A Trend Analysis of Adherence to the Muscle Strengthening Exercise Guidelines in US Adolescents

Chen, Sitong; Jin, Yan; Zhao, Yaping

doi:10.3389/ijph.2022.1605022

Cited by 5 publications

(3 citation statements)

References 32 publications

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“…Consistent with this previous study [12], the prevalence of meeting MSE recommendations was lower among high school students than among middle school students. Also in line with previous studies [12,13], the prevalence of meeting MSE recommendations was lower among girls than among boys. In contrast to the study by Miller et al [41], which found a null significant association between cigarette smoking and meeting the MSE recommendations among 8383 adolescents aged 12-17 years, the more frequently students engaged in MSE, the more likely they were to smoke and drink in this study.…”

Section: Prevalence Of Meeting Mse Recommendationssupporting

confidence: 92%

“…For instance, the prevalence rate of adhering to MSE guidelines is 44.9% in the United States [ 10 ], 53.7% in Canada [ 11 ], and 39.3% in China [ 12 ]. The prevalence in US adolescents decreased from 55.6% in 2011 to 49.5% in 2019 [ 13 ], while among Korean adolescents it slightly increased from 20.1% in 2009 to 21.9% in 2019 [ 14 ]. More recently, emerging epidemiological and clinical evidence has demonstrated that engagement in MSE could reduce the risk of chronic diseases, including obesity [ 14 , 15 ], hypertension [ 16 ], osteoporosis [ 17 ], and metabolic syndrome [ 18 ]; it can also enhance cardiometabolic health [ 19 ] and improve physical fitness [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Association Between Frequency of Muscle-Strengthening Exercise and Depression Symptoms Among Middle and High School Students: Cross-Sectional Survey Study

Wang,

Du,

Guan

et al. 2024

JMIR Public Health Surveill

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Background Existing literature on the association between the frequency of muscle-strengthening exercise (MSE) and depression among adolescents is limited and contradictory. Objective This study aimed to elucidate the association of MSE frequency with depression symptoms among middle and high school students in China. Methods A total of 27,070 students in grades 7-12 from 376 middle and high schools were surveyed using an anonymous self-administered questionnaire between April and June 2022. Information on engaging in MSE was self-reported, and depression symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). Poisson regression was used to examine the association between MSE frequency and depression symptoms. Results Among the 27,006 eligible students, 51.6% (n=13,933) were boys, and the mean age was 15.6 (SD 1.7) years. The overall prevalence of meeting MSE recommendations (ie, engaging in MSE ≥3 days/week) was 34.6% (95% CI 32.6%-36.6%; n=9145); the prevalence was higher in boys (43.8%, 95% CI 41.8%-45.8%; 6067/13,933) than in girls (24.3%, 95% CI 22%-26.6%; 3078/13,073; P<.001). A total of 5882 (21.8%) students reported having depression symptoms. After adjustment for sociodemographic status, lifestyle factors, academic performance, and experience of physical fighting, compared to students who did not engage in MSE, the prevalence ratios (PRs) for depression symptoms were 0.98 (95% CI 0.97-0.99) for those engaging in MSE once a week, 0.95 (95% CI 0.93-0.97) for 2 days/week, 0.93 (95% CI 0.90-0.96) for 3 days/week, 0.90 (95% CI 0.87-0.94) for 4 days/week, 0.88 (95% CI 0.84-0.93) for 5 days/week, 0.86 (95% CI 0.81-0.92) for 6 days/week, and 0.84 (95% CI 0.78-0.90) for 7 days/week, respectively. Conclusions The overall prevalence of meeting MSE recommendations among Chinese adolescents is low. The frequency of MSE was inversely associated with depression symptoms.

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Section: Prevalence Of Meeting Mse Recommendationssupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Association Between Frequency of Muscle-Strengthening Exercise and Depression Symptoms Among Middle and High School Students: Cross-Sectional Survey Study

Wang,

Du,

Guan

et al. 2024

JMIR Public Health Surveill

View full text Add to dashboard Cite

show abstract

“…In light of further reductions in selected measures of muscular fitness during the COVID-19 pandemic (91–93), a nuanced approach for integrating resistance training into fitness and sport programs is needed. Notably, misperceptions associated with youth resistance training still persist (94), and participation in muscle-strengthening activities among adolescents is falling short of expectations (95,96).…”

Section: Basic Resistive Skillsmentioning

confidence: 99%

May the Force Be with Youth: Foundational Strength for Lifelong Development

Faigenbaum,

Ratamess,

Kang

et al. 2023

Curr Sports Med Rep

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Today's youth are weaker than previous generations, and measurable reductions in physical fitness are beginning to emerge. Without targeted initiatives that recognize the foundational importance of resistance training, weaker children and adolescents may be more likely to experience the inevitable consequences of neuromuscular dysfunction and less likely to experience the pleiotropic benefits of exercise and sport. Early exposure to strength-building activities is needed to prepare today's youth for ongoing participation in varied physical activities throughout this developmental phase of life. The novel iceberg of physical development is a metaphoric image that illustrates the sequential and cumulative influence of muscular strength on motor skills and physical abilities. Efforts to enhance the physical capacity of youth should include resistive skills that improve basic movement patterns and enhance motoric competence. A shift in our conceptual thinking about youth resistance training is needed to alter the current trajectory toward physical inactivity and related comorbidities.

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Association Between Frequency of Muscle-Strengthening Exercise and Depression Symptoms Among Middle and High School Students: Cross-Sectional Survey Study (Preprint)

Wang,

Du,

Guan

et al. 2023

Preprint

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BACKGROUND Existing literature on the association between the frequency of muscle-strengthening exercise (MSE) and depression among adolescents is limited and contradictory. OBJECTIVE This study aimed to elucidate the association of MSE frequency with depression symptoms among middle and high school students in China. METHODS A total of 27,070 students in grades 7-12 from 376 middle and high schools were surveyed using an anonymous self-administered questionnaire between April and June 2022. Information on engaging in MSE was self-reported, and depression symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). Poisson regression was used to examine the association between MSE frequency and depression symptoms. RESULTS Among the 27,006 eligible students, 51.6% (n=13,933) were boys, and the mean age was 15.6 (SD 1.7) years. The overall prevalence of meeting MSE recommendations (ie, engaging in MSE ≥3 days/week) was 34.6% (95% CI 32.6%-36.6%; n=9145); the prevalence was higher in boys (43.8%, 95% CI 41.8%-45.8%; 6067/13,933) than in girls (24.3%, 95% CI 22%-26.6%; 3078/13,073; <i>P</i><.001). A total of 5882 (21.8%) students reported having depression symptoms. After adjustment for sociodemographic status, lifestyle factors, academic performance, and experience of physical fighting, compared to students who did not engage in MSE, the prevalence ratios (PRs) for depression symptoms were 0.98 (95% CI 0.97-0.99) for those engaging in MSE once a week, 0.95 (95% CI 0.93-0.97) for 2 days/week, 0.93 (95% CI 0.90-0.96) for 3 days/week, 0.90 (95% CI 0.87-0.94) for 4 days/week, 0.88 (95% CI 0.84-0.93) for 5 days/week, 0.86 (95% CI 0.81-0.92) for 6 days/week, and 0.84 (95% CI 0.78-0.90) for 7 days/week, respectively. CONCLUSIONS The overall prevalence of meeting MSE recommendations among Chinese adolescents is low. The frequency of MSE was inversely associated with depression symptoms.

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A Trend Analysis of Adherence to the Muscle Strengthening Exercise Guidelines in US Adolescents

Cited by 5 publications

References 32 publications

Association Between Frequency of Muscle-Strengthening Exercise and Depression Symptoms Among Middle and High School Students: Cross-Sectional Survey Study

Association Between Frequency of Muscle-Strengthening Exercise and Depression Symptoms Among Middle and High School Students: Cross-Sectional Survey Study

May the Force Be with Youth: Foundational Strength for Lifelong Development

Association Between Frequency of Muscle-Strengthening Exercise and Depression Symptoms Among Middle and High School Students: Cross-Sectional Survey Study (Preprint)

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