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Changes in compliance with 24-hour movement behaviour guidelines in preschool children of low and high socioeconomic status : the Toybox-study

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Abstract
Introduction In 2019, the World Health Organisation published integrated 24-hour movement behaviour guidelines for preschoolers (3-4 years), with recommendations for sleep, physical activity (PA), and screen time (ST). Although several studies already investigated compliance with these guidelines among preschoolers, only a few looked at differences in compliance between preschoolers of low and high socioeconomic status. Therefore, this study aimed to examine changes in adherence to the integrated 24-hour movement behaviour guidelines by socioeconomic status. Method This prospective study included 633 preschoolers (M age=4.77) from 5 different European countries. Physical activity (PA) was objectively assessed using pedometers at baseline and after one year. Parental questionnaires provided screen time (ST)/day, sleep duration/night and SES (low≤14 years of education, high>14 years of education). A multilevel repeated measures analysis was conducted. Results Sleep duration compliance significantly decreased from baseline to follow up on weekdays (β=-0.189, p<.001), weekend days (β=0.142, p=.003), and for a total week (β=0.18, p<.001,). A significant decrease in compliance was also found for the combination of sleep and ST guidelines (β=-0.095, p=.045) on weekdays, and for the 4th CIAPSE Congress 129 combination of sleep and PA guidelines on weekend days (β=-0.142, p<.001). No significant interaction effect of SES was found (p>.05). Discussion We can conclude that the evolution in compliance over time did not depend on preschoolers’ SES and that fewer preschoolers met the guidelines for sleep as they got older.

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MLA
Naeyaert, Sofie, et al. “Changes in Compliance with 24-Hour Movement Behaviour  Guidelines in Preschool Children of Low and High  Socioeconomic Status : The Toybox-Study.” 4th CIAPSE Congress, Abstracts, 2022.
APA
Naeyaert, S., Verbestel, V., Cardon, G., Lotova, V., Koletzko, B., A. Moreno, L., … De Craemer, M. (2022). Changes in compliance with 24-hour movement behaviour  guidelines in preschool children of low and high  socioeconomic status : the Toybox-study. 4th CIAPSE Congress, Abstracts. Presented at the 4th CIAPSE congress, Belval Campus, Esch-sur-Alzette, Luxembourg.
Chicago author-date
Naeyaert, Sofie, Vera Verbestel, Greet Cardon, Violeta Lotova, Berthold Koletzko, Luis A. Moreno, Maria L. Miguel-Berges, et al. 2022. “Changes in Compliance with 24-Hour Movement Behaviour  Guidelines in Preschool Children of Low and High  Socioeconomic Status : The Toybox-Study.” In 4th CIAPSE Congress, Abstracts.
Chicago author-date (all authors)
Naeyaert, Sofie, Vera Verbestel, Greet Cardon, Violeta Lotova, Berthold Koletzko, Luis A. Moreno, Maria L. Miguel-Berges, Beata Gurzkowska, Odysseas Androutsos, Yannis Manios, and Marieke De Craemer. 2022. “Changes in Compliance with 24-Hour Movement Behaviour  Guidelines in Preschool Children of Low and High  Socioeconomic Status : The Toybox-Study.” In 4th CIAPSE Congress, Abstracts.
Vancouver
1.
Naeyaert S, Verbestel V, Cardon G, Lotova V, Koletzko B, A. Moreno L, et al. Changes in compliance with 24-hour movement behaviour  guidelines in preschool children of low and high  socioeconomic status : the Toybox-study. In: 4th CIAPSE Congress, Abstracts. 2022.
IEEE
[1]
S. Naeyaert et al., “Changes in compliance with 24-hour movement behaviour  guidelines in preschool children of low and high  socioeconomic status : the Toybox-study,” in 4th CIAPSE Congress, Abstracts, Belval Campus, Esch-sur-Alzette, Luxembourg, 2022.
@inproceedings{01GJ3295QYEZ530XWZVECDV1Y1,
  abstract     = {{Introduction
In 2019, the World Health Organisation published integrated 24-hour movement 
behaviour guidelines for preschoolers (3-4 years), with recommendations for sleep, 
physical activity (PA), and screen time (ST). Although several studies already 
investigated compliance with these guidelines among preschoolers, only a few looked 
at differences in compliance between preschoolers of low and high socioeconomic 
status. Therefore, this study aimed to examine changes in adherence to the integrated 
24-hour movement behaviour guidelines by socioeconomic status.
Method 
This prospective study included 633 preschoolers (M age=4.77) from 5 different 
European countries. Physical activity (PA) was objectively assessed using pedometers 
at baseline and after one year. Parental questionnaires provided screen time (ST)/day, 
sleep duration/night and SES (low≤14 years of education, high>14 years of education). 
A multilevel repeated measures analysis was conducted.
Results 
Sleep duration compliance significantly decreased from baseline to follow up on 
weekdays (β=-0.189, p<.001), weekend days (β=0.142, p=.003), and for a total week 
(β=0.18, p<.001,). A significant decrease in compliance was also found for the 
combination of sleep and ST guidelines (β=-0.095, p=.045) on weekdays, and for the 
4th CIAPSE Congress
129
combination of sleep and PA guidelines on weekend days (β=-0.142, p<.001). No 
significant interaction effect of SES was found (p>.05). 
Discussion
We can conclude that the evolution in compliance over time did not depend on 
preschoolers’ SES and that fewer preschoolers met the guidelines for sleep as they 
got older.}},
  author       = {{Naeyaert, Sofie and Verbestel, Vera and Cardon, Greet and Lotova, Violeta and Koletzko, Berthold and A. Moreno, Luis and L. Miguel-Berges, Maria and Gurzkowska, Beata and Androutsos, Odysseas and Manios, Yannis and De Craemer, Marieke}},
  booktitle    = {{4th CIAPSE Congress, Abstracts}},
  language     = {{eng}},
  location     = {{Belval Campus, Esch-sur-Alzette, Luxembourg}},
  title        = {{Changes in compliance with 24-hour movement behaviour  guidelines in preschool children of low and high  socioeconomic status : the Toybox-study}},
  url          = {{https://ciapse2022.uni.lu/}},
  year         = {{2022}},
}