Asia–Pacific consensus statement on integrated 24-hour activity guidelines for the early years

Loo, Benny Kai Guo; Okely, Anthony D.; Taylor, Rachael W; Novotny, R.; Wickramasinghe, Pujitha; Müller‐Riemenschneider, Falk; Waqa, Gade; Pulungan, Aman B; Kusuda, Satoshi; Tan, Kok Hian

doi:10.1016/j.lanwpc.2022.100641

Cited by 11 publications

(9 citation statements)

References 145 publications

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“…PA was operationalized as time spent in energetic play outside. For young children, the term energetic or active play has been used in recent PA guidelines developed for children in Australia and in the Asia‐Pacific (Loo et al., 2023 ; Loo et al., 2022 ; Okely et al., 2017 ). We have found that it is an easier concept for parents to understand than MVPA.…”

Section: Methodsmentioning

confidence: 99%

“…In this study, we conducted secondary analyses of a dataset from a previous study. The study used a questionnaire used was part of a larger survey that aimed to study maternal perception for children in Australia and in the Asia-Pacific (Loo et al, 2023;Loo et al, 2022;Okely et al, 2017). We have found that it is an easier concept for parents to understand than MVPA.…”

Section: Questionnairementioning

confidence: 99%

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24‐hour movement guidelines and weight status among preschool‐aged children in Bangladesh: A community‐level cross‐sectional study

2023

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Background Increasing levels of urbanization and digitization in Bangladesh may be adversely associated with children's weight status and related movement behaviors. This study examined the prevalence of obesity, physical activity (PA), sedentary behavior, and sleep among young children from a district town in northern Bangladesh and identified factors associated with unhealthy weight status. Methods Population‐based cross‐sectional study involving all kindergarten schools in Jamalpur District town. Schools and children aged 4–7 years were randomly selected and had their weight and height measured. Mothers completed a questionnaire on their child's PA, recreational screen time, and sleep and sociodemographic factors. Children's weight status was based on World Health Organization (WHO) categories. Meeting the PA recommendation was based on the WHO guidelines for children and adolescents, and meeting the sedentary behavior and sleep recommendations was based on the Canadian/Australian 24‐hour movement guidelines for children and young people. Results A total of 585 children and their parents were included in the study. Overall, 15% of children were overweight or obese. Three‐quarters of children met the sleep guideline, and 50% met the PA guideline. Less than one third of children (31%) met the recreational screen time guideline, whereas 15% met all three guidelines. However, when adjusted for all predictors in the model, maternal education, family income, and child's age were significantly associated with overweight/obesity. Children with higher maternal education level were 2.3 times (AOR = 2.33, 95% CI: 1.19–4.78) more likely to be overweight/obese. Children in families with a higher monthly income had 1.9 times (AOR = 1.95, 95% CI: 1.14, 3.35) higher risk of being overweight/obese. Conclusions Prioritizing maternal education (mother‐centric interventions) can help address the high levels of childhood obesity in Bangladesh.

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Section: Methodsmentioning

confidence: 99%

Section: Questionnairementioning

confidence: 99%

24‐hour movement guidelines and weight status among preschool‐aged children in Bangladesh: A community‐level cross‐sectional study

2023

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confidence: 99%

“…The early development of healthy behaviours, such as engaging in physical activity, plays a vital role in preventing childhood overweight or obesity and promoting various aspects of well-being, including muscle strength, bone health, emotional well-being, and social cognition [1][2][3]. Furthermore, these behaviours have long-term effects on reducing the risk of chronic diseases in adulthood [1]. In 2019, the World Health Organization (WHO) published Guidelines on physical activity, sedentary behaviour and sleep for children under five years of age, recommending that 'infants (less than one year old) should be physically active several times a day in a variety of ways, particular through interactive floor-based play; more is better.…”

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confidence: 99%

Suboptimal status of tummy time for infants in early childhood education institutions in urban China: A cross-sectional study

Huang,

Wang,

Meng

et al. 2024

J Glob Health

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Background Although tummy time is recommended as a form of physical activity for non-movable infants worldwide, little is known regarding the current status of tummy time practices among Chinese infants. Early childhood education (ECE) institutions provide children with rich learning experiences; however, tummy time practices among infants in these ECE institutions were unclear. This study aimed to investigate the status of tummy time among infants within the context of ECE institutions. Methods We conducted a cross-sectional survey with primary caregivers of infants aged 0–11 months across 31 provinces of China from 1 March to 30 April 2023. To recruit participants, we collaborated with Gymboree Play & Music, an ECE institution with over 500 centres in nearly 200 cities in urban China. Our survey instrument was developed based on the World Health Organization (WHO) guidelines and literature to collect data on infants’ tummy time practices, caregivers’ tummy time knowledge and information sources. We used self-administered questionnaires through WeChat, in which participants scanned a quick response (QR) code to complete the questionnaire. Results We included 1040 infants and their primary caregivers, with 504 infants aged 0–5 and 536 infants aged 6–11 months old. Less than half of infants (48.2%) started tummy time in the neonatal period, with 20.5% starting within two weeks after birth. Only 27.2% of infants engaged in at least 30 minutes of tummy time during the last 24 hours, with infants aged 0–5 months significantly lower than those aged 6–11 months (21.6 vs 32.5%, P < 0.0001). No significant difference was found between attending ECE class and non-attending ECE class groups for the proportion of infants with tummy time ≥30 minutes per day (28.9 vs 23.4%, P = 0.0625); however, infants aged 0–5 months in the attending group engaged in longer duration of tummy time than those in the non-attending group ( P = 0.0005). The compliance with the tummy time guidelines in infants receiving long-nurturing care was significantly higher than those receiving short-nurturing care (30.4 vs 22.1%, P = 0.0036). Only 42.7% of caregivers knew that at least 30 minutes daily tummy time was necessary for infant, and more primary caregivers in the attending group knew that, compared to the non-attending group (45.3 vs 36.8%, P = 0.0098). Conclusions The current status of infants’ tummy time practices and caregivers’ knowledge are generally suboptimal within the context of ECE institutions in urban China. Longer nurturing time contributes to higher compliance with tummy time guidelines. Effectively promoting tummy time practices through multiple channels in China is crucial.

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“…It is becoming a significant and important problem in developing countries like Sri Lanka too. Due to this, a regional consensus group recently developed guidelines on the recreational screen time of children in their early years 1 . This consensus group recommends limiting recreational screen time to less than one hour per day for pre-school children.…”

mentioning

confidence: 99%

Screen time of Sri Lankan pre-schoolers

Rathnasiri¹,

Mettananda²

2023

Sri Lanka J Child Health

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Asia–Pacific consensus statement on integrated 24-hour activity guidelines for the early years

Cited by 11 publications

References 145 publications

24‐hour movement guidelines and weight status among preschool‐aged children in Bangladesh: A community‐level cross‐sectional study

24‐hour movement guidelines and weight status among preschool‐aged children in Bangladesh: A community‐level cross‐sectional study

Suboptimal status of tummy time for infants in early childhood education institutions in urban China: A cross-sectional study

Screen time of Sri Lankan pre-schoolers

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