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Proportion of preschool-aged children meeting the Canadian 24-Hour Movement Guidelines and associations with adiposity: results from the Canadian Health Measures Survey

机译:符合《加拿大24小时运动指南》的肥胖学龄前儿童比例以及与肥胖的关联:加拿大卫生措施调查的结果

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New Canadian 24-Hour Movement Guidelines for the Early Years have been released in 2017. According to the guidelines, within a 24-h period, preschoolers should accumulate at least 180?min of physical activity (of which at least 60?min is moderate-to-vigorous physical activity), engage in no more than 1?h of screen time, and obtain between 10 and 13?h of sleep. This study examined the proportions of preschool-aged (3 to 4?years) Canadian children who met these new guidelines and different recommendations within the guidelines, and the associations with adiposity indicators. Participants were 803 children (mean age: 3.5?years) from cycles 2–4 of the Canadian Health Measures Survey (CHMS), a nationally representative cross-sectional sample of Canadians. Physical activity was accelerometer-derived, and screen time and sleep duration were parent-reported. Participants were classified as meeting the overall 24-Hour Movement Guidelines if they met all three specific time recommendations for physical activity, screen time, and sleep. The adiposity indicators in this study were body mass index (BMI) z-scores and BMI status (World Health Organization Growth Standards). A total of 12.7% of preschool-aged children met the overall 24-Hour Movement Guidelines, and 3.3% met none of the three recommendations. A high proportion of children met the sleep duration (83.9%) and physical activity (61.8%) recommendations, while 24.4% met the screen time recommendation. No associations were found between meeting individual or combined recommendations and adiposity. Very few preschool-aged children in Canada (~13%) met all three recommendations contained within the 24-Hour Movement Guidelines. None of the combinations of recommendations were associated with adiposity in this sample. Future work should focus on identifying innovative ways to reduce screen time in this population, and should examine the associations of guideline adherence with health indicators other than adiposity.
机译:2017年发布了新的《加拿大早期24小时运动指南》。根据该指南,学龄前儿童应在24小时内积累至少180分钟的体育锻炼(其中至少60分钟的锻炼中等) -进行剧烈运动),不超过1小时的屏幕检查时间,并获得10到13小时的睡眠时间。这项研究调查了满足这些新指南和指南中不同建议的学龄前(3至4岁)加拿大儿童的比例,以及与肥胖指标的关系。参加者是来自加拿大健康测量调查(CHMS)的第2–4周期的803名儿童(平均年龄:3.5岁),这是加拿大人的全国代表性横断面样本。体力活动由加速度计得出,家长报告了筛查时间和睡眠时间。如果参与者符合关于身体活动,放映时间和睡眠的所有三个特定时间建议,则被分类为符合《 24小时整体运动指南》。这项研究中的肥胖指标是体重指数(BMI)z得分和BMI状态(世界卫生组织增长标准)。总计12.7%的学龄前儿童达到了《 24小时运动指南》的总体要求,而3.3%的人没有满足这三个建议。很大一部分儿童符合睡眠时间(83.9%)和身体活动(61.8%)的建议,而24.4%的儿童符合筛查时间的建议。在满足单个或合并的建议与肥胖之间没有发现关联。加拿大极少的学龄前儿童(〜13%)符合《 24小时运动指南》中的所有三项建议。在本样本中,推荐的组合均与肥胖无关。未来的工作应着重于寻找减少该人群筛查时间的创新方法,并应检查指南遵循与肥胖以外的健康指标之间的关系。

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