Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study

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dc.contributor.authorRoman-Viñas, Blanca
dc.contributor.authorChaput, Jean-Philippe
dc.contributor.authorKatzmarzyk, Peter T
dc.contributor.authorFogelholm, Mikael
dc.contributor.authorLambert, Estelle V
dc.contributor.authorMaher, Carol
dc.contributor.authorMaia, José
dc.contributor.authorOlds, Timothy
dc.contributor.authorOnywera, Vincent
dc.contributor.authorSarmiento, Olga L
dc.contributor.authorStandage, Martyn
dc.contributor.authorTudor-Locke, Catrine
dc.contributor.authorTremblay, Mark S
dc.date.accessioned2021-10-08T07:04:19Z
dc.date.available2021-10-08T07:04:19Z
dc.date.issued2016
dc.description.abstractAbstract 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.apacitationRoman-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. <i>International Journal of Behavioral Nutrition and Physical Activity</i>, 13(1), 174 - 177. http://hdl.handle.net/11427/34479en_ZA
dc.identifier.chicagocitationRoman-Viñas, Blanca, Jean-Philippe Chaput, Peter T Katzmarzyk, Mikael Fogelholm, Estelle V Lambert, Carol Maher, José Maia, et al "Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study." <i>International Journal of Behavioral Nutrition and Physical Activity</i> 13, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34479en_ZA
dc.identifier.citationRoman-Viñas, B., Chaput, J., Katzmarzyk, P.T., Fogelholm, M., Lambert, E.V., Maher, C., Maia, J. & Olds, T. et al. 2016. Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study. <i>International Journal of Behavioral Nutrition and Physical Activity.</i> 13(1):174 - 177. http://hdl.handle.net/11427/34479en_ZA
dc.identifier.issn1479-5868
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, José AU - Olds, Timothy AU - Onywera, Vincent AU - Sarmiento, Olga L AU - Standage, Martyn AU - Tudor-Locke, Catrine AU - Tremblay, Mark S AB - 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). DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - International Journal of Behavioral Nutrition and Physical Activity LK - https://open.uct.ac.za PY - 2016 SM - 1479-5868 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/11427/34479 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34479
dc.identifier.vancouvercitationRoman-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. International Journal of Behavioral Nutrition and Physical Activity. 2016;13(1):174 - 177. http://hdl.handle.net/11427/34479.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Human Biology
dc.publisher.facultyFaculty of Health Sciences
dc.sourceInternational Journal of Behavioral Nutrition and Physical Activity
dc.source.journalissue1
dc.source.journalvolume13
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12966-016-0449-8
dc.subject.otherChildren
dc.subject.otherObesity
dc.subject.otherPhysical activity
dc.subject.otherPrevalence
dc.subject.otherRecommendations
dc.subject.otherScreen time
dc.subject.otherSleep
dc.subject.otherAccelerometry
dc.subject.otherAdiposity
dc.subject.otherAustralia
dc.subject.otherBody Mass Index
dc.subject.otherBody Weight
dc.subject.otherCanada
dc.subject.otherChild
dc.subject.otherCross-Sectional Studies
dc.subject.otherDiet
dc.subject.otherExercise
dc.subject.otherFeeding Behavior
dc.subject.otherFemale
dc.subject.otherGuidelines as Topic
dc.subject.otherHumans
dc.subject.otherMale
dc.subject.otherOdds Ratio
dc.subject.otherPediatric Obesity
dc.subject.otherSedentary Lifestyle
dc.subject.otherSelf Report
dc.subject.otherJournal Article
dc.titleProportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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