TY - JOUR
T1 - Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children
T2 - a longitudinal study of 14 countries
AU - Okely, Anthony D.
AU - Kariippanon, Katharina E.
AU - Guan, Hongyan
AU - Taylor, Ellie K.
AU - Suesse, Thomas
AU - Cross, Penny L.
AU - Chong, Kar Hau
AU - Suherman, Adang
AU - Turab, Ali
AU - Staiano, Amanda E.
AU - Ha, Amy S.
AU - El Hamdouchi, Asmaa
AU - Baig, Aqsa
AU - Poh, Bee Koon
AU - Del Pozo-Cruz, Borja
AU - Chan, Cecilia H.S.
AU - Nyström, Christine Delisle
AU - Koh, Denise
AU - Webster, E. Kipling
AU - Lubree, Himangi
AU - Tang, Hong Kim
AU - Baddou, Issad
AU - Del Pozo-Cruz, Jesus
AU - Wong, Jyh Eiin
AU - Sultoni, Kuston
AU - Nacher, Maria
AU - Löf, Marie
AU - Cui, Mingming
AU - Hossain, Mohammad Sorowar
AU - Chathurangana, P. W.Prasad
AU - Kand, Uddhavi
AU - Wickramasinghe, V. P.Pujitha
AU - Calleia, Rebecca
AU - Ferdous, Shameema
AU - Van Kim, Thanh
AU - Wang, Xiaojuan
AU - Draper, Catherine E.
N1 - Funding Information:
This study was supported by a NHMRC Investigator Grant awarded to the first author.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - Background: The restrictions associated with the 2020 COVID-19 pandemic has resulted in changes to young children’s daily routines and habits. The impact on their participation in movement behaviours (physical activity, sedentary screen time and sleep) is unknown. This international longitudinal study compared young children’s movement behaviours before and during the COVID-19 pandemic. Methods: Parents of children aged 3–5 years, from 14 countries (8 low- and middle-income countries, LMICs) completed surveys to assess changes in movement behaviours and how these changes were associated with the COVID-19 pandemic. Surveys were completed in the 12 months up to March 2020 and again between May and June 2020 (at the height of restrictions). Physical activity (PA), sedentary screen time (SST) and sleep were assessed via parent survey. At Time 2, COVID-19 factors including level of restriction, environmental conditions, and parental stress were measured. Compliance with the World Health Organizations (WHO) Global guidelines for PA (180 min/day [≥60 min moderate- vigorous PA]), SST (≤1 h/day) and sleep (10-13 h/day) for children under 5 years of age, was determined. Results: Nine hundred- forty-eight parents completed the survey at both time points. Children from LMICs were more likely to meet the PA (Adjusted Odds Ratio [AdjOR] = 2.0, 95%Confidence Interval [CI] 1.0,3.8) and SST (AdjOR = 2.2, 95%CI 1.2,3.9) guidelines than their high-income country (HIC) counterparts. Children who could go outside during COVID-19 were more likely to meet all WHO Global guidelines (AdjOR = 3.3, 95%CI 1.1,9.8) than those who were not. Children of parents with higher compared to lower stress were less likely to meet all three guidelines (AdjOR = 0.5, 95%CI 0.3,0.9). Conclusion: PA and SST levels of children from LMICs have been less impacted by COVID-19 than in HICs. Ensuring children can access an outdoor space, and supporting parents’ mental health are important prerequisites for enabling pre-schoolers to practice healthy movement behaviours and meet the Global guidelines.
AB - Background: The restrictions associated with the 2020 COVID-19 pandemic has resulted in changes to young children’s daily routines and habits. The impact on their participation in movement behaviours (physical activity, sedentary screen time and sleep) is unknown. This international longitudinal study compared young children’s movement behaviours before and during the COVID-19 pandemic. Methods: Parents of children aged 3–5 years, from 14 countries (8 low- and middle-income countries, LMICs) completed surveys to assess changes in movement behaviours and how these changes were associated with the COVID-19 pandemic. Surveys were completed in the 12 months up to March 2020 and again between May and June 2020 (at the height of restrictions). Physical activity (PA), sedentary screen time (SST) and sleep were assessed via parent survey. At Time 2, COVID-19 factors including level of restriction, environmental conditions, and parental stress were measured. Compliance with the World Health Organizations (WHO) Global guidelines for PA (180 min/day [≥60 min moderate- vigorous PA]), SST (≤1 h/day) and sleep (10-13 h/day) for children under 5 years of age, was determined. Results: Nine hundred- forty-eight parents completed the survey at both time points. Children from LMICs were more likely to meet the PA (Adjusted Odds Ratio [AdjOR] = 2.0, 95%Confidence Interval [CI] 1.0,3.8) and SST (AdjOR = 2.2, 95%CI 1.2,3.9) guidelines than their high-income country (HIC) counterparts. Children who could go outside during COVID-19 were more likely to meet all WHO Global guidelines (AdjOR = 3.3, 95%CI 1.1,9.8) than those who were not. Children of parents with higher compared to lower stress were less likely to meet all three guidelines (AdjOR = 0.5, 95%CI 0.3,0.9). Conclusion: PA and SST levels of children from LMICs have been less impacted by COVID-19 than in HICs. Ensuring children can access an outdoor space, and supporting parents’ mental health are important prerequisites for enabling pre-schoolers to practice healthy movement behaviours and meet the Global guidelines.
KW - 24-h movement behaviours
KW - Low- and middle-income countries
KW - Outdoors
KW - Play
KW - Preschool
KW - Quarantine
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U2 - 10.1186/s12889-021-10852-3
DO - 10.1186/s12889-021-10852-3
M3 - Article
C2 - 34001086
AN - SCOPUS:85106023891
SN - 1471-2458
VL - 21
JO - BMC Public Health
JF - BMC Public Health
IS - 1
M1 - 940
ER -
