Relationship Between Meeting 24-Hour Movement Guidelines and Cardiometabolic Risk Factors in Children

Katzmarzyk, Peter T.; Staiano, Amanda E.

doi:10.1123/jpah.2017-0090

Cited by 60 publications

(96 citation statements)

References 21 publications

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“…A previous study including children from different continents, demonstrated that meeting integrated guidelines was associated with the lowest odds ratio of obesity when compared with meeting individual or no guidelines [19]. Similar findings have also been reported in a study of American children [44]. Despite this evidence for the importance of considering all MBs, to our knowledge no study has examined the adherence to 24-Hour Movement Guidelines among children at similar age as in our study.…”

Section: Discussionsupporting

confidence: 89%

Socio-demographic and maternal predictors of adherence to 24-hour movement guidelines in Singaporean children

Chen

Bernard

Padmapriya

et al. 2019

Int J Behav Nutr Phys Act

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Purpose: Integrated 24-Hour Movement Guidelines provide specific recommendations on screen viewing (SV), moderate-to-vigorous physical activity (MVPA) and sleep to improve health of children and youth. However, few studies have examined whether these guidelines are met in young children, particularly in Asia. We evaluated adherence to integrated and individual guidelines and its predictors in 5.5-year-old Singaporean children. Methods: Growing Up in Singapore towards Healthy Outcomes (GUSTO) is a mother-offspring birth cohort study. At age 5.5 years, child SV was reported by parents. Movement behaviours (MBs) were measured continuously using wrist-worn accelerometers over 7 consecutive days and nights. For accelerometer data including ≥3 days with ≥16 h/day we estimated mean (±SD) daily MVPA, SV and nighttime sleep duration across the week. Adherence to integrated (Canadian/Australian) guidelines was defined as meeting all individual guidelines: ≥60 min of MVPA/day, ≤2 h of screen time/day, and 9-11 h of sleep/night. Socio-demographic and maternal predictors collected at pregnancy enrolment and at 26-28 weeks' gestation were examined by multivariable logistic regression. Results: Of 864 children followed up age 5.5 years, 547 (63.3%) had both valid ActiGraph and questionnaire data (51.7% boys and 58.3% Chinese ethnicity). Children averaged 101.9 (± 88.7) min/day SV, 67.3 (± 23.7) min/day MVPA and 480.6 (± 57.2) min/night sleep. Few children met integrated guidelines. Specifically, the proportions of children who met none, SV, MVPA, sleep and integrated guidelines were 11.2, 70.2, 59.6, 13.7 and 5.5%, respectively. Multivariable analysis showed that maternal activity and television (TV) viewing were associated with meeting integrated guidelines (insufficiently vs. highly active (OR [95% CI]): 0.11 [0.01, 0.95]; 2-3 vs. ≥ 3 h TV: 3.52 [1.02, 12.22]). Examining higher adherence to individual guidelines, Chinese ethnicity, younger maternal age and lower maternal TV and sleep time were associated with greater SV; male sex, Malay ethnicity, higher birth order and higher maternal activity level were associated with greater MVPA; and older maternal age was associated with adherence to sleep guideline.

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Section: Discussionsupporting

confidence: 89%

Socio-demographic and maternal predictors of adherence to 24-hour movement guidelines in Singaporean children

Chen

Bernard

Padmapriya

et al. 2019

Int J Behav Nutr Phys Act

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“…Too little sleep, too little physical activity, and too much sedentary time have been associated with poor physical and mental health outcomes. These outcomes have included increased risk of obesity, impaired glucose metabolism, cardiovascular disease, depression and anxiety [2][3][4]. In recognition of the combined importance of sleep, physical activity and sedentary behaviours, Canada [5] and Australia have recently published 24-h 'movement' guidelines for children aged 5 to 17.…”

Section: Introductionmentioning

confidence: 99%

Associations between meeting sleep, physical activity or screen time behaviour guidelines and academic performance in Australian school children

Howie

Joosten²,

Harris

et al. 2020

BMC Public Health

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Background: Current guidelines suggest too little sleep, too little physical activity, and too much sedentary time are associated with poor health outcomes. These behaviours may also influence academic performance in school children. The primary purpose of this study was to examine the relationships between sleep, physical activity, or sedentary behaviours and academic performance in a school with a well-developed and integrated technology use and well-being program. Methods: This was a cross-sectional survey of students (n = 934, Grades 5-12) in an Australian school with a bring-yourown device (tablet or laptop computer) policy. Students reported sleep, physical activity, and sedentary (screen and nonscreen) behaviours. Academic performance was obtained from school records. Linear regressions were used to test the association between behaviours and academic performance outcomes. Results: Seventy-four percent of students met sleep guidelines (9 to 11 h for children 5-13 years and 8 to 10 h for 14-17 year olds), 21% met physical activity guidelines (60 min of moderate-to-vigorous physical activity every day), and 15% met screen time guidelines (no more than 2 h recreational screen time per day); only 2% met all three. There were no associations between meeting sleep guidelines and academic performance; however later weekend bedtimes were associated with poorer academic performance (− 3.4 points on the Average Academic Index, 95%CI: − 5.0, − 1.7, p < .001). There were no associations between meeting physical activity guidelines and academic performance. Meeting screen guidelines was associated with higher Average Academic Index (5.8, 95%CI: 3.6, 8.0, p < .001), Maths 7.9, 95%CI: 4.1, 11.6, p < .001) and English scores (3.8, 95%CI: 1.8, 5.8, p < .001) and higher time in sedentary behaviours was associated with poorer academic performance, including total sedentary behaviours in hrs/day (5.8 points on Average Academic Index, 95%CI: 3.6, 8.0, p < .001. Meeting at least two of the three behaviour guidelines was associated with better academic performance. Conclusions: Sleep and sedentary behaviours were linked to academic performance. School communities should emphasize comprehensive wellness strategies to address multiple behaviours to maximize student health and academic success.

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“…It was hypothesized that those who were reaching the comprehensive movement assessment and its components would have a greater likelihood of being MHO compared to Non-MHO adults. Although previous studies have looked at the associations between meeting comprehensive movement guidelines and the likelihood of obesity 27,28 , this is the first study, to the best of our knowledge, to apply a comprehensive movement assessment to a sample of overweight and obese adults using the MHO phenotype as an outcome. The current study has many relevant results from a cardiometabolic perspective.…”

Section: Discussionmentioning

confidence: 99%

Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

MacLeod

B̀ouchard

Hébert

et al. 2020

Sci Rep

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physical activity (pA) and sedentary behavior are associated with metabolic health in overweight and obese individuals. However, the role of comprehensive health-related movement guidelines on pA, recreational screen time, and sleep among Metabolically Healthy overweight-obese (MHo) individuals is unknown. We investigated differences in comprehensive movement assessment scores between adults classified as MHO or Non-MHO. The sample included 513 adults (46.2% male), aged 19 to 85 years, body mass index (BMI) ≥ 25, from cycle 2005-2006 of the National Health and Nutrition Examination Survey. Comprehensive movement assessment outcomes were defined as meeting modified 24-Hour Movement Guidelines criteria, with thresholds adapted for adults. 13.8% of participants were MHo (normal serum glucose, triglycerides, HDL-cholesterol, and systolic and diastolic blood pressure). Only 1.4% of MHO participants met all guidelines. MHO and Non-MHO participants had similar comprehensive movement assessment scores (MHO: 18.3% vs. Non-MHO: 10.9%; p = 0.072). MHO individuals had less continuous recreational screen time than Non-MHO individuals (1.8 ± 1.4 hrs/day vs. 2.5 ± 1.6 hrs/day; p < 0.001). Meeting the recreational screen time recommendation was the only variable associated with the MHO phenotype (OR:4.84 95%CI: 2.33-10.07). This association remained after adjusting for age, sex, ethnicity, education, and BMI (OR: 3.53 95%CI: 1.72-7.24). Our results suggest the importance of limiting recreational screen time in adults to optimize cardiometabolic risk profile in individuals living with overweight or obesity. Using movement guidelines with a screen time component to assess the risk associated with health outcomes in adults appears to provide a better assessment. The increasing prevalence of obesity has prompted further research on the risks related to excessive adiposity. Obesity is associated with adverse cardiometabolic risk factors, including dyslipidemia, insulin resistance, hypertension, and metabolic syndrome 1,2. However, some data suggests that a subgroup of overweight and obese individuals do not display typical cardiometabolic risk factors and are at lower risk of cardiovascular diseases and Type 2 diabetes 3. These individuals are termed Metabolically healthy overweight-obese (MHO). The prevalence of MHO varies between 7-74% in youth and adult populations, depending on the definition used 4-6. MHO Individuals usually have a favorable metabolic profile, characterized by high insulin sensitivity, greater peripheral body fat, and low systemic inflammation, as well as normal blood pressure, lipid profile, and hepatic triglycerides content 1,7-9. Physical activity (PA) has been associated with the MHO phenotype; however, a study has suggested that sedentary behavior, defined as any activity with an intensity of ≤1.5 Metabolic Equivalent Tasks, is an independent risk factor for the development of cardiometabolic risk factors 10,11. In fact, substituting sedentary behavior with light PA is associated with decreased waist circum...

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Relationship Between Meeting 24-Hour Movement Guidelines and Cardiometabolic Risk Factors in Children

Cited by 60 publications

References 21 publications

Socio-demographic and maternal predictors of adherence to 24-hour movement guidelines in Singaporean children

Socio-demographic and maternal predictors of adherence to 24-hour movement guidelines in Singaporean children

Associations between meeting sleep, physical activity or screen time behaviour guidelines and academic performance in Australian school children

Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

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