scholarly journals Prevalence and trends in Australian adolescents’ adherence to 24-hour movement guidelines: findings from a repeated national cross-sectional survey

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Maree Scully ◽  
Claudia Gascoyne ◽  
Melanie Wakefield ◽  
Belinda Morley
Keyword(s):  
Physical Activity ◽  
Sleep Duration ◽  
Screen Time ◽  
Active Commuting ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Environmental Interventions ◽  
Sedentary Behaviours ◽  
Over Time

Abstract Background 24-hour movement guidelines recommend a healthy balance of high levels of physical activity, low levels of sedentary behaviour and appropriate sleep duration each day. At present, surveillance data on how Australian adolescents are performing against these guidelines are lacking. This study aims to describe the extent to which Australian secondary school students are adhering to the physical activity, sedentary recreational screen time and sleep duration recommendations outlined in the national 24-hour movement guidelines for children and young people. It also examines whether there are socio-demographic differences in levels of compliance and if there have been significant changes in these behaviours over time. Methods A repeated national cross-sectional survey of students in grades 8 to 11 (ages 12-17 years) was conducted in 2009-2010 (n=13,790), 2012-2013 (n=10,309) and 2018 (n=9,102). Students’ self-reported physical activity, screen time and sleep behaviours were assessed using validated instruments administered in schools via a web-based questionnaire. Results In 2018, around one in four students (26%) did not meet any of the 24-hour movement guidelines, while only 2% of students met all three. Adherence to the sleep duration recommendation was highest (67%), with substantially smaller proportions of students meeting the physical activity (16%) and screen time (10%) recommendations. Differences in adherence by sex, grade level and socio-economic area were apparent. Students’ compliance with the screen time recommendation has declined over time, from 19% in 2009-2010 to 10% in 2018. However, there has been no significant change in the proportion meeting the physical activity (15% in 2009-2010 cf. 16% in 2018) and sleep duration (69% in 2009-2010 cf. 67% in 2018) recommendations. Compliance with all three guidelines has remained very low (<3%) across each survey round. Conclusions There is considerable scope to improve Australian adolescents’ physical activity and sedentary behaviours in line with the national 24-hour movement guidelines. Policy proposals and environmental interventions, particularly those focused on replacing sedentary screen time with physical activity (e.g. promotion of active commuting to/from school), are needed to better support Australian adolescents in meeting the 24-hour movement guidelines.

scholarly journals Prevalence and correlates of adherence to movement guidelines among urban and rural children in Mozambique: a cross-sectional study

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Taru Manyanga ◽  
Joel D. Barnes ◽  
Jean-Philippe Chaput ◽  
Peter T. Katzmarzyk ◽  
Antonio Prista ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Duration ◽  
Screen Time ◽  
Cross Sectional Study ◽  
Rural Children ◽  
Sectional Study ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low Middle Income Countries

Abstract Background Insufficient physical activity, short sleep duration, and excessive recreational screen time are increasing globally. Currently, there are little to no data describing prevalences and correlates of movement behaviours among children in low-middle-income countries. The few available reports do not include both urban and rural respondents, despite the large proportion of rural populations in low-middle-income countries. We compared the prevalence of meeting 24-h movement guidelines and examined correlates of meeting the guidelines in a sample of urban and rural Mozambican schoolchildren. Methods This is cross-sectional study of 9–11 year-old children (n = 683) recruited from 10 urban and 7 rural schools in Mozambique. Moderate- to vigorous-intensity physical activity (MVPA) and sleep duration were measured by waist-worn Actigraph GT3X+ accelerometers. Accelerometers were worn 24 h/day for up to 8 days. Recreational screen time was self-reported. Potential correlates of meeting 24-h movement guidelines were directly measured or obtained from validated items of context-adapted questionnaires. Multilevel multivariable logit models were used to determine the correlates of movement behaviours. Meeting 24-h movement guidelines was defined as ≥60 min/day of MVPA, ≤2 h/day of recreational screen time, and between 9 and 11 h/night of sleep. Results More rural (17.7%) than urban (3.6%) children met all three 24-h movement guidelines. Mean MVPA was lower (82.9 ± 29.5 min/day) among urban than rural children (96.7 ± 31.8 min/day). Rural children had longer sleep duration (8.9 ± 0.7 h/night) and shorter recreational screen time (2.7 ± 1.9 h/day) than their urban counterparts (8.7 ± 0.9 h/night and 5.0 ± 2.3 h/day respectively). Parental education (OR: 0.37; CI: 0.16–0.87), school location (OR: 0.21; CI: 0.09–0.52), and outdoor time (OR: 0.67; CI: 0.53–0.85) were significant correlates of meeting all three 24-h movement guidelines. Conclusions Prevalence and correlates of meeting movement guidelines differed between urban and rural schoolchildren in Mozambique. On average, both groups had higher daily MVPA minutes, shorter sleep duration, and higher recreational screen time than the 24-h movement guidelines recommend. These findings (e.g., higher than recommended mean daily MVPA minutes) differ from those from high-income countries and highlight the need to sample from both urban and rural areas.

scholarly journals Is sleep duration associated with self-reported overall health, screen time, and nighttime texting among adolescents?

2019 ◽  
Vol 48 (3) ◽  
pp. 030006051989239
Author(s):  
Pernilla Garmy ◽  
Therese Idecrans ◽  
Malin Hertz ◽  
Ann-Christin Sollerhed ◽  
Peter Hagell
Keyword(s):  
Sleep Duration ◽  
Screen Time ◽  
School Health ◽  
Cross Sectional Survey ◽  
Short Sleep Duration ◽  
Cross Sectional ◽  
Short Sleep ◽  
School Day ◽  
Reported Health ◽  
Health Screen

Objectives We aimed to investigate whether sleep duration is associated with self-reported overall health, screen time, and nighttime texting among Swedish adolescents. Methods This was a cross-sectional survey of students (n = 1518) aged 13 to 15 years (50.7% girls) in southern Sweden. Results Fewer than 8 hours sleep duration before a school day was reported by 31% of students. The median time spent watching television and/or at the computer was 3 hours, and 43% of students reported texting at night one or more times per week. Sleeping fewer than 8 hours was significantly associated with poorer self-reported overall health, often being tired at school, increased screen time, and a habit of nighttime texting. Conclusions Short sleep duration (<8 hours) was associated with poor self-reported health, increased screen time, and nighttime texting among respondents. These results provide information for parents, educators, and school health professionals to encourage young people to adopt healthy screen habits and sleep hygiene.

scholarly journals Factors Associated with Students Meeting Components of Canada’s New 24-Hour Movement Guidelines over Time in the COMPASS Study

2020 ◽  
Vol 17 (15) ◽  
pp. 5326 ◽  
Author(s):  
M. Claire Buchan ◽  
Valerie Carson ◽  
Guy Faulkner ◽  
Wei Qian ◽  
Scott T. Leatherdale
Keyword(s):  
Physical Activity ◽  
Parental Support ◽  
Screen Time ◽  
Sport Participation ◽  
Public Health Practice ◽  
Future Research ◽  
School Students ◽  
Cross Sectional ◽  
Community Sport ◽  
The Individual

This study aimed to determine if secondary school students are meeting the new Canadian 24-Hour Movement Guidelines (24-MG), as well as each individual recommendation (physical activity; sleep; sedentary behavior) within the 24-MG, and which student-level characteristics predict meeting the 24-MG, both cross-sectionally and longitudinally. This study is the first to examine longitudinal changes in students meeting the 24-MG, as well as student-level characteristics that were predictive of favourable shifts in movement patterns. Cross-sectional data were obtained for 11,793 grade 9 students across Canada as part of the COMPASS study. Of this sample, 3713 students provided linked follow-up data from grade 9 to grade 12. The probability of meeting the guidelines was modeled using two-level logistic regression analyses, adjusting for student-level co-variates and school clustering. Only 1.28% (p < 0.0001) of the sample met the overall 24-MG. Among grade 9 students, 35.9% (p < 0.0001), 50.8% (p < 0.0001), and 6.4% (p < 0.0001) were meeting the individual recommendations for physical activity, sleep, and screen time, respectively. Of those students, less than half were still meeting them by grade 12. Community sport participation was the only predictor of all three individual recommendations within the 24-MG. Longitudinal analyses found that community sport participation and parental support and encouragement were significantly associated with Grade 12 students starting to meet the physical activity and screen time recommendations, respectively, after having not met them in grade 9. Findings can be used to inform policy and public health practice, as well as to inform future research examining causal relationships between the variables.

scholarly journals Physical Activity Correlates in Middle School Adolescents: Perceived Benefits and Barriers and Their Determinants

2018 ◽  
Vol 35 (5) ◽  
pp. 348-358 ◽  
Author(s):  
Sarah E. Roth ◽  
Monique Gill ◽  
Alec M. Chan-Golston ◽  
Lindsay N. Rice ◽  
Catherine M. Crespi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Middle School ◽  
Los Angeles ◽  
Physical Education Teachers ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Hierarchical Logistic Regression ◽  
Collaborative Efforts

The purpose of this study was to examine the determinants of benefits and barriers and their relationship with physical activity (PA) among predominantly Latino middle school students. Data were collected in a cross-sectional survey of 4,773 seventh-grade students recruited from a large, urban school district in Los Angeles. Hierarchical logistic regression models were used to assess determinants of benefits and barriers as well as their association with self-reported PA. Differences in benefits and barriers were observed by gender, ethnicity, and body size. Barriers were negatively correlated with all three PA outcomes while benefits were positively associated with exercising at least 60 min daily. A deeper understanding of benefits and barriers can facilitate the development of interventions and collaborative efforts among physical education teachers, school nurses, and administrators to implement comprehensive approaches that encourage students’ participation in PA inside and outside of the classroom.

scholarly journals Correlates of Social Support and its Association With Physical Activity Among Young Adolescents

2017 ◽  
Vol 45 (2) ◽  
pp. 207-216 ◽  
Author(s):  
Monique Gill ◽  
Alec M. Chan-Golston ◽  
Lindsay N. Rice ◽  
Sarah E. Roth ◽  
Catherine M. Crespi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Young Adolescents ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Friend Support ◽  
Logistic Regression Models ◽  
Hierarchical Logistic Regression ◽  
Psychosocial Influences

Background. A substantial proportion of adolescents, particularly girls and minority youth, fail to meet daily physical activity (PA) recommendations. Social support contributes to adolescent PA, but studies examining this relationship have yielded inconsistent results and rarely focus on diverse, urban populations. Aims. This study examines the correlates of support for PA from family and friends and its relationship with PA outcomes among young adolescents. Methods. Data were collected in a cross-sectional survey of 4,773 middle school students. Social support from family and friends was separately measured using the Sallis Support for Exercise Scales. Hierarchical logistic regression models were used to assess correlates of high support and the relationship between support and self-reported PA. Results. Approximately one quarter of students reported being active for at least an hour each day. 31.7% of students reported high family support for PA, while 17.8% reported high friend support. Differences in perceptions of support by gender, ethnicity, and language emerged. Support from family and friends were both consistently strong predictors of all three PA outcomes measured. Discussion. Findings highlight the need for multilevel interventions targeting both psychosocial influences on behavior in addition to addressing the physical environment. Given low rates of friend support for PA, there appears to be an opportunity to increase PA levels through promotion of supportive behaviors among peers. Conclusion. Support for PA from family and friends is a key contributor to increased PA among adolescents. Further research is needed to further understand the mechanisms by which these factors influence PA.

scholarly journals Associations between pain, self-efficacy, sleep duration, and symptoms of depression in adolescents: a cross-sectional survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kristin Haraldstad ◽  
Tonje Holte Stea
Keyword(s):  
High School Students ◽  
Sleep Duration ◽  
Self Efficacy ◽  
Cross Sectional Survey ◽  
School Students ◽  
Short Sleep Duration ◽  
Cross Sectional ◽  
Short Sleep ◽  
Symptoms Of Depression ◽  
Daily Pain

Abstract Background Although pain has been identified as an important public health problem among adolescents, few studies have investigated possible protective and risk factors for pain. The main aim of the present study was to investigate associations between prevalence of daily pain, self-efficacy, sleep duration, and symptoms of depression in a representative sample of Norwegian adolescents. Methods A comprehensive cross-sectional survey was completed by 12,867 junior high school students and high school students (response rate: 90%) aged 14–19 years. Logistic regression models were adjusted for age, gender, and parental educational level. Results We found a high prevalence of daily pain among adolescents, especially among girls (19%) compared with boys (7%). Short sleep duration was associated with increased odds ratios (ORs) of pain in the shoulders/neck (OR 1.3; 95% CI 1.3–2.0) and stomach (1.7; 1.2–2.4). Symptoms of depression were associated with increased ORs for all measured types of daily pain, including head (3.7; 3.0–4.6), shoulders/neck (3.9; 3.1–4.8), joints/muscles (4.3; 3.3–5.6), and stomach (5.5; 4.1–7.4). By contrast, self-efficacy was not associated with any form of daily pain. Conclusion Given the burden of pain, high incidence of pain problems, and strong association between pain and depression and, to some degree, short sleep duration, co-occurring symptoms may be an important area for research in the public health field. The results highlight the importance of early identification and prevention. Longitudinal studies are needed to understand better pain problems and their underlying mechanisms with the aim of developing targeted interventions.

scholarly journals Skipping Breakfast and a Meal at School: Its Correlates in Adiposity Context. Report from the ABC of Healthy Eating Study of Polish Teenagers

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1563 ◽  
Author(s):  
Lidia Wadolowska ◽  
Jadwiga Hamulka ◽  
Joanna Kowalkowska ◽  
Natalia Ulewicz ◽  
Magdalena Gornicka ◽  
...  
Keyword(s):  
Physical Activity ◽  
Screen Time ◽  
Short Form ◽  
Female Gender ◽  
Nutrition Knowledge ◽  
Central Adiposity ◽  
School Students ◽  
Cross Sectional ◽  
Skipping Breakfast ◽  
General Adiposity

Little is known on skipping breakfast and a meal at school, especially considered together. The study identified nutrition knowledge-related, lifestyle (including diet quality, physical activity, and screen time) and socioeconomic correlates of skipping breakfast and a meal at school, considered together or alone and assessed the association of skipping these meals with adiposity markers in Polish teenagers. The sample consisted of 1566 fourth and fifth grade elementary school students (11–13 years). The study was designed as a cross-sectional study. Data related to the consumption of selected food items and meals, physical activity, screen time, sociodemographic factors, and nutrition knowledge (all self-reported) were collected (in 2015–2016) with a short form of a food frequency questionnaire. Respondents reported the usual consumption of breakfast (number of days/week) and a meal or any food eaten at school (number of school days/week) labelled as ‘a meal at school’. The measurements of body weight, height, and waist circumference were taken. BMI-for-age ≥25 kg/m2 was considered as a marker of overweight/obesity (general adiposity), while waist-to-height ratio ≥0.5 as a marker of central obesity (central adiposity). A multivariate logistic regression was applied to verify the association between variables. A total of 17.4% of teenagers frequently skipped breakfast (4–7 days/week), 12.9% frequently skipped a meal at school (3–5 school days/week), while 43.6% skipped both of these meals a few times a week. Predictors of skipping breakfast and/or a meal at school were female gender, age over 12 years, urban residence, lower family affluence, lower nutrition knowledge, higher screen time, and lower physical activity. In comparison to “never-skippers,” “frequent breakfast skippers” were more likely to be overweight/obese (odds ratio, OR 1.89; 95% confidence interval, 95%CI 1.38, 2.58) and centrally obese (OR 1.63; 95%CI 1.09, 2.44), while skippers a few times a week of both of these meals were more likely to be overweight/obese (OR 1.37; 95%CI 1.06, 1.78). Concluding, we estimated that a large percentage of Polish teenagers (approx. 44%) usually skipped both breakfast and a meal at school a few times a week. Similar predictors of skipping breakfast and predictors of skipping a meal at school were identified. Special attention should be paid to promoting shortening screen time and increasing physical activity and teenagers’ nutrition knowledge which are relatively easily modifiable correlates. The study shows that skipping both of these meals a few times a week was associated with general adiposity and also strengthens previous evidence showing the association of frequent skipping breakfast with general and central adiposity.

scholarly journals Associations between Adherence to Combinations of 24-h Movement Guidelines and Overweight and Obesity in Japanese Preschool Children

2020 ◽  
Vol 17 (24) ◽  
pp. 9320
Author(s):  
Hyunshik Kim ◽  
Jiameng Ma ◽  
Kenji Harada ◽  
Sunkyoung Lee ◽  
Ying Gu
Keyword(s):  
Physical Activity ◽  
Preschool Children ◽  
Sleep Duration ◽  
Screen Time ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Intervention Programs ◽  
Cross Sectional ◽  
Public Health Policies ◽  
The Status

The interactions between movement behaviors (physical activity, screen time, and sleep) affect the health of preschool children. Therefore, we examined the status of adherence to combinations of 24-hour movement guidelines (24-h MG) in Japanese preschool children and determined the associations between overweight/obesity and adherence to these 24-h MG. This cross-sectional study was conducted with 421 children aged 3–5 years (216 boys and 199 girls) living in the northeastern region of Japan. To evaluate the 24-h MG, physical activity over one week was measured using a three-axis accelerometer. For screen time and sleep duration, a questionnaire survey was conducted. Children who failed to meet all the 24-h MG had a higher probability of overweight/obesity than those who met all the 24-h MG (odds ratio 1.139, 95% confidence interval: 1.009, 1.285). The percentage of adherence to the 24-h MG was 91.6% for physical activity, 82.5% for sleep duration, and 33.7% for screen time, and only 21.5% of the children adhered to all three areas of the guidelines. Our findings have important implications for developing public health policies and effective intervention programs for preschool children.

scholarly journals 24-h Movement Guidelines and Substance Use among Adolescents: A School-Based Cross-Sectional Study

2021 ◽  
Vol 18 (6) ◽  
pp. 3309
Author(s):  
Hugues Sampasa-Kanyinga ◽  
Ian Colman ◽  
Gary S. Goldfield ◽  
Ian Janssen ◽  
JianLi Wang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Substance Use ◽  
Alcohol Consumption ◽  
Cigarette Smoking ◽  
Sleep Duration ◽  
Screen Time ◽  
Vigorous Physical Activity ◽  
Cross Sectional Study ◽  
Cannabis Use ◽  
Cross Sectional

Children and youth are recommended to achieve at least 60 min/day of moderate-to-vigorous physical activity, no more than 2 h/day of recreational screen time, and a sleep duration of 9–11 h/night for 11–13-year-olds or 8–10 h/night for 14–17-year-olds. Meeting the physical activity, screen time, and sleep duration recommendations have previously been associated with substance use among adolescents. However, previous research has mainly examined these factors individually rather than looking at how these indicators could concurrently relate to substance use in this age group. Therefore, this study examined the associations between meeting the 24-h movement guidelines for screen time, sleep duration, and physical activity (independent variables) with substance use outcomes including alcohol consumption, cannabis use, and cigarette smoking (dependent variables) among adolescents. Self-reported data from a cross-sectional and representative sample of 10,236 students (mean age = 15.1 years) in Ontario, Canada were analyzed. Logistic regression models stratified by gender were adjusted for potential confounders. Combinations of 24-h movement guidelines was differentially associated with substance use in boys and girls. Overall, findings showed that meeting 24-h movement guidelines is associated with lower odds of alcohol consumption, cannabis use, and cigarette smoking differentially with type of recommendation met and gender. Given that the associations between 24-h movement guidelines and substance use differ between boys and girls, future efforts should take this into consideration.

Physical Activity, Sedentary Behavior and the Risk of Overweight and Obesity in School-Aged Children

2017 ◽  
Vol 29 (3) ◽  
pp. 408-418 ◽  
Author(s):  
Eimear Keane ◽  
Xia Li ◽  
Janas M. Harrington ◽  
Anthony P. Fitzgerald ◽  
Ivan J. Perry ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Screen Time ◽  
Sedentary Time ◽  
Vigorous Physical Activity ◽  
Overweight And Obesity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk ◽  
Independent Association

Purpose:Globally, public health policies are targeting modifiable lifestyle behaviors. We explore the independent association of moderate-to-vigorous physical activity (MVPA) and sedentary behavior on the risk of childhood overweight/obesity.Method:A cross-sectional survey of children aged 8–11 years (N = 826). Objective body mass index was used to classify children as normal weight or overweight/obese. Children wore wrist-worn Geneactiv accelerometers for 7-days and thresholds were applied to categorize MVPA and sedentary time. Screen time (ST) was parent reported. Poisson regression examined the independent association of (1) MVPA (2), objective sedentary time and (3) ST on the risk of overweight/obesity.Results:Overall, 23.7% (95% CI, 20.8–26.6%) of children were overweight/obese. On average, children spent 10.8% of waking time at MVPA and 61.3% sedentary. One-fifth (22.1%, 95% CI, 19.3–25.0%) of children achieved MVPA recommendations (≥ 60 min each day) and 17.5% (95% CI, 14.9–20.1%) met ST recommendations (<2 hr per day). Time spent at MVPA was inversely associated with the risk of overweight/obese independent of total sedentary time. Total time spent sedentary was not associated with overweight/obese independent of MVPA. ST was associated with an increased risk of overweight/obese independent of physical activity.Conclusion:Few schoolchildren met physical activity and screen time recommendations suggesting population based measures are needed.

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