Abstract

BackgroundPhysical activity (PA) improves health outcomes accumulating evidence suggests that sedentary time (ST), especially parent-reported screen-time, is associated with negative health outcomes in children. The aim of the present study is to describe levels and patterns of PA and ST across the day and week and activity pattern differences between the sexes, across all weekdays and time spent in and outside the preschool in four-year old children.MethodsIn total 899 four-year old Swedish children who had both complete questionnaire data on screen-time behaviors and objective activity variables and at least 4 days, including one weekend day, with more than 10 h of GT3X+ Actigraph accelerometer wear time data were included in the study. Patterns of PA and ST across the day and week and differences between sexes, weekdays vs. weekend days and time in preschool vs. time spent outside preschool were assessed.ResultsChildren engaged in 150 min (SD 73) and 102 min (SD 60) of screen-time on weekend days and weekdays, with 97% and 86% of children exceeding the 1 h guideline for screen-time on weekend days and weekdays, respectively. Accelerometer data showed that boys are more active and less sedentary compared with girls and both sexes were more active and less sedentary on weekdays compared with weekend days, while parent-reported data showed that boys engage in more screen-time compared with girls. Children accumulated 24.8 min (SD. 19) MVPA during preschool time and 26.6 min (SD. 16) outside preschool hours on weekdays, compared with 22.4 min (SD. 18) MVPA during preschool time and 25.3 min (SD. 22) outside preschool hours on weekend days.ConclusionsFour-year old Swedish children display different activity patterns across the day on weekdays compared to weekend days, with preschool hours during weekdays being the most active segments and preschool hours during weekend days being the least active segments of the day.

Highlights

  • Physical activity (PA) improves health outcomes accumulating evidence suggests that sedentary time (ST), especially parent-reported screen-time, is associated with negative health outcomes in children

  • There is a large body of evidence which suggests that decreasing ST is associated with lower health risk in children [2] and that physical activity (PA) in preschool children improves health outcomes [3]

  • Sensitivity analysis Children excluded due to not providing a valid accelerometer measure or questionnaire data (n = 326) had a lower prevalence of parental post-secondary education (p < 0.001) and higher prevalence of obesity (p = 0.006) compared with those included in the study (Additional file 1: Table S1)

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Summary

Introduction

Physical activity (PA) improves health outcomes accumulating evidence suggests that sedentary time (ST), especially parent-reported screen-time, is associated with negative health outcomes in children. The aim of the present study is to describe levels and patterns of PA and ST across the day and week and activity pattern differences between the sexes, across all weekdays and time spent in and outside the preschool in four-year old children. The present study aims to describe average levels and patterns of PA and ST across the day and week and activity pattern differences between time spent in and outside the preschool, using hour specific accelerometer data, in a population-based sample of four-year old Swedish children. Parent-reported screen-time behaviors and accelerometer measured bouts of ST in different lengths will be assessed, which will provide detailed information on how high- and low-intensity activities are distributed across the day and week

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