Correlates Of Meeting The Canadian 24-hour Movement Guidelines Among Adults: A Multi-national Cross-sectional Study

Abstract

PURPOSE: 24-hour movement behaviors, including moderate-to-vigorous physical activity (MVPA), sedentary time (ST), and sleep duration, have important implications for health across the lifespan. The purpose of this study was to analyse the prevalence of meeting the Canadian 24-Hour Movement Guideline recommendations and examined correlates of meeting the guidelines in adults. METHODS: This was a multi-national cross-sectional study of 2338 adults (18-64 years) from eight Latin America countries (i.e., Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru and Venezuela). MVPA and ST data were collected using accelerometers. Sleep duration was self-reported using a daily log. Socio-demographic correlates included sex, age, education level, and marital status. Meeting the 24-hour movement guidelines was defined as: ≥150 min/week of MVPA; ≤8 hours/day of ST; and between 7 and 9 hours/day of sleep. Logistic regression (OR; 95%CI) models were estimated on pooled data. RESULTS: The prevalence of adults who met the MVPA, ST, sleep duration, and integrated recommendations was 48.3, 22.0, 19.4, and 1.6%. Overall, being a woman (OR: 0.72; 95%CI: 0.55,0.93), and having a middle (0.63; 0.47,0.85) or high education level (0.31; 0.17,0.56) were associated with lower odds of meeting all three of the 24-hour movement guideline recommendations. Married marital status (1.70; 1.25,2.29) was associated with greater odds of meeting all three recommendations of the 24-hour movement guidelines. Being a woman (0.46; 0.39,0.55), aged 50-64 years (0.77; 0.60,0.97), and married (0.79; 0.65,0.96) were associated with lower odds of meeting the MVPA recommendation. Having a middle (0.64; 0.50,0.80) or high (0.36; 0.23,0.55) education level were associated with lower odds and married marital status (1.86; 1.46,2.36) was associated with greater odds of meeting the ST recommendation. Woman (0.63; 0.51,0.78) were associated with lower odds and being aged 50-64 years (1.40; 1.04,1.88) and having a middle education level (1.37; 1.09,1.73) were associated with greater odds of meeting the sleep duration recommendation. CONCLUSIONS: The proportion of Latin American adults achieving healthy levels of 24-hour movement behaviors was low. Further actions are needed to promote more MVPA, less ST, and satisfactory sleep in adults.