Improving national and international surveillance of movement behaviours in childhood and adolescence: an international modified Delphi study

John J. Reilly; Rachel Andrew; Chalchisa Abdeta; Liane B. Azevedo; Nicolas Aguilar Farias; Sharon Barak; Farid Bardid; Bruno Bizzozero-Peroni; Javier Brazo-Sayavera; Jonathan Y. Cagas; Mohamed-Souhaiel Chelly; Lars B. Christiansen; Visnja D. Djordjic; Catherine E. Draper; Asmaa  El-Hamdouchi; Elie-Jacques Fares; Aleš Gába; Kylie D. Hesketh; Mohammad Sorowar Hossain; Wendy Huang; Alejandra Jáuregui; Sanjay K. Juvekar; Nicholas  Kuzik; Richard Larouche; Eun-Young Lee; Sharon Levi; Yang Liu; Marie Löf; Tom Loney; Jose Francisco Lopez Gil; Evelin Mäestu; Taru Manyanga; Clarice Martins; Maria Mendoza-Muñoz; Shawnda A. Morrison; Nyaradzai Munambah; Tawonga W. Mwase-Vuma; Rowena Naidoo; Reginald Ocansey; Anthony D. Okely; Aoko Oluwayomi; Susan Paudel; Bee Koon Poh; Evelyn H. Ribeiro; Diego Augusto Santos Silva; Mohd Razif Shahril; Melody Smith; Amanda E. Staiano; Martyn  Standage; Narayan Subedi; Chiaki Tanaka; Hong K. Tang; David Thivel; Mark S. Tremblay; Edin Uzicanin; Dimitris Vlachopoulos; E. Kipling Webster; Dyah Anantalia Widyastari; Pawel Zembura; Salome Aubert

doi:10.1007/s40279-024-02104-2

Improving national and international surveillance of movement behaviours in childhood and adolescence: an international modified Delphi study

John J. Reilly^*, Rachel Andrew, Chalchisa Abdeta, Liane B. Azevedo, Nicolas Aguilar Farias, Sharon Barak, Farid Bardid, Bruno Bizzozero-Peroni, Javier Brazo-Sayavera, Jonathan Y. Cagas, Mohamed-Souhaiel Chelly, Lars B. Christiansen, Visnja D. Djordjic, Catherine E. Draper, Asmaa El-Hamdouchi, Elie-Jacques Fares, Aleš Gába, Kylie D. Hesketh, Mohammad Sorowar Hossain, Wendy HuangAlejandra Jáuregui, Sanjay K. Juvekar, Nicholas Kuzik, Richard Larouche, Eun-Young Lee, Sharon Levi, Yang Liu, Marie Löf, Tom Loney, Jose Francisco Lopez Gil, Evelin Mäestu, Taru Manyanga, Clarice Martins, Maria Mendoza-Muñoz, Shawnda A. Morrison, Nyaradzai Munambah, Tawonga W. Mwase-Vuma, Rowena Naidoo, Reginald Ocansey, Anthony D. Okely, Aoko Oluwayomi, Susan Paudel, Bee Koon Poh, Evelyn H. Ribeiro, Diego Augusto Santos Silva, Mohd Razif Shahril, Melody Smith, Amanda E. Staiano, Martyn Standage, Narayan Subedi, Chiaki Tanaka, Hong K. Tang, David Thivel, Mark S. Tremblay, Edin Uzicanin, Dimitris Vlachopoulos, E. Kipling Webster, Dyah Anantalia Widyastari, Pawel Zembura, Salome Aubert

^*Corresponding author for this work

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Abstract

Background. The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear. Objective. To identify how to improve surveillance of movement behaviours, from the perspective of experts. Methods. This Delphi Study involved 62 experts from the International Study of Movement Behaviours in the Early Years (SUNRISE) and the Active Healthy Kids Global Alliance (AHKGA). Two survey rounds were used, with items categorised under: 1) Funding, 2) Capacity Building, 3) Methods, 4) Other Issues (e.g., policymaker awareness of relevant WHO Guidelines and Strategies). Expert participants ranked 40 items on a 5-point Likert scale from ‘extremely’ to ‘not at all’ important. Consensus was defined as >70% rating of ‘extremely’ or ‘very’ important. Results. We received 62 responses to Round 1 of the Survey and 59 to Round 2. There was consensus for most items. The two highest rated Round 2 items in each category were: 1 (Funding). Greater Funding for Surveillance; Public Funding of Surveillance. 2 (Capacity Building). Increased Human Capacity for Surveillance (e.g. knowledge, skills); Regional or Global Partnerships to Support National Surveillance. 3 (Methods). Standard Protocols for Surveillance Measures; Improved Measurement Method for Screen Time. 4 (Other Issues). Greater Awareness of Physical Activity Guidelines and Strategies from WHO; Greater Awareness of the Importance of Surveillance for NCD Prevention. We generally found no significant differences in priorities between low-middle-income (n = 29) and high-income countries (n = 30) or between SUNRISE (n = 20), AHKGA (n = 26), or both (n = 13) initiatives. There was a lack of agreement on using private funding for surveillance or surveillance research. Conclusions. This study provides a prioritised and international consensus list of actions required to improve surveillance of movement behaviours in children and adolescents globally.

Original language	English
Number of pages	17
Journal	Sports Medicine
Early online date	3 Oct 2024
DOIs	https://doi.org/10.1007/s40279-024-02104-2
Publication status	E-pub ahead of print - 3 Oct 2024

Keywords

children
adolescents
movement behaviors
physical activity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Reilly, J. J., Andrew, R., Abdeta, C., Azevedo, L. B., Aguilar Farias, N., Barak, S., Bardid, F., Bizzozero-Peroni, B., Brazo-Sayavera, J., Cagas, J. Y., Chelly, M.-S., Christiansen, L. B., Djordjic, V. D., Draper, C. E., El-Hamdouchi, A., Fares, E.-J., Gába, A., Hesketh, K. D., Hossain, M. S., ... Aubert, S. (2024). Improving national and international surveillance of movement behaviours in childhood and adolescence: an international modified Delphi study. Sports Medicine. Advance online publication. https://doi.org/10.1007/s40279-024-02104-2

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title = "Improving national and international surveillance of movement behaviours in childhood and adolescence: an international modified Delphi study",

abstract = "Background. The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear. Objective. To identify how to improve surveillance of movement behaviours, from the perspective of experts. Methods. This Delphi Study involved 62 experts from the International Study of Movement Behaviours in the Early Years (SUNRISE) and the Active Healthy Kids Global Alliance (AHKGA). Two survey rounds were used, with items categorised under: 1) Funding, 2) Capacity Building, 3) Methods, 4) Other Issues (e.g., policymaker awareness of relevant WHO Guidelines and Strategies). Expert participants ranked 40 items on a 5-point Likert scale from {\textquoteleft}extremely{\textquoteright} to {\textquoteleft}not at all{\textquoteright} important. Consensus was defined as >70% rating of {\textquoteleft}extremely{\textquoteright} or {\textquoteleft}very{\textquoteright} important. Results. We received 62 responses to Round 1 of the Survey and 59 to Round 2. There was consensus for most items. The two highest rated Round 2 items in each category were: 1 (Funding). Greater Funding for Surveillance; Public Funding of Surveillance. 2 (Capacity Building). Increased Human Capacity for Surveillance (e.g. knowledge, skills); Regional or Global Partnerships to Support National Surveillance. 3 (Methods). Standard Protocols for Surveillance Measures; Improved Measurement Method for Screen Time. 4 (Other Issues). Greater Awareness of Physical Activity Guidelines and Strategies from WHO; Greater Awareness of the Importance of Surveillance for NCD Prevention. We generally found no significant differences in priorities between low-middle-income (n = 29) and high-income countries (n = 30) or between SUNRISE (n = 20), AHKGA (n = 26), or both (n = 13) initiatives. There was a lack of agreement on using private funding for surveillance or surveillance research. Conclusions. This study provides a prioritised and international consensus list of actions required to improve surveillance of movement behaviours in children and adolescents globally.",

keywords = "children, adolescents, movement behaviors, physical activity",

author = "Reilly, {John J.} and Rachel Andrew and Chalchisa Abdeta and Azevedo, {Liane B.} and {Aguilar Farias}, Nicolas and Sharon Barak and Farid Bardid and Bruno Bizzozero-Peroni and Javier Brazo-Sayavera and Cagas, {Jonathan Y.} and Mohamed-Souhaiel Chelly and Christiansen, {Lars B.} and Djordjic, {Visnja D.} and Draper, {Catherine E.} and Asmaa El-Hamdouchi and Elie-Jacques Fares and Ale{\v s} G{\'a}ba and Hesketh, {Kylie D.} and Hossain, {Mohammad Sorowar} and Wendy Huang and Alejandra J{\'a}uregui and Juvekar, {Sanjay K.} and Nicholas Kuzik and Richard Larouche and Eun-Young Lee and Sharon Levi and Yang Liu and Marie L{\"o}f and Tom Loney and {Lopez Gil}, {Jose Francisco} and Evelin M{\"a}estu and Taru Manyanga and Clarice Martins and Maria Mendoza-Mu{\~n}oz and Morrison, {Shawnda A.} and Nyaradzai Munambah and Mwase-Vuma, {Tawonga W.} and Rowena Naidoo and Reginald Ocansey and Okely, {Anthony D.} and Aoko Oluwayomi and Susan Paudel and Poh, {Bee Koon} and Ribeiro, {Evelyn H.} and {Santos Silva}, {Diego Augusto} and Shahril, {Mohd Razif} and Melody Smith and Staiano, {Amanda E.} and Martyn Standage and Narayan Subedi and Chiaki Tanaka and Tang, {Hong K.} and David Thivel and Tremblay, {Mark S.} and Edin Uzicanin and Dimitris Vlachopoulos and Webster, {E. Kipling} and Widyastari, {Dyah Anantalia} and Pawel Zembura and Salome Aubert",

year = "2024",

month = oct,

day = "3",

doi = "10.1007/s40279-024-02104-2",

language = "English",

journal = "Sports Medicine",

issn = "0112-1642",

}

Reilly, JJ, Andrew, R, Abdeta, C, Azevedo, LB, Aguilar Farias, N, Barak, S, Bardid, F, Bizzozero-Peroni, B, Brazo-Sayavera, J, Cagas, JY, Chelly, M-S, Christiansen, LB, Djordjic, VD, Draper, CE, El-Hamdouchi, A, Fares, E-J, Gába, A, Hesketh, KD, Hossain, MS, Huang, W, Jáuregui, A, Juvekar, SK, Kuzik, N, Larouche, R, Lee, E-Y, Levi, S, Liu, Y, Löf, M, Loney, T, Lopez Gil, JF, Mäestu, E, Manyanga, T, Martins, C, Mendoza-Muñoz, M, Morrison, SA, Munambah, N, Mwase-Vuma, TW, Naidoo, R, Ocansey, R, Okely, AD, Oluwayomi, A, Paudel, S, Poh, BK, Ribeiro, EH, Santos Silva, DA, Shahril, MR, Smith, M, Staiano, AE, Standage, M, Subedi, N, Tanaka, C, Tang, HK, Thivel, D, Tremblay, MS, Uzicanin, E, Vlachopoulos, D, Webster, EK, Widyastari, DA, Zembura, P & Aubert, S 2024, 'Improving national and international surveillance of movement behaviours in childhood and adolescence: an international modified Delphi study', Sports Medicine. https://doi.org/10.1007/s40279-024-02104-2

TY - JOUR

T1 - Improving national and international surveillance of movement behaviours in childhood and adolescence

T2 - an international modified Delphi study

AU - Reilly, John J.

AU - Andrew, Rachel

AU - Abdeta, Chalchisa

AU - Azevedo, Liane B.

AU - Aguilar Farias, Nicolas

AU - Barak, Sharon

AU - Bardid, Farid

AU - Bizzozero-Peroni, Bruno

AU - Brazo-Sayavera, Javier

AU - Cagas, Jonathan Y.

AU - Chelly, Mohamed-Souhaiel

AU - Christiansen, Lars B.

AU - Djordjic, Visnja D.

AU - Draper, Catherine E.

AU - El-Hamdouchi, Asmaa

AU - Fares, Elie-Jacques

AU - Gába, Aleš

AU - Hesketh, Kylie D.

AU - Hossain, Mohammad Sorowar

AU - Huang, Wendy

AU - Jáuregui, Alejandra

AU - Juvekar, Sanjay K.

AU - Kuzik, Nicholas

AU - Larouche, Richard

AU - Lee, Eun-Young

AU - Levi, Sharon

AU - Liu, Yang

AU - Löf, Marie

AU - Loney, Tom

AU - Lopez Gil, Jose Francisco

AU - Mäestu, Evelin

AU - Manyanga, Taru

AU - Martins, Clarice

AU - Mendoza-Muñoz, Maria

AU - Morrison, Shawnda A.

AU - Munambah, Nyaradzai

AU - Mwase-Vuma, Tawonga W.

AU - Naidoo, Rowena

AU - Ocansey, Reginald

AU - Okely, Anthony D.

AU - Oluwayomi, Aoko

AU - Paudel, Susan

AU - Poh, Bee Koon

AU - Ribeiro, Evelyn H.

AU - Santos Silva, Diego Augusto

AU - Shahril, Mohd Razif

AU - Smith, Melody

AU - Staiano, Amanda E.

AU - Standage, Martyn

AU - Subedi, Narayan

AU - Tanaka, Chiaki

AU - Tang, Hong K.

AU - Thivel, David

AU - Tremblay, Mark S.

AU - Uzicanin, Edin

AU - Vlachopoulos, Dimitris

AU - Webster, E. Kipling

AU - Widyastari, Dyah Anantalia

AU - Zembura, Pawel

AU - Aubert, Salome

PY - 2024/10/3

Y1 - 2024/10/3

N2 - Background. The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear. Objective. To identify how to improve surveillance of movement behaviours, from the perspective of experts. Methods. This Delphi Study involved 62 experts from the International Study of Movement Behaviours in the Early Years (SUNRISE) and the Active Healthy Kids Global Alliance (AHKGA). Two survey rounds were used, with items categorised under: 1) Funding, 2) Capacity Building, 3) Methods, 4) Other Issues (e.g., policymaker awareness of relevant WHO Guidelines and Strategies). Expert participants ranked 40 items on a 5-point Likert scale from ‘extremely’ to ‘not at all’ important. Consensus was defined as >70% rating of ‘extremely’ or ‘very’ important. Results. We received 62 responses to Round 1 of the Survey and 59 to Round 2. There was consensus for most items. The two highest rated Round 2 items in each category were: 1 (Funding). Greater Funding for Surveillance; Public Funding of Surveillance. 2 (Capacity Building). Increased Human Capacity for Surveillance (e.g. knowledge, skills); Regional or Global Partnerships to Support National Surveillance. 3 (Methods). Standard Protocols for Surveillance Measures; Improved Measurement Method for Screen Time. 4 (Other Issues). Greater Awareness of Physical Activity Guidelines and Strategies from WHO; Greater Awareness of the Importance of Surveillance for NCD Prevention. We generally found no significant differences in priorities between low-middle-income (n = 29) and high-income countries (n = 30) or between SUNRISE (n = 20), AHKGA (n = 26), or both (n = 13) initiatives. There was a lack of agreement on using private funding for surveillance or surveillance research. Conclusions. This study provides a prioritised and international consensus list of actions required to improve surveillance of movement behaviours in children and adolescents globally.

AB - Background. The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear. Objective. To identify how to improve surveillance of movement behaviours, from the perspective of experts. Methods. This Delphi Study involved 62 experts from the International Study of Movement Behaviours in the Early Years (SUNRISE) and the Active Healthy Kids Global Alliance (AHKGA). Two survey rounds were used, with items categorised under: 1) Funding, 2) Capacity Building, 3) Methods, 4) Other Issues (e.g., policymaker awareness of relevant WHO Guidelines and Strategies). Expert participants ranked 40 items on a 5-point Likert scale from ‘extremely’ to ‘not at all’ important. Consensus was defined as >70% rating of ‘extremely’ or ‘very’ important. Results. We received 62 responses to Round 1 of the Survey and 59 to Round 2. There was consensus for most items. The two highest rated Round 2 items in each category were: 1 (Funding). Greater Funding for Surveillance; Public Funding of Surveillance. 2 (Capacity Building). Increased Human Capacity for Surveillance (e.g. knowledge, skills); Regional or Global Partnerships to Support National Surveillance. 3 (Methods). Standard Protocols for Surveillance Measures; Improved Measurement Method for Screen Time. 4 (Other Issues). Greater Awareness of Physical Activity Guidelines and Strategies from WHO; Greater Awareness of the Importance of Surveillance for NCD Prevention. We generally found no significant differences in priorities between low-middle-income (n = 29) and high-income countries (n = 30) or between SUNRISE (n = 20), AHKGA (n = 26), or both (n = 13) initiatives. There was a lack of agreement on using private funding for surveillance or surveillance research. Conclusions. This study provides a prioritised and international consensus list of actions required to improve surveillance of movement behaviours in children and adolescents globally.

KW - children

KW - adolescents

KW - movement behaviors

KW - physical activity

U2 - 10.1007/s40279-024-02104-2

DO - 10.1007/s40279-024-02104-2

M3 - Article

SN - 0112-1642

JO - Sports Medicine

JF - Sports Medicine

ER -

Improving national and international surveillance of movement behaviours in childhood and adolescence: an international modified Delphi study

Abstract

Keywords

UN SDGs

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