Is adherence to the 24-hour movement guidelines associated with a reduced risk of adiposity among children and adolescents?
Accelerometry
Childhood obesity
Physical activity
Screen time
Sleep
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
16 Jul 2020
16 Jul 2020
Historique:
received:
24
03
2020
accepted:
05
07
2020
entrez:
18
7
2020
pubmed:
18
7
2020
medline:
1
12
2020
Statut:
epublish
Résumé
Little is known about the combined effect of physical activity (PA), recreational screen time (ST), and sleep in preventing childhood obesity. Hence, this study aimed to analyze the associations between meeting the PA, ST, and sleep recommendations within the 24-hour movement guidelines and adiposity indicators among children and adolescents. A total of 679 children and adolescents aged 8-18 years were included. The time spent in moderate-to-vigorous PA and the sleep duration were estimated from raw data from a wrist-worn accelerometer. Recreational ST was reported by the child or parent. Body mass index (BMI) z-score, fat mass percentage (FM%), and visceral adipose tissue (VAT) were used as adiposity indicators. Participants with ≥ 60 min/day of moderate-to-vigorous PA, < 2 h/day of recreational ST, and uninterrupted sleep for 9-11 h/day (for children) or 8-10 h/day (for adolescents) were considered to meet the overall 24-hour movement guidelines. Meeting the ST only recommendation was associated with reduced odds of a high BMI z-score (odds ratio [OR] = 0.38, 95% confidence interval [CI]: 0.17-0.89), excess FM% (OR = 0.34, 95% CI: 0.13-0.93), and excess VAT (OR = 0.27, 95% CI: 0.10-0.74) in adolescents. Significantly reduced odds of a high BMI z-score was associated with meeting the combination of the ST and sleep recommendations (OR = 0.11, 95% CI: 0.01-0.89). Adolescents who met one recommendation (OR = 0.51, 95% CI: 0.27-0.96) or any two recommendations (OR = 0.33, 95% CI: 0.11-0.94) had reduced ORs of having a high BMI z-score. Adolescents had lower odds of having excess VAT if they met one recommendation (OR = 0.39, 95% CI: 0.19-0.81) or any two recommendations (OR = 0.25, 95% CI: 0.07-0.90). No significant associations were found in children. The present study showed no associations between meeting all three recommendations within the 24-hour movement guidelines and adiposity indicators. However, meeting ST only recommendation and the combination of the ST and sleep recommendations was associated with a reduced risk of excess adiposity. This finding should be considered when designing effective strategies and interventions to prevent childhood obesity.
Sections du résumé
BACKGROUND
BACKGROUND
Little is known about the combined effect of physical activity (PA), recreational screen time (ST), and sleep in preventing childhood obesity. Hence, this study aimed to analyze the associations between meeting the PA, ST, and sleep recommendations within the 24-hour movement guidelines and adiposity indicators among children and adolescents.
METHODS
METHODS
A total of 679 children and adolescents aged 8-18 years were included. The time spent in moderate-to-vigorous PA and the sleep duration were estimated from raw data from a wrist-worn accelerometer. Recreational ST was reported by the child or parent. Body mass index (BMI) z-score, fat mass percentage (FM%), and visceral adipose tissue (VAT) were used as adiposity indicators. Participants with ≥ 60 min/day of moderate-to-vigorous PA, < 2 h/day of recreational ST, and uninterrupted sleep for 9-11 h/day (for children) or 8-10 h/day (for adolescents) were considered to meet the overall 24-hour movement guidelines.
RESULTS
RESULTS
Meeting the ST only recommendation was associated with reduced odds of a high BMI z-score (odds ratio [OR] = 0.38, 95% confidence interval [CI]: 0.17-0.89), excess FM% (OR = 0.34, 95% CI: 0.13-0.93), and excess VAT (OR = 0.27, 95% CI: 0.10-0.74) in adolescents. Significantly reduced odds of a high BMI z-score was associated with meeting the combination of the ST and sleep recommendations (OR = 0.11, 95% CI: 0.01-0.89). Adolescents who met one recommendation (OR = 0.51, 95% CI: 0.27-0.96) or any two recommendations (OR = 0.33, 95% CI: 0.11-0.94) had reduced ORs of having a high BMI z-score. Adolescents had lower odds of having excess VAT if they met one recommendation (OR = 0.39, 95% CI: 0.19-0.81) or any two recommendations (OR = 0.25, 95% CI: 0.07-0.90). No significant associations were found in children.
CONCLUSIONS
CONCLUSIONS
The present study showed no associations between meeting all three recommendations within the 24-hour movement guidelines and adiposity indicators. However, meeting ST only recommendation and the combination of the ST and sleep recommendations was associated with a reduced risk of excess adiposity. This finding should be considered when designing effective strategies and interventions to prevent childhood obesity.
Identifiants
pubmed: 32677940
doi: 10.1186/s12889-020-09213-3
pii: 10.1186/s12889-020-09213-3
pmc: PMC7364474
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1119Subventions
Organisme : Grantová Agentura České Republiky
ID : 18-09188S
Organisme : Univerzita Palackého v Olomouci
ID : IGA_FTK_2018_001
Références
J Sports Sci. 2019 Sep;37(18):2159-2167
pubmed: 31156048
Int J Public Health. 2009 Sep;54 Suppl 2:131-9
pubmed: 19639260
J Phys Act Health. 2017 Oct 1;14(10):779-784
pubmed: 28556685
Cochrane Database Syst Rev. 2019 Jul 23;7:CD001871
pubmed: 31332776
J Phys Act Health. 2015 Mar;12(3):355-60
pubmed: 24828876
Obes Rev. 2008 Sep;9(5):474-88
pubmed: 18331423
Sleep. 2008 May;31(5):619-26
pubmed: 18517032
Lancet. 2014 Aug 30;384(9945):766-81
pubmed: 24880830
Sleep Med Rev. 2002 Apr;6(2):113-24
pubmed: 12531147
BMC Pediatr. 2020 Apr 2;20(1):147
pubmed: 32241269
Med Sci Sports Exerc. 2014 Sep;46(9):1816-24
pubmed: 24887173
Sleep Med. 2019 Aug;60:197-201
pubmed: 31186212
Med Sci Sports Exerc. 2015 May;47(5):944-51
pubmed: 25207928
BMC Public Health. 2017 May 31;17(1):533
pubmed: 28569188
Horm Res. 1997;48 Suppl 5:88-92
pubmed: 9434051
JAMA. 2010 Nov 10;304(18):2042-7
pubmed: 21063014
J Sch Health. 2004 Nov;74(9):370-7
pubmed: 15656264
Child Obes. 2019 Sep;15(6):353-358
pubmed: 31140855
Appl Physiol Nutr Metab. 2016 Jun;41(6 Suppl 3):S311-27
pubmed: 27306437
JAMA. 2007 Nov 7;298(17):2028-37
pubmed: 17986696
Int J Environ Res Public Health. 2017 Apr 19;14(4):
pubmed: 28422077
Int J Environ Res Public Health. 2019 Jun 27;16(13):
pubmed: 31252617
J Sleep Res. 2019 Aug;28(4):e12811
pubmed: 30609171
PLoS One. 2020 Jan 10;15(1):e0216017
pubmed: 31923194
Prev Med. 2017 Feb;95:7-13
pubmed: 27923668
Int J Environ Res Public Health. 2014 Dec 04;11(12):12575-81
pubmed: 25485978
PLoS One. 2015 Nov 16;10(11):e0142533
pubmed: 26569414
J Broadcast Electron Media. 2015;59(1):130-148
pubmed: 26549930
Int J Behav Nutr Phys Act. 2016 Nov 25;13(1):123
pubmed: 27887654
Int J Behav Nutr Phys Act. 2011 Sep 21;8:98
pubmed: 21936895
J Diabetes Complications. 2016 Mar;30(2):343-9
pubmed: 26620129
J Sport Health Sci. 2020 Mar;9(2):179-188
pubmed: 32099726
J Adolesc Health. 2019 Jan;64(1):124-130
pubmed: 30366713
J Clin Med. 2020 May 20;9(5):
pubmed: 32443799
Prev Med. 2018 Jun;111:436-441
pubmed: 29223790
J Phys Act Health. 2020 Jan 1;17(1):109-119
pubmed: 31877557
Pediatr Int. 2009 Apr;51(2):263-8
pubmed: 19405930
Lancet. 2017 Dec 16;390(10113):2627-2642
pubmed: 29029897
BMC Public Health. 2017 Nov 20;17(Suppl 5):874
pubmed: 29219102