Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study

Blanca Romàn-Viñas; Jean Philippe Chaput; Peter T. Katzmarzyk; Mikael Fogelholm; Estelle Victoria Lambert; Carol Ann Maher; José António Maia; Tim Olds; Vincent Ochieng Onywera; Olga Sarmiento; Martyn Standage; Catrine E. Tudor- Locke; Mark S. Tremblay; Timothy S. Church; Denise G. Lambert; Tiago V. Barreira; Stephanie T. Broyles; Ben P. Butitta; Catherine M. Champagne; Shannon H. Cocreham; Kara D. Denstel; Katy Drazba; Deirdre Harrington; William D. Johnson; Dione Milauskas; Emily F. Mire; Allison Tohme; Ruben Q. Rodarte; Bobby Amoroso; John Luopa; Rebecca H. Neiberg; Scott Rushing; Lucy Kate Lewis; Katia Ferrar; Effie Georgiadis; Rebecca Megan Stanley; Victor Keihan Rodrigues Matsudo; Sandra  Matsudo; Timóteo Leandro Araújo; Luís Carlos De Oliveira; Luis Fabiano; Diogo Bezerra; Gerson Luis Ferrari; Priscilla Bélanger; Michael Marc Borghese; Charles Boyer; Allana G.W. LeBlanc; Claire E. Francis; Geneviève Leduc; Pei Zhao; Gang Hu; Chengming Diao; Wei Li; Weiqin Li; Enqing Liu; Gongshu Liu; Hongyan Liu; Jian Ma; Yijuan Qiao; Huiguang Tian; Yue Wang; Tao Zhang; Fuxia Zhang; Olga Sarmiento; Julio Acosta; Yalta Alvira; María Paula Díaz; Rocio Gámez; Maria Paula Garcia; Luis Guillermo Gómez; Lisseth Heras González; Silvia Alejandra González; Carlos Grijalba; Leidys Gutiérrez; David Leal; Nicolás Lemus; Etelvina Mahecha; Maria Paula Mahecha; Rosalba Mahecha; Andrea Ramírez Varela; Paola Ríos; Andres Suarez; Camilo A. Triana; Elli Hovi; Jemina Kivelä; Sari M. Räsänen; Sanna Roito; Taru Saloheimo; Leena Valta; Anura Vishwanath Kurpad; Rebecca Kuriyan; Deepa P. Lokesh; Michelle Stephanie D'Almeida; R. Annie Mattilda; Lygia F.M. Correa; Vijay Dakshina Murthy; Lucy Joy Wachira; Stella Kagwiria Muthuri; Alessandra da Silva Borges; Sofia Oliveira Sá Cachada; Raquel Nichele De Chaves; Thayse Natacha Gomes; Sara Isabel Pereira; Daniel Monteiro De Vilhena E Santos; Fernanda Karina Dos Santos; Pedro Gil Da Silva; Michele Caroline De Souza; Vicki E. Lambert; Matthew April; Monika Uys; Nirmala Naidoo; Nandi Synyanya; Madelaine T. Carstens; Sean P. Cumming; Clemens Drenowatz; Lydia G. Emm; Fiona Bridget Gillison; Julia Kirstey Zakrzewski; Ashley Braud; Sheletta G. Donatto; Corbin Lemon; Ana Jackson; Ashunti Pearson; Gina Pennington; Daniel Ragus; Ryan C. Roubion; John M. Schuna; Derek Wiltz; Alan Mark Batterham; Jacqueline Kerr; Michael W. Pratt; Angelo Pietrobelli

doi:10.1186/s12966-016-0449-8

Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study

Blanca Romàn-Viñas, Jean Philippe Chaput, Peter T. Katzmarzyk, Mikael Fogelholm, Estelle Victoria Lambert, Carol Ann Maher, José António Maia, Tim Olds, Vincent Ochieng Onywera, Olga Sarmiento, Martyn Standage, Catrine E. Tudor- Locke, Mark S. Tremblay, Timothy S. Church, Denise G. Lambert, Tiago V. Barreira, Stephanie T. Broyles, Ben P. Butitta, Catherine M. Champagne, Shannon H. CocrehamKara D. Denstel, Katy Drazba, Deirdre Harrington, William D. Johnson, Dione Milauskas, Emily F. Mire, Allison Tohme, Ruben Q. Rodarte, Bobby Amoroso, John Luopa, Rebecca H. Neiberg, Scott Rushing, Lucy Kate Lewis, Katia Ferrar, Effie Georgiadis, Rebecca Megan Stanley, Victor Keihan Rodrigues Matsudo, Sandra Matsudo, Timóteo Leandro Araújo, Luís Carlos De Oliveira, Luis Fabiano, Diogo Bezerra, Gerson Luis Ferrari, Priscilla Bélanger, Michael Marc Borghese, Charles Boyer, Allana G.W. LeBlanc, Claire E. Francis, Geneviève Leduc, Pei Zhao, Gang Hu, Chengming Diao, Wei Li, Weiqin Li, Enqing Liu, Gongshu Liu, Hongyan Liu, Jian Ma, Yijuan Qiao, Huiguang Tian, Yue Wang, Tao Zhang, Fuxia Zhang, Olga Sarmiento, Julio Acosta, Yalta Alvira, María Paula Díaz, Rocio Gámez, Maria Paula Garcia, Luis Guillermo Gómez, Lisseth Heras González, Silvia Alejandra González, Carlos Grijalba, Leidys Gutiérrez, David Leal, Nicolás Lemus, Etelvina Mahecha, Maria Paula Mahecha, Rosalba Mahecha, Andrea Ramírez Varela, Paola Ríos, Andres Suarez, Camilo A. Triana, Elli Hovi, Jemina Kivelä, Sari M. Räsänen, Sanna Roito, Taru Saloheimo, Leena Valta, Anura Vishwanath Kurpad, Rebecca Kuriyan, Deepa P. Lokesh, Michelle Stephanie D'Almeida, R. Annie Mattilda, Lygia F.M. Correa, Vijay Dakshina Murthy, Lucy Joy Wachira, Stella Kagwiria Muthuri, Alessandra da Silva Borges, Sofia Oliveira Sá Cachada, Raquel Nichele De Chaves, Thayse Natacha Gomes, Sara Isabel Pereira, Daniel Monteiro De Vilhena E Santos, Fernanda Karina Dos Santos, Pedro Gil Da Silva, Michele Caroline De Souza, Vicki E. Lambert, Matthew April, Monika Uys, Nirmala Naidoo, Nandi Synyanya, Madelaine T. Carstens, Sean P. Cumming, Clemens Drenowatz, Lydia G. Emm, Fiona Bridget Gillison, Julia Kirstey Zakrzewski, Ashley Braud, Sheletta G. Donatto, Corbin Lemon, Ana Jackson, Ashunti Pearson, Gina Pennington, Daniel Ragus, Ryan C. Roubion, John M. Schuna, Derek Wiltz, Alan Mark Batterham, Jacqueline Kerr, Michael W. Pratt, Angelo Pietrobelli

Research output: Contribution to journal › Article › peer-review

204 Citations (Scopus)

7 Downloads (Pure)

Abstract

Background: The Canadian 24-h movement guidelines were developed with the hope of improving health and future health outcomes in children and youth. The purpose of this study was to evaluate adherence to the 3 recommendations most strongly associated with health outcomes in new 24-h movement guidelines and their relationship with adiposity (obesity and body mass index z-score) across countries participating in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE).

Methods: Cross-sectional results were based on 6128 children aged 9-11years from the 12 countries of ISCOLE. Sleep duration and moderate-to-vigorous physical activity (MVPA) were assessed using accelerometry. Screen time was measured through self-report. Body weight and height were measured. Body mass index (BMI, kgm²) was calculated, and BMI z-scores were computed using age- and sex-specific reference data from the World Health Organization. Obesity was defined as a BMI z-score>+2 SD. Meeting the overall 24-h movement guidelines was defined as: 9 to 11h/night of sleep, ≤2h/day of screen time, and at least 60min/day of MVPA. Age, sex, highest parental education and unhealthy diet pattern score were included as covariates in statistical models. Associations between meeting vs. not meeting each single recommendation (and combinations) with obesity were assessed with odds ratios calculated using generalized linear mixed models. A linear mixed model was used to examine the differences in BMI z-scores between children meeting vs. not meeting the different combinations of recommendations.

Results: The global prevalence of children meeting the overall recommendations (all three behaviors) was 7%, with children from Australia and Canada showing the highest adherence (15%). Children meeting the three recommendations had lower odds ratios for obesity compared to those meeting none of the recommendations (OR=0.28, 95% CI 0.18-0.45). Compared to not meeting the 24-h movement recommendations either independently or combined, meeting them was significantly associated with a lower BMI z-score. Whenever the MVPA recommendation was included in the analysis the odds ratios for obesity were lower.

Conclusions: For ISCOLE participants meeting these 3 healthy movement recommendations the odds ratios of being obese or having high BMI z-scores were lower. However, only a small percentage of children met all recommendations. Future efforts should aim to find promising ways to increase daily physical activity, reduce screen time, and ensure an adequate night's sleep in children. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) was registered at ClinicalTrials.gov (Identifier NCT01722500) (October 29, 2012).

Original language	English
Article number	123
Number of pages	10
Journal	International Journal of Behavioral Nutrition and Physical Activity
Volume	13
Issue number	1
DOIs	https://doi.org/10.1186/s12966-016-0449-8
Publication status	Published - 25 Nov 2016
Externally published	Yes

Bibliographical note

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Keywords

obesity
Adiposity
physical activity
movement behaviours
Recommendations
Obesity
Screen time
Prevalence
Sleep
Physical activity
Children

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Roman-Vinas_Proportion_P2016Final published version, 478 KBLicence: CC BY

Cite this

Romàn-Viñas, B., Chaput, J. P., Katzmarzyk, P. T., Fogelholm, M., Lambert, E. V., Maher, C. A., Maia, J. A., Olds, T., Onywera, V. O., Sarmiento, O., Standage, M., Tudor- Locke, C. E., Tremblay, M. S., Church, T. S., Lambert, D. G., Barreira, T. V., Broyles, S. T., Butitta, B. P., Champagne, C. M., ... Pietrobelli, A. (2016). Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study. International Journal of Behavioral Nutrition and Physical Activity, 13(1), [123]. https://doi.org/10.1186/s12966-016-0449-8

@article{0d63f5dc71f94d9eb24aaa3a29fe5190,

title = "Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study",

abstract = "Background: The Canadian 24-h movement guidelines were developed with the hope of improving health and future health outcomes in children and youth. The purpose of this study was to evaluate adherence to the 3 recommendations most strongly associated with health outcomes in new 24-h movement guidelines and their relationship with adiposity (obesity and body mass index z-score) across countries participating in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). Methods: Cross-sectional results were based on 6128 children aged 9-11years from the 12 countries of ISCOLE. Sleep duration and moderate-to-vigorous physical activity (MVPA) were assessed using accelerometry. Screen time was measured through self-report. Body weight and height were measured. Body mass index (BMI, kgm2) was calculated, and BMI z-scores were computed using age- and sex-specific reference data from the World Health Organization. Obesity was defined as a BMI z-score>+2 SD. Meeting the overall 24-h movement guidelines was defined as: 9 to 11h/night of sleep, ≤2h/day of screen time, and at least 60min/day of MVPA. Age, sex, highest parental education and unhealthy diet pattern score were included as covariates in statistical models. Associations between meeting vs. not meeting each single recommendation (and combinations) with obesity were assessed with odds ratios calculated using generalized linear mixed models. A linear mixed model was used to examine the differences in BMI z-scores between children meeting vs. not meeting the different combinations of recommendations. Results: The global prevalence of children meeting the overall recommendations (all three behaviors) was 7%, with children from Australia and Canada showing the highest adherence (15%). Children meeting the three recommendations had lower odds ratios for obesity compared to those meeting none of the recommendations (OR=0.28, 95% CI 0.18-0.45). Compared to not meeting the 24-h movement recommendations either independently or combined, meeting them was significantly associated with a lower BMI z-score. Whenever the MVPA recommendation was included in the analysis the odds ratios for obesity were lower. Conclusions: For ISCOLE participants meeting these 3 healthy movement recommendations the odds ratios of being obese or having high BMI z-scores were lower. However, only a small percentage of children met all recommendations. Future efforts should aim to find promising ways to increase daily physical activity, reduce screen time, and ensure an adequate night's sleep in children. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) was registered at ClinicalTrials.gov (Identifier NCT01722500) (October 29, 2012).",

keywords = "obesity, Adiposity, physical activity, movement behaviours, Recommendations, Obesity, Screen time, Prevalence, Sleep, Physical activity, Children",

author = "Blanca Rom{\`a}n-Vi{\~n}as and Chaput, {Jean Philippe} and Katzmarzyk, {Peter T.} and Mikael Fogelholm and Lambert, {Estelle Victoria} and Maher, {Carol Ann} and Maia, {Jos{\'e} Ant{\'o}nio} and Tim Olds and Onywera, {Vincent Ochieng} and Olga Sarmiento and Martyn Standage and {Tudor- Locke}, {Catrine E.} and Tremblay, {Mark S.} and Church, {Timothy S.} and Lambert, {Denise G.} and Barreira, {Tiago V.} and Broyles, {Stephanie T.} and Butitta, {Ben P.} and Champagne, {Catherine M.} and Cocreham, {Shannon H.} and Denstel, {Kara D.} and Katy Drazba and Deirdre Harrington and Johnson, {William D.} and Dione Milauskas and Mire, {Emily F.} and Allison Tohme and Rodarte, {Ruben Q.} and Bobby Amoroso and John Luopa and Neiberg, {Rebecca H.} and Scott Rushing and Lewis, {Lucy Kate} and Katia Ferrar and Effie Georgiadis and Stanley, {Rebecca Megan} and Matsudo, {Victor Keihan Rodrigues} and Sandra Matsudo and Ara{\'u}jo, {Tim{\'o}teo Leandro} and {De Oliveira}, {Lu{\'i}s Carlos} and Luis Fabiano and Diogo Bezerra and Ferrari, {Gerson Luis} and Priscilla B{\'e}langer and Borghese, {Michael Marc} and Charles Boyer and LeBlanc, {Allana G.W.} and Francis, {Claire E.} and Genevi{\`e}ve Leduc and Pei Zhao and Gang Hu and Chengming Diao and Wei Li and Weiqin Li and Enqing Liu and Gongshu Liu and Hongyan Liu and Jian Ma and Yijuan Qiao and Huiguang Tian and Yue Wang and Tao Zhang and Fuxia Zhang and Olga Sarmiento and Julio Acosta and Yalta Alvira and D{\'i}az, {Mar{\'i}a Paula} and Rocio G{\'a}mez and Garcia, {Maria Paula} and G{\'o}mez, {Luis Guillermo} and Gonz{\'a}lez, {Lisseth Heras} and Gonz{\'a}lez, {Silvia Alejandra} and Carlos Grijalba and Leidys Guti{\'e}rrez and David Leal and Nicol{\'a}s Lemus and Etelvina Mahecha and Mahecha, {Maria Paula} and Rosalba Mahecha and {Ram{\'i}rez Varela}, Andrea and Paola R{\'i}os and Andres Suarez and Triana, {Camilo A.} and Elli Hovi and Jemina Kivel{\"a} and R{\"a}s{\"a}nen, {Sari M.} and Sanna Roito and Taru Saloheimo and Leena Valta and Kurpad, {Anura Vishwanath} and Rebecca Kuriyan and Lokesh, {Deepa P.} and D'Almeida, {Michelle Stephanie} and {Annie Mattilda}, R. and Correa, {Lygia F.M.} and Murthy, {Vijay Dakshina} and Wachira, {Lucy Joy} and Muthuri, {Stella Kagwiria} and Borges, {Alessandra da Silva} and {S{\'a} Cachada}, {Sofia Oliveira} and {De Chaves}, {Raquel Nichele} and Gomes, {Thayse Natacha} and Pereira, {Sara Isabel} and {De Vilhena E Santos}, {Daniel Monteiro} and {Dos Santos}, {Fernanda Karina} and {Da Silva}, {Pedro Gil} and {De Souza}, {Michele Caroline} and Lambert, {Vicki E.} and Matthew April and Monika Uys and Nirmala Naidoo and Nandi Synyanya and Carstens, {Madelaine T.} and Cumming, {Sean P.} and Clemens Drenowatz and Emm, {Lydia G.} and Gillison, {Fiona Bridget} and Zakrzewski, {Julia Kirstey} and Ashley Braud and Donatto, {Sheletta G.} and Corbin Lemon and Ana Jackson and Ashunti Pearson and Gina Pennington and Daniel Ragus and Roubion, {Ryan C.} and Schuna, {John M.} and Derek Wiltz and Batterham, {Alan Mark} and Jacqueline Kerr and Pratt, {Michael W.} and Angelo Pietrobelli",

note = "Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.",

year = "2016",

month = nov,

day = "25",

doi = "10.1186/s12966-016-0449-8",

language = "English",

volume = "13",

journal = "International Journal of Behavioral Nutrition and Physical Activity",

issn = "1479-5868",

publisher = "BioMed Central Ltd.",

number = "1",

}

Romàn-Viñas, B, Chaput, JP, Katzmarzyk, PT, Fogelholm, M, Lambert, EV, Maher, CA, Maia, JA, Olds, T, Onywera, VO, Sarmiento, O, Standage, M, Tudor- Locke, CE, Tremblay, MS, Church, TS, Lambert, DG, Barreira, TV, Broyles, ST, Butitta, BP, Champagne, CM, Cocreham, SH, Denstel, KD, Drazba, K, Harrington, D, Johnson, WD, Milauskas, D, Mire, EF, Tohme, A, Rodarte, RQ, Amoroso, B, Luopa, J, Neiberg, RH, Rushing, S, Lewis, LK, Ferrar, K, Georgiadis, E, Stanley, RM, Matsudo, VKR, Matsudo, S, Araújo, TL, De Oliveira, LC, Fabiano, L, Bezerra, D, Ferrari, GL, Bélanger, P, Borghese, MM, Boyer, C, LeBlanc, AGW, Francis, CE, Leduc, G, Zhao, P, Hu, G, Diao, C, Li, W, Li, W, Liu, E, Liu, G, Liu, H, Ma, J, Qiao, Y, Tian, H, Wang, Y, Zhang, T, Zhang, F, Sarmiento, O, Acosta, J, Alvira, Y, Díaz, MP, Gámez, R, Garcia, MP, Gómez, LG, González, LH, González, SA, Grijalba, C, Gutiérrez, L, Leal, D, Lemus, N, Mahecha, E, Mahecha, MP, Mahecha, R, Ramírez Varela, A, Ríos, P, Suarez, A, Triana, CA, Hovi, E, Kivelä, J, Räsänen, SM, Roito, S, Saloheimo, T, Valta, L, Kurpad, AV, Kuriyan, R, Lokesh, DP, D'Almeida, MS, Annie Mattilda, R, Correa, LFM, Murthy, VD, Wachira, LJ, Muthuri, SK, Borges, ADS, Sá Cachada, SO, De Chaves, RN, Gomes, TN, Pereira, SI, De Vilhena E Santos, DM, Dos Santos, FK, Da Silva, PG, De Souza, MC, Lambert, VE, April, M, Uys, M, Naidoo, N, Synyanya, N, Carstens, MT, Cumming, SP, Drenowatz, C, Emm, LG, Gillison, FB, Zakrzewski, JK, Braud, A, Donatto, SG, Lemon, C, Jackson, A, Pearson, A, Pennington, G, Ragus, D, Roubion, RC, Schuna, JM, Wiltz, D, Batterham, AM, Kerr, J, Pratt, MW & Pietrobelli, A 2016, 'Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study', International Journal of Behavioral Nutrition and Physical Activity, vol. 13, no. 1, 123. https://doi.org/10.1186/s12966-016-0449-8

Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study. / Romàn-Viñas, Blanca; Chaput, Jean Philippe; Katzmarzyk, Peter T. et al.

In: International Journal of Behavioral Nutrition and Physical Activity, Vol. 13, No. 1, 123, 25.11.2016.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study

AU - Romàn-Viñas, Blanca

AU - Chaput, Jean Philippe

AU - Katzmarzyk, Peter T.

AU - Fogelholm, Mikael

AU - Lambert, Estelle Victoria

AU - Maher, Carol Ann

AU - Maia, José António

AU - Olds, Tim

AU - Onywera, Vincent Ochieng

AU - Sarmiento, Olga

AU - Standage, Martyn

AU - Tudor- Locke, Catrine E.

AU - Tremblay, Mark S.

AU - Church, Timothy S.

AU - Lambert, Denise G.

AU - Barreira, Tiago V.

AU - Broyles, Stephanie T.

AU - Butitta, Ben P.

AU - Champagne, Catherine M.

AU - Cocreham, Shannon H.

AU - Denstel, Kara D.

AU - Drazba, Katy

AU - Harrington, Deirdre

AU - Johnson, William D.

AU - Milauskas, Dione

AU - Mire, Emily F.

AU - Tohme, Allison

AU - Rodarte, Ruben Q.

AU - Amoroso, Bobby

AU - Luopa, John

AU - Neiberg, Rebecca H.

AU - Rushing, Scott

AU - Lewis, Lucy Kate

AU - Ferrar, Katia

AU - Georgiadis, Effie

AU - Stanley, Rebecca Megan

AU - Matsudo, Victor Keihan Rodrigues

AU - Matsudo, Sandra

AU - Araújo, Timóteo Leandro

AU - De Oliveira, Luís Carlos

AU - Fabiano, Luis

AU - Bezerra, Diogo

AU - Ferrari, Gerson Luis

AU - Bélanger, Priscilla

AU - Borghese, Michael Marc

AU - Boyer, Charles

AU - LeBlanc, Allana G.W.

AU - Francis, Claire E.

AU - Leduc, Geneviève

AU - Zhao, Pei

AU - Hu, Gang

AU - Diao, Chengming

AU - Li, Wei

AU - Li, Weiqin

AU - Liu, Enqing

AU - Liu, Gongshu

AU - Liu, Hongyan

AU - Ma, Jian

AU - Qiao, Yijuan

AU - Tian, Huiguang

AU - Wang, Yue

AU - Zhang, Tao

AU - Zhang, Fuxia

AU - Sarmiento, Olga

AU - Acosta, Julio

AU - Alvira, Yalta

AU - Díaz, María Paula

AU - Gámez, Rocio

AU - Garcia, Maria Paula

AU - Gómez, Luis Guillermo

AU - González, Lisseth Heras

AU - González, Silvia Alejandra

AU - Grijalba, Carlos

AU - Gutiérrez, Leidys

AU - Leal, David

AU - Lemus, Nicolás

AU - Mahecha, Etelvina

AU - Mahecha, Maria Paula

AU - Mahecha, Rosalba

AU - Ramírez Varela, Andrea

AU - Ríos, Paola

AU - Suarez, Andres

AU - Triana, Camilo A.

AU - Hovi, Elli

AU - Kivelä, Jemina

AU - Räsänen, Sari M.

AU - Roito, Sanna

AU - Saloheimo, Taru

AU - Valta, Leena

AU - Kurpad, Anura Vishwanath

AU - Kuriyan, Rebecca

AU - Lokesh, Deepa P.

AU - D'Almeida, Michelle Stephanie

AU - Annie Mattilda, R.

AU - Correa, Lygia F.M.

AU - Murthy, Vijay Dakshina

AU - Wachira, Lucy Joy

AU - Muthuri, Stella Kagwiria

AU - Borges, Alessandra da Silva

AU - Sá Cachada, Sofia Oliveira

AU - De Chaves, Raquel Nichele

AU - Gomes, Thayse Natacha

AU - Pereira, Sara Isabel

AU - De Vilhena E Santos, Daniel Monteiro

AU - Dos Santos, Fernanda Karina

AU - Da Silva, Pedro Gil

AU - De Souza, Michele Caroline

AU - Lambert, Vicki E.

AU - April, Matthew

AU - Uys, Monika

AU - Naidoo, Nirmala

AU - Synyanya, Nandi

AU - Carstens, Madelaine T.

AU - Cumming, Sean P.

AU - Drenowatz, Clemens

AU - Emm, Lydia G.

AU - Gillison, Fiona Bridget

AU - Zakrzewski, Julia Kirstey

AU - Braud, Ashley

AU - Donatto, Sheletta G.

AU - Lemon, Corbin

AU - Jackson, Ana

AU - Pearson, Ashunti

AU - Pennington, Gina

AU - Ragus, Daniel

AU - Roubion, Ryan C.

AU - Schuna, John M.

AU - Wiltz, Derek

AU - Batterham, Alan Mark

AU - Kerr, Jacqueline

AU - Pratt, Michael W.

AU - Pietrobelli, Angelo

N1 - Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

PY - 2016/11/25

Y1 - 2016/11/25

N2 - Background: The Canadian 24-h movement guidelines were developed with the hope of improving health and future health outcomes in children and youth. The purpose of this study was to evaluate adherence to the 3 recommendations most strongly associated with health outcomes in new 24-h movement guidelines and their relationship with adiposity (obesity and body mass index z-score) across countries participating in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). Methods: Cross-sectional results were based on 6128 children aged 9-11years from the 12 countries of ISCOLE. Sleep duration and moderate-to-vigorous physical activity (MVPA) were assessed using accelerometry. Screen time was measured through self-report. Body weight and height were measured. Body mass index (BMI, kgm2) was calculated, and BMI z-scores were computed using age- and sex-specific reference data from the World Health Organization. Obesity was defined as a BMI z-score>+2 SD. Meeting the overall 24-h movement guidelines was defined as: 9 to 11h/night of sleep, ≤2h/day of screen time, and at least 60min/day of MVPA. Age, sex, highest parental education and unhealthy diet pattern score were included as covariates in statistical models. Associations between meeting vs. not meeting each single recommendation (and combinations) with obesity were assessed with odds ratios calculated using generalized linear mixed models. A linear mixed model was used to examine the differences in BMI z-scores between children meeting vs. not meeting the different combinations of recommendations. Results: The global prevalence of children meeting the overall recommendations (all three behaviors) was 7%, with children from Australia and Canada showing the highest adherence (15%). Children meeting the three recommendations had lower odds ratios for obesity compared to those meeting none of the recommendations (OR=0.28, 95% CI 0.18-0.45). Compared to not meeting the 24-h movement recommendations either independently or combined, meeting them was significantly associated with a lower BMI z-score. Whenever the MVPA recommendation was included in the analysis the odds ratios for obesity were lower. Conclusions: For ISCOLE participants meeting these 3 healthy movement recommendations the odds ratios of being obese or having high BMI z-scores were lower. However, only a small percentage of children met all recommendations. Future efforts should aim to find promising ways to increase daily physical activity, reduce screen time, and ensure an adequate night's sleep in children. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) was registered at ClinicalTrials.gov (Identifier NCT01722500) (October 29, 2012).

AB - Background: The Canadian 24-h movement guidelines were developed with the hope of improving health and future health outcomes in children and youth. The purpose of this study was to evaluate adherence to the 3 recommendations most strongly associated with health outcomes in new 24-h movement guidelines and their relationship with adiposity (obesity and body mass index z-score) across countries participating in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). Methods: Cross-sectional results were based on 6128 children aged 9-11years from the 12 countries of ISCOLE. Sleep duration and moderate-to-vigorous physical activity (MVPA) were assessed using accelerometry. Screen time was measured through self-report. Body weight and height were measured. Body mass index (BMI, kgm2) was calculated, and BMI z-scores were computed using age- and sex-specific reference data from the World Health Organization. Obesity was defined as a BMI z-score>+2 SD. Meeting the overall 24-h movement guidelines was defined as: 9 to 11h/night of sleep, ≤2h/day of screen time, and at least 60min/day of MVPA. Age, sex, highest parental education and unhealthy diet pattern score were included as covariates in statistical models. Associations between meeting vs. not meeting each single recommendation (and combinations) with obesity were assessed with odds ratios calculated using generalized linear mixed models. A linear mixed model was used to examine the differences in BMI z-scores between children meeting vs. not meeting the different combinations of recommendations. Results: The global prevalence of children meeting the overall recommendations (all three behaviors) was 7%, with children from Australia and Canada showing the highest adherence (15%). Children meeting the three recommendations had lower odds ratios for obesity compared to those meeting none of the recommendations (OR=0.28, 95% CI 0.18-0.45). Compared to not meeting the 24-h movement recommendations either independently or combined, meeting them was significantly associated with a lower BMI z-score. Whenever the MVPA recommendation was included in the analysis the odds ratios for obesity were lower. Conclusions: For ISCOLE participants meeting these 3 healthy movement recommendations the odds ratios of being obese or having high BMI z-scores were lower. However, only a small percentage of children met all recommendations. Future efforts should aim to find promising ways to increase daily physical activity, reduce screen time, and ensure an adequate night's sleep in children. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) was registered at ClinicalTrials.gov (Identifier NCT01722500) (October 29, 2012).

KW - obesity

KW - Adiposity

KW - physical activity

KW - movement behaviours

KW - Recommendations

KW - Obesity

KW - Screen time

KW - Prevalence

KW - Sleep

KW - Physical activity

KW - Children

UR - http://www.scopus.com/inward/record.url?scp=85000925847&partnerID=8YFLogxK

U2 - 10.1186/s12966-016-0449-8

DO - 10.1186/s12966-016-0449-8

M3 - Article

SN - 1479-5868

VL - 13

JO - International Journal of Behavioral Nutrition and Physical Activity

JF - International Journal of Behavioral Nutrition and Physical Activity

IS - 1

M1 - 123

ER -

Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study

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