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

Okely, Tony and Reilly, John J and Tremblay, Mark S and Kariippanon, Katharina E and Draper, Catherine E and El Hamdouchi, Asmaa and Florindo, Alex A and Green, Janette P and Guan, Hongyan and Katzmarzyk, Peter T and Lubree, Himangi and Pham, Bang Nguyen and Suesse, Thomas and Willumsen, Juana and Basheer, Mohamed and Calleia, Rebecca and Chong, Kar Hau and Cross, Penny L and Nacher, Maria and Smeets, Laura and Taylor, Ellie and Abdeta, Chalchisa and Aguilar-Farias, Nicolas and Baig, Aqsa and Bayasgalan, Jambaldori and Chan, Cecilia H S and Chathurangana, P W Prasad and Chia, Michael and Ghofranipour, Fazlollah and Ha, Amy S and Hossain, Mohammad Sorowar and Janssen, Xanne and Jáuregui, Alejandra and Katewongsa, Piyawat and Kim, Dong Hoon and Kim, Thanh Van and Koh, Denise and Kontsevaya, Anna and Leyna, Germana H and Löf, M and Munambah, Nyaradzai and Mwase-Vuma, Tawonga and Nusurupia, Jackline and Oluwayomi, Aoko and Del Pozo-Cruz, Borja and Del Pozo-Cruz, Jesus and Roos, Eva and Shirazi, Asima and Singh, Pragya and Staiano, Amanda and Suherman, Adang and Tanaka, Chiaki and Tang, Hong Kim and Teo, Wei-Peng and Tiongco, Marites M and Tladi, Dawn and Turab, Ali and Veldman, Sanne L C and Webster, E Kipling and Wickramasinghe, Pujitha and Widyastari, Dyah Anantalia (2021) 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, 11 (10). e049267. ISSN 2044-6055

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    Abstract

    Introduction 24-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 analysis SUNRISE 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 dissemination The 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.

    ORCID iDs

    Okely, Tony, Reilly, John J ORCID logoORCID: https://orcid.org/0000-0001-6165-5471, Tremblay, Mark S, Kariippanon, Katharina E, Draper, Catherine E, El Hamdouchi, Asmaa, Florindo, Alex A, Green, Janette P, Guan, Hongyan, Katzmarzyk, Peter T, Lubree, Himangi, Pham, Bang Nguyen, Suesse, Thomas, Willumsen, Juana, Basheer, Mohamed, Calleia, Rebecca, Chong, Kar Hau, Cross, Penny L, Nacher, Maria, Smeets, Laura, Taylor, Ellie, Abdeta, Chalchisa, Aguilar-Farias, Nicolas, Baig, Aqsa, Bayasgalan, Jambaldori, Chan, Cecilia H S, Chathurangana, P W Prasad, Chia, Michael, Ghofranipour, Fazlollah, Ha, Amy S, Hossain, Mohammad Sorowar, Janssen, Xanne ORCID logoORCID: https://orcid.org/0000-0003-1355-0792, Jáuregui, Alejandra, Katewongsa, Piyawat, Kim, Dong Hoon, Kim, Thanh Van, Koh, Denise, Kontsevaya, Anna, Leyna, Germana H, Löf, M, Munambah, Nyaradzai, Mwase-Vuma, Tawonga, Nusurupia, Jackline, Oluwayomi, Aoko, Del Pozo-Cruz, Borja, Del Pozo-Cruz, Jesus, Roos, Eva, Shirazi, Asima, Singh, Pragya, Staiano, Amanda, Suherman, Adang, Tanaka, Chiaki, Tang, Hong Kim, Teo, Wei-Peng, Tiongco, Marites M, Tladi, Dawn, Turab, Ali, Veldman, Sanne L C, Webster, E Kipling, Wickramasinghe, Pujitha and Widyastari, Dyah Anantalia;