Adherence to 24-Hour Movement Guidelines for the Early Years and associations with social-cognitive development among Australian preschool children

Abstract Background The new Australian 24-Hour Movement Guidelines for the Early Years recommend that, for preschoolers, a healthy 24-h includes: i) ≥180 min of physical activity, including ≥60 min of energetic play, ii) ≤1 h of sedentary screen time, and iii) 10–13 h of good quality sleep. Using an...

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Main Authors: Dylan P. Cliff, Jade McNeill, Stewart A. Vella, Steven J. Howard, Rute Santos, Marijka Batterham, Edward Melhuish, Anthony D. Okely, Marc de Rosnay
Format: Article
Language:English
Published: BMC 2017-11-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-017-4858-7
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author Dylan P. Cliff
Jade McNeill
Stewart A. Vella
Steven J. Howard
Rute Santos
Marijka Batterham
Edward Melhuish
Anthony D. Okely
Marc de Rosnay
author_facet Dylan P. Cliff
Jade McNeill
Stewart A. Vella
Steven J. Howard
Rute Santos
Marijka Batterham
Edward Melhuish
Anthony D. Okely
Marc de Rosnay
author_sort Dylan P. Cliff
collection DOAJ
description Abstract Background The new Australian 24-Hour Movement Guidelines for the Early Years recommend that, for preschoolers, a healthy 24-h includes: i) ≥180 min of physical activity, including ≥60 min of energetic play, ii) ≤1 h of sedentary screen time, and iii) 10–13 h of good quality sleep. Using an Australian sample, this study reports the proportion of preschool children meeting these guidelines and investigates associations with social-cognitive development. Methods Data from 248 preschool children (mean age = 4.2 ± 0.6 years, 57% boys) participating in the PATH-ABC study were analyzed. Children completed direct assessments of physical activity (accelerometry) and social cognition (the Test of Emotional Comprehension (TEC) and Theory of Mind (ToM)). Parents reported on children’s screen time and sleep. Children were categorised as meeting/not meeting: i) individual guidelines, ii) combinations of two guidelines, or iii) all three guidelines. Associations were examined using linear regression adjusting for child age, sex, vocabulary, area level socio-economic status and childcare level clustering. Results High proportions of children met the physical activity (93.1%) and sleep (88.7%) guidelines, whereas fewer met the screen time guideline (17.3%). Overall, 14.9% of children met all three guidelines. Children meeting the sleep guideline performed better on TEC than those who did not (mean difference [MD] = 1.41; 95% confidence interval (CI) = 0.36, 2.47). Children meeting the sleep and physical activity or sleep and screen time guidelines also performed better on TEC (MD = 1.36; 95% CI = 0.31, 2.41) and ToM (MD = 0.25; 95% CI = −0.002, 0.50; p = 0.05), respectively, than those who did not. Meeting all three guidelines was associated with better ToM performance (MD = 0.28; 95% CI = −0.002, 0.48, p = 0.05), while meeting a larger number of guidelines was associated with better TEC (3 or 2 vs. 1/none, p < 0.02) and ToM performance (3 vs. 2, p = 0.03). Conclusions Strategies to promote adherence to the 24-Hour Movement Behaviour Guidelines for the Early Years among preschool children are warranted. Supporting preschool children to meet all guidelines or more guidelines, particularly the sleep and screen time guidelines, may be beneficial for their social-cognitive development.
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spelling doaj.art-053b46d083d0482c84c2b61f0c7815e32022-12-21T19:53:39ZengBMCBMC Public Health1471-24582017-11-0117S520721510.1186/s12889-017-4858-7Adherence to 24-Hour Movement Guidelines for the Early Years and associations with social-cognitive development among Australian preschool childrenDylan P. Cliff0Jade McNeill1Stewart A. Vella2Steven J. Howard3Rute Santos4Marijka Batterham5Edward Melhuish6Anthony D. Okely7Marc de Rosnay8Early Start, Faculty of Social Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongStatistical Consulting Service, School of Mathematics and Applied Statistics, Faculty of Engineering and Information Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongAbstract Background The new Australian 24-Hour Movement Guidelines for the Early Years recommend that, for preschoolers, a healthy 24-h includes: i) ≥180 min of physical activity, including ≥60 min of energetic play, ii) ≤1 h of sedentary screen time, and iii) 10–13 h of good quality sleep. Using an Australian sample, this study reports the proportion of preschool children meeting these guidelines and investigates associations with social-cognitive development. Methods Data from 248 preschool children (mean age = 4.2 ± 0.6 years, 57% boys) participating in the PATH-ABC study were analyzed. Children completed direct assessments of physical activity (accelerometry) and social cognition (the Test of Emotional Comprehension (TEC) and Theory of Mind (ToM)). Parents reported on children’s screen time and sleep. Children were categorised as meeting/not meeting: i) individual guidelines, ii) combinations of two guidelines, or iii) all three guidelines. Associations were examined using linear regression adjusting for child age, sex, vocabulary, area level socio-economic status and childcare level clustering. Results High proportions of children met the physical activity (93.1%) and sleep (88.7%) guidelines, whereas fewer met the screen time guideline (17.3%). Overall, 14.9% of children met all three guidelines. Children meeting the sleep guideline performed better on TEC than those who did not (mean difference [MD] = 1.41; 95% confidence interval (CI) = 0.36, 2.47). Children meeting the sleep and physical activity or sleep and screen time guidelines also performed better on TEC (MD = 1.36; 95% CI = 0.31, 2.41) and ToM (MD = 0.25; 95% CI = −0.002, 0.50; p = 0.05), respectively, than those who did not. Meeting all three guidelines was associated with better ToM performance (MD = 0.28; 95% CI = −0.002, 0.48, p = 0.05), while meeting a larger number of guidelines was associated with better TEC (3 or 2 vs. 1/none, p < 0.02) and ToM performance (3 vs. 2, p = 0.03). Conclusions Strategies to promote adherence to the 24-Hour Movement Behaviour Guidelines for the Early Years among preschool children are warranted. Supporting preschool children to meet all guidelines or more guidelines, particularly the sleep and screen time guidelines, may be beneficial for their social-cognitive development.http://link.springer.com/article/10.1186/s12889-017-4858-7Early childhoodPhysical activityActive playScreen timeElectronic mediaSleep
spellingShingle Dylan P. Cliff
Jade McNeill
Stewart A. Vella
Steven J. Howard
Rute Santos
Marijka Batterham
Edward Melhuish
Anthony D. Okely
Marc de Rosnay
Adherence to 24-Hour Movement Guidelines for the Early Years and associations with social-cognitive development among Australian preschool children
BMC Public Health
Early childhood
Physical activity
Active play
Screen time
Electronic media
Sleep
title Adherence to 24-Hour Movement Guidelines for the Early Years and associations with social-cognitive development among Australian preschool children
title_full Adherence to 24-Hour Movement Guidelines for the Early Years and associations with social-cognitive development among Australian preschool children
title_fullStr Adherence to 24-Hour Movement Guidelines for the Early Years and associations with social-cognitive development among Australian preschool children
title_full_unstemmed Adherence to 24-Hour Movement Guidelines for the Early Years and associations with social-cognitive development among Australian preschool children
title_short Adherence to 24-Hour Movement Guidelines for the Early Years and associations with social-cognitive development among Australian preschool children
title_sort adherence to 24 hour movement guidelines for the early years and associations with social cognitive development among australian preschool children
topic Early childhood
Physical activity
Active play
Screen time
Electronic media
Sleep
url http://link.springer.com/article/10.1186/s12889-017-4858-7
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