Compliance with the 24-h movement guidelines and the relationship with anthropometry in Finnish preschoolers : the DAGIS study

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Leppänen , M H , Ray , C , Wennman , H , Alexandrou , C , Sääksjärvi , K , Koivusilta , L , Erkkola , M & Roos , E 2019 , ' Compliance with the 24-h movement guidelines and the relationship with anthropometry in Finnish preschoolers : the DAGIS study ' , BMC Public Health , vol. 19 , no. 1 , 1618 . https://doi.org/10.1186/s12889-019-7967-7

Title: Compliance with the 24-h movement guidelines and the relationship with anthropometry in Finnish preschoolers : the DAGIS study
Author: Leppänen, Marja H.; Ray, Carola; Wennman, Heini; Alexandrou, Christina; Sääksjärvi, Katri; Koivusilta, Leena; Erkkola, Maijaliisa; Roos, Eva
Contributor organization: Department of Food and Nutrition
University of Helsinki
Department of Education
Maijaliisa Erkkola / Principal Investigator
Nutrition Science
Clinicum
Department of Public Health
Eva Roos / Principal Investigator
University Management
Teachers' Academy
Family nutrition and wellbeing
Date: 2019-12-03
Language: eng
Number of pages: 8
Belongs to series: BMC Public Health
ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-019-7967-7
URI: http://hdl.handle.net/10138/310592
Abstract: Background: Recent 24-h movement guidelines for the early years established recommendations for physical activity (PA), screen time (ST), and sleep. To date, few studies have focused on compliance with meeting the guidelines and their associations with health outcomes. Thus, we aimed to investigate: 1) compliance with the 24-h movement guidelines, and 2) associations between compliance and anthropometry in Finnish preschoolers. Methods: We utilized DAGIS survey data that were collected in 2015-2016 (N = 864). PA was assessed 24 h/day over 7 days using a waist-worn ActiGraph wGT3X-BT accelerometer. ST and sleep were reported by the parents during the same 7 days. Anthropometry was assessed using body mass index (BMI, kg/m(2)) and waist circumference (WC, cm). Children were classified as meeting the guidelines if they averaged >= 180 min/day of PA, which consisted of >= 60 min of moderate-to-vigorous intensity; Results: Children were physically active on average 390 (+/- 46.2) min/day and spent 86 (+/- 25.5) min/day in moderate-to-vigorous PA. They spent 76 (+/- 37.4) min/day on ST and had on average 10:21 (+/- 0:33) h:min/day of sleep. The compliance rate in meeting all three movement guidelines overall was 24%. The highest compliance rate was found for PA (85%), followed by sleep (76%) and ST (35%). Meeting guidelines separately for PA or sleep, or for both, were associated with lower WC (PA: B = -1.37, p <0.001; Sleep: B = -0.72, p = 0.009; PA + Sleep: B = -1.03, p <0.001). In addition, meeting guidelines for sleep or for both PA and sleep were associated with lower BMI (Sleep: B = -0.26, p = 0.027; PA + Sleep: B = -0.30, p = 0.007). There were no significant associations found regarding ST. Conclusions: Meeting recommendations for PA and sleep may have an important role in supporting a healthy weight status in young children. However, there is still a need to improve compliance with the 24-h movement guidelines, especially for ST.
Subject: Physical activity
Screen time
Sleep
Body mass index
Waist circumference
24-h guidelines
Children
PHYSICAL-ACTIVITY
OBESITY
RECOMMENDATIONS
ASSOCIATIONS
OVERWEIGHT
ADIPOSITY
3142 Public health care science, environmental and occupational health
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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