Compliance with 24-h Movement Behaviour Guidelines among Belgian Pre-School Children: The ToyBox-Study

Craemer, Marieke De; McGregor, Duncan; Androutsos, Odysseas; Μanios, Yannis; Cardon, Greet

doi:10.3390/ijerph15102171

Cited by 60 publications

(90 citation statements)

References 31 publications

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“…The proportion of children meeting the physical activity guidelines varies across countries. Our finding were close to one Canadian study with 803 pre-schoolers (61.8%) [24], whereases the proportion of pre-schoolers meeting physical activity guideline were much lower (19.3 and 11.0% respectively) in another Canadian (n = 539) [40] and Belgian study (n = 595) [25] but higher (93.1%) in one Australian study (n = 248) [41]. In addition, in a recent Chinese study with 3030 preschoolers, 72.9% of the children had at least 1 h of MVPA and 35.3% had at least 3 h of total physical activity [42].…”

Section: Discussionsupporting

confidence: 83%

“…Following the release of the Australian and Canadian 24-h movement behaviours guidelines, several studies from high-income countries (e.g., Australia, Canada, Sweden, Belgium) were published, examining the proportion of young children who met the guidelines and if compliance was associated with adiposity [23][24][25][26]. With the release of the WHO global guidelines in April 2019, more research is needed in low-and middle-income countries, given that many of these countries will use the WHO global guidelines and also given the increasing prevalence of overweight and obesity in young children in these countries.…”

Section: Introductionmentioning

confidence: 99%

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Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing

et al. 2020

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Background: World Health Organisation (WHO) Guidelines on Physical Activity, Sedentary Behaviour and Sleep for Children under 5 Years of Age were released in 2019. The aim of this study was to examine the proportion of Chinese kindergarten children who met each individual guideline and each combination of the guidelines and the associations with adiposity. Methods: Participants were 254 kindergarten children aged 4.1-6.3 years recruited from three kindergartens in urban area of Beijing. Physical activity, sedentary behaviour and sleep duration were assessed using 24-h accelerometry over three consecutive days. Screen time was reported by parents. Weight and height were measured; and children were categorised into normal weight and overweight/obese groups according to the WHO age-and sex-specific criteria. Frequency analyses were performed to examine the proportion of children meeting individual and combination of these guidelines. Logistics regression analyses were conducted to examine the associations between guideline compliance and adiposity. Results: The proportion of children who met the physical activity (≥ 3 h daily physical activity, including ≥1 h daily moderate-to vigorous-intensity physical activity (MVPA)), sedentary screen time (< 1 h/day), and sleep guidelines (10-13 h/day) were 65.4, 88.2 and 29.5%, respectively; only 15.0% met all three guidelines and 2.7% did not meet any of the guidelines. Not meeting the physical activity guideline, sleep guideline, or combination of any two guidelines, or all three guidelines was not associated with overweight or obesity; however, children who did not meet the sedentary screen time guidelines were at higher risk for overweight and obesity (odds ratio = 3.76, 95% CI: 1.50-9.45). Conclusions: In our study, only a small proportion of children met all three guidelines. Most Chinese kindergarten children met physical activity guidelines or screen time guidelines, whereas fewer children met sleep guideline. Not meeting sedentary screen time guidelines was associated with adiposity, which warrant further interventions for limiting screen time in young children.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing

et al. 2020

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“…Objective measurement of Australian preschool children's physical activity shows that only a third of children meet physical activity recommendations [3]. In Canada, 62% of preschool children meet physical activity recommendations [4] and in Belgium less than 20% of preschool aged children meet the recommended amount of physical activity per day [5]. Therefore, interventions to promote physical activity in the early years is paramount.…”

Section: Introductionmentioning

confidence: 99%

Nature Play and Fundamental Movement Skills Training Programs Improve Childcare Educator Supportive Physical Activity Behavior

Bai

Thornton

Lester

et al. 2019

IJERPH

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Background: Physical activity professional development programs for Early Childhood Education and Care (ECEC) educators are a viable strategy for improving preschool children’s physical activity behavior. This pilot intervention evaluated the effectiveness of ‘nature play’ and ‘fundamental movement skills’ (FMS) professional development programs on ECEC educators’ practices on physical activity. Methods: 148 ECEC educators from 20 ECEC centers took part in either the Nature play or FMS professional development programs in Perth, Western Australia. Educators self-reported their physical activity related practices at baseline and three months post-professional development training, using established items. Wilcoxon’s test and adjusted models using Mann–Whitney U tests were run at the individual educator level to examine the change between baseline and post-professional development educator physical activity behavior. Results: Educators’ self-efficacy to engage children to be active significantly increased in both the Nature play and FMS professional development programs (p < 0.05). In the Nature play professional development program, ECEC educators’ perceived time set aside for children to participate in nature-based play increased by 9.2%, and their perceived behavioral control for supporting general and nature-based play activities for preschool children increased by 5% and 10.3%, respectively (p < 0.05). However, these results were no longer significant after adjusting for educator socio-demographics. Conclusion: Both the Nature play and FMS professional development programs were effective in improving educators’ self-efficacy to engage children to be active in Nature play or FMS activities. Larger pragmatic trials are required to confirm the impact of these professional development programs on educator perceived physical activity behavior.

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“…Nevertheless, it provided a robust comparison among available methods and a discussion of their potential impact on the PA outcomes. Although it is difficult to conclusively decide the best method to determine the compliance with the PA guidelines in preschool children, using cut-points of daily steps and acceleration counts yielded comparable results and provided similar estimates as those reported in other countries [31,32]. However, the currently available recommendation of 10,000 to 14,000 steps per day for preschool children aged 4-6 years is based on limited evidence [17].…”

Section: Discussionmentioning

confidence: 60%

“…Nevertheless, the appropriateness of using this activPAL MVPA cut-point in young children under free-living conditions remains unknown because the validation was conducted in a room calorimeter [10]. The optimistic estimate of counts-based MVPA needs to be interpreted with caution given the widely reported low compliance with PA guidelines in young children, both locally [30] and worldwide [31,32]. Notably, that validation study used estimates of, rather than measured, basal metabolic rate (BMR) [10].…”

Section: Discussionmentioning

confidence: 99%

Comparability of ActivPAL-Based Estimates of Meeting Physical Activity Guidelines for Preschool Children

Huang¹,

Lee²

2019

IJERPH

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The activPAL (PAL Technologies, Glasgow, UK) has been increasingly used on children to assess sedentary time and physical activity (PA). However, there is no consensus on how it can estimate PA at different intensities. This study compared three commonly used, activPAL-based classifications of moderate-to-vigorous physical activity (MVPA) (daily steps, acceleration counts, and step rate) in determining compliance with the World Health Organization (WHO)’s PA guidelines for preschool children on a daily basis. One hundred and fourteen preschool children aged 3–6 years wore an activPALTM for 24 h over 7 consecutive days and provided valid data for a total of 548 days. MVPA was calculated based on published cut-points of counts (MVPA-counts) and step rate (MVPA-step rate). Compliance with standard PA guidelines (≥180 min/day of PA including ≥60 min/day of MVPA) was determined based on three criteria: ≥11,500 steps/day, a threshold of 1418 acceleration counts/15 s, and 25 steps/15 s for MVPA. Applying cut-points of daily steps and acceleration counts provided the same estimates of compliance with the WHO PA guidelines (20%), while the estimated compliance based on the step rate was lower (7.7%). There was a moderate agreement between the daily steps- (or counts-) derived and step rate-derived compliances (κ = 0.41; 95% confidence interval (CI): 0.31, 0.51). The amount of MVPA derived from counts (1.95 ± 0.72 h/day) was significantly higher than that from step rates (0.47 ± 0.31 h/day). The activPAL may be useful for surveillance studies to estimate total PA in preschool children. Further development of the activPAL algorithms based on either counts or step rate is warranted before it can be used to accurately estimate MVPA in this age group.

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Compliance with 24-h Movement Behaviour Guidelines among Belgian Pre-School Children: The ToyBox-Study

Cited by 60 publications

References 31 publications

Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing

Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing

Nature Play and Fundamental Movement Skills Training Programs Improve Childcare Educator Supportive Physical Activity Behavior

Comparability of ActivPAL-Based Estimates of Meeting Physical Activity Guidelines for Preschool Children

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