Compliance with the Australian 24-hour movement guidelines for the early years: associations with weight status
Abstract Background For effective public health and surveillance it is important to document the proportion of young children who meet the new Australian Integrated 24 h Movement Guidelines for the Early Years and how these associate with health outcomes. We aimed to (i) assess compliance with the n...
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-017-4857-8 |
| _version_ | 1818963616828751872 |
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| author | Rute Santos Zhiguang Zhang João R. Pereira Eduarda Sousa-Sá Dylan P. Cliff Anthony D. Okely |
| author_facet | Rute Santos Zhiguang Zhang João R. Pereira Eduarda Sousa-Sá Dylan P. Cliff Anthony D. Okely |
| author_sort | Rute Santos |
| collection | DOAJ |
| description | Abstract Background For effective public health and surveillance it is important to document the proportion of young children who meet the new Australian Integrated 24 h Movement Guidelines for the Early Years and how these associate with health outcomes. We aimed to (i) assess compliance with the new Integrated 24 h Movement Guidelines for the Early Years in a sample of Australian toddlers; and (ii) ascertain whether compliance with the guidelines associates with weight status. Methods The sample comprised 202 toddlers (104 girls) aged 19.74 ± 4.07 months from the GET UP! Study. Participants wore accelerometers (Actigraph GT3X+) for 24 h over 7 consecutive days to assess physical activity, sedentary time and sleep. Parents reported participants’ screen time. Weight and height were measured and body mass index (BMI) z-scores by age and sex were calculated. Analysis of Covariance (ANCOVA) was performed to test differences in BMI z-scores between participants complying with (i) none or any individual guideline, (ii) any combination of meeting two guidelines, and (iii) those who met all three guidelines, adjusting for child age, gender and socioeconomic status. Results Only 8.9% of the sample met the overall 24 h movement guidelines. Most of the sample met the physical activity (96.5%) and sleep (79.7%) guidelines but only 11.4% met the sedentary behavior guideline. Average BMI Z-scores did not significantly differ between children who complied with none or any individual guideline, any combination of meeting two guidelines, and those who met all three guidelines (p > 0.05). Although the lack of significant differences, participants who accomplished any combination of two guidelines or all three guidelines appear to have had a lower BMI Z-score than those complying with one of the guidelines or none. Conclusions Just under 9% of our sample met the overall Australian 24 h Movement Guidelines for the Early Years. BMI was not associated with the accomplishment of any of the 24-h Movement Guidelines. Strategies to promote adherence to the 24-h movement guidelines in toddlers, particularly for screen time, are necessary, as promoting health-related behaviors in early childhood has the potential to provide children a strong foundation for lifelong physical and mental health. |
| first_indexed | 2024-12-20T12:48:03Z |
| format | Article |
| id | doaj.art-ef3e58fb34124c918edb8d3119bfade8 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-20T12:48:03Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-ef3e58fb34124c918edb8d3119bfade82022-12-21T19:40:15ZengBMCBMC Public Health1471-24582017-11-0117S519920510.1186/s12889-017-4857-8Compliance with the Australian 24-hour movement guidelines for the early years: associations with weight statusRute Santos0Zhiguang Zhang1João R. Pereira2Eduarda Sousa-Sá3Dylan P. Cliff4Anthony D. Okely5Early 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 WollongongEarly Start, Faculty of Social Sciences, University of WollongongAbstract Background For effective public health and surveillance it is important to document the proportion of young children who meet the new Australian Integrated 24 h Movement Guidelines for the Early Years and how these associate with health outcomes. We aimed to (i) assess compliance with the new Integrated 24 h Movement Guidelines for the Early Years in a sample of Australian toddlers; and (ii) ascertain whether compliance with the guidelines associates with weight status. Methods The sample comprised 202 toddlers (104 girls) aged 19.74 ± 4.07 months from the GET UP! Study. Participants wore accelerometers (Actigraph GT3X+) for 24 h over 7 consecutive days to assess physical activity, sedentary time and sleep. Parents reported participants’ screen time. Weight and height were measured and body mass index (BMI) z-scores by age and sex were calculated. Analysis of Covariance (ANCOVA) was performed to test differences in BMI z-scores between participants complying with (i) none or any individual guideline, (ii) any combination of meeting two guidelines, and (iii) those who met all three guidelines, adjusting for child age, gender and socioeconomic status. Results Only 8.9% of the sample met the overall 24 h movement guidelines. Most of the sample met the physical activity (96.5%) and sleep (79.7%) guidelines but only 11.4% met the sedentary behavior guideline. Average BMI Z-scores did not significantly differ between children who complied with none or any individual guideline, any combination of meeting two guidelines, and those who met all three guidelines (p > 0.05). Although the lack of significant differences, participants who accomplished any combination of two guidelines or all three guidelines appear to have had a lower BMI Z-score than those complying with one of the guidelines or none. Conclusions Just under 9% of our sample met the overall Australian 24 h Movement Guidelines for the Early Years. BMI was not associated with the accomplishment of any of the 24-h Movement Guidelines. Strategies to promote adherence to the 24-h movement guidelines in toddlers, particularly for screen time, are necessary, as promoting health-related behaviors in early childhood has the potential to provide children a strong foundation for lifelong physical and mental health.http://link.springer.com/article/10.1186/s12889-017-4857-8AdiposityBody mass indexRecommendationsPhysical activitySedentary behaviorChildhood |
| spellingShingle | Rute Santos Zhiguang Zhang João R. Pereira Eduarda Sousa-Sá Dylan P. Cliff Anthony D. Okely Compliance with the Australian 24-hour movement guidelines for the early years: associations with weight status BMC Public Health Adiposity Body mass index Recommendations Physical activity Sedentary behavior Childhood |
| title | Compliance with the Australian 24-hour movement guidelines for the early years: associations with weight status |
| title_full | Compliance with the Australian 24-hour movement guidelines for the early years: associations with weight status |
| title_fullStr | Compliance with the Australian 24-hour movement guidelines for the early years: associations with weight status |
| title_full_unstemmed | Compliance with the Australian 24-hour movement guidelines for the early years: associations with weight status |
| title_short | Compliance with the Australian 24-hour movement guidelines for the early years: associations with weight status |
| title_sort | compliance with the australian 24 hour movement guidelines for the early years associations with weight status |
| topic | Adiposity Body mass index Recommendations Physical activity Sedentary behavior Childhood |
| url | http://link.springer.com/article/10.1186/s12889-017-4857-8 |
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