Urban versus rural differences in meeting 24-hour movement behaviour guidelines among 3-4-year-olds: an analysis of SUNRISE pilot study data from 10 low- and middle-income countries

Jackline J. Nusurupia; Leyna H. Germana; Pujitha Wickramasinghe; Hong K. Tang; Nyaradzai Munambah; Mohammad S. Hossain; Pham Bang; Guan Hongyan; Alex Antonio Florindo; Catherine E. Draper; Denise Koh; Kuston Sultoni; Anthony D. Okely; Mark S. Tremblay; Xanne Janssen; John J. Reilly

doi:10.1111/cch.70008

Urban versus rural differences in meeting 24-hour movement behaviour guidelines among 3-4-year-olds: an analysis of SUNRISE pilot study data from 10 low- and middle-income countries

Jackline J. Nusurupia^*, Leyna H. Germana, Pujitha Wickramasinghe, Hong K. Tang, Nyaradzai Munambah, Mohammad S. Hossain, Pham Bang, Guan Hongyan, Alex Antonio Florindo, Catherine E. Draper, Denise Koh, Kuston Sultoni, Anthony D. Okely, Mark S. Tremblay, Xanne Janssen, John J. Reilly

^*Corresponding author for this work

Physical Activity And Health

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Abstract

Background: Insufficient physical activity, excessive screen time, and short sleep duration among young children are global public health concerns, however, data on prevalence of meeting World Health Organization 24-hour movement behaviour guidelines for 3–4-year-olds children in low- and middle-income countries (LMICs) are limited, and it is unknown whether urbanisation is related to young children’s movement behaviours. The present study examined differences in prevalence of meeting 24-hour movement behaviour guidelines among 3–4-year-old children living in urban vs rural settings in LMICs.
Methods: The SUNRISE Study recruited 429, 3–4-year-old child/parent dyads from 10 LMICs. Children wore activPALTM accelerometers continuously for at least 48 hours to assess their physical activity and sleep duration. Screen time and time spent restrained were assessed via parent questionnaire. Differences in prevalence of meeting guidelines between urban and rural dwelling children were examined using chi-square tests.
Results: Physical activity guidelines were met by 17% of children (14% urban vs 18% rural), sleep guidelines by 57% (61% urban vs 54% rural), screen time guidelines by 50% (50% urban vs 50% rural), restrained guidelines by 84% (81% urban vs 86 % rural), and all guidelines combined by 4% (4% urban vs 4% rural). We found no significant differences in meeting the guidelines between urban and rural areas.
Conclusions: Only a small proportion of children in both rural and urban settings met the WHO 24-hour movement guidelines. Strategies to improve movement behaviours in LMICs should consider including both rural and urban settings.

Original language	English
Article number	e70008
Number of pages	8
Journal	Child: Care, Health and Development
Volume	50
Issue number	6
DOIs	https://doi.org/10.1111/cch.70008
Publication status	Published - 20 Nov 2024

Funding

Funding: Research reported on this manuscript was funded in part by the University of Wollongong Australia. The views, statements and opinions presented in this manuscript are solely the responsibility of the authors and do not necessarily represent the views of the University of Wollongong, Australia. The SUNRISE project in Malaysia was funded by the Universiti Kebangsaan Malaysia Research University Grant. The SUNRISE project in Sri Lanka was funded by the Sri Lanka College of Paediatricians through Dr Stella de Silva Grant. The SUNRISE project in South Africa was funded by the Faculty of Health Sciences at the University of the Witwatersrand. The SUNRISE project in Indonesia was funded by the Universitas Pendidikan Indonesia Research Grant. The SUNRISE project in China was funded by the \u2018Beijing High Level Talents Cultivation Project for Public Health Academic Leader (2022-2-017)\u2019. Coordinating Centre: The support of SUNRISE Coordinating Centre staff at Early Start, University of Wollongong must be acknowledged. activPALs: Our thanks also go to PAL technologies (Glasgow, Scotland) for support for the purchasing of activPALs and the analysis of the data. REDCap: Study data were collected and managed using REDCap electronic data capture tools hosted at the University of Wollongong. Finally, I would like to thank all the preschools, children and parents who participated in the study. Without them, none of the data could have been collected. Research reported on this manuscript was funded in part by the University of Wollongong Australia. The views, statements and opinions presented in this manuscript are solely the responsibility of the authors and do not necessarily represent the views of the University of Wollongong, Australia. The SUNRISE project in Malaysia was funded by the Universiti Kebangsaan Malaysia Research University Grant. The SUNRISE project in Sri Lanka was funded by the Sri Lanka College of Paediatricians through Dr Stella de Silva Grant. The SUNRISE project in South Africa was funded by the Faculty of Health Sciences at the University of the Witwatersrand. The SUNRISE project in Indonesia was funded by the Universitas Pendidikan Indonesia Research Grant. The SUNRISE project in China was funded by the \u2018Beijing High Level Talents Cultivation Project for Public Health Academic Leader (2022\u20102\u2010017)\u2019. Funding:

Keywords

pre-school children
physical activity
sleep
24-hour
movement behaviours
LMICs

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Nusurupia-etal-CCHD-2024-Urban-versus-rural-differences-in-meeting-24-hour-movement-behaviour-guidelinesFinal published version, 280 KBLicence: CC BY 4.0

Cite this

Nusurupia, J. J., Germana, L. H., Wickramasinghe, P., Tang, H. K., Munambah, N., Hossain, M. S., Bang, P., Hongyan, G., Florindo, A. A., Draper, C. E., Koh, D., Sultoni, K., Okely, A. D., Tremblay, M. S., Janssen, X., & Reilly, J. J. (2024). Urban versus rural differences in meeting 24-hour movement behaviour guidelines among 3-4-year-olds: an analysis of SUNRISE pilot study data from 10 low- and middle-income countries. Child: Care, Health and Development , 50(6), Article e70008. https://doi.org/10.1111/cch.70008

@article{7e3c97c0fffc43e7aa064a76913bfbac,

title = "Urban versus rural differences in meeting 24-hour movement behaviour guidelines among 3-4-year-olds: an analysis of SUNRISE pilot study data from 10 low- and middle-income countries",

abstract = "Background: Insufficient physical activity, excessive screen time, and short sleep duration among young children are global public health concerns, however, data on prevalence of meeting World Health Organization 24-hour movement behaviour guidelines for 3–4-year-olds children in low- and middle-income countries (LMICs) are limited, and it is unknown whether urbanisation is related to young children{\textquoteright}s movement behaviours. The present study examined differences in prevalence of meeting 24-hour movement behaviour guidelines among 3–4-year-old children living in urban vs rural settings in LMICs.Methods: The SUNRISE Study recruited 429, 3–4-year-old child/parent dyads from 10 LMICs. Children wore activPALTM accelerometers continuously for at least 48 hours to assess their physical activity and sleep duration. Screen time and time spent restrained were assessed via parent questionnaire. Differences in prevalence of meeting guidelines between urban and rural dwelling children were examined using chi-square tests.Results: Physical activity guidelines were met by 17% of children (14% urban vs 18% rural), sleep guidelines by 57% (61% urban vs 54% rural), screen time guidelines by 50% (50% urban vs 50% rural), restrained guidelines by 84% (81% urban vs 86 % rural), and all guidelines combined by 4% (4% urban vs 4% rural). We found no significant differences in meeting the guidelines between urban and rural areas.Conclusions: Only a small proportion of children in both rural and urban settings met the WHO 24-hour movement guidelines. Strategies to improve movement behaviours in LMICs should consider including both rural and urban settings.",

keywords = "pre-school children, physical activity, sleep, 24-hour, movement behaviours, LMICs",

author = "Nusurupia, {Jackline J.} and Germana, {Leyna H.} and Pujitha Wickramasinghe and Tang, {Hong K.} and Nyaradzai Munambah and Hossain, {Mohammad S.} and Pham Bang and Guan Hongyan and Florindo, {Alex Antonio} and Draper, {Catherine E.} and Denise Koh and Kuston Sultoni and Okely, {Anthony D.} and Tremblay, {Mark S.} and Xanne Janssen and Reilly, {John J.}",

year = "2024",

month = nov,

day = "20",

doi = "10.1111/cch.70008",

language = "English",

volume = "50",

journal = "Child: Care, Health and Development ",

issn = "0305-1862",

publisher = "Wiley-Blackwell",

number = "6",

}

Nusurupia, JJ, Germana, LH, Wickramasinghe, P, Tang, HK, Munambah, N, Hossain, MS, Bang, P, Hongyan, G, Florindo, AA, Draper, CE, Koh, D, Sultoni, K, Okely, AD, Tremblay, MS, Janssen, X & Reilly, JJ 2024, 'Urban versus rural differences in meeting 24-hour movement behaviour guidelines among 3-4-year-olds: an analysis of SUNRISE pilot study data from 10 low- and middle-income countries', Child: Care, Health and Development , vol. 50, no. 6, e70008. https://doi.org/10.1111/cch.70008

Urban versus rural differences in meeting 24-hour movement behaviour guidelines among 3-4-year-olds: an analysis of SUNRISE pilot study data from 10 low- and middle-income countries. / Nusurupia, Jackline J.; Germana, Leyna H.; Wickramasinghe, Pujitha et al.
In: Child: Care, Health and Development , Vol. 50, No. 6, e70008, 20.11.2024.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Urban versus rural differences in meeting 24-hour movement behaviour guidelines among 3-4-year-olds

T2 - an analysis of SUNRISE pilot study data from 10 low- and middle-income countries

AU - Nusurupia, Jackline J.

AU - Germana, Leyna H.

AU - Wickramasinghe, Pujitha

AU - Tang, Hong K.

AU - Munambah, Nyaradzai

AU - Hossain, Mohammad S.

AU - Bang, Pham

AU - Hongyan, Guan

AU - Florindo, Alex Antonio

AU - Draper, Catherine E.

AU - Koh, Denise

AU - Sultoni, Kuston

AU - Okely, Anthony D.

AU - Tremblay, Mark S.

AU - Janssen, Xanne

AU - Reilly, John J.

PY - 2024/11/20

Y1 - 2024/11/20

N2 - Background: Insufficient physical activity, excessive screen time, and short sleep duration among young children are global public health concerns, however, data on prevalence of meeting World Health Organization 24-hour movement behaviour guidelines for 3–4-year-olds children in low- and middle-income countries (LMICs) are limited, and it is unknown whether urbanisation is related to young children’s movement behaviours. The present study examined differences in prevalence of meeting 24-hour movement behaviour guidelines among 3–4-year-old children living in urban vs rural settings in LMICs.Methods: The SUNRISE Study recruited 429, 3–4-year-old child/parent dyads from 10 LMICs. Children wore activPALTM accelerometers continuously for at least 48 hours to assess their physical activity and sleep duration. Screen time and time spent restrained were assessed via parent questionnaire. Differences in prevalence of meeting guidelines between urban and rural dwelling children were examined using chi-square tests.Results: Physical activity guidelines were met by 17% of children (14% urban vs 18% rural), sleep guidelines by 57% (61% urban vs 54% rural), screen time guidelines by 50% (50% urban vs 50% rural), restrained guidelines by 84% (81% urban vs 86 % rural), and all guidelines combined by 4% (4% urban vs 4% rural). We found no significant differences in meeting the guidelines between urban and rural areas.Conclusions: Only a small proportion of children in both rural and urban settings met the WHO 24-hour movement guidelines. Strategies to improve movement behaviours in LMICs should consider including both rural and urban settings.

AB - Background: Insufficient physical activity, excessive screen time, and short sleep duration among young children are global public health concerns, however, data on prevalence of meeting World Health Organization 24-hour movement behaviour guidelines for 3–4-year-olds children in low- and middle-income countries (LMICs) are limited, and it is unknown whether urbanisation is related to young children’s movement behaviours. The present study examined differences in prevalence of meeting 24-hour movement behaviour guidelines among 3–4-year-old children living in urban vs rural settings in LMICs.Methods: The SUNRISE Study recruited 429, 3–4-year-old child/parent dyads from 10 LMICs. Children wore activPALTM accelerometers continuously for at least 48 hours to assess their physical activity and sleep duration. Screen time and time spent restrained were assessed via parent questionnaire. Differences in prevalence of meeting guidelines between urban and rural dwelling children were examined using chi-square tests.Results: Physical activity guidelines were met by 17% of children (14% urban vs 18% rural), sleep guidelines by 57% (61% urban vs 54% rural), screen time guidelines by 50% (50% urban vs 50% rural), restrained guidelines by 84% (81% urban vs 86 % rural), and all guidelines combined by 4% (4% urban vs 4% rural). We found no significant differences in meeting the guidelines between urban and rural areas.Conclusions: Only a small proportion of children in both rural and urban settings met the WHO 24-hour movement guidelines. Strategies to improve movement behaviours in LMICs should consider including both rural and urban settings.

KW - pre-school children

KW - physical activity

KW - sleep

KW - 24-hour

KW - movement behaviours

KW - LMICs

U2 - 10.1111/cch.70008

DO - 10.1111/cch.70008

M3 - Article

SN - 0305-1862

VL - 50

JO - Child: Care, Health and Development

JF - Child: Care, Health and Development

IS - 6

M1 - e70008

ER -

Urban versus rural differences in meeting 24-hour movement behaviour guidelines among 3-4-year-olds: an analysis of SUNRISE pilot study data from 10 low- and middle-income countries

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