文献类型：期刊文献

英文题名：Independent and joint associations of physical activity and sleep with ADHD in a population-based sample of children: A cross-sectional study

作者：Shi, Beibei[1];Mou, Hong[2];Chen, Zhiduo[3];He, Changshuang[1];Zhang, Meng[1];Zhang, Zimeng[1];Zheng, Huakun[1];Wang, Jing[4];Quan, Minghui[1]

机构：[1]Shanghai Univ Sport, Sch Exercise & Hlth, Key Lab Exercise & Hlth Sci, Minist Educ, Shanghai 200438, Peoples R China;[2]Shanghai Univ Sport, Sch Psychol, Shanghai 200438, Peoples R China;[3]Shandong Univ, Sch Phys Educ, Jinan 250061, Peoples R China;[4]East China Univ Sci & Technol, Sch Sports Sci & Engn, Shanghai 200237, Peoples R China

年份：2026

卷号：99

起止页码：119

外文期刊名：GENERAL HOSPITAL PSYCHIATRY

收录：;WOS:【SSCI(收录号:WOS:001680812400001)，SCI-EXPANDED(收录号:WOS:001680812400001)】；

基金：This study was supported by the Key Laboratory of Exercise and Health Sciences, Ministry of Education, Shanghai University of Sport (Grant No. 2025KF0004) ; the Major Project of the National Social Science Fund of China (Grant No.25&ZD251) ; the National Social Science Fund of China (Grant No. 22BTY099) ; the "Dawn" Program of the Shanghai Municipal Education Commission (Grant No. 22SG49) ; andthe Shanghai Oriental Talents Program (Youth, 2023) .

语种：英文

摘要：Background: This study examines the independent and joint associations of physical activity (PA) and sleep with ADHD prevalence and severity. Methods: Data from the 2016-2023 National Survey of Children's Health were used in this population-based, cross-sectional study. All measures were parent-reported. PA was categorized by weekly guideline-meeting days (>= 60 min/day). Sleep duration, regularity, and ADHD severity were classified as short/optimal/long (age-specific), four-level, and three-level, respectively. Weighted multivariable logistic and ordinal regression models were used to examine the associations of PA and sleep with ADHD prevalence and severity. Results: This study analyzed 98,182 adolescents aged 13-17, including 13,258 with ADHD. PA, sleep duration, and sleep regularity were independently associated with ADHD (all P < 0.05). Significant interactions between PA and sleep duration/regularity were observed for ADHD prevalence (P < 0.05), but not for ADHD severity. Compared to children with long sleep and 0 weekly PA days, those with optimal sleep and >= 1 weekly PA days had lower ADHD odds, with the lowest in the "optimal sleep and daily PA" group (OR = 0.32, 95% CI:0.21-0.51). Better sleep regularity plus more PA-meeting weekly days was linked to lower ADHD odds, with the lowest in the "always regular sleep and daily PA" group (OR = 0.25, 95% CI:0.18-0.36). Conclusion: Even occasional engagement in regular PA was associated with lower odds of ADHD in children. Improving sleep regularity is as important as ensuring optimal sleep duration. Combining sufficient PA with healthy sleep habits showed the strongest association, underscoring the value of an integrated lifestyle approach to understanding childhood health risks.