Cross‐sectional and prospective associations of meeting 24‐h movement guidelines with overweight and obesity in preschool children

Berglind, Daniel; Ljung, Rickard; Tynelius, Per; Brooke, Hannah L.

doi:10.1111/ijpo.12265

Cited by 39 publications

(62 citation statements)

References 31 publications

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“…Consistent with findings in young children in the high-income countries [23,24,26,44], we did not find associations between adiposity and not meeting the physical activity or sleep guideline or specific combinations of two guidelines or all three guidelines. However, caution should be taken in interpreting these findings as evidence of no associations between meeting movement behaviour guidelines and adiposity.…”

Section: Discussionsupporting

confidence: 88%

“…This is supported by evidence in children and adolescences, which suggests that excessive screen media exposure is associated with increased eating while viewing screens as well as reduced sleep duration; and these, in turn, could lead to higher adiposity [43]. However, our result did not align with findings in high-income countries, which suggest no associations between screen guidelines compliance and adiposity in preschool-aged children and toddlers [23,24,26,44]. One reason for this could be the ethical or cultural difference.…”

Section: Discussioncontrasting

confidence: 61%

“…Following the release of the Australian and Canadian 24-h movement behaviours guidelines, several studies from high-income countries (e.g., Australia, Canada, Sweden, Belgium) were published, examining the proportion of young children who met the guidelines and if compliance was associated with adiposity [23][24][25][26]. With the release of the WHO global guidelines in April 2019, more research is needed in low-and middle-income countries, given that many of these countries will use the WHO global guidelines and also given the increasing prevalence of overweight and obesity in young children in these countries.…”

Section: Introductionmentioning

confidence: 99%

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Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing

et al. 2020

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Background: World Health Organisation (WHO) Guidelines on Physical Activity, Sedentary Behaviour and Sleep for Children under 5 Years of Age were released in 2019. The aim of this study was to examine the proportion of Chinese kindergarten children who met each individual guideline and each combination of the guidelines and the associations with adiposity. Methods: Participants were 254 kindergarten children aged 4.1-6.3 years recruited from three kindergartens in urban area of Beijing. Physical activity, sedentary behaviour and sleep duration were assessed using 24-h accelerometry over three consecutive days. Screen time was reported by parents. Weight and height were measured; and children were categorised into normal weight and overweight/obese groups according to the WHO age-and sex-specific criteria. Frequency analyses were performed to examine the proportion of children meeting individual and combination of these guidelines. Logistics regression analyses were conducted to examine the associations between guideline compliance and adiposity. Results: The proportion of children who met the physical activity (≥ 3 h daily physical activity, including ≥1 h daily moderate-to vigorous-intensity physical activity (MVPA)), sedentary screen time (< 1 h/day), and sleep guidelines (10-13 h/day) were 65.4, 88.2 and 29.5%, respectively; only 15.0% met all three guidelines and 2.7% did not meet any of the guidelines. Not meeting the physical activity guideline, sleep guideline, or combination of any two guidelines, or all three guidelines was not associated with overweight or obesity; however, children who did not meet the sedentary screen time guidelines were at higher risk for overweight and obesity (odds ratio = 3.76, 95% CI: 1.50-9.45). Conclusions: In our study, only a small proportion of children met all three guidelines. Most Chinese kindergarten children met physical activity guidelines or screen time guidelines, whereas fewer children met sleep guideline. Not meeting sedentary screen time guidelines was associated with adiposity, which warrant further interventions for limiting screen time in young children.

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Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

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Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing

et al. 2020

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“…Of concern, few youth with VIs in this study (5.8%) adhered to all three 24-hr movement guidelines. This figure appears lower than estimates of proportions of youth without disabilities in prior research, which can range from 7.2% (Roman-Vinas et al, 2016) to 18.4% (Berglind et al, 2018). As such, most youth with VIs in this study (94.2%) did not meet all three of the 24-hr movement guidelines and therefore did not take advantage of the collective, integrative physiological (e.g., favourable body mass index) and psychological (e.g., reductions in symptoms of anxiety and depression) benefits of meeting each of these guidelines Zhu et al, 2019).…”

Section: Discussioncontrasting

confidence: 76%

“…PA guidelines target just a fraction of each 24 hr and do not account for other modifiable lifestyle behaviours, such as sleep duration (SD) and screen time, which are also predictive of health-related outcomes (Berglind, Ljung, Tynelius, & Brooke, 2018;Carson, Chaput, Janssen, & Tremblay, 2016;Tremblay et al, 2016). Reflecting the emerging belief that "the whole day matters," recent years have seen the development and adoption of movement behaviour guidelines across the entire 24-hr period (Chastin, Palarea-Albaladejo, Dontje, & Skelton, 2015;Tremblay et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Proportions of youth with visual impairments meeting 24‐hr movement guidelines

Haegele

Zhu

Healy

et al. 2020

Child

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Background Recent movement behaviour guidelines prescribe the optimal time spent in physical activity, screen time, and sleep across a 24‐hr period. The proportion of youth with visual impairments meeting 0, 1, 2, or all 3 of these 24 movement guidelines is unknown. The primary purpose of this observational, cross‐sectional analysis was to examine the proportions of youth with visual impairments in the United States who partially or fully meet the physical activity, screen time, and sleep duration guidelines. A secondary purpose of this analysis was to examine whether demographic variables were associated with the odds of youth with visual impairments meeting these guidelines. Methods This study included 561 youth with visual impairments from the 2016 to 2017 National Survey of Children's Health (NSCH). Accounting for the NSCH sampling plan, Complex Samples was used to estimate the prevalence of meeting 24‐hr movement guidelines, and a multinomial logistic regression analysis was conducted to examine the odds ratio of guidelines met across different demographic factors. Results Of the participants in this study, 18.7%, 50.7%, and 73.2% met physical activity, sleep, and screen time guidelines, respectively. Just 5.8% of the sample met all three of the 24‐hr movement guidelines, whereas 10.6% did not meet any of the three guidelines. Conclusions The proportion of the sample meeting of all three guidelines was low, thus depriving the majority of this population of the physiological and psychological health benefits of meeting each guideline. Moreover, the study identifies physical inactivity as a key risk factor that requires attention in this population.

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Association between adherence to 24‐h movement guidelines and sociodemographic factors among Malaysian preschoolers: Findings from SEANUTS II Malaysia

Joan,

Koh,

Wong

et al. 2024

American J Hum Biol

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BackgroundAdhering to 24‐h movement guidelines (24‐hMG) have health benefits for young children; yet research on Malaysian preschoolers' movement behaviors is limited. This study investigates the association between adherence to 24‐hMG and sociodemographic factors of Malaysian preschoolers.MethodsData from 939 preschoolers aged 3–6 years (mean age = 4.83 ± 0.04 years, 53.7% boys) from the Second South East Asian Nutrition Surveys (SEANUTS II) Malaysia study was analyzed. Socio‐demography, physical activity, sedentary behaviors, and sleep were parent‐reported via questionnaire. Associations between adherence of 24‐hMG and sociodemographic factors were analyzed using complex samples logistic regression.ResultsOnly 12.1% of preschoolers adhered to the overall 24‐hMG, and 67.1%, 54.7%, and 42.7% of preschoolers adhered to physical activity, sleep, and sedentary behavior guidelines, respectively; while 6.8% did not meet any guidelines. Compared to 3–4‐year olds, preschoolers aged 5–6 years had higher odds of adhering to physical activity guidelines, sedentary behavior guidelines, and overall 24‐hMG, but lower odds of adhering to sleep guidelines. Chinese and Indian preschoolers were more likely to adhere to sedentary behavior guidelines than Malay preschoolers; however, Chinese preschoolers had lower odds of adhering to physical activity guidelines. Paternal tertiary education was associated with a higher likelihood of adherence to sleep guidelines.ConclusionOur findings suggest that adherence to 24‐hMG among Malaysian preschoolers is associated with age, ethnicity, and paternal education level. This underscores the importance of targeted interventions and health awareness program to promote healthy movement behaviors, particularly among children under 5, ethnic minorities, and educationally disadvantaged families.

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Cross‐sectional and prospective associations of meeting 24‐h movement guidelines with overweight and obesity in preschool children

Cited by 39 publications

References 31 publications

Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing

Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing

Proportions of youth with visual impairments meeting 24‐hr movement guidelines

Association between adherence to 24‐h movement guidelines and sociodemographic factors among Malaysian preschoolers: Findings from SEANUTS II Malaysia

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