Factors associated with accelerometer measured movement behaviours among White British and South Asian children aged 6–8 years during school terms and school holidays

Nagy, Liana C.; Faisal, Muhammad; Horne, Maria; Collings, Paul J.; Barber, Sally; Mohammed, Mohammed

doi:10.1136/bmjopen-2018-025071

Cited by 14 publications

(17 citation statements)

References 59 publications

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“…Plausibly, as knowledge, attitudes and behaviours in the youngest generation of UK South Asians and their UK born parents have continued to change, this may have translated to parity in children's physical activity levels compared to the white British. Adding support to this hypothesis, we recently reported that there were no differences in the levels of light physical activity or MVPA performed by present-day South Asian and white British primary school children aged 6 to 8y [36]. New studies of contemporary datasets are warranted to revisit the presumption that South Asian children are less active than white British children.…”

Section: Patterns Of Sedentary Time and Physical Activitymentioning

confidence: 91%

“…We have previously shown that compared to white British children, Pakistani infants watch more television [37], which is associated with myriad adverse health outcomes including obesity [38]. South Asian primary school children have consistently been shown as more sedentary compared to white British children [36,39]. This is speculated to be because of Madrassa, an afterschool religious commitment that starts around age 5y for South Asian children [40,41].…”

Section: Patterns Of Sedentary Time and Physical Activitymentioning

confidence: 99%

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Objectively-measured sedentary time and physical activity in a bi-ethnic sample of young children: variation by socio-demographic, temporal and perinatal factors

et al. 2020

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Background: Evidence suggests that South Asian school-aged children and adults are less active compared to the white British population. It is unknown if this generalises to young children. We aimed to describe variability in levels of physical activity and sedentary time in a bi-ethnic sample of young children from a deprived location. Methods: This observational study included 202 South Asian and 140 white British children aged 1.5 to 5y, who provided 3181 valid days of triaxial accelerometry (Actigraph GT3X+). Variability in sedentary time and physical activity levels were analysed by linear multilevel modelling. Logistic multilevel regression was used to identify factors associated with physical inactivity (failing to perform ≥180 min of total physical activity including ≥60 min moderate-to-vigorous physical activity (MVPA) per day). Results: There were no significant ethnic differences in the overall levels of behaviours; South Asian and white British children spent half of daily time sedentary, just over 40% in light physical activity, and the remaining 7.5 to 8% of time in MVPA. Sedentary time was lower and physical activity levels were higher in older children, and levels of MVPA and vector magnitude counts per minute (CPM) were higher on weekends compared to weekdays. In South Asian children, sedentary time was lower on weekends. Sedentary time was lower and physical activity levels were higher in spring compared to winter in white British children, and in all seasons compared to winter in South Asian children. South Asian children born at high birth weight performed more MVPA, and in both ethnicities there was some evidence that children with older mothers were more sedentary and less active. Sedentary time was higher and light physical activity was lower in South Asian children in the highest compared to the lowest income families. South Asian girls performed less MVPA, registered fewer vector magnitude CPM, and were 3.5 times more likely to be physically inactive than South Asian boys. Conclusions: Sedentary time and physical activity levels vary by socio-demographic, temporal and perinatal characteristics in young children from a deprived location. South Asian girls have the most to gain from efforts to increase physical activity levels.

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Section: Patterns Of Sedentary Time and Physical Activitymentioning

confidence: 91%

Section: Patterns Of Sedentary Time and Physical Activitymentioning

confidence: 99%

Objectively-measured sedentary time and physical activity in a bi-ethnic sample of young children: variation by socio-demographic, temporal and perinatal factors

et al. 2020

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“…Seasonal variations and the validity of results depend on several factors ( 11 , 27 , 28 ): region where children reside (especially in regard to cold regions), children's age (especially 8–12 years), physical activity assessment method (most valid results from accelerometer-based studies) and study design (most valid results from repeated measures studies). Of the vast majority of studies reporting seasonal variations from 2 to 5 assessments, there are only four studies that compared physical activity and inactivity during summer holidays vs. school time ( 15 , 18 , 24 , 26 ), and only three were longitudinal studies ( 18 , 22 , 24 ).…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, decreases in moderate physical activity (MPA) in the range of 3–13% are reported in only two studies ( 18 , 22 ) as well as a 16% decrease in moderate to vigorous physical activity (MVPA) ( 22 ). Those discrepancies could be due to the low number of participants ( 18 , 24 ), wrist accelerometer wear ( 24 ); comparison to different baseline seasons—some with more than one assessments during the school term ( 26 ), others in spring ( 22 , 24 ), some in summer ( 18 ), some in winter ( 26 ). Thus, such an important and worrying modulation of physical activity during summer holidays warrants further investigation.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Drops During Summer Holidays for 6- to 9-Year-Old Children

Volmut

Pišot

Planinšec

et al. 2021

Front. Public Health

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Regular physical activity (PA) reduces the health risk of childhood obesity and associated chronic diseases as well as mental health problems. Since PA declines as children age as well with future generations it is of highest importance to intervene in school and out-of-school settings. Out-of-school periods affect children's PA as it is mainly left to the interest and motivation of their parents. We compared accelerometer-based PA patterns in 93 6- to 9-year old children assessed four times: before (May/June), during (August), and after (September) summer holidays and at a 1-year follow up (May/June). Before summer holidays children were assessed also for anthropometry and motor tests. During summer holidays overall PA decreased by 18% (p < 0.001), physical inactivity increased by 5.5% (p < 0.001), moderate PA decreased by 53% (p < 0.001) and moderate to vigorous PA decreased by 45% (p < 0.001) when compared to before summer holidays. Furthermore, overall PA remained diminished also after summer holidays by 8.8% (p = 0.001) but recovered to baseline values at 1-year follow up. About 30% of overall PA and moderate to vigorous PA decrease during summer holidays could be explained by children's fitness level as a greater decrease was found in children with better results in standing long jump and 300-meter running time. Our finding detects an alarming summer holiday decrease in children PA that should not be neglected in future studies and intervention designs.

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“…For example, British South Asian children have demonstrated higher glycated haemoglobin, fasting insulin and triglyceride and lower high-density lipoprotein-cholesterol levels compared to white British children as well as higher levels of fat mass percentage [14,15]. Higher levels of sedentary behaviour (ranging between an additional 28 to 39 min/day) have also been observed in South Asian school-aged children (aged 6-11 years) in comparison to White British children [16,17]. Given the links between sedentary behaviour and cardiometabolic risk [8], early interventions in such at-risk groups may help reduce health inequalities later in life.…”

Section: Introductionmentioning

confidence: 99%

Stand Out in Class: restructuring the classroom environment to reduce sitting time – findings from a pilot cluster randomised controlled trial

Clemes

Bingham

Pearson

et al. 2020

Int J Behav Nutr Phys Act

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Background: Excessive sedentary behaviour (sitting) is a risk factor for poor health in children and adults. Incorporating sit-stand desks in the classroom environment has been highlighted as a potential strategy to reduce children's sitting time. The primary aim of this study was to examine the feasibility of conducting a cluster randomised controlled trial (RCT) of a sit-stand desk intervention within primary school classrooms. Methods: We conducted a two-armed pilot cluster RCT involving 8 primary schools in Bradford, United Kingdom. Schools were randomised on a 1:1 basis to the intervention or usual practice control arm. All children (aged 9-10 years) in participating classes were eligible to take part. Six sit-stand desks replaced three standard desks (sitting 6 children) in the intervention classrooms for 4.5-months. Teachers were encouraged to use a rotation system to ensure all pupils were exposed to the sit-stand desks for > 1 h/day on average. Trial feasibility outcomes (assessed using quantitative and qualitative measures) included school and participant recruitment and attrition, intervention and outcome measure completion rates, acceptability, and preliminary effectiveness of the intervention for reducing sitting time. A weighted linear regression model compared changes in weekday sitting time (assessed using the activPAL accelerometer) between trial arms. Results: School and child recruitment rates were 33% (n = 8) and 75% (n = 176). At follow-up, retention rates were 100% for schools and 97% for children. Outcome measure completion rates ranged from 63 to 97%. A preliminary estimate of intervention effectiveness revealed a mean difference in change in sitting of − 30.6 min/day (95% CI: − 56.42 to − 4.84) in favour of the intervention group, after adjusting for baseline sitting and wear time. Qualitative measures revealed the intervention and evaluation procedures were acceptable to teachers and children, except for some problems with activPAL attachment.

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Factors associated with accelerometer measured movement behaviours among White British and South Asian children aged 6–8 years during school terms and school holidays

Cited by 14 publications

References 59 publications

Objectively-measured sedentary time and physical activity in a bi-ethnic sample of young children: variation by socio-demographic, temporal and perinatal factors

Objectively-measured sedentary time and physical activity in a bi-ethnic sample of young children: variation by socio-demographic, temporal and perinatal factors

Physical Activity Drops During Summer Holidays for 6- to 9-Year-Old Children

Stand Out in Class: restructuring the classroom environment to reduce sitting time – findings from a pilot cluster randomised controlled trial

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