesterase,CHE)、血清白蛋白(serum albumin,ALB)、预估肾小球滤过率(estimated glomerular filtration rate,eGFR)、总胆固醇(total cholesterol,TCh)、总二氧化碳(total carbon dioxide,TCO_(2))、血清Ca^(2+)在MAP组与NMAP组间比较,差异均有统计学意义(P<0.05)。多因素二元Logistic回归分析显示,PCT、AST、ALB、Glu为早期预测AP严重程度的独立预测因子,并以此建立预测模型EAPS。结果表明EAPS的AUC值为0.878(95%CI:0.836~0.920),高于Ranson评分(AUC值为0.750,95%CI:0.692~0.808)和APACHEⅡ评分(AUC值为0.789,95%CI:0.734~0.844),且EAPS与其他两种评分系统比较,差异有统计学意义(P<0.01)。Hosmer-Lemeshow拟合优度检验差异无统计学意义(χ^(2)=6.003,P=0.647)。结论相较于Ranson评分和APACHEⅡ评分,本研究构建的预测模型EAPS可以在病发24 h内识别高危AP患者,具有很好的区分度和校准度,且模型所纳入的临床指标更加简单易获得,临床实用性更高,但仍需要更多外部数据进行进一步的验证。 展开更多
关键词 急性胰腺炎 严重程度 早期预测模型 24 h
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