Quality of Life and Meeting 24-h WHO Guidelines Among Preschool Children in Singapore

Abstract

The objective of the study was to determine the proportion of preschool children under 5 years old meeting the 24-h World Health Organisation guidelines on physical activity, sedentary behaviour and sleep. Another objective was to examine the association between the health-related quality of life and meeting these guidelines among preschool children in Singapore. Parents completed an online and anonymous SMALLQ ® (Surveillance of digital Media hAbits in earLy chiLdhood Questionnaire) on children's physical activity, sedentary behaviour and sleep. Meeting the 24-h WHO guidelines meant, within a 24-h period, (i) having at least 180 min of physical activity (ii) engaging in less than 60 min of screen media and (iii) having 10-13 h of good quality sleep. Parent-reported health-related quality of life of the children was determined using the Pediatric Quality of Life Inventory™, collected online at the same time. Parent-reported data showed that 12.6% met none while 9.6% of preschool children met all the WHO guidelines. 70.7%, 56.9% and 26.5%, of preschool children respectively, achieved the sleep, physical activity and screen media use guidelines within a 24-h period. 40.5% met two guidelines while 37.4% met one guideline. Significant differences were detected in the health-related quality of life among preschool children who met all, none, or met 1-2 of the WHO guidelines (i.e. total health score: 82.9 ± 12.4 vs. 76.4 ± 15.1 vs. 78.6 ± 14.5%, p < 0.05; ƞ 2 = 0.008-0.11). Our results show that the health-related quality of life of preschool children increased with the number of WHO guidelines accomplished.

The whole day matters: Understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan

“…Of the 51 studies included in this review, 31 studies 27 , 28 , 29 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 examined adherence (meeting vs. not meeting) to 24-h movement guidelines, and 20 studies 16 , 18 , 19 , 20 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 used compositional analyses to explore the 24-h time-use composition of movement behaviors. Studies were conducted in 20 different countries but were most commonly conducted in Canada ( n = 12), 19 , 20 , 27 , 28 , 29 , 35 , 43 , 49 , 55 , 57 ...…”

“…Studies were conducted in 20 different countries but were most commonly conducted in Canada ( n = 12), 19 , 20 , 27 , 28 , 29 , 35 , 43 , 49 , 55 , 57 , 62 , 75 the United States ( n = 10), 16 , 40 , 41 , 44 , 45 , 46 , 47 , 48 , 61 , 72 Australia ( n = 6), 38 , 42 , 59 , 63 , 65 , 71 and the United Kingdom ( n = 4), 54 , 66 , 67 , 74 with 3 or fewer studies conducted in each other country. 34 , 36 , 37 , 39 , 50 , 51 , 52 , 53 , 54 , 66 , 67 , 68 , 69 , 70 , 73 , 74 , 76 , 77 A total of 5 studies were multinational in nature and were conducted with participants from 4 or more different countries. 18 , 56 , 58 , 60 , 64 A total of 46 studies employed a cross-sectional design, and 2 71,72 were prospective...…”

“… 34 , 53 , 77 Timelines for prospective studies ranged from 4 months 71 to 5 years. 72 In terms of age groups, 1 study 42 was conducted with infants, 2 studies 49 , 59 with toddlers, 11 studies 28 , 34 , 35 , 37 , 38 , 39 , 46 , 51 , 53 , 62 , 77 with preschoolers, 14 studies 18 , 36 , 40 , 48 , 52 , 56 , 58 , 60 , 61 , 64 , 65 , 66 , 75 , 76 with children, 4 studies 45 , 47 , 50 , 54 with youth, 8 studies 19 , 27 , 29 , 41 , 43 , 44 , 55 , 57 with both children and youth, 5 studies 16 , 67 , 68 , 69 , 70 with adults, 4 studies 63 , 71 , 73 , 74 with older adults, and 2 studies 20 , 72 with both adults and older adults. The sample sizes of the included studies ranged fr...…”

“…The average quality score for included studies was 70%. Of the 31 studies, 3 studies 37 , 45 , 54 had a score of less than 50%. A total of 12 studies 41 , 42 , 44 , 46 , 48 , 49 , 51 , 56 , 57 , 59 , 60 , 61 had scores between 60% and 69%, 13 studies 27 , 28 , 29 , 34 , 35 , 36 , 38 , 39 , 47 , 50 , 52 , 53 , 58 had scores between 70% and 79%, and 3 studies 40 , 43 , 55 had scores between 80% and 89%.…”

Pengaruh Aktivitas Fisik Dan Lingkungan Alamiah Bagi Daya Tahan Tubuh Anak Usia Dini

“…Menurut WHO kesehatan fisik anak dapat diupayakan minimal dengan cara pembiasaan latihan aktivitas fisik, mengurangi kebiasaan aktivitas menetap dan mengatur kebiasaan hidup (seperti: bermain dan makan), serta pemenuhan pola tidur yang cukup dan teratur(WHO, 2019). Hasil penelitian menunjukkan bahwa kualitas hidup terkait kesehatan anak-anak prasekolah meningkat, apabila pedoman dari WHO tentang 24 jam aktivitas anak dibawah 5 tahun tercapai, yang meliputi: aktivitas fisik, kegiatan rutin, dan tidur, yaitu: anak melakukan setidaknya 180 menit aktivitas fisik, penggunaan media layar (tv/gadget) kurang dari 60 menit, serta memiliki kualitas tidur antara 10-13 jam/hari (Chia, M.Y.H., Tay, L.Y. & Chua, 2019).…”