With the continuous growth in economics and science, physical activity in children and adolescents is gradually decreasing while the sedentary time, such as electronic video screen time, is increasing, which is defined as sedentary lifestyle. Research suggests that sedentary behavior, especially electronic video behavior, is harmful to all dimensions of children and adolescent’ health. Since 2016, the publication of international children’s and adolescents’ physical activity guideline has tended to be a 24-hour movement guideline with more comprehensive dimensions, detailed indicators and operationalities. However, the 24-hour movement guideline for children and adolescents still lacks sufficient evidence, and quite low target achievement rate, which seems to be an ideal goal for the vast majority of children. The purpose of this paper is to explore the current situation of physical activity and sedentary behavior of children and adolescents, as well as the development and evolution of comprehensive guideline. Through literature analysis, it focuses on the independent and combined effects of physical activity and sedentary behavior on children’ s health, analyzes and implies the significance of 24-hour movement guideline for children and adolescents’ health, and provides inspiration and reference for future health promotion and behavior intervention among children and adolescents.
【摘要】 随着经济和科学的持续发展, 儿童青少年的身体活动 (体力活动) 在逐渐减少, 电子视屏等静态生活时间不 断增加, 形成了久坐少动的行为模式 (静态行为) 。静态行为尤其是电子视屏行为对儿童青少年健康各个维度均有危害。 自 2016 年起, 国际上儿童青少年活动指南的发布, 已经倾向于发布维度更加全面、指标更加细化、操作性更强的儿童青少 年 24 h 活动指南。但儿童青少年 24 h 活动指南本身仍然存在缺乏充足的循证医学证据, 以及指标达标率极低等问题, 对 绝大多数儿童而言更像是一种理想目标。作者旨在探讨儿童青少年体力活动和静态行为现况、梳理指南的制定和演变历 程, 通过文献分析, 探讨体力活动、静态行为对于儿童健康的独立影响及联合效应, 分析和思考 24 h 活动指南对于儿童青 少年健康的意义, 为今后学生健康促进和行为干预提供思路和参考。