Improving national and international surveillance of movement behaviours in childhood and adolescence : an international modified Delphi study

Reilly, John J. and Andrew, Rachel and Abdeta, Chalchisa and Azevedo, Liane B. and Aguilar Farias, Nicolas and Barak, Sharon and Bardid, Farid and Bizzozero-Peroni, Bruno and Brazo-Sayavera, Javier and Cagas, Jonathan Y. and Chelly, Mohamed-Souhaiel and Christiansen, Lars B. and Djordjic, Visnja D. and Draper, Catherine E. and El-Hamdouchi, Asmaa and Fares, Elie-Jacques and Gába, Aleš and Hesketh, Kylie D. and Hossain, Mohammad Sorowar and Huang, Wendy and Jáuregui, Alejandra and Juvekar, Sanjay K. and Kuzik, Nicholas and Larouche, Richard and Lee, Eun-Young and Levi, Sharon and Liu, Yang and Löf, Marie and Loney, Tom and Lopez Gil, Jose Francisco and Mäestu, Evelin and Manyanga, Taru and Martins, Clarice and Mendoza-Muñoz, Maria and Morrison, Shawnda A. and Munambah, Nyaradzai and Mwase-Vuma, Tawonga W. and Naidoo, Rowena and Ocansey, Reginald and Okely, Anthony D. and Oluwayomi, Aoko and Paudel, Susan and Poh, Bee Koon and Ribeiro, Evelyn H. and Santos Silva, Diego Augusto and Shahril, Mohd Razif and Smith, Melody and Staiano, Amanda E. and Standage, Martyn and Subedi, Narayan and Tanaka, Chiaki and Tang, Hong K. and Thivel, David and Tremblay, Mark S. and Uzicanin, Edin and Vlachopoulos, Dimitris and Webster, E. Kipling and Widyastari, Dyah Anantalia and Zembura, Pawel and Aubert, Salome (2024) Improving national and international surveillance of movement behaviours in childhood and adolescence : an international modified Delphi study. Sports Medicine. ISSN 0112-1642 (https://doi.org/10.1007/s40279-024-02104-2)

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Abstract

Background: The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear. Objective: To identify how to improve surveillance of movement behaviours, from the perspective of experts. Methods: This Delphi Study involved 62 experts from the SUNRISE International Study of Movement Behaviours in the Early Years and Active Healthy Kids Global Alliance (AHKGA). Two survey rounds were used, with items categorised under: (1) funding, (2) capacity building, (3) methods, and (4) other issues (e.g., policymaker awareness of relevant WHO Guidelines and Strategies). Expert participants ranked 40 items on a five-point Likert scale from ‘extremely’ to ‘not at all’ important. Consensus was defined as > 70% rating of ‘extremely’ or ‘very’ important. Results: We received 62 responses to round 1 of the survey and 59 to round 2. There was consensus for most items. The two highest rated round 2 items in each category were the following; for funding (1) it was greater funding for surveillance and public funding of surveillance; for capacity building (2) it was increased human capacity for surveillance (e.g. knowledge, skills) and regional or global partnerships to support national surveillance; for methods (3) it was standard protocols for surveillance measures and improved measurement method for screen time; and for other issues (4) it was greater awareness of physical activity guidelines and strategies from WHO and greater awareness of the importance of surveillance for NCD prevention. We generally found no significant differences in priorities between low-middle-income (n = 29) and high-income countries (n = 30) or between SUNRISE (n = 20), AHKGA (n = 26) or both (n = 13) initiatives. There was a lack of agreement on using private funding for surveillance or surveillance research. Conclusions: This study provides a prioritised and international consensus list of actions required to improve surveillance of movement behaviours in children and adolescents globally.

ORCID iDs

Reilly, John J. ORCID logoORCID: https://orcid.org/0000-0001-6165-5471, Andrew, Rachel, Abdeta, Chalchisa, Azevedo, Liane B., Aguilar Farias, Nicolas, Barak, Sharon, Bardid, Farid ORCID logoORCID: https://orcid.org/0000-0001-8591-0596, Bizzozero-Peroni, Bruno, Brazo-Sayavera, Javier, Cagas, Jonathan Y., Chelly, Mohamed-Souhaiel, Christiansen, Lars B., Djordjic, Visnja D., Draper, Catherine E., El-Hamdouchi, Asmaa, Fares, Elie-Jacques, Gába, Aleš, Hesketh, Kylie D., Hossain, Mohammad Sorowar, Huang, Wendy, Jáuregui, Alejandra, Juvekar, Sanjay K., Kuzik, Nicholas, Larouche, Richard, Lee, Eun-Young, Levi, Sharon, Liu, Yang, Löf, Marie, Loney, Tom, Lopez Gil, Jose Francisco, Mäestu, Evelin, Manyanga, Taru, Martins, Clarice, Mendoza-Muñoz, Maria, Morrison, Shawnda A., Munambah, Nyaradzai, Mwase-Vuma, Tawonga W., Naidoo, Rowena, Ocansey, Reginald, Okely, Anthony D., Oluwayomi, Aoko, Paudel, Susan, Poh, Bee Koon, Ribeiro, Evelyn H., Santos Silva, Diego Augusto, Shahril, Mohd Razif, Smith, Melody, Staiano, Amanda E., Standage, Martyn, Subedi, Narayan, Tanaka, Chiaki, Tang, Hong K., Thivel, David, Tremblay, Mark S., Uzicanin, Edin, Vlachopoulos, Dimitris, Webster, E. Kipling, Widyastari, Dyah Anantalia, Zembura, Pawel and Aubert, Salome;
CORE (COnnecting REpositories)