25 个国家 6-9 岁儿童的身体活动、屏幕时间和睡眠时间：世卫组织欧洲儿童肥胖监测倡议（COSI）2015-2017 中的分析。
Physical Activity, Screen Time, and Sleep Duration of Children Aged 6-9 Years in 25 Countries: An Analysis within the WHO European Childhood Obesity Surveillance Initiative (COSI) 2015-2017.
机构信息
WHO European Office for the Prevention and Control of NCDs, Moscow, Russian Federation,
EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal,
出版信息
Obes Facts. 2021;14(1):32-44. doi: 10.1159/000511263. Epub 2020 Dec 22.
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.
背景
随着安全活跃游戏、娱乐活动和主动交通机会的减少，儿童的身体活动量逐渐减少。与此同时，在学校和闲暇时间，久坐的基于屏幕的活动也在增加。
目的
本研究旨在使用世界卫生组织欧洲儿童肥胖监测倡议（COSI）的数据，评估欧洲 6-9 岁女孩和男孩的身体活动（PA）、屏幕时间和睡眠时间。
方法
第四次 COSI 数据收集于 2015-2017 年进行，使用标准化协议，其中包括家长填写的家庭表格，其中包含有关儿童 PA、屏幕时间和睡眠时间的具体问题。
结果
共纳入 25 个国家的全国代表性数据，分析了 150651 名儿童的 PA 行为、屏幕时间和睡眠时间信息。汇总分析显示：79.4%的儿童每天积极玩耍超过 1 小时，53.9%的儿童未参加体育或舞蹈俱乐部，50.0%的儿童每天步行或骑自行车上学，60.2%的儿童每天的屏幕时间少于 2 小时，84.9%的儿童每晚睡眠时间为 9-11 小时。对这些行为的国家特定分析显示出明显差异，全国范围内每天积极玩耍超过 1 小时的比例在 61.7%-98.3%之间，未参加体育或舞蹈俱乐部的比例在 8.2%-85.6%之间，每天步行或骑自行车上学的比例在 17.7%-94.0%之间，每天的屏幕时间少于 2 小时的比例在 32.3%-80.0%之间，每晚睡眠时间为 9-11 小时的比例在 50.0%-95.8%之间。
结论
该地区在参与 PA 的流行率以及实现健康的屏幕时间和睡眠时间方面存在差异。政策制定者和其他利益相关者，包括学校管理人员和家长，应增加年轻人参与日常 PA 的机会，并探索解决过度使用屏幕时间和睡眠时间短的方法，以提高儿童的整体身心健康和幸福感。
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