Background
The purpose was to evaluate the relationship between adherence to pediatric 24-hour movement guidelines (moderate-to-vigorous physical activity (MVPA), sedentary behavior and sleep) and cardiometabolic risk factors.
Methods
The sample included 357 white and African American children aged 5-18 years. Physical activity, TV viewing and sleep duration were measured using questionnaires, and the 24-hour guidelines were defined as: ≥60 min/day of MVPA on ≥5 days/week, ≤2 h/day of TV, and sleeping 9-11 h/night (ages 5-13 y) or 8-10 h/night (ages 14-18 y). Waist circumference, body fat, abdominal visceral (VAT) and subcutaneous adipose tissue (SAT), blood pressure and fasting triglycerides, HDL-cholesterol and glucose were measured in a clinical setting.
Results
A total of 26.9% of the sample met none of the guidelines, whereas 36.4%, 28.3% and 8.4% of the sample met 1, 2 or all 3 guidelines, respectively. There were significant associations between the number of guidelines met and BMI, SAT, VAT, triglycerides, and glucose. There were no associations with blood pressure or HDL-cholesterol.
Conclusions
Meeting more components of the 24-hour guidelines was associated with lower levels of obesity and several cardiometabolic risk factors. Future efforts should consider novel strategies to simultaneously improve physical activity, sedentary time and sleep in children.