Adherence to 24-h movement guidelines and cognitive difficulties in adolescents

Minor lapses in attention, memory, and psychomotor coordination are frequently observed in individuals who experience daily cognitive challenges and failures. Examples of such lapses may include stuttering, forgetting appointments, or missing traffic signs. It is important to note that cognitive failure is usually the result of temporary and remediable errors, rather than a general cognitive or psychomotor deficiency [1,2]. There is a dearth of studies on cognitive problems, which may have a negative effect on the quality of life [3,4]. According to the recent study findings, participants had more difficulty coping with cognitive challenges on a daily basis, more worry over cognitive symptoms, and an increase in cognitive symptoms during the previous five years [4]. Additionally, it was found that subjects were more prone to commit cognitive errors when they were female [4], younger [3], fatigued [3,4], depressed [4] or showing signs of small-fiber neuropathy [4]. Learning difficulties in kids are frequently associated with working memory and attention deficits [[5], [6], [7]]. Children and teenagers who struggle with learning and reading, in particular, frequently experience a wide range of social and emotional difficulties, including low self-esteem [8]. These issues may have caused the children to visit their paediatricians. most studies on cognitive challenges include adults or particular populations. However, because of the rapid cognitive development that occurs in adolescence [9], assessing the degree of cognitive issues now may assist in avoiding more severe ones in later life. Additionally, it is crucial to investigate the correlates of teenagers' cognitive impairments in this group.

Shifts in research insights into daily movement behaviours are part of a paradigm shift, the Canadian 24-h movement guidelines for children and youth (at least 1 h of moderate-to-vigorous physical activity per week, and ≤2 h of recreational screen time per week; 9–11 h of continuous sleep per night for people in the age range of 5–13, 8–10 h of continuous sleep per night for people in the age range of 14–17) made the 24-h guidelines on physical activity, sedentary behaviour, and sleep [10]. According to research, 24-h movement guidelines are related to better health outcomes when adhered to. Meeting 24-h movement guidelines during childhood and adolescence is associated with favourable physiological [11,12] and psychological outcomes [13]. All three recommendations can lead to better cognitive function [14], weaker impulsivity [15], lower obesity probability [16], healthier dietary patterns [17], enhanced life quality [18], reduced risk of depression [[19], [20], [21]], and improved cardiometabolic, social, and emotional health [11,13,22] students who do not meet any of the recommendations. There was a significant reduction in medical visits related to mental illness among those who met 7 to 9 lifestyle recommendations found in a cohort study [23]. Previous studies have examined each movement behaviour's relationship with academic performance separately. Separate studies have investigated the relationship of movement behaviours with academic performance [24]. We are unaware of any research linking physical activity, screen time, and sleep to adolescents' cognitive difficulties. There is no evidence that meeting some or all of the guideline recommendations is relevant to adolescents’ cognitive difficulties. Above understanding contributes to the improvement of the adolescent cognition.

Children and adolescents adhered to 24-h movement guidelines at different levels, according to several studies [18,22,25]. All three recommendations are met without gender differences among adolescents [22]. Boys showed a larger likelihood to satisfy the physical activity recommendation compared with girls. The screen time recommendation is more likely to be met by females than by males [22]. Considering the gender differences in cognitive difficulty in adolescence, it is possible that 24-h movement behaviours are associated with cognitive difficulties in different grades, and between boys and girls.

The goal of this study was to investigate the association between adolescents’ cognitive difficulty and 24-h movement guidelines compliance using data from the youth risk behaviour survey (YRBS). We hypothesize that higher adherence to 24-h movement guidelines would be associated with decreased cognitive difficulties in adolescents.

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