Edin Užičanin1, Barbara Gilić2, Fuad Babajic1, Tarik Huremovic1, Sanjin Hodzic1, Jasmin Bilalic1, Dorica Sajber3
1Faculty of Physical Education and Sports, University of Tuzla, 75000 Tuzla, Bosnia and Herzegovina
2Faculty of Kinesiology, University of Split, 21000 Split, Croatia
3Faculty of Sport, Univesity of Ljubljana, 1000 Ljubljana, Slovenia
The international study of movement behaviours in the early years: A pilot study from Bosnia and Herzegovina
2024-06-14 07:20:09
Monten. J. Sports Sci. Med. 2024, 13(2), 5-12 | DOI: 10.26773/mjssm.240901
Abstract
The World Health Organization (WHO) released guidelines for physical activity (PA), sedentary behavior, and sleep for children under 5 years of age in 2019, but there are no reports on the adherence to the guidelines in southeastern Europe. This study aimed to: (i) determine the proportion of preschool children (aged 3-5 years) who met the WHO guidelines and examine the feasibility of the proposed protocol for the SUNRISE study in Bosnia and Herzegovina (B&H), and (ii) define sex-, and urban/rural-living-specifics in movement-behaviors, anthropometrics, gross-motor-skills, fine-motor- skills, and cognitive-skills. The sample comprised 115 preschool children (63 girls and 52 boys), residing in urban (n = 66) and rural areas (n = 49) from B&H. Participants were tested on movement behaviors (PA, sleep time, screen time) by accelerometry and comprehensive questionnaires. Body height, weight, body mass index, executive function, fine-, and gross-motor skill, and cognitive function were also measured. The results showed that PA-, sleep duration-, and screen time guidelines were met by 64%, 74% and 53% of children, respectively, while only 23% of the children met all three guidelines on movement behaviors. Boys exhibited higher PA than girls, but no differences in gross- and fine motor skills and cognitive functioning were recorded between the sexes. Children living in urban and rural environments did not differ in any of the studied variables. Results evidenced preschool children from B&H being in line with other samples globally about study variables. Although PA was higher in boys than in girls it was not translated to differences in motor skills. Further studies on larger samples and other environments are warranted.
Keywords
SUNRISE study; preschool children; screen time; sleep; sedentary behaviour
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References
Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., . . . Aguilar-Salinas, C. A. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. The Lancet, 390(10113), 2627-2642.
Aneesha Acharya, K., & Choudhary, A. (2023). Manual Dexterity Assessment Using a Nine-Hole Pegboard Test. In Smart Sensors Measurement and Instrumentation: Select Proceedings of CISCON 2021 (pp. 449-459): Springer.
Bala, G., & Katić, R. (2009). Sex differences in anthropometric characteristics, motor and cognitive functioning in preschool children at the time of school enrolment. Collegium Antropologicum, 33(4), 1071-1078.
Berglind, D., Ljung, R., Tynelius, P., & Brooke, H. L. (2018). Cross-sectional and prospective associations of meeting 24-h movement guidelines with overweight and obesity in preschool children. Pediatric Obesity, 13(7), 442-449. https://doi.org/10.1111/ijpo.12265
Carson, V., Lee, E. Y., Hewitt, L., Jennings, C., Hunter, S., Kuzik, N., Tremblay, M. S. (2017). Systematic review of the relationships between physical activity and health indicators in the early years (0-4 years). BMC Public Health, 17(Suppl 5), 854. https://doi.org/10.1186/s12889-017-4860-0
Chaput, J. P., Colley, R. C., Aubert, S., Carson, V., Janssen, I., Roberts, K. C., & Tremblay, M. S. (2017). Proportion of preschool-aged children meeting the Canadian 24-Hour Movement Guidelines and associations with adiposity: results from the Canadian Health Measures Survey. BMC Public Health, 17(Suppl 5), 829. https://doi.org/10.1186/s12889-017-4854-y
Cliff, D. P., Reilly, J. J., & Okely, A. D. (2009). Methodological considerations in using accelerometers to assess habitual physical activity in children aged 0-5 years. Journal of Science and Medicine in Sports, 12(5), 557-567. https://doi.org/10.1016/j.jsams.2008.10.008
de Fátima Guimarães, R., Mathieu, M.-E., Reid, R. E., Henderson, M., & Barnett, T. A. (2021). Physical activity, screen time, and sleep trajectories from childhood to adolescence: The influence of sex and body weight status. Journal of Physical Activity and Health, 18(7), 767-773.
Delisle Nyström, C., Alexandrou, C., Henström, M., Nilsson, E., Okely, A. D., Wehbe El Masri, S., & Löf, M. (2020). International Study of Movement Behaviors in the Early Years (SUNRISE): Results from SUNRISE Sweden's Pilot and COVID-19 Study. International Journal of Environmental Research and Public Health, 17(22). https://doi.org/10.3390/ijerph17228491
Di Cesare, M., Sorić, M., Bovet, P., Miranda, J. J., Bhutta, Z., Stevens, G. A., Bentham, J. (2019). The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC Medicine, 17, 1-20.
Draper, C. E., Tomaz, S. A., Cook, C. J., Jugdav, S. S., Ramsammy, C., Besharati, S., van Heerden, A., Vilakazi, K., Cockcroft, K., Howard, S., Okely, A. D. (2020). Understanding the influence of 24-hour movement behaviours on the health and development of preschool children from low-income South African settings: the SUNRISE pilot study. South African Journal of Sports Medicine, 32(1), v32i31a8415. https://doi.org/10.17159/2078-516X/2020/v32i1a8415
Hinkley, T., Timperio, A., Watson, A., Duckham, R. L., Okely, A. D., Cliff, D., Carver, A., Hesketh, K. D. (2020). Prospective associations with physiological, psychosocial and educational outcomes of meeting Australian 24-Hour Movement Guidelines for the Early Years. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 36. https://doi.org/10.1186/s12966-020-00935-6
Hossain, M. S., Deeba, I. M., Hasan, M., Kariippanon, K. E., Chong, K. H., Cross, P. L., Ferdous, S., Okely, A. D. (2021). International study of 24-h movement behaviors of early years (SUNRISE): a pilot study from Bangladesh. Pilot Feasibility Study, 7(1), 176. https://doi.org/10.1186/s40814-021-00912-1
Howard, S. J., & Melhuish, E. (2017). An Early Years Toolbox for Assessing Early Executive Function, Language, Self-Regulation, and Social Development: Validity, Reliability, and Preliminary Norms. Journal of Psychoeducational Assessment, 35(3), 255-275. https://doi.org/10.1177/0734282916633009
Janz, K. F., Burns, T. L., & Levy, S. M. (2005). Tracking of activity and sedentary behaviors in childhood: the Iowa Bone Development Study. American Journal of Preventive Medicine, 29(3), 171-178. https://doi.org/10.1016/j.amepre.2005.06.001
Kariippanon, K. E., Chong, K. H., Janssen, X., Tomaz, S. A., Ribeiro, E. H. C., Munambah, N., Okely, A. D. (2022). Levels and Correlates of Objectively Measured Sedentary Behavior in Young Children: SUNRISE Study Results from 19 Countries. Medicine and Science in Sports and Exercise, 54(7), 1123-1130. https://doi.org/10.1249/mss.0000000000002886
Kim, T. J., & von dem Knesebeck, O. (2018). Income and obesity: what is the direction of the relationship? A systematic review and meta-analysis. BMJ Open, 8(1), e019862. https://doi.org/10.1136/bmjopen-2017-019862
Kim, T. V., Pham, T. N., Nguyen, C. L., Nguyen, T. T., Okely, A. D., & Tang, H. K. (2022). Prevalence of physical activity, screen time, and sleep, and associations with adiposity and motor development among preschool-age children in Vietnam: the SUNRISE Vietnam pilot study. Indian Journal of Pediatrics, 89(2), 148-153.
Kuzik, N., Carson, V., Andersen, L. B., Sardinha, L. B., Grøntved, A., Hansen, B. H., & Ekelund, U. (2017). Physical Activity and Sedentary Time Associations with Metabolic Health Across Weight Statuses in Children and Adolescents. Obesity (Silver Spring), 25(10), 1762-1769. https://doi.org/10.1002/oby.21952
Malina, R. M. (1996). Tracking of physical activity and physical fitness across the lifespan. Research Quarterly for Exercise and Sports, 67(3 Suppl), S48-57. https://doi.org/10.1080/02701367.1996.10608853
Martinovic, M. B., Jaksic, M. Z., Spahic, E. S., Lukic, M. Z., & Nedovic-Vukovic, M. M. (2021). Physical Activity and Nutritional Status of Schoolchildren in Montenegro. Sport Mont, 19(1), 65-70. https://doi.org/10.26773/smj.210216
Matarma, T., Lagström, H., Hurme, S., Tammelin, T. H., Kulmala, J., Barnett, L. M., & Koski, P. (2018). Motor skills in association with physical activity, sedentary time, body fat, and day care attendance in 5-6-year-old children-The STEPS Study. Scandinavian Journal of Medicine and Science in Sports, 28(12), 2668-2676. https://doi.org/10.1111/sms.13264
Mont esano, P., & Mazzeo, F. (2019). Sports activities in obese teenagers improve social inclusion and health. Sport Mont, 17(1), 55-60. https://doi.org/10.26773/smj.190210
Okely, A. D., Reilly, J. J., Tremblay, M. S., Kariippanon, K. E., Draper, C. E., El Hamdouchi, A., . . . Katzmarzyk, P. T. (2021). Cross-sectional examination of 24-hour movement behaviours among 3-and 4-year-old children in urban and rural settings in low-income, middle-income and high-income countries: the SUNRISE study protocol. BMJ Open, 11(10), e049267.
Organization, W. H. (2019). Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age: World Health Organization.
Park, M. H., Falconer, C., Viner, R. M., & Kinra, S. (2012). The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obesity Reviews, 13(11), 985-1000.
Saunders, T. J., Gray, C. E., Poitras, V. J., Chaput, J. P., Janssen, I., Katzmarzyk, P. T., . . . Carson, V. (2016). Combinations of physical activity, sedentary behaviour and sleep: relationships with health indicators in school-aged children and youth. Applied Physiology and Nutrition Metabolism, 41(6 Suppl 3), S283-293. https://doi.org/10.1139/apnm-2015-0626
Sheldrick, M. P. R., Tyler, R., Mackintosh, K. A., & Stratton, G. (2018). Relationship between Sedentary Time, Physical Activity and Multiple Lifestyle Factors in Children. Journal of Functional Morphology and Kinesiology, 3(1), 15. Retrieved from https://www.mdpi.com/2411-5142/3/1/15
Tanaka, C., Okada, S., Takakura, M., Hashimoto, K., Mezawa, H., Ando, D., . . . Okely, A. D. (2020). Relationship between adherence to WHO “24-hour Movement Guidelines for the Early Years” and motor skills or cognitive function in preschool children: SUNRISE pilot study. Japanese Journal of Physical Fitness and Sports Medicine, 69(4), 327-333.
Vukelja, M., Milanovic, D., & Salaj, S. (2022). Physical Activity and Sedentary Behaviour in Croatian Preschool Children: A Population-Based Study. Montenegrin Journal of Sports Science & Medicine, 11(1).
Ward, Z. J., Long, M. W., Resch, S. C., Giles, C. M., Cradock, A. L., & Gortmaker, S. L. (2017). Simulation of growth trajectories of childhood obesity into adulthood. New England Journal of Medicine, 377(22), 2145-2153.
Whiting, S., Buoncristiano, M., Gelius, P., Abu-Omar, K., Pattison, M., Hyska, J., . . . Breda, J. (2021). 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. Obesity Facts, 14(1), 32-44. https://doi.org/10.1159/000511263