Abstract
Background24-hour movement behaviors, including moderate-to-vigorous physical activity (MVPA), sedentary time (ST), and sleep duration, have important implications for health across the lifespan. However, no studies exist that have examined the integration of these 24-hour movement behaviors in Latin America. The purpose of this study was to examine the prevalence of meeting the Canadian 24-Hour Movement Guideline recommendations and sociodemographic correlates of meeting the guidelines in adults from eight Latin American countries.MethodsThis was a multi-national cross-sectional study of 2338 adults aged 18 to 64 years from the Latin American Study of Nutrition and Health. 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 h/day of ST; and between 7 and 9 h/day of sleep. Logistic regression models were estimated on pooled data.ResultsThe prevalence of adults who met the MVPA, ST, sleep duration, and integrated recommendations was 48.3, 22.0, 19.4, and 1.6%, respectively. 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) was associated with lower odds of meeting all three of the 24-hour movement guideline recommendations. Being married (1.70; 1.25,2.29) was associated with greater odds of meeting all three recommendations. 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 was associated with lower odds and being married (1.86; 1.46,2.36) was associated with greater odds of meeting the ST recommendation. Being a woman (0.63; 0.51,0.78) was associated with lower odds; whereas 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.ConclusionsOverall, the proportion of Latin American adults achieving healthy levels of 24-hour movement behaviors was low. Further efforts are needed to promote more MVPA, less ST, and sufficient sleep in Latin American adults.Trial registrationClinical Trials NCT02226627. Retrospectively registered on August 27, 2014.
Highlights
Engaging in satisfactory levels of physical activity, low levels of sedentary time, and getting sufficient sleep throughout the day is beneficial for health among children, adolescents, and adults [1,2,3,4]
Men accumulated significantly more minutes of moderate-to-vigorous physical activity and sedentary time than women; no differences were observed in sleep duration between men and women (Table 2)
We found similar values for time spent in moderate-to-vigorous physical activity in adults from Latin America and high-income countries (34.4 min/day vs. 35.6 min/day) [45]
Summary
Engaging in satisfactory levels of physical activity, low levels of sedentary time, and getting sufficient sleep throughout the day is beneficial for health among children, adolescents, and adults [1,2,3,4]. Based on the emerging evidence and a better understanding of the importance of considering all of the 24-hour movement behaviors, in an integrated fashion, several countries have developed and released public health guidelines that combine recommendations for physical activity, sedentary behavior, and sleep for children and youth [8,9,10,11,12,13]. Canada was among the first in the world to develop and release 24-hour movement guidelines for adults aged 18-64 years and adults aged 65 years or older, which included time-specific recommendations for physical activity, sedentary behaviours, and sleep. There is no evidence offered to appreciate the levels of 24-hour movement behaviors among inhabitants from Latin American countries using globally recognized benchmarks such as international physical activity guidelines [6], sleep recommendations [7], or the recently released Canadian 24-Hour movement guidelines. Most previous investigation has been conducted in middle- and high- income countries [14,15,16]
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