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Compliance with the Australian 24-hour movement guidelines for the early years: associations with weight status

机译：早期符合澳大利亚24小时运动指南：体重状况的关联

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For effective public health and surveillance it is important to document the proportion of young children who meet the new Australian Integrated 24?h Movement Guidelines for the Early Years and how these associate with health outcomes. We aimed to (i) assess compliance with the new Integrated 24?h Movement Guidelines for the Early Years in a sample of Australian toddlers; and (ii) ascertain whether compliance with the guidelines associates with weight status. The sample comprised 202 toddlers (104 girls) aged 19.74?±?4.07?months from the GET UP! Study. Participants wore accelerometers (Actigraph GT3X+) for 24?h over 7 consecutive days to assess physical activity, sedentary time and sleep. Parents reported participants’ screen time. Weight and height were measured and body mass index (BMI) z-scores by age and sex were calculated. Analysis of Covariance (ANCOVA) was performed to test differences in BMI z-scores between participants complying with (i) none or any individual guideline, (ii) any combination of meeting two guidelines, and (iii) those who met all three guidelines, adjusting for child age, gender and socioeconomic status. Only 8.9% of the sample met the overall 24?h movement guidelines. Most of the sample met the physical activity (96.5%) and sleep (79.7%) guidelines but only 11.4% met the sedentary behavior guideline. Average BMI Z-scores did not significantly differ between children who complied with none or any individual guideline, any combination of meeting two guidelines, and those who met all three guidelines (p?>?0.05). Although the lack of significant differences, participants who accomplished any combination of two guidelines or all three guidelines appear to have had a lower BMI Z-score than those complying with one of the guidelines or none. Just under 9% of our sample met the overall Australian 24?h Movement Guidelines for the Early Years. BMI was not associated with the accomplishment of any of the 24-h Movement Guidelines. Strategies to promote adherence to the 24-h movement guidelines in toddlers, particularly for screen time, are necessary, as promoting health-related behaviors in early childhood has the potential to provide children a strong foundation for lifelong physical and mental health.
机译：为了进行有效的公共卫生和监视，重要的是，要证明符合早年澳大利亚新的24小时全人运动指南的幼儿的比例，以及这些幼儿与健康结果的关系。我们的目标是（i）以澳大利亚幼儿为样本，评估对早期《新24小时综合运动指南》的遵守情况; （ii）确定是否遵守指南与体重状况有关。样本包括来自GET UP的202个年龄在19.74±4.07个月的幼儿（104个女孩）。研究。参与者连续7天戴着加速度计（Actigraph GT3X +）24小时，以评估身体活动，久坐时间和睡眠时间。家长报告了参与者的放映时间。测量体重和身高，并按年龄和性别计算体重指数（BMI）z得分。进行了协方差分析（ANCOVA），以测试符合以下条件的参与者之间BMI z得分的差异：（i）没有任何准则或任何准则;（ii）符合两个准则的任何组合;以及（iii）符合所有三个准则的参与者，根据儿童年龄，性别和社会经济状况进行调整。只有8.9％的样本符合24小时运动的总体准则。大部分样本符合身体活动（96.5％）和睡眠（79.7％）准则，但只有11.4％符合久坐行为准则。既没有遵守任何准则，也没有符合任何个人准则的儿童，符合两项准则的任何儿童，以及符合全部三项准则的儿童的平均BMI Z得分均无显着差异（p？>？0.05）。尽管没有显着差异，但完成两项指南或所有三项指南的任意组合的参与者的BMI Z评分似乎低于遵守其中一项指南或没有一项的参与者。我们样本中只有不到9％符合早期《澳大利亚24小时运动指南》的整体要求。 BMI与任何24小时运动准则的完成均无关。必须采取策略来促进幼儿遵守24小时运动准则，尤其是在放映时间方面，因为在幼儿期提倡与健康相关的行为有可能为儿童提供终生身心健康的坚实基础。

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