Sociodemographic Differences in Young Children Meeting 24-Hour Movement Guidelines

in Journal of Physical Activity and Health
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Background: Little is known about variation in meeting the 24-Hour Movement Guidelines (including physical activity [PA], sleep, and screen time [ST]) in early childhood. The aim was to evaluate sociodemographic differences in meeting the 24-Hour Movement Guidelines. Methods: Parents of 3–4 year old children reported sociodemographic information and ST. Sleep and PA were measured using accelerometry, and height and weight were objectively measured. The 24-Hour Movement Guidelines include daily PA (total PA: ≥3 h; including ≥1 h of moderate to vigorous), sleep (10–13 h), and ST (≤1 h). Meeting guidelines by age, sex, race, poverty level, and weight status were assessed using chi-square and linear regression models. Results: Of 107 children, 57% were white and 26% lived in households at or below the poverty level. Most children met the PA (91.5%) and sleep (86.9%) guidelines, but few met ST (14.0%) or all 3 (11.3%) guidelines. African American children and children who lived at or below the poverty level were less likely to meet the sleep, ST, and all 3 guidelines compared with others (P < .01 for all). There were no other differences. Conclusion: These results suggest future interventions should focus on reducing differences in movement, namely in sleep and ST.

Kracht and Staiano are with Pennington Biomedical Research Center, Baton Rouge, LA. Webster is with the School of Kinesiology, Louisiana State University, Baton Rouge, LA.

Staiano (amanda.staiano@pbrc.edu) is corresponding author.
  • 1.

    Hong I, Coker-Bolt P, Anderson KR, Lee D, Velozo CA. Relationship between physical activity and overweight and obesity in children: findings from the 2012 National Health and Nutrition Examination Survey National Youth Fitness Survey. Am J Occup Ther. 2016;70(5):7005180060p1–7005180060p8. PubMed ID: 27548862 doi:10.5014/ajot.2016.021212

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Fatima Y, Doi SA, Mamun AA. Longitudinal impact of sleep on overweight and obesity in children and adolescents: a systematic review and bias-adjusted meta-analysis. Obes Rev. 2015;16(2):137–149. PubMed ID: 25589359 doi:10.1111/obr.12245

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Mendoza JA, Zimmerman FJ, Christakis DA. Television viewing, computer use, obesity, and adiposity in US preschool children. Int J Behav Nutr Phys Act. 2007;4:44. PubMed ID: 17894878 doi:10.1186/1479-5868-4-44

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Hinkley T, Timperio A, Salmon J, Hesketh K. Does preschool physical activity and electronic media use predict later social and emotional skills at 6 to 8 years? a cohort study. J Phys Act Health. 2017;14(4):308–316. PubMed ID: 28169562 doi:10.1123/jpah.2015-0700

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Pattinson CL, Smith SS, Staton SL, Trost SG, Thorpe KJ. Investigating the association between sleep parameters and the weight status of children: night sleep duration matters. Sleep Health. 2018;4(2):147–153. PubMed ID: 29555127 doi:10.1016/j.sleh.2017.12.009

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Dube N, Khan K, Loehr S, Chu Y, Veugelers P. The use of entertainment and communication technologies before sleep could affect sleep and weight status: a population-based study among children. Int J Behav Nutr Phys Act. 2017;14(1):97. PubMed ID: 28724380 doi:10.1186/s12966-017-0547-2

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Grgic J, Dumuid D, Bengoechea EG, et al. Health outcomes associated with reallocations of time between sleep, sedentary behaviour, and physical activity: a systematic scoping review of isotemporal substitution studies. Int J Behav Nutr Phys Act. 2018;15(1):69. PubMed ID: 30001713 doi:10.1186/s12966-018-0691-3

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    American Academy of Pediatrics. American Academy of Pediatrics Announces New Recommendations for Children’s Media Use. 2017; https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/american-academy-of-pediatrics-announces-new-recommendations-for-childrens-media-use.aspx

    • Search Google Scholar
    • Export Citation
  • 9.

    Pate RR, O’Neill JR. Physical activity guidelines for young children: an emerging consensus. Arch Pediatr Adolesc Med. 2012;166(12):1095–1096. PubMed ID: 23069982 doi:10.1001/archpediatrics.2012.1458

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Piercy KL, Troiano RP, Ballard RM, et al. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020–2028. PubMed ID: 30418471 doi:10.1001/jama.2018.14854

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation’s updated sleep duration recommendations: final report. Sleep Health. 2015;1(4):233–243. PubMed ID: 29073398 doi:10.1016/j.sleh.2015.10.004

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Tremblay MS, Chaput JP, Adamo KB, et al. Canadian 24-hour movement guidelines for the early years (0–4 years): an integration of physical activity, sedentary behaviour, and sleep. BMC Public Health. 2017;17(Suppl 5):874. PubMed ID: 29219102 doi:10.1186/s12889-017-4859-6

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Chaput JP, Colley RC, Aubert S, et al. Proportion of preschool-aged children meeting the Canadian 24-hour Movement Guidelines and Associations with adiposity: results from the Canadian Health Measures Survey. BMC Public Health. 2017;17(Suppl 5):829. PubMed ID: 29219075 doi:10.1186/s12889-017-4854-y

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Carson V, Kuzik N. Demographic correlates of screen time and objectively measured sedentary time and physical activity among toddlers: a cross-sectional study. BMC Public Health. 2017;17(1):187. PubMed ID: 28193271 doi:10.1186/s12889-017-4125-y

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Patrick KE, Millet G, Mindell JA. Sleep differences by race in preschool children: the roles of parenting behaviors and socioeconomic status. Behav Sleep Med. 2016;14(5):467–479. PubMed ID: 26406552 doi:10.1080/15402002.2015.1017101

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Paudel S, Jancey J, Subedi N, Leavy J. Correlates of mobile screen media use among children aged 0–8: a systematic review. BMJ Open. 2017;7(10):e014585. PubMed ID: 29070636 doi:10.1136/bmjopen-2016-014585

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Staiano AE, Webster EK, Allen AT, Jarrell AR, Martin CK. Screen-time policies and practices in early care and education centers in relationship to child physical activity. Child Obes. 2018;14(6):341–348. PubMed ID: 30199286 doi:10.1089/chi.2018.0078

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Staiano AE, Allen AT, Fowler W, et al. State licensing regulations on screen time in childcare centers: an impetus for participatory action research. Prog Community Health Partnersh. 2018;12(1S):101–109. PubMed ID: 29755053 doi:10.1353/cpr.2018.0025

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Burwell S. Annual update of the HHs poverty guidelines. Fed Regist. 2016;81(15):4036–4037 .

  • 20.

    Kuczmarski RJ, Ogden CL, Guo SS, et al. 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 11. 2002;246:1–190.

    • Search Google Scholar
    • Export Citation
  • 21.

    Clark BK, Sugiyama T, Healy GN, Salmon J, Dunstan DW, Owen N. Validity and reliability of measures of television viewing time and other non-occupational sedentary behaviour of adults: a review. Obes Rev. 2009;10(1):7–16. PubMed ID: 18631161 doi:10.1111/j.1467-789X.2008.00508.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Moller NC, Christensen LB, Molgaard C, Ejlerskov KT, Pfeiffer KA, Michaelsen KF. Descriptive analysis of preschool physical activity and sedentary behaviors – a cross sectional study of 3-year-olds nested in the SKOT cohort. BMC Public Health. 2017;17(1):613. PubMed ID: 28666428 doi:10.1186/s12889-017-4521-3

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Sisson SB, Stoner J, Li J, et al. Tribally affiliated child-care center environment and obesogenic behaviors in young children. J Acad Nutr Diet. 2017;117(3):433–440. PubMed ID: 27927584 doi:10.1016/j.jand.2016.10.015

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Pate RR, Almeida MJ, McIver KL, Pfeiffer KA, Dowda M. Validation and calibration of an accelerometer in preschool children. Obesity. 2006;14(11):2000–2006. doi:10.1038/oby.2006.234.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Byun W, Beets MW, Pate RR. Sedentary behavior in preschoolers: how many days of accelerometer monitoring is needed? Int J Environ Res Public Health. 2015;12(10):13148–13161. PubMed ID: 26492261 doi:10.3390/ijerph121013148

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Hesketh KR, Griffin SJ, van Sluijs EM. UK Preschool-aged children’s physical activity levels in childcare and at home: a cross-sectional exploration. Int J Behav Nutr Phys Act. 2015;12:123. PubMed ID: 26410252 doi:10.1186/s12966-015-0286-1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27.

    Beets MW, Bornstein D, Dowda M, Pate RR. Compliance with national guidelines for physical activity in U.S. preschoolers: measurement and interpretation. Pediatrics. 2011;127(4):658–664. PubMed ID: 21422082 doi:10.1542/peds.2010-2021

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Tudor-Locke C, Barreira TV, Schuna JM, Jr, Mire EF, Katzmarzyk PT. Fully automated waist-worn accelerometer algorithm for detecting children’s sleep-period time separate from 24-h physical activity or sedentary behaviors. Appl Physiol Nutr Metab. 2014;39(1):53–57. PubMed ID: 24383507 doi:10.1139/apnm-2013-0173

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Li J, Chan IS. Detecting qualitative interactions in clinical trials: an extension of range test. J Biopharm Stat. 2006;16(6):831–841. PubMed ID: 17146982 doi:10.1080/10543400600801588

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Institute of Medicine. Early Childhood Obesity Prevention Policies. Washington, DC: The National Academies Press; 2011.

  • 31.

    O’Neill JR, Pfeiffer KA, Dowda M, Pate RR. In-school and out-of-school physical activity in preschool children. J Phys Act Health. 2016;13(6):606–610 . doi:10.1123/jpah.2015-0245.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Pate RR, O’Neill JR, Brown WH, Pfeiffer KA, Dowda M, Addy CL. Prevalence of compliance with a new physical activity guideline for preschool-age children. Child Obes. 2015;11(4):415–420. PubMed ID: 26121562 doi:10.1089/chi.2014.0143

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Vale S, Trost S, Ruiz JJ, Rego C, Moreira P, Mota J. Physical activity guidelines and preschooler’s obesity status. Int J Obes. 2013;37(10):1352–1355 . doi:10.1038/ijo.2013.109.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 34.

    Erinosho T, Hales D, Vaughn A, Mazzucca S, Ward DS. Impact of policies on physical activity and screen time practices in 50 child-care centers in North Carolina. J Phys Act Health. 2016;13(1):59–66. PubMed ID: 25831553 doi:10.1123/jpah.2014-0467

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Kim Y, Cubbin C. The role of neighborhood economic context on physical activity among children: evidence from the Geographic Research on Wellbeing (GROW) study. Prev Med. 2017;101:149–155. PubMed ID: 28601623 doi:10.1016/j.ypmed.2017.06.007

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36.

    Wijtzes AI, Bouthoorn SH, Jansen W, et al. Sedentary behaviors, physical activity behaviors, and body fat in 6-year-old children: the Generation R study. Int J Behav Nutr Phys Act. 2014;11:96. PubMed ID: 25124336 doi:10.1186/s12966-014-0096-x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    Kabali HK, Irigoyen MM, Nunez-Davis R, et al. Exposure and use of mobile media devices by young children. Pediatrics. 2015;136(6):1044–1050. PubMed ID: 26527548 doi:10.1542/peds.2015-2151

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Stierlin AS, De Lepeleere S, Cardon G, et al. A systematic review of determinants of sedentary behaviour in youth: a DEDIPAC-study. Int J Behav Nutr Phys Act. 2015;12:133. PubMed ID: 26453175 doi:10.1186/s12966-015-0291-4

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Emond JA, Tantum LK, Gilbert-Diamond D, Kim SJ, Lansigan RK, Neelon SB. Household chaos and screen media use among preschool-aged children: a cross-sectional study. BMC Public Health. 2018;18(1):1210. PubMed ID: 30373557 doi:10.1186/s12889-018-6113-2

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 40.

    Downing KL, Hinkley T, Hesketh KD. Associations of parental rules and socioeconomic position with preschool children’s sedentary behaviour and screen time. J Phys Act Health. 2015;12(4):515–521. PubMed ID: 25155232 doi:10.1123/jpah.2013-0427

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41.

    Spilsbury JC, Patel SR, Morris N, Ehayaei A, Intille SS. Household chaos and sleep-disturbing behavior of family members: results of a pilot study of African American early adolescents. Sleep Health. 2017;3(2):84–89. PubMed ID: 28346162 doi:10.1016/j.sleh.2016.12.006

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 42.

    Pena MM, Rifas-Shiman SL, Gillman MW, Redline S, Taveras EM. Racial/ethnic and socio-contextual correlates of chronic sleep curtailment in childhood. Sleep. 2016;39(9):1653–1661. PubMed ID: 27306269 doi:10.5665/sleep.6086

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 43.

    Grandner MA, Williams NJ, Knutson KL, Roberts D, Jean-Louis G. Sleep disparity, race/ethnicity, and socioeconomic position. Sleep Med. 2016;18:7–18. PubMed ID: 26431755 doi:10.1016/j.sleep.2015.01.020

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 44.

    Parsons AA, Ollberding NJ, Smith L, Copeland KA. Sleep matters: the association of race, bedtime, outdoor time, and physical activity with preschoolers’ sleep. Prev Med Rep. 2018;12:54–59. PubMed ID: 30181946 doi:10.1016/j.pmedr.2018.08.008

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 45.

    Tandon PS, Zhou C, Sallis JF, Cain KL, Frank LD, Saelens BE. Home environment relationships with children’s physical activity, sedentary time, and screen time by socioeconomic status. Int J Behav Nutr Phys Act. 2012;9:88. PubMed ID: 22835155 doi:10.1186/1479-5868-9-88

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 46.

    Taylor RW, Haszard JJ, Meredith-Jones KA, et al. 24-h movement behaviors from infancy to preschool: cross-sectional and longitudinal relationships with body composition and bone health. Int J Behav Nutr Phys Act. 2018;15(1):118. PubMed ID: 30477518 doi:10.1186/s12966-018-0753-6

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 47.

    Veldhuis L, Vogel I, Renders CM, et al. Behavioral risk factors for overweight in early childhood; the ‘Be active, eat right’ study. Int J Behav Nutr Phys Act. 2012;9:74. PubMed ID: 22704042 doi:10.1186/1479-5868-9-74

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 48.

    Carson V, Chaput JP, Janssen I, Tremblay MS. Health associations with meeting new 24-hour movement guidelines for Canadian children and youth. Prev Med. 2017;95:7–13. PubMed ID: 27923668 doi:10.1016/j.ypmed.2016.12.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 49.

    Katzmarzyk PT, Staiano AE. Relationship between meeting 24-hour movement guidelines and cardiometabolic risk factors in children. J Phys Act Health. 2017;14(10):779–784. PubMed ID: 28556685 doi:10.1123/jpah.2017-0090

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 50.

    Janz KF, Boros P, Letuchy EM, Kwon S, Burns TL, Levy SM. Physical activity, not sedentary time, predicts dual-energy X-ray absorptiometry-measured adiposity age 5 to 19 years. Med Sci Sports Exerc. 2017;49(10):2071–2077. PubMed ID: 28915225 doi:10.1249/MSS.0000000000001336

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 51.

    United States Census Bureau. Quick Facts: East Baton Rouge Parish. Louisiana, US: Author; 2018. July 1, 2018. https://www.census.gov/quickfacts/eastbatonrougeparishlouisiana

    • Search Google Scholar
    • Export Citation
  • 52.

    Duch H, Fisher EM, Ensari I, Harrington A. Screen time use in children under 3 years old: a systematic review of correlates. Int J Behav Nutr Phys Act. 2013;10:102. PubMed ID: 23967799 doi:10.1186/1479-5868-10-102

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 53.

    Tremblay MS, Carson V, Chaput JP, et al. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab. 2016;41(6, Suppl 3):S311–S327. PubMed ID: 27306437 doi:10.1139/apnm-2016-0151

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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