Ciências da Saúde

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Navegando Ciências da Saúde por Autor "Francisquini, Maria Carolina Juvêncio"

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    Associação entre comportamento de 24 horas e sintomas de transtorno de déficit de atenção e hiperatividade em adolescentes: um estudo transversal
    (Universidade Estadual do Norte do Paraná, 2024) Francisquini, Maria Carolina Juvêncio; Stabelini Neto, Antonio; https://orcid.org/0000-0003-2931-943X; http://lattes.cnpq.br/8550924080798366; Stabelini Neto, Antonio; https://orcid.org/0000-0003-2931-943X; http://lattes.cnpq.br/8550924080798366; Lirani, Luciana da Silva; https://orcid.org/0000-0001-8270-5394; http://lattes.cnpq.br/7980787316560409; Greguol, Márcia; https://orcid.org/0000-0002-3711-8120; http://lattes.cnpq.br/7268537126311037
    Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is characterized by symptoms inattention, hyperactivity, and impulsivity present at levels that are excessive for the age. Studies suggest that lifestyle factors, including physical activity, adequate sleep time, and reduced screen time, may contribute to reduction in ADHD symptoms. Objective: To examine the association between 24-hour movement behaviors (physical activity, sleep, and screen time) and ADHD symptoms in adolescents. Methods: This study included 815 adolescents of both sexes, aged 11 to 15 years, enrolled in public schools in the city of Jacarezinho, Paraná, Brazil. Sleep duration was assessed using the Pittsburgh Sleep Quality Index questionnaire, while screen time was evaluated through a specific question regarding daily time spent on electronic devices. Physical activity was measured by accelerometer (ActiGraph GT3X-BT). ADHD symptoms was assessed using the Strengths and Difficulties Questionnaire (SDQ). Statistical analysis employed the Generalized Estimating Equations (GEE) model to investigate associations between 24-hour movement behaviors, ADHD symptom scores, and SDQ subscales, adopting a significance level at p < 0.05. Results: Of the 815 adolescents included in the study, 51.7% were girls, with a mean age of 13.43 years. Analyses showed positive associations between screen time and ADHD symptoms (β: 1.22; 95% CI: 1.09–1.37); sleep and conduct problems (β: 1.08; 95% CI: 1.00–1.18); and sleep with total difficulties (β: 1.08; 95% CI: 1.00–1.16). Combined analyses showed significant associations of physical activity + sleep with emotional symptoms (β: 1.47; 95% CI: 1.06–2.02) and screen time + sleep with hyperactivity (β: 1.35; 95% CI: 1.14–1.59). Conclusion: The findings of the present study underscore the importance of adhering to the recommendations of the 24-hour movement guidelines, as this adherence may contribute to reductions in emotional symptoms, overall difficulties, and externalizing symptoms (ADHD and conduct problems). Longitudinal research should focus on developing intervention strategies aimed at behavior change and compliance with the 24-hour movement guidelines.