Abstract
BackgroundThere are limited studies on the prevalence of adherence to the combined guidelines for physical activity (PA), sedentary behavior, and sleep in children and adolescents. Moreover, little is known about correlates of adherence to the guidelines. Therefore, the main aim of this study is to examine the prevalence and identify the correlates of adherence to the combined movement guidelines among children and adolescents.MethodsA total of 355 children aged 8–13 years (44% boys) and 324 adolescents aged 14–18 years (43% boys) from the Czech Republic participated in this study. PA and sleep duration were estimated using multi-day 24-h raw data from wrist-worn accelerometers. Recreational screen time was parent proxy-reported in children and self-reported in adolescents. Seventeen potential correlates were grouped into three homogenous categories for biological and cognitive, behavioral, and family correlates. The multi-level multivariable logistic regression was applied to identify correlates of adherence to combined movement guidelines and to specific combinations of any of two recommendations.ResultsApproximately 6.5% of children and 2.2% of adolescents met all recommendations of the combined movement guidelines. In children, girls (OR = 0.4; 95% CI = 0.1–0.9) and participants with overweight or obese fathers (OR = 0.3; 95% CI = 0.1–0.7) had significantly lower odds of adherence to the combined movement guidelines. Additionally, children had higher odds of meeting specific combinations of two recommendations if they reported regular fruit and vegetable intake, participated in organized PA, or if their fathers had a university degree. Meanwhile, paternal overweight and obesity, and high sleep efficiency were associated with lower odds of meeting specific combinations of recommendations. In adolescents, sex, fruit and vegetable intake, organized PA, and active play were correlates of meeting specific combinations of any two recommendations.ConclusionsA low proportion of children and adolescents met the combined movement guidelines and several correlates related to family were identified. Family is a key source of influence for healthy movement behaviors during childhood and adolescence.
Highlights
Physical activity (PA), sedentary behavior (SB), and sleep are key components of daily movement behaviors [1]
The present study revealed that a low proportion of Czech children and adolescents met the combined movement guidelines for physical activity (PA), SB and sleep
We found that sex and paternal overweight and obesity were associated with adherence to the combined movement guidelines in children
Summary
Physical activity (PA), sedentary behavior (SB), and sleep are key components of daily movement behaviors [1]. To encourage healthy movement behaviors, the first guidelines for children and adolescents combining PA, SB, and sleep was released in 2016 in Canada [15]. Other countries, such as Australia [16], Croatia [17], and Thailand [18], later joined this effort. There are limited studies on the prevalence of adherence to the combined guidelines for physical activity (PA), sedentary behavior, and sleep in children and adolescents. The main aim of this study is to examine the prevalence and identify the correlates of adherence to the combined movement guidelines among children and adolescents
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