Evidence map›Paper›PMID 42553275›Full record

ArticleFrontiers in public health2026

Associations between adherence to 24-h movement guidelines and non-suicidal self-injury in adolescents: separate moderation by sex and mediation by psychological health.

Chenyu Wang, Ye Fan, Xueyan Ren, Yu Zou, Sheng Tan, Yuanquan Yang, Qiqi Yao, Hongsheng Qian

Abstract read
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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Chenyu WangSchool of Physical Education, Wuhan Sports University, Wuhan, China.
Ye FanSchool of Physical Education, Wuhan Sports University, Wuhan, China.
Xueyan RenSchool of Physical Education, Wuhan Sports University, Wuhan, China.
Yu ZouDepartment of Sport and Exercise Science, College of Education, Zhejiang University, Hangzhou, China.
Sheng TanSchool of Physical Education, Wuhan Sports University, Wuhan, China.
Yuanquan YangSchool of Physical Education, Wuhan Sports University, Wuhan, China.
Qiqi YaoSchool of Physical Education, Wuhan Sports University, Wuhan, China.
Hongsheng QianSchool of Physical Education, Wuhan Sports University, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adolescent non-suicidal self-injury (NSSI) is a growing public health concern. Adherence to 24-h movement guidelines yields notable health benefits, yet no studies have explored its association with adolescent NSSI. This study examined this association, alongside the moderating effect of sex and mediating role of psychological health (PH). Methods: A total of 4,205 adolescents from five central Chinese cities were recruited. Self-reported questionnaires assessed sociodemographic characteristics, moderate-to-vigorous physical activity (MVPA), screen time, sleep duration, NSSI, and PH. Logistic regression analyzed associations between 24-h movement guideline adherence and NSSI; sex moderation was tested via interaction terms, and PH mediation via the PROCESS macro. Results: NSSI prevalence was 35.29%, while only 1.28% adhered to all three guidelines. Compared with adherence to none, meeting more guidelines was associated with progressively lower NSSI odds [1 vs 0: OR = 0.72, 95% CI (0.62, 0.83); 2 vs. 0: OR = 0.44, 95% CI (0.36, 0.54); 3 vs. 0: OR = 0.31, 95% CI (0.15, 0.65)]. However, adherence to three guidelines did not significantly further reduce risk vs. two [OR = 0.72, 95% CI (0.34, 1.49)]. Among equivalent adherence levels, combinations including the sleep guideline were associated with lower NSSI than those without ( Conclusion: Promoting adherence to 24-h movement guidelines, particularly the sleep guideline, may help manage adolescent NSSI risks, with emphasis on PH promotion and attention to sex differences.

Indexed as

ExerciseGuideline AdherenceMental HealthSelf-Injurious BehaviorAdolescentChinaFemaleHumansMaleScreen TimeSex FactorsSleep DurationSurveys and Questionnairesmovement guidelinesnon-suicidal self-injuryphysical activityscreen timesex differencessleep duration

Identifiers

PMID42553275
PMCPMC13433458

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.