Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countries
Abstract Background The restrictions associated with the 2020 COVID-19 pandemic has resulted in changes to young children’s daily routines and habits. The impact on their participation in movement behaviours (physical activity, sedentary screen time and sleep) is unknown. This international longitud...
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BMC
2021-05-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-021-10852-3 |
| _version_ | 1818663466664198144 |
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| author | Anthony D. Okely Katharina E. Kariippanon Hongyan Guan Ellie K. Taylor Thomas Suesse Penny L. Cross Kar Hau Chong Adang Suherman Ali Turab Amanda E. Staiano Amy S. Ha Asmaa El Hamdouchi Aqsa Baig Bee Koon Poh Borja Del Pozo-Cruz Cecilia H. S. Chan Christine Delisle Nyström Denise Koh E. Kipling Webster Himangi Lubree Hong Kim Tang Issad Baddou Jesus Del Pozo-Cruz Jyh Eiin Wong Kuston Sultoni Maria Nacher Marie Löf Mingming Cui Mohammad Sorowar Hossain P. W. Prasad Chathurangana Uddhavi Kand V. P. Pujitha Wickramasinghe Rebecca Calleia Shameema Ferdous Thanh Van Kim Xiaojuan Wang Catherine E. Draper |
| author_facet | Anthony D. Okely Katharina E. Kariippanon Hongyan Guan Ellie K. Taylor Thomas Suesse Penny L. Cross Kar Hau Chong Adang Suherman Ali Turab Amanda E. Staiano Amy S. Ha Asmaa El Hamdouchi Aqsa Baig Bee Koon Poh Borja Del Pozo-Cruz Cecilia H. S. Chan Christine Delisle Nyström Denise Koh E. Kipling Webster Himangi Lubree Hong Kim Tang Issad Baddou Jesus Del Pozo-Cruz Jyh Eiin Wong Kuston Sultoni Maria Nacher Marie Löf Mingming Cui Mohammad Sorowar Hossain P. W. Prasad Chathurangana Uddhavi Kand V. P. Pujitha Wickramasinghe Rebecca Calleia Shameema Ferdous Thanh Van Kim Xiaojuan Wang Catherine E. Draper |
| author_sort | Anthony D. Okely |
| collection | DOAJ |
| description | Abstract Background The restrictions associated with the 2020 COVID-19 pandemic has resulted in changes to young children’s daily routines and habits. The impact on their participation in movement behaviours (physical activity, sedentary screen time and sleep) is unknown. This international longitudinal study compared young children’s movement behaviours before and during the COVID-19 pandemic. Methods Parents of children aged 3–5 years, from 14 countries (8 low- and middle-income countries, LMICs) completed surveys to assess changes in movement behaviours and how these changes were associated with the COVID-19 pandemic. Surveys were completed in the 12 months up to March 2020 and again between May and June 2020 (at the height of restrictions). Physical activity (PA), sedentary screen time (SST) and sleep were assessed via parent survey. At Time 2, COVID-19 factors including level of restriction, environmental conditions, and parental stress were measured. Compliance with the World Health Organizations (WHO) Global guidelines for PA (180 min/day [≥60 min moderate- vigorous PA]), SST (≤1 h/day) and sleep (10-13 h/day) for children under 5 years of age, was determined. Results Nine hundred- forty-eight parents completed the survey at both time points. Children from LMICs were more likely to meet the PA (Adjusted Odds Ratio [AdjOR] = 2.0, 95%Confidence Interval [CI] 1.0,3.8) and SST (AdjOR = 2.2, 95%CI 1.2,3.9) guidelines than their high-income country (HIC) counterparts. Children who could go outside during COVID-19 were more likely to meet all WHO Global guidelines (AdjOR = 3.3, 95%CI 1.1,9.8) than those who were not. Children of parents with higher compared to lower stress were less likely to meet all three guidelines (AdjOR = 0.5, 95%CI 0.3,0.9). Conclusion PA and SST levels of children from LMICs have been less impacted by COVID-19 than in HICs. Ensuring children can access an outdoor space, and supporting parents’ mental health are important prerequisites for enabling pre-schoolers to practice healthy movement behaviours and meet the Global guidelines. |
| first_indexed | 2024-12-17T05:17:18Z |
| format | Article |
| id | doaj.art-8b968a1659cc43eb8d8b80af5b513293 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-17T05:17:18Z |
| publishDate | 2021-05-01 |
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| series | BMC Public Health |
| spelling | doaj.art-8b968a1659cc43eb8d8b80af5b5132932022-12-21T22:02:04ZengBMCBMC Public Health1471-24582021-05-0121111510.1186/s12889-021-10852-3Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countriesAnthony D. Okely0Katharina E. Kariippanon1Hongyan Guan2Ellie K. Taylor3Thomas Suesse4Penny L. Cross5Kar Hau Chong6Adang Suherman7Ali Turab8Amanda E. Staiano9Amy S. Ha10Asmaa El Hamdouchi11Aqsa Baig12Bee Koon Poh13Borja Del Pozo-Cruz14Cecilia H. S. Chan15Christine Delisle Nyström16Denise Koh17E. Kipling Webster18Himangi Lubree19Hong Kim Tang20Issad Baddou21Jesus Del Pozo-Cruz22Jyh Eiin Wong23Kuston Sultoni24Maria Nacher25Marie Löf26Mingming Cui27Mohammad Sorowar Hossain28P. W. Prasad Chathurangana29Uddhavi Kand30V. P. Pujitha Wickramasinghe31Rebecca Calleia32Shameema Ferdous33Thanh Van Kim34Xiaojuan Wang35Catherine E. Draper36Early Start, School of Health and Society, Faculty of the Arts, Social Science and Humanities, University of WollongongEarly Start, School of Health and Society, Faculty of the Arts, Social Science and Humanities, University of WollongongDepartment of Early Childhood Development, Beijing Municipal Key Laboratory of Child Development and Nutriomics, Capital Institute of PediatricsEarly Start, Faculty of the Arts, Social Science and Humanities, University of WollongongNIASRA - National Institute for Applied Statistics Research Australia, School of Mathematics and Applied Statistics, Faculty of Engineering and Information Sciences, University of WollongongEarly Start, Faculty of the Arts, Social Science and Humanities, University of WollongongEarly Start, Faculty of the Arts, Social Science and Humanities, University of WollongongFaculty of Sport and Health Education, Universitas Pendidikan IndonesiaPrecision Health Consultants (PHC Global)Pennington Biomedical Research CenterDepartment of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong KongUnité Mixte de Recherche Nutrition et Alimentation, CNESTEN - Université Ibn Tofail (URAC-39), Regional Designated Center of Nutrition Associated with AFRA/IAEAPrecision Health Consultants (PHC Global)Centre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan MalaysiaDepartment of Sports Science and Clinical Biomechanics, Centre for Active and Healthy Ageing, University of Southern DenmarkDepartment of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong KongDepartment of Biosciences and Nutrition, Karolinska InstitutetCentre of Community Education and Well-being, Faculty of Education, Universiti Kebangsaan MalaysiaInstitute of Public and Preventive Health, Augusta UniversityVadu Rural Health Program, KEM Hospital Research CentreDepartment of Epidemiology, Faculty of Public Health, Pham Ngoc Thach University of MedicineUnité Mixte de Recherche Nutrition et Alimentation, CNESTEN - Université Ibn Tofail (URAC-39), Regional Designated Center of Nutrition Associated with AFRA/IAEADepartamento de Educación Física y Deporte, Universidad de SevillaCentre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan MalaysiaFaculty of Sport and Health Education, Universitas Pendidikan IndonesiaEarly Start, Faculty of the Arts, Social Science and Humanities, University of WollongongDepartment of Health, Medicine and Caring Sciences, Linköping UniversityDepartment of Early Childhood Development, Beijing Municipal Key Laboratory of Child Development and Nutriomics, Capital Institute of PediatricsBiomedical Research FoundationDepartment of Paediatrics, Faculty of Medicine, University of ColomboVadu Rural Health Program, KEM Hospital Research CentreDepartment of Paediatrics, Faculty of Medicine, University of ColomboEarly Start, Faculty of the Arts, Social Science and Humanities, University of WollongongBiomedical Research FoundationDepartment of Epidemiology, Faculty of Public Health, Pham Ngoc Thach University of MedicineDepartment of Early Childhood Development, Beijing Municipal Key Laboratory of Child Development and Nutriomics, Capital Institute of PediatricsSAMRC/Wits Developmental Pathways for Health Research Unit, University of the WitwatersrandAbstract Background The restrictions associated with the 2020 COVID-19 pandemic has resulted in changes to young children’s daily routines and habits. The impact on their participation in movement behaviours (physical activity, sedentary screen time and sleep) is unknown. This international longitudinal study compared young children’s movement behaviours before and during the COVID-19 pandemic. Methods Parents of children aged 3–5 years, from 14 countries (8 low- and middle-income countries, LMICs) completed surveys to assess changes in movement behaviours and how these changes were associated with the COVID-19 pandemic. Surveys were completed in the 12 months up to March 2020 and again between May and June 2020 (at the height of restrictions). Physical activity (PA), sedentary screen time (SST) and sleep were assessed via parent survey. At Time 2, COVID-19 factors including level of restriction, environmental conditions, and parental stress were measured. Compliance with the World Health Organizations (WHO) Global guidelines for PA (180 min/day [≥60 min moderate- vigorous PA]), SST (≤1 h/day) and sleep (10-13 h/day) for children under 5 years of age, was determined. Results Nine hundred- forty-eight parents completed the survey at both time points. Children from LMICs were more likely to meet the PA (Adjusted Odds Ratio [AdjOR] = 2.0, 95%Confidence Interval [CI] 1.0,3.8) and SST (AdjOR = 2.2, 95%CI 1.2,3.9) guidelines than their high-income country (HIC) counterparts. Children who could go outside during COVID-19 were more likely to meet all WHO Global guidelines (AdjOR = 3.3, 95%CI 1.1,9.8) than those who were not. Children of parents with higher compared to lower stress were less likely to meet all three guidelines (AdjOR = 0.5, 95%CI 0.3,0.9). Conclusion PA and SST levels of children from LMICs have been less impacted by COVID-19 than in HICs. Ensuring children can access an outdoor space, and supporting parents’ mental health are important prerequisites for enabling pre-schoolers to practice healthy movement behaviours and meet the Global guidelines.https://doi.org/10.1186/s12889-021-10852-324-h movement behavioursLow- and middle-income countriesPreschoolOutdoorsPlayQuarantine |
| spellingShingle | Anthony D. Okely Katharina E. Kariippanon Hongyan Guan Ellie K. Taylor Thomas Suesse Penny L. Cross Kar Hau Chong Adang Suherman Ali Turab Amanda E. Staiano Amy S. Ha Asmaa El Hamdouchi Aqsa Baig Bee Koon Poh Borja Del Pozo-Cruz Cecilia H. S. Chan Christine Delisle Nyström Denise Koh E. Kipling Webster Himangi Lubree Hong Kim Tang Issad Baddou Jesus Del Pozo-Cruz Jyh Eiin Wong Kuston Sultoni Maria Nacher Marie Löf Mingming Cui Mohammad Sorowar Hossain P. W. Prasad Chathurangana Uddhavi Kand V. P. Pujitha Wickramasinghe Rebecca Calleia Shameema Ferdous Thanh Van Kim Xiaojuan Wang Catherine E. Draper Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countries BMC Public Health 24-h movement behaviours Low- and middle-income countries Preschool Outdoors Play Quarantine |
| title | Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countries |
| title_full | Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countries |
| title_fullStr | Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countries |
| title_full_unstemmed | Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countries |
| title_short | Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countries |
| title_sort | global effect of covid 19 pandemic on physical activity sedentary behaviour and sleep among 3 to 5 year old children a longitudinal study of 14 countries |
| topic | 24-h movement behaviours Low- and middle-income countries Preschool Outdoors Play Quarantine |
| url | https://doi.org/10.1186/s12889-021-10852-3 |
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