TY - JOUR
T1 - Physical activity, screen time, and sleep duration of children aged 6-9 years in 25 countries
T2 - An analysis within the WHO european childhood obesity surveillance initiative (COSI) 2015-2017
AU - Whiting, Stephen
AU - Buoncristiano, Marta
AU - Gelius, Peter
AU - Abu-Omar, Karim
AU - Pattison, Mary
AU - Hyska, Jolanda
AU - Duleva, Vesselka
AU - Musić Milanović, Sanja
AU - Zamrazilová, Hana
AU - Hejgaard, Tatjana
AU - Rasmussen, Mette
AU - Nurk, Eha
AU - Shengelia, Lela
AU - Kelleher, Cecily C.
AU - Heinen, Mirjam M.
AU - Spinelli, Angela
AU - Nardone, Paola
AU - Abildina, Akbota
AU - Abdrakhmanova, Shynar
AU - Aitmurzaeva, Gulmira
AU - Usuopva, Zhamyila
AU - Pudule, Iveta
AU - Petrauskiene, Aušra
AU - Sant'Angelo, Victoria Farrugia
AU - Kujundzic, Enisa
AU - Popovic, Stevo
AU - Fismen, Anne Siri
AU - Bergh, Ingunn Holden
AU - Fijalkowska, Anna
AU - Rito, Ana Isabel
AU - Cucu, Alexandra
AU - Brinduse, Lacramioara Aurelia
AU - Peterkova, Valentina
AU - Gualtieri, Andrea
AU - García-Solano, Marta
AU - Gutiérrez-González, Enrique
AU - Abdurrahmonova, Zulfinissio
AU - Boymatova, Khadichamo
AU - Yardim, Nazan
AU - Tanrygulyyeva, Maya
AU - Weghuber, Daniel
AU - Schindler, Karin
AU - Stojisavljević, Dragana
AU - Filipović Hadžiomeragić, Aida
AU - Markidou Ionnaidu, Eliza
AU - Ahrens, Wolfgang
AU - Hassapidou, Maria
AU - Kovacs, Viktoria Anna
AU - Ostojic, Sergej M.
AU - Ticha, Lubica
AU - Starc, Gregor
AU - Russell Jonsson, Kenisha
AU - Spiroski, Igor
AU - Rutter, Harry
AU - Mendes, Romeu
AU - Williams, Julianne
AU - Rakovac, Ivo
AU - Breda, João
N1 - Publisher Copyright:
© 2020
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2021/3/1
Y1 - 2021/3/1
N2 - Background: Children are becoming less physically active as opportunities for safe active play, recreational activities, and active transport decrease. At the same time, sedentary screen-based activities both during school and leisure time are increasing. Objectives: This study aimed to evaluate physical activity (PA), screen time, and sleep duration of girls and boys aged 6-9 years in Europe using data from the WHO European Childhood Obesity Surveillance Initiative (COSI). Method: The fourth COSI data collection round was conducted in 2015-2017, using a standardized protocol that included a family form completed by parents with specific questions about their children's PA, screen time, and sleep duration. Results: Nationally representative data from 25 countries was included and information on the PA behaviour, screen time, and sleep duration of 150,651 children was analysed. Pooled analysis showed that: 79.4% were actively playing for >1 h each day, 53.9% were not members of a sport or dancing club, 50.0% walked or cycled to school each day, 60.2% engaged in screen time for <2 h/day, and 84.9% slept for 9-11 h/night. Country-specific analyses of these behaviours showed pronounced differences, with national prevalences in the range of 61.7-98.3% actively playing for >1 h/day, 8.2-85.6% were not members of a sport or dancing club, 17.7-94.0% walked or cycled to school each day, 32.3-80.0% engaged in screen time for <2 h/day, and 50.0-95.8% slept for 9-11 h/night. Conclusions: The prevalence of engagement in PA and the achievement of healthy screen time and sleep duration are heterogenous across the region. Policymakers and other stakeholders, including school administrators and parents, should increase opportunities for young people to participate in daily PA as well as explore solutions to address excessive screen time and short sleep duration to improve the overall physical and mental health and well-being of children.
AB - Background: Children are becoming less physically active as opportunities for safe active play, recreational activities, and active transport decrease. At the same time, sedentary screen-based activities both during school and leisure time are increasing. Objectives: This study aimed to evaluate physical activity (PA), screen time, and sleep duration of girls and boys aged 6-9 years in Europe using data from the WHO European Childhood Obesity Surveillance Initiative (COSI). Method: The fourth COSI data collection round was conducted in 2015-2017, using a standardized protocol that included a family form completed by parents with specific questions about their children's PA, screen time, and sleep duration. Results: Nationally representative data from 25 countries was included and information on the PA behaviour, screen time, and sleep duration of 150,651 children was analysed. Pooled analysis showed that: 79.4% were actively playing for >1 h each day, 53.9% were not members of a sport or dancing club, 50.0% walked or cycled to school each day, 60.2% engaged in screen time for <2 h/day, and 84.9% slept for 9-11 h/night. Country-specific analyses of these behaviours showed pronounced differences, with national prevalences in the range of 61.7-98.3% actively playing for >1 h/day, 8.2-85.6% were not members of a sport or dancing club, 17.7-94.0% walked or cycled to school each day, 32.3-80.0% engaged in screen time for <2 h/day, and 50.0-95.8% slept for 9-11 h/night. Conclusions: The prevalence of engagement in PA and the achievement of healthy screen time and sleep duration are heterogenous across the region. Policymakers and other stakeholders, including school administrators and parents, should increase opportunities for young people to participate in daily PA as well as explore solutions to address excessive screen time and short sleep duration to improve the overall physical and mental health and well-being of children.
KW - Active play
KW - Active transport
KW - Physical inactivity
KW - Sedentary behaviour
KW - Surveillance
UR - http://www.scopus.com/inward/record.url?scp=85098215616&partnerID=8YFLogxK
U2 - 10.1159/000511263
DO - 10.1159/000511263
M3 - Article
AN - SCOPUS:85098215616
SN - 1662-4025
VL - 14
SP - 32
EP - 44
JO - Obesity Facts
JF - Obesity Facts
IS - 1
ER -
