Physical Activity, Screen Time, and Sleep Duration of Children Aged 6-9 Years in 25 Countries: An Analysis within the WHO European Childhood Obesity Surveillance Initiative (COSI) 2015-2017.
Active transport, active play
Physical inactivity
Sedentary behaviour
Surveillance
Journal
Obesity facts
ISSN: 1662-4033
Titre abrégé: Obes Facts
Pays: Switzerland
ID NLM: 101469429
Informations de publication
Date de publication:
2021
2021
Historique:
received:
05
05
2020
accepted:
24
08
2020
pubmed:
23
12
2020
medline:
8
7
2021
entrez:
22
12
2020
Statut:
ppublish
Résumé
Children are becoming less physically active as opportunities for safe active play, recreational activities, and active transport decrease. At the same time, sedentary screen-based activities both during school and leisure time are increasing. This study aimed to evaluate physical activity (PA), screen time, and sleep duration of girls and boys aged 6-9 years in Europe using data from the WHO European Childhood Obesity Surveillance Initiative (COSI). The fourth COSI data collection round was conducted in 2015-2017, using a standardized protocol that included a family form completed by parents with specific questions about their children's PA, screen time, and sleep duration. Nationally representative data from 25 countries was included and information on the PA behaviour, screen time, and sleep duration of 150,651 children was analysed. Pooled analysis showed that: 79.4% were actively playing for >1 h each day, 53.9% were not members of a sport or dancing club, 50.0% walked or cycled to school each day, 60.2% engaged in screen time for <2 h/day, and 84.9% slept for 9-11 h/night. Country-specific analyses of these behaviours showed pronounced differences, with national prevalences in the range of 61.7-98.3% actively playing for >1 h/day, 8.2-85.6% were not members of a sport or dancing club, 17.7-94.0% walked or cycled to school each day, 32.3-80.0% engaged in screen time for <2 h/day, and 50.0-95.8% slept for 9-11 h/night. The prevalence of engagement in PA and the achievement of healthy screen time and sleep duration are heterogenous across the region. Policymakers and other stakeholders, including school administrators and parents, should increase opportunities for young people to participate in daily PA as well as explore solutions to address excessive screen time and short sleep duration to improve the overall physical and mental health and well-being of children.
Sections du résumé
BACKGROUND
Children are becoming less physically active as opportunities for safe active play, recreational activities, and active transport decrease. At the same time, sedentary screen-based activities both during school and leisure time are increasing.
OBJECTIVES
This study aimed to evaluate physical activity (PA), screen time, and sleep duration of girls and boys aged 6-9 years in Europe using data from the WHO European Childhood Obesity Surveillance Initiative (COSI).
METHOD
The fourth COSI data collection round was conducted in 2015-2017, using a standardized protocol that included a family form completed by parents with specific questions about their children's PA, screen time, and sleep duration.
RESULTS
Nationally representative data from 25 countries was included and information on the PA behaviour, screen time, and sleep duration of 150,651 children was analysed. Pooled analysis showed that: 79.4% were actively playing for >1 h each day, 53.9% were not members of a sport or dancing club, 50.0% walked or cycled to school each day, 60.2% engaged in screen time for <2 h/day, and 84.9% slept for 9-11 h/night. Country-specific analyses of these behaviours showed pronounced differences, with national prevalences in the range of 61.7-98.3% actively playing for >1 h/day, 8.2-85.6% were not members of a sport or dancing club, 17.7-94.0% walked or cycled to school each day, 32.3-80.0% engaged in screen time for <2 h/day, and 50.0-95.8% slept for 9-11 h/night.
CONCLUSIONS
The prevalence of engagement in PA and the achievement of healthy screen time and sleep duration are heterogenous across the region. Policymakers and other stakeholders, including school administrators and parents, should increase opportunities for young people to participate in daily PA as well as explore solutions to address excessive screen time and short sleep duration to improve the overall physical and mental health and well-being of children.
Identifiants
pubmed: 33352575
pii: 000511263
doi: 10.1159/000511263
pmc: PMC7983588
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
32-44Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Informations de copyright
© 2020 The Author(s) Published by S. Karger AG, Basel.
Références
Annu Rev Public Health. 2006;27:297-322
pubmed: 16533119
Int J Behav Nutr Phys Act. 2015 Mar 18;12:38
pubmed: 25889903
Med Sci Sports Exerc. 2000 May;32(5):963-75
pubmed: 10795788
Sleep. 2011 May 01;34(5):633-9
pubmed: 21532957
Int J Environ Res Public Health. 2018 Jun 28;15(7):
pubmed: 29958386
Diabetes Care. 2009 Feb;32(2):342-7
pubmed: 18957533
J Clin Hypertens (Greenwich). 2019 May;21(5):572-578
pubmed: 30892825
Eur J Public Health. 2012 Feb;22(1):126-30
pubmed: 21382970
JAMA. 2003 Apr 9;289(14):1813-9
pubmed: 12684360
Scand J Public Health. 2019 Dec;47(8):851-858
pubmed: 29999480
Int J Environ Res Public Health. 2017 Jun 22;14(7):
pubmed: 28640232
Prev Med. 2010 Aug;51(2):144-7
pubmed: 20561971
Obes Facts. 2019;12(2):244-258
pubmed: 31030201
Pediatrics. 2005 Jan;115(1):22-7
pubmed: 15629977
Appl Physiol Nutr Metab. 2016 Jun;41(6 Suppl 3):S311-27
pubmed: 27306437
PLoS One. 2016 Mar 09;11(3):e0150041
pubmed: 26960199
N Engl J Med. 2005 May 19;352(20):2100-9
pubmed: 15901863
Am J Prev Med. 2011 Aug;41(2):178-88
pubmed: 21767726
Obesity (Silver Spring). 2007 Jul;15(7):1799-807
pubmed: 17636099
Am J Prev Med. 2014 Dec;47(6):803-7
pubmed: 25241193
Acad Pediatr. 2019 Jul;19(5):529-533
pubmed: 30981024
Med Sci Sports Exerc. 2017 Jul;49(7):1366-1374
pubmed: 28277404
J Phys Act Health. 2014 May;11 Suppl 1:S113-25
pubmed: 25426906
Int J Behav Nutr Phys Act. 2017 Jun 10;14(1):75
pubmed: 28599680
Scand J Med Sci Sports. 2008 Apr;18(2):171-8
pubmed: 17555542
Int J Obes (Lond). 2009 Apr;33(4):387-400
pubmed: 19255583
Front Public Health. 2018 Oct 05;6:288
pubmed: 30345266
Int J Behav Nutr Phys Act. 2017 May 30;14(1):74
pubmed: 28558747
Int J Behav Nutr Phys Act. 2016 Nov 25;13(1):123
pubmed: 27887654
J Sleep Res. 2019 Apr;28(2):e12783
pubmed: 30609160
Sleep. 2018 Apr 1;41(4):
pubmed: 29401314
Obes Facts. 2009;2(3):187-95
pubmed: 20054224
Int J Behav Nutr Phys Act. 2006 Jul 27;3:19
pubmed: 16872543
Appl Physiol Nutr Metab. 2016 Jun;41(6 Suppl 3):S266-82
pubmed: 27306433
Obesity (Silver Spring). 2017 Oct;25(10):1762-1769
pubmed: 28782888
J Phys Act Health. 2014 Jan;11(1):206-27
pubmed: 23250273