Deakin University, Institute for Physical Activity and Nutrition, Locked Bag 20001, Geelong, Victoria 3220, Australia.
Deakin University, Institute for Physical Activity and Nutrition, Locked Bag 20001, Geelong, Victoria 3220, Australia.
J Sci Med Sport. 2024 Apr;27(4):250-256. doi: 10.1016/j.jsams.2023.12.008. Epub 2023 Dec 19.
Whether toddlers (1-2 years) meet 24-hour Movement Guidelines and how parental practices and perceptions are related to compliance are uncertain. This study: a) estimated the proportion of toddlers meeting individual and combined movement guidelines; and b) examined associations between parental perceptions/practices and toddlers' compliance with movement guidelines.
Cross-sectional study.
Australian parents self-reported their parenting practices/perceptions (routines, co-participation, restrictions, concerns, knowledge) and toddlers' movement behaviours in the baseline assessment of Let's Grow (n=1145), a randomised controlled trial. The World Health Organization's Guidelines on Physical Activity, Sedentary Behaviour, and Sleep for children under 5 years were used to estimate the prevalence of compliance with individual and combined movement guidelines. Logistic models assessed cross-sectional associations.
The prevalence of meeting guidelines was 30.9% for screen time, 82.3% for sleep, 81.6% for physical activity, 20.1% for combined, and 2.1% meeting none. Parents' knowledge of the guidelines, fewer concerns and more favourable restrictions concerning movement behaviours were associated with greater compliance with individual and combined movement guidelines. Routines for screen time and for combined behaviours were associated with adherence to their respective guidelines. Less co-participation in screen time and more co-participation in physical activity were associated with greater compliance with the relevant guidelines.
Given only 20% of toddlers met all guidelines, strategies early in life to establish healthy movement behaviours, especially screen time, are needed. Future studies could target the parental practices/perceptions identified in this study to support toddlers with optimal sleep and physical activity and reduced screen time.
尚不确定 1-2 岁幼儿是否符合 24 小时运动指南，以及父母的做法和观念与遵守情况之间的关系。本研究：a）估计符合个别和综合运动指南的幼儿比例；b）研究父母观念/做法与幼儿遵守运动指南之间的关系。
横断面研究。
澳大利亚父母在随机对照试验“Let's Grow”的基线评估中自我报告其育儿做法/观念（日常活动、共同参与、限制、关注、知识）和幼儿的运动行为（n=1145）。世卫组织《5 岁以下儿童身体活动、久坐行为和睡眠指南》用于估计遵守个别和综合运动指南的流行率。逻辑模型评估了横断面关联。
符合屏幕时间指南的比例为 30.9%，符合睡眠指南的比例为 82.3%，符合身体活动指南的比例为 81.6%，符合综合指南的比例为 20.1%，不符合任何指南的比例为 2.1%。父母对指南的了解、对运动行为的担忧减少和更有利的限制与个别和综合运动指南的更高遵守率相关。屏幕时间和综合行为的日常活动与各自指南的遵守相关。屏幕时间的共同参与减少和身体活动的共同参与增加与相关指南的更高遵守率相关。
鉴于只有 20%的幼儿符合所有指南，因此需要在生命早期制定策略来建立健康的运动行为，尤其是屏幕时间。未来的研究可以针对本研究中确定的父母做法/观念，以支持幼儿获得最佳睡眠、身体活动和减少屏幕时间。
