scholarly journals Understanding the influence of 24-hour movement behaviours on the health and development of preschool children from low-income South African settings: the SUNRISE pilot study

2020 ◽  
Vol 32 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Catherine Draper ◽  
Simone A Tomaz ◽  
Caylee J Cook ◽  
Sasha S Jugdav ◽  
Candice Ramsammy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Preschool Children ◽  
Pilot Study ◽  
Sedentary Behaviour ◽  
South African ◽  
Motor Skills ◽  
Low Income ◽  
Screen Time ◽  
Early Years ◽  
Gross Motor

Background: The International Study of Movement Behaviours in the Early Years, SUNRISE, was initiated to assess the extent to which young children meet movement behaviour guidelines (physical activity, sedentary behaviour, screen time, sleep). Objective: The South African SUNRISE pilot study assessed movement behaviours in preschool children from two low-income settings, and associations between these movement behaviours, adiposity, motor skills and executive function (EF). Methods: Preschool child/parent pairs (n = 89) were recruited from preschools in urban Soweto and rural Sweetwaters. Height and weight were measured to assess adiposity. Physical activity was assessed using accelerometers while sedentary behaviour, screen time and sleep were assessed via parent report. Fine and gross motor development were measured using the Ages and Stages Questionnaire-3, and EF was assessed using the Early Years Toolbox. Results: The proportion of children meeting the physical activity guideline was 84% , 66% met the sleep guideline ,48% met the screen time guideline , and 26% met all three guidelines. Rural children were more active, but spent more time on screens compared to urban children. Most children were on track for gross (96%) and fine motor (73%) development, and mean EF scores were in the expected range for all EF measures. EF was negatively associated with screen time, and gross motor skills were positively associated with physical activity. Conclusion: The South African SUNRISE study contributes to the growing literature on 24-hour movement behaviours in SA preschool children, and highlights that these behaviours require attention in this age group.

Associations of physical activity and gross motor skills with executive function in preschool children from low-income South African settings

2019 ◽  
Vol 22 (5) ◽  
pp. e12820 ◽  
Author(s):  
Caylee J. Cook ◽  
Steven J. Howard ◽  
Gaia Scerif ◽  
Rhian Twine ◽  
Kathleen Kahn ◽  
...  
Keyword(s):  
Physical Activity ◽  
Executive Function ◽  
Preschool Children ◽  
South African ◽  
Motor Skills ◽  
Low Income ◽  
Gross Motor ◽  
Gross Motor Skills

scholarly journals International study of 24-h movement behaviors of early years (SUNRISE): a pilot study from Bangladesh

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Sorowar Hossain ◽  
Iztiba M. Deeba ◽  
Mahmudul Hasan ◽  
Katharina E. Kariippanon ◽  
Kar Hau Chong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Preschool Children ◽  
Pilot Study ◽  
Sedentary Behavior ◽  
Motor Skills ◽  
Screen Time ◽  
Early Years ◽  
World Health ◽  
Who Guidelines ◽  
The Impact

Abstract Background The World Health Organization (WHO) released guidelines for physical activity, sedentary behavior, and sleep for children under 5 years of age in 2019. In response to these guidelines, this pilot study aimed to (i) determine the proportion of preschool children (ages 3-4 years) who met the WHO guidelines; (ii) examine the feasibility of the proposed protocol for the SUNRISE study; and (iii) assess the impact of the COVID-19 pandemic on movement behaviors of preschool children in Bangladesh. Methods Time spent in physical activity, sedentary behavior and sleep were objectively measured using two types of accelerometers (ActiGraph wGT3x-BT and ActivPAL4). Screen time and sleep quality were assessed via parent questionnaire. Fine and gross motor skills were measured using the Ages and Stages Questionnaire (3rd edition). Three executive functions were assessed using the Early Years Toolbox. Focus groups were conducted with parents and childcare staff to determine the feasibility of the protocol. Follow-up data during COVID-19 pandemic was collected from parents over phone. Results Data from 63 preschool-aged children and their parents was analyzed in this pilot study. Only three children (4.7%) met all components of the WHO guidelines. Separately, children meeting physical activity, sedentary screen time and sleep guidelines were 71.9%, 17.5%, and 59.7% respectively. The proportion of all children who were developmentally on-track for the gross and fine motor skills was 58.7% and 50.8%, respectively. Parents and educators reported that the protocol was feasible except for the activPAL-4 accelerometer. Approximately, 39% of children (14 out of 37) who wore this device developed itchy skin and rashes resulting in the suspension of using this device mid-way through data collection. During COVID-19, there was a significant decrease in children’s total physical activity (− 193 min/day), and time spent outside on weekdays (− 75 min/day) and weekend days (− 131 min/day) and a significant increase in sedentary screen time (+85 min/day). Conclusion Only a low proportion of children met the WHO guidelines. Methods and devices (except ActivPAL4) used in this pilot study proved to be feasible and this has paved the way to conduct the main SUNRISE study in Bangladesh. Future measures should be taken to address the issue of movement behaviors of children during the time of pandemics like COVID-19.

scholarly journals International Study of 24-hour Movement Behaviors of Early Years (SUNRISE): A Pilot Study from Bangladesh

2021 ◽  
Author(s):  
Mohammad Sorowar Hossain ◽  
Iztiba M. Deeba ◽  
Mahmudul Hasan ◽  
Katharina E. Kariippanon ◽  
Kar Hau Chong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Preschool Children ◽  
Pilot Study ◽  
Motor Skills ◽  
Screen Time ◽  
Early Years ◽  
Fine Motor ◽  
Who Guidelines ◽  
Parent Questionnaire ◽  
The Impact

Abstract Background This pilot study aimed to: (i) determine the proportion of preschool children (ages 3-4 who met the WHO guidelines; (ii) examine the feasibility of the proposed protocol for the SUNRISE study; and (iii) assess the impact of the COVID-19 pandemic on movement behaviors of preschool children in Bangladesh. MethodsTime spent in physical activity, sedentary behavior and sleep were objectively measured using two types of accelerometers (ActiGraph wGT3x-BT and ActivPAL4). Screen time and sleep quality were assessed via parent questionnaire. Fine and gross motor skills were measured using the Ages and Stages Questionnaire (3rdediction). Three executive functions were assessed using the Early Years Toolbox. Focus groups were conducted with parents and childcare staffs to determine the feasibility of the protocol. Follow up data during COVID-19 pandemic was collected from parents over phone. ResultsData from 63 preschool aged children and their parents was analysed in this pilot study. Only three children (4.7%) met the all components of the WHO guidelines. Separately, children meeting physical activity, sedentary screen time and sleep guidelines were 71.9% 17.5% and 59.7% respectively. The proportion of all children who were developmentally on-track for the gross and fine motor skills were 58.7% and 50.8%, respectively. Parents and educators reported that the protocol was feasible except for the activPAL-4 accelerometer. Approximately 39% of children (14 out of 37) who wore this device developed itchy skin and rashes resulting in the suspension of using this device mid-way through data collection. During COVID-19, there was a significant decrease in children’s total physical activity (-193 min/day), and time spent outside on weekdays (-75 min/day) and weekend days (-131 min/day) and a significant increase in sedentary screen time (+85 min/day).ConclusionOnly a low proportion of children met WHO guideline. Methods and devices (except ActivPAL4) used in this pilot study were proved to be feasible and therefore it has paved the way to conduct the main SUNRISE study in Bangladesh. Future measures should be taken to address the issue of movement behaviours of children during the time of pandemics like COVID-19.

scholarly journals Cross-sectional associations of physical activity and gross motor proficiency with adiposity in South African children of pre-school age

2018 ◽  
Vol 22 (4) ◽  
pp. 614-623 ◽  
Author(s):  
Catherine E Draper ◽  
Simone A Tomaz ◽  
Rachel A Jones ◽  
Trina Hinkley ◽  
Rhian Twine ◽  
...  
Keyword(s):  
Physical Activity ◽  
South African ◽  
Motor Skills ◽  
Low Income ◽  
High Income ◽  
School Age ◽  
Cross Sectional ◽  
Gross Motor ◽  
Gross Motor Skills ◽  
The Relationship

AbstractObjectiveThe study aimed to investigate the relationship between physical activity, gross motor skills and adiposity in South African children of pre-school age.DesignCross-sectional study.SettingHigh-income urban, and low-income urban and rural settings in South Africa.ParticipantsChildren (3–6 years old,n268) were recruited from urban high-income (n46), urban low-income (n91) and rural low-income (n122) settings. Height and weight were measured to calculate the main outcome variables: BMI and BMI-for-ageZ-score (BAZ). Height-for-age and weight-for-ageZ-scores were also calculated. Actigraph GT3X+ accelerometers were used to objectively measure physical activity; the Test of Gross Motor Development (Version 2) was used to assess gross motor skills.ResultsMore children were overweight/obese and had a higher BAZ from urban low-income settings compared with urban high-income settings and rural low-income settings. Being less physically active was associated with thinness, but not overweight/obesity. Time spent in physical activity at moderate and vigorous intensities was positively associated with BMI and BAZ. Gross motor proficiency was not associated with adiposity in this sample.ConclusionsThe findings of this research highlight the need for obesity prevention particularly in urban low-income settings, as well as the need to take into consideration the complexity of the relationship between adiposity, physical activity and gross motor skills in South African pre-school children.

scholarly journals Sleep and BMI in South African urban and rural, high and low-income preschool children

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dale E. Rae ◽  
Simone A. Tomaz ◽  
Rachel A. Jones ◽  
Trina Hinkley ◽  
Rhian Twine ◽  
...  
Keyword(s):  
Physical Activity ◽  
Preschool Children ◽  
South African ◽  
Low Income ◽  
Urban Environments ◽  
Z Score ◽  
Cross Sectional ◽  
Rural And Urban ◽  
Sleep Parameters ◽  
Z Scores

Abstract Background The extent to which income setting or rural and urban environments modify the association between sleep and obesity in young children is unclear. The aims of this cross-sectional observational study were to (i) describe and compare sleep in South African preschool children from rural low-income (RL), urban low-income (UL) and urban high-income (UH) settings; and (ii) test for associations between sleep parameters and body mass index (BMI). Methods Participants were preschoolers (5.2 ± 0.7y, 49.5% boys) from RL (n = 111), UL (n = 65) and UH (n = 22) settings. Height and weight were measured. Sleep, sedentary behaviour and physical activity were assessed using accelerometery. Results UL children had higher BMI z-scores (median: 0.39; interquartile range: − 0.27, 0.99) than the UH (− 0.38; − 0.88, 0.11) and RL (− 0.08; − 0.83, 0.53) children (p = 0.001). The UL children had later bedtimes (p < 0.001) and wake-up times (p < 0.001) and shorter 24 h (p < 0.001) and nocturnal (p < 0.001) sleep durations than the RL and UH children. After adjusting for age, sex, setting, SB and PA, for every hour less sleep obtained (24 h and nocturnal), children were 2.28 (95% CI: 1.28–4.35) and 2.22 (95% CI: 1.27–3.85) more likely, respectively, to belong to a higher BMI z-score quartile. Conclusions Shorter sleep is associated with a higher BMI z-score in South African preschoolers, despite high levels of PA, with UL children appearing to be particularly vulnerable.

scholarly journals International Study of Movement Behaviors in the Early Years (SUNRISE): Results from SUNRISE Sweden’s Pilot and COVID-19 Study

2020 ◽  
Vol 17 (22) ◽  
pp. 8491 ◽  
Author(s):  
Christine Delisle Nyström ◽  
Christina Alexandrou ◽  
Maria Henström ◽  
Ellinor Nilsson ◽  
Anthony D. Okely ◽  
...  
Keyword(s):  
Physical Activity ◽  
Motor Skills ◽  
Screen Time ◽  
International Study ◽  
Early Years ◽  
Who Guidelines ◽  
Activity Time ◽  
Parental Questionnaire ◽  
Ages And Stages Questionnaire ◽  
Children’S Physical Activity

The International Study of Movement Behaviors in the Early Years (SUNRISE) was initiated in response to the 2019 WHO guidelines for physical activity, sedentary behavior, and sleep in children aged 0–5 years. This Swedish pilot study aimed to: (i) assess the proportion of preschoolers meeting the guidelines, (ii) evaluate the feasibility of the methods for the SUNRISE study, and (iii) assess how movement behaviors have been affected in preschoolers during the COVID-19 pandemic. Physical activity and sleep (waist-worn ActiGraph); screen time and movement behaviors (parental questionnaire); motor skills (Ages and Stages Questionnaire); and executive functions (3 iPad games) were assessed in 100 Swedish preschoolers (n = 58 boys). There were 19.4% of preschoolers (n = 14) who met the WHO guidelines. The motor skill and executive function assessments were feasible; however, 20% refused to wear the ActiGraph overnight. Additionally, during the pandemic Swedish children’s physical activity, time spent outside on weekdays and weekend days, and screen time significantly increased (+53; +124; +68; +30min/day, respectively, all p-values ≤ 0.001). Methods for the SUNRISE study were feasible in a Swedish context; however, considerations to switch to a wrist-worn accelerometer should be made. Furthermore, children’s physical activity increased during the pandemic, which is likely due to how the rules/restrictions were implemented in Sweden.

Obesity Prevention Study: A Physical Activity Program Improved Gross Motor Skills in Preschool Children

2015 ◽  
Vol 69 (Suppl. 1) ◽  
pp. 6911515228p1
Author(s):  
Laura L. Bellows ◽  
William J. Gavin ◽  
Susan L. Johnson ◽  
Richard E. Boles ◽  
Patricia Davies
Keyword(s):  
Physical Activity ◽  
Preschool Children ◽  
Motor Skills ◽  
Obesity Prevention ◽  
Physical Activity Program ◽  
Prevention Study ◽  
Gross Motor ◽  
Gross Motor Skills ◽  
Activity Program

scholarly journals Cross-sectional examination of 24-hour movement behaviours among 3- and 4-year-old children in urban and rural settings in low-income, middle-income and high-income countries: the SUNRISE study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e049267
Author(s):  
Tony Okely ◽  
John J Reilly ◽  
Mark S Tremblay ◽  
Katharina E Kariippanon ◽  
Catherine E Draper ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Low Income ◽  
International Study ◽  
Ethics Committees ◽  
Research Process ◽  
Early Years ◽  
Cross Sectional ◽  
Middle Income ◽  
Developmental Potential

Introduction24-hour movement behaviours (physical activity, sedentary behaviour and sleep) during the early years are associated with health and developmental outcomes, prompting the WHO to develop Global guidelines for physical activity, sedentary behaviour and sleep for children under 5 years of age. Prevalence data on 24-hour movement behaviours is lacking, particularly in low-income and middle-income countries (LMICs). This paper describes the development of the SUNRISE International Study of Movement Behaviours in the Early Years protocol, designed to address this gap.Methods and analysisSUNRISE is the first international cross-sectional study that aims to determine the proportion of 3- and 4-year-old children who meet the WHO Global guidelines. The study will assess if proportions differ by gender, urban/rural location and/or socioeconomic status. Executive function, motor skills and adiposity will be assessed and potential correlates of 24-hour movement behaviours examined. Pilot research from 24 countries (14 LMICs) informed the study design and protocol. Data are collected locally by research staff from partnering institutions who are trained throughout the research process. Piloting of all measures to determine protocol acceptability and feasibility was interrupted by COVID-19 but is nearing completion. At the time of publication 41 countries are participating in the SUNRISE study.Ethics and disseminationThe SUNRISE protocol has received ethics approved from the University of Wollongong, Australia, and in each country by the applicable ethics committees. Approval is also sought from any relevant government departments or organisations. The results will inform global efforts to prevent childhood obesity and ensure young children reach their health and developmental potential. Findings on the correlates of movement behaviours can guide future interventions to improve the movement behaviours in culturally specific ways. Study findings will be disseminated via publications, conference presentations and may contribute to the development of local guidelines and public health interventions.

scholarly journals Modifiable factors which predict children’s gross motor competence: a prospective cohort study

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Lisa M. Barnett ◽  
Jill A. Hnatiuk ◽  
Jo Salmon ◽  
Kylie D. Hesketh
Keyword(s):  
Physical Activity ◽  
Home Environment ◽  
Motor Skills ◽  
Early Years ◽  
Healthy Weight ◽  
Older Children ◽  
Gross Motor ◽  
Object Control ◽  
Negatively Associated ◽  
Time Point

Abstract Background Fundamental motor skills (FMS) are important for physical activity and healthy weight status in children, yet it is unclear which early childhood factors facilitate subsequent motor skill. The aim of this prospective study was to investigate which modifiable family and home environment factors in the early years predict children’s FMS at age five. Methods Mothers from the Melbourne InFANT program (registered with the International Standard Randomised Controlled Trial Number Register (ISRCTN81847050)) completed questionnaires when child was aged 4, 9, 19 months old, and 3.5 years old on factors hypothesised to predict motor skills. Some factors were grouped in tertiles (high, medium, low) due to the nature of the distribution. At 5 years old children were assessed on 6 locomotor and 6 object control skills (Test of Gross Motor Development-2). Eight regression models examined the association between factors at each time-point and children’s skills (object control and locomotor) at 5 years old. Results The sample varied by time-point (178 to 259 children). Maternal physical activity optimism (4 months; β = 2.43), home physical activity equipment (9 months; β = 0.82), time outdoors – middle (9 months; β = 2.50) and highest tertile (9 months; β = 2.86), time free to move about - highest tertile (19 months; β = 2.41), time with older children - middle (19 months; β = 3.15) and highest tertile (3.5 years; β = 3.00) were predictive of better locomotor scores. Mothers’ own physical activity (9 months; β = − 0.01) and time active with mum – highest tertile (3.5 years; β = − 3.73) were negatively associated with locomotor skill. Time with older children - highest (4 months; β = 2.27) and middle tertile (19 months; β = 2.97), time free to move about – middle (19 months; β = 2.55) and highest tertile (19 months; β = 2.47), and more home equipment (9 months; β = 0.83); (3.5 years; β = 0.17) were predictive of better object control skills. Maternal physical activity knowledge (3.5 years; β = − 3.05) was negatively associated with object control skill. Conclusions Providing a supportive environment with older children and equipment, and allowing toddlers’ freedom to move, appears important. Opportunities exist to educate parents on their important role in developing children’s motor skills. Clinicians could advise parents that the home environment can make a difference to their child’s FMS starting from infancy.

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