Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study
| dc.contributor.author | Roman-Viñas, Blanca | |
| dc.contributor.author | Chaput, Jean-Philippe | |
| dc.contributor.author | Katzmarzyk, Peter T | |
| dc.contributor.author | Fogelholm, Mikael | |
| dc.contributor.author | Lambert, Estelle V | |
| dc.contributor.author | Maher, Carol | |
| dc.contributor.author | Maia, Jose | |
| dc.contributor.author | Olds, Timothy | |
| dc.contributor.author | Onywera, Vincent | |
| dc.contributor.author | Sarmiento, Olga L | |
| dc.contributor.author | Standage, Martyn | |
| dc.contributor.author | Tudor-Locke, Catrine | |
| dc.contributor.author | Tremblay, Mark S | |
| dc.date.accessioned | 2017-03-16T11:03:49Z | |
| dc.date.available | 2017-03-16T11:03:49Z | |
| dc.date.issued | 2016-11-25 | |
| dc.date.updated | 2016-11-25T19:03:09Z | |
| dc.description.abstract | Background: The Canadian 24-h movement guidelines were developed with the hope of improving health and future health outcomes in children and youth. The purpose of this study was to evaluate adherence to the 3 recommendations most strongly associated with health outcomes in new 24-h movement guidelines and their relationship with adiposity (obesity and body mass index z-score) across countries participating in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). Methods: Cross-sectional results were based on 6128 children aged 9–11 years from the 12 countries of ISCOLE. Sleep duration and moderate-to-vigorous physical activity (MVPA) were assessed using accelerometry. Screen time was measured through self-report. Body weight and height were measured. Body mass index (BMI, kg · m−2) was calculated, and BMI z-scores were computed using age- and sex-specific reference data from the World Health Organization. Obesity was defined as a BMI z-score > +2 SD. Meeting the overall 24-h movement guidelines was defined as: 9 to 11 h/night of sleep, ≤2 h/day of screen time, and at least 60 min/day of MVPA. Age, sex, highest parental education and unhealthy diet pattern score were included as covariates in statistical models. Associations between meeting vs. not meeting each single recommendation (and combinations) with obesity were assessed with odds ratios calculated using generalized linear mixed models. A linear mixed model was used to examine the differences in BMI z-scores between children meeting vs. not meeting the different combinations of recommendations. Results: The global prevalence of children meeting the overall recommendations (all three behaviors) was 7%, with children from Australia and Canada showing the highest adherence (15%). Children meeting the three recommendations had lower odds ratios for obesity compared to those meeting none of the recommendations (OR = 0.28, 95% CI 0.18–0.45). Compared to not meeting the 24-h movement recommendations either independently or combined, meeting them was significantly associated with a lower BMI z-score. Whenever the MVPA recommendation was included in the analysis the odds ratios for obesity were lower. Conclusions: For ISCOLE participants meeting these 3 healthy movement recommendations the odds ratios of being obese or having high BMI z-scores were lower. However, only a small percentage of children met all recommendations. Future efforts should aim to find promising ways to increase daily physical activity, reduce screen time, and ensure an adequate night’s sleep in children. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) was registered at ClinicalTrials.gov (Identifier NCT01722500) (October 29, 2012). | |
| dc.identifier.apacitation | Roman-Viñas, B., Chaput, J., Katzmarzyk, P. T., Fogelholm, M., Lambert, E. V., Maher, C., ... Tremblay, M. S. (2016). Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study. http://hdl.handle.net/11427/24046 | en_ZA |
| dc.identifier.chicagocitation | Roman-Viñas, Blanca, Jean-Philippe Chaput, Peter T Katzmarzyk, Mikael Fogelholm, Estelle V Lambert, Carol Maher, Jose Maia, et al "Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study." (2016) http://hdl.handle.net/11427/24046 | en_ZA |
| dc.identifier.citation | Roman-Viñas, B., Chaput, J. P., Katzmarzyk, P. T., Fogelholm, M., Lambert, E. V., Maher, C., ... & Standage, M. (2016). Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study. International Journal of Behavioral Nutrition and Physical Activity, 13(1), 123. | |
| dc.identifier.ris | TY - Journal Article AU - Roman-Viñas, Blanca AU - Chaput, Jean-Philippe AU - Katzmarzyk, Peter T AU - Fogelholm, Mikael AU - Lambert, Estelle V AU - Maher, Carol AU - Maia, Jose AU - Olds, Timothy AU - Onywera, Vincent AU - Sarmiento, Olga L AU - Standage, Martyn AU - Tudor-Locke, Catrine AU - Tremblay, Mark S AB - Background: The Canadian 24-h movement guidelines were developed with the hope of improving health and future health outcomes in children and youth. The purpose of this study was to evaluate adherence to the 3 recommendations most strongly associated with health outcomes in new 24-h movement guidelines and their relationship with adiposity (obesity and body mass index z-score) across countries participating in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). Methods: Cross-sectional results were based on 6128 children aged 9–11 years from the 12 countries of ISCOLE. Sleep duration and moderate-to-vigorous physical activity (MVPA) were assessed using accelerometry. Screen time was measured through self-report. Body weight and height were measured. Body mass index (BMI, kg · m−2) was calculated, and BMI z-scores were computed using age- and sex-specific reference data from the World Health Organization. Obesity was defined as a BMI z-score > +2 SD. Meeting the overall 24-h movement guidelines was defined as: 9 to 11 h/night of sleep, ≤2 h/day of screen time, and at least 60 min/day of MVPA. Age, sex, highest parental education and unhealthy diet pattern score were included as covariates in statistical models. Associations between meeting vs. not meeting each single recommendation (and combinations) with obesity were assessed with odds ratios calculated using generalized linear mixed models. A linear mixed model was used to examine the differences in BMI z-scores between children meeting vs. not meeting the different combinations of recommendations. Results: The global prevalence of children meeting the overall recommendations (all three behaviors) was 7%, with children from Australia and Canada showing the highest adherence (15%). Children meeting the three recommendations had lower odds ratios for obesity compared to those meeting none of the recommendations (OR = 0.28, 95% CI 0.18–0.45). Compared to not meeting the 24-h movement recommendations either independently or combined, meeting them was significantly associated with a lower BMI z-score. Whenever the MVPA recommendation was included in the analysis the odds ratios for obesity were lower. Conclusions: For ISCOLE participants meeting these 3 healthy movement recommendations the odds ratios of being obese or having high BMI z-scores were lower. However, only a small percentage of children met all recommendations. Future efforts should aim to find promising ways to increase daily physical activity, reduce screen time, and ensure an adequate night’s sleep in children. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) was registered at ClinicalTrials.gov (Identifier NCT01722500) (October 29, 2012). DA - 2016-11-25 DB - OpenUCT DO - 10.1186/s12966-016-0449-8 DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study TI - Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study UR - http://hdl.handle.net/11427/24046 ER - | en_ZA |
| dc.identifier.uri | http://dx.doi.org/10.1186/s12966-016-0449-8 | |
| dc.identifier.uri | http://hdl.handle.net/11427/24046 | |
| dc.identifier.vancouvercitation | Roman-Viñas B, Chaput J, Katzmarzyk PT, Fogelholm M, Lambert EV, Maher C, et al. Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study. 2016; http://hdl.handle.net/11427/24046. | en_ZA |
| dc.language.iso | en | |
| dc.publisher | BioMed Central | |
| dc.publisher.department | MRC/UCT RU for Exercise and Sport Medicine | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights | This article is distributed under the terms of the Creative Commons Attribution 4.0 | |
| dc.rights.holder | The Author(s). | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject.other | Physical activity | |
| dc.subject.other | Screen time | |
| dc.subject.other | Sleep | |
| dc.subject.other | Recommendations | |
| dc.subject.other | Obesity | |
| dc.subject.other | Children | |
| dc.subject.other | Prevalence | |
| dc.title | Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study | |
| dc.type | Journal Article | |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |