Cross-sectional examination of 24-hour movement behaviours among 3- And 4-year-old children in urban and rural settings in low-income, middle-income and high-income countries- And SUNRISE study protocol

Authors

Tony Okely, University of Wollongong
John J. Reilly, University of Strathclyde
Mark S. Tremblay, Children's Hospital of Eastern Ontario, Ottawa
Katharina E. Kariippanon, University of Wollongong
Catherine E. Draper, University of the Witwatersrand, Johannesburg
Asmaa El Hamdouchi, Université Ibn Tofail
Alex A. Florindo, Universidade de São Paulo
Janette P. Green, University of Wollongong
Hongyan Guan, Capital Institute of Pediatrics
Peter T. Katzmarzyk, Pennington Biomedical Research Center
Himangi Lubree, KEM Hospital
Bang Nguyen Pham, Papua New Guinea Institute of Medical Research
Thomas Suesse, University of Wollongong
Juana Willumsen, Organisation Mondiale de la Santé
Mohamed Basheer, University of Wollongong
Rebecca Calleia, University of Wollongong
Kar Hau Chong, University of Wollongong
Penny L. Cross, University of Wollongong
Maria Nacher, University of Wollongong
Laura Smeets, University of Wollongong
Ellie Taylor, University of Wollongong
Chalchisa Abdeta, Hiwot Fana Specialized University Hospital
Nicolas Aguilar-Farias, Universidad de la Frontera
Aqsa Baig, Precision Health Consultants (PHC Global)
Jambaldori Bayasgalan, Ministry of Health of Mongolia
Cecilia H.S. Chan, Chinese University of Hong Kong
P. W.Prasad Chathurangana, University of Colombo Faculty of Medicine
Michael Chia, National Institute of Education
Fazlollah Ghofranipour, Tarbiat Modares University
Amy S. Ha, Chinese University of Hong Kong
Mohammad Sorowar Hossain, Biomedical Research Foundation
Xanne Janssen, University of Strathclyde
Alejandra Jáuregui, Instituto Nacional de Salud Publica
Piyawat Katewongsa, Institute for Population and Social Research, Mahidol University

Document Type

Article

Publication Date

10-25-2021

Abstract

Introduction 24-hour movement behaviours (physical activity, sedentary behaviour and sleep) during the early years are associated with health and developmental outcomes, prompting the WHO to develop Global guidelines for physical activity, sedentary behaviour and sleep for children under 5 years of age. Prevalence data on 24-hour movement behaviours is lacking, particularly in low-income and middle-income countries (LMICs). This paper describes the development of the SUNRISE International Study of Movement Behaviours in the Early Years protocol, designed to address this gap. Methods and analysis SUNRISE is the first international cross-sectional study that aims to determine the proportion of 3- and 4-year-old children who meet the WHO Global guidelines. The study will assess if proportions differ by gender, urban/rural location and/or socioeconomic status. Executive function, motor skills and adiposity will be assessed and potential correlates of 24-hour movement behaviours examined. Pilot research from 24 countries (14 LMICs) informed the study design and protocol. Data are collected locally by research staff from partnering institutions who are trained throughout the research process. Piloting of all measures to determine protocol acceptability and feasibility was interrupted by COVID-19 but is nearing completion. At the time of publication 41 countries are participating in the SUNRISE study. Ethics and dissemination The SUNRISE protocol has received ethics approved from the University of Wollongong, Australia, and in each country by the applicable ethics committees. Approval is also sought from any relevant government departments or organisations. The results will inform global efforts to prevent childhood obesity and ensure young children reach their health and developmental potential. Findings on the correlates of movement behaviours can guide future interventions to improve the movement behaviours in culturally specific ways. Study findings will be disseminated via publications, conference presentations and may contribute to the development of local guidelines and public health interventions.

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