Prevalence and correlates of adherence to the Global Total Physical Activity Guideline based on step counting among 3- to 4-year-olds : evidence from SUNRISE pilot studies from 17 countries

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Mwase-Vuma, Tawonga W. and Janssen, Xanne and Chong, Kar Hau and Okely, Anthony D. and Tremblay, Mark S. and Draper, Catherine E. and Webster, E. Kipling and Florindo, Alex Antonio and Staiano, Amanda E. and Pham, Bang Nguyen and Tanaka, Chiaki and Koh, Denise and Guan, Hongyan and Tang, Hong K. and Löf, Marie and Hossain, Mohammad Sorowar and Munambah, Nyaradzai E. and Cross, Penny and Chathurangana, PW Prasad and Reilly, John J. (2024) Prevalence and correlates of adherence to the Global Total Physical Activity Guideline based on step counting among 3- to 4-year-olds : evidence from SUNRISE pilot studies from 17 countries. Journal of Physical Activity and Health, 21 (8). pp. 794-801. ISSN 1543-3080 (https://doi.org/10.1123/jpah.2023-0711)

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Abstract

Background: There is limited evidence from globally diverse samples on the prevalence and correlates of meeting the global guideline of 180 minutes per day of total physical activity (TPA) among 3- to 4-year-olds. Methods: Cross-sectional study involving 797 (49.2% girls) 3- to 4-year-olds from 17 middle- and high-income countries who participated in the pilot phases 1 and 2 of the SUNRISE International Study of Movement Behaviours in the Early Years. Daily step count was measured using thigh-worn activPAL accelerometers. Children wore the accelerometers for at least one 24-hour period. Children were categorized as meeting the TPA guideline based on achieving ≥11,500 steps per day. Descriptive analyses were conducted to describe the proportion of meeting the TPA guideline for the overall sample and each of the sociodemographic variables, and 95% CIs were calculated. Multivariable logistic regression was used to determine the sociodemographic correlates of meeting the TPA guideline. Results: Mean daily step count was 10,295 steps per day (SD = 4084). Approximately one-third of the sample (30.9%, 95% CI, 27.6–34.2) met the TPA guideline. The proportion meeting the guideline was significantly lower among girls (adjusted OR [aOR] = 0.70, 95% CI, 0.51–0.96) and 4-year-olds (aOR = 0.50, 95% CI, 0.34–0.75) and higher among rural residents (aOR = 1.78, 95% CI, 1.27–2.49) and those from lower middle-income countries (aOR = 1.35, 95% CI, 0.89–2.04). Conclusions: The findings suggest that a minority of children might meet the TPA guideline globally, and the risk of not meeting the guideline differed by sociodemographic indicators. These findings suggest the need for more surveillance of TPA in young children globally and, possibly, interventions to improve childhood health and development.

ORCID iDs

Mwase-Vuma, Tawonga W., Janssen, Xanne ORCID logoORCID: https://orcid.org/0000-0003-1355-0792, Chong, Kar Hau, Okely, Anthony D., Tremblay, Mark S., Draper, Catherine E., Webster, E. Kipling, Florindo, Alex Antonio, Staiano, Amanda E., Pham, Bang Nguyen, Tanaka, Chiaki, Koh, Denise, Guan, Hongyan, Tang, Hong K., Löf, Marie, Hossain, Mohammad Sorowar, Munambah, Nyaradzai E., Cross, Penny, Chathurangana, PW Prasad and Reilly, John J. ORCID logoORCID: https://orcid.org/0000-0001-6165-5471;
CORE (COnnecting REpositories)