Using a 24 h Activity Recall (STAR-24) to Describe Activity in Adolescent Boys in New Zealand: Comparisons between a Sample Collected before, and a Sample Collected during the COVID-19 Lockdown.

BACKGROUND

Tools that assess all three components of 24 h movement guidelines (sleep, physical activity, and screen use) are scarce. Our objective was to use a newly developed Screen Time and Activity Recall (STAR-24) to demonstrate how this tool could be used to illustrate differences in time-use across the day between two independent samples of male adolescents collected before and during the COVID-19 lockdown.

METHODS

Adolescent boys aged 15-18 years ( = 109) each completed the STAR-24 twice, = 74 before lockdown and = 35 during lockdown.

RESULTS

During lockdown more than 50% of the sample reported gaming between 10 a.m. and 12 noon, transport was not reported as an activity, and activities of daily living spiked at mealtimes. Gaming and screen time were more prevalent in weekends than weekdays, with the highest prevalence of weekday screen use (before lockdown) occurring between 8 and 9 p.m. Differences in estimates of moderate-to-vigorous physical activity prior to and during lockdown (mean difference (95% CI); 21 (-9 to 51) min) and sleep (0.5 (-0.2 to 1.2) h) were small. Total and recreational screen time were higher during lockdown (2 h (0.7 to 3.3 h) and 48 min (-36 to 132 min), respectively).

CONCLUSIONS

The STAR-24 holds promise as a single tool that assesses compliance with 24 h movement guidelines. This tool also allows clear illustration of how adolescent boys are using their time (instead of only providing summary measures), providing richer data to inform public health initiatives.