Global effect of COVID-19 pandemic on physical activity, sedentary behaviour and sleep among 3- to 5-year-old children: a longitudinal study of 14 countries

BMC Public Health

Shameema Ferdous¹  Mohammad Sorowar Hossain¹  Jyh Eiin Wong²  Bee Koon Poh²  Denise Koh³  Jesus Del Pozo-Cruz⁴  Christine Delisle Nyström⁵  Hongyan Guan⁶  Mingming Cui⁶  Xiaojuan Wang⁶  Hong Kim Tang⁷  Thanh Van Kim⁷  Marie Löf⁸  P. W. Prasad Chathurangana⁹  V. P. Pujitha Wickramasinghe⁹  Borja Del Pozo-Cruz^1,10  Amy S. Ha^1,11  Cecilia H. S. Chan^1,11  Ellie K. Taylor^1,12  Penny L. Cross^1,12  Rebecca Calleia^1,12  Kar Hau Chong^1,12  Maria Nacher^1,12  Katharina E. Kariippanon^1,13  Anthony D. Okely^1,13  Kuston Sultoni^1,14  Adang Suherman^1,14  E. Kipling Webster^1,15  Thomas Suesse^1,16  Amanda E. Staiano^1,17  Ali Turab^1,18  Aqsa Baig^1,18  Catherine E. Draper^1,19  Asmaa El Hamdouchi^2,20  Issad Baddou^2,20  Uddhavi Kand^2,21  Himangi Lubree^2,21 

[1] Biomedical Research Foundation, Dhaka, Bangladesh;Centre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 50300, Kuala Lumpur, Malaysia;Centre of Community Education and Well-being, Faculty of Education, Universiti Kebangsaan Malaysia, 43600 UKM, Bangi, Malaysia;Departamento de Educación Física y Deporte, Universidad de Sevilla, Sevilla, Spain;Department of Biosciences and Nutrition, Karolinska Institutet, 14183, Huddinge, Sweden;Department of Early Childhood Development, Beijing Municipal Key Laboratory of Child Development and Nutriomics, Capital Institute of Pediatrics, Beijing, China;Department of Epidemiology, Faculty of Public Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam;Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden;Department of Paediatrics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka;Department of Sports Science and Clinical Biomechanics, Centre for Active and Healthy Ageing, University of Southern Denmark, Odense, Denmark;Department of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong Kong, Hong Kong, China;Early Start, Faculty of the Arts, Social Science and Humanities, University of Wollongong, 2522, Wollongong, NSW, Australia;Early Start, School of Health and Society, Faculty of the Arts, Social Science and Humanities, University of Wollongong, 2522, Wollongong, NSW, Australia;Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, Jawa Barat, Indonesia;Institute of Public and Preventive Health, Augusta University, 1120 15th Street, 30912, Augusta, GA, USA;NIASRA - National Institute for Applied Statistics Research Australia, School of Mathematics and Applied Statistics, Faculty of Engineering and Information Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia;Pennington Biomedical Research Center, 6400 Perkins Rd Baton Rouge Louisiana, 70808, Pennington, USA;Precision Health Consultants (PHC Global), Karachi, Pakistan;SAMRC/Wits Developmental Pathways for Health Research Unit, University of the Witwatersrand, Witwatersrand, South Africa;Unité Mixte de Recherche Nutrition et Alimentation, CNESTEN - Université Ibn Tofail (URAC-39), Regional Designated Center of Nutrition Associated with AFRA/IAEA, Pennington, USA;Vadu Rural Health Program, KEM Hospital Research Centre, Rasta Peth, Pune, India;

关键词: 24-h movement behaviours;    Low- and middle-income countries;    Preschool;    Outdoors;    Play;    Quarantine;   

DOI  :  10.1186/s12889-021-10852-3

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsParents 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.ResultsNine 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).ConclusionPA 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.

【 授权许可】

CC BY