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24-hour movement behaviour of families with 3–8-year-old offspring and factors associated with reduced risk of childhood excess body weight


Authors: E. Sigmund 1;  J. Dygrýn 1;  M. Vorlíček 1;  J. Voráčová 2;  D. Sigmundová 1
Authors‘ workplace: Univerzita Palackého v Olomouci ;  Fakulta tělesné kultury, Institut aktivního životního stylu, Vedoucí: Mgr. František Chmelík, Ph. D. 1;  Fakulta tělesné kultury, Katedra společenských věd v kinantropologii, Vedoucí: doc. PhDr. Zbyněk Svozil, Ph. D. 2
Published in: Prakt. Lék. 2023; 103(5): 232-239
Category: Of different specialties

Overview

Objective: The main objective of the study is to use objective instruments to assess the 24-hour movement behaviour (i.e., sleep, sedentary behaviour and physical activity) of Czech families with 3–8-year-old children and to identify factors that reduce the risk of excess body weight in these children.

Methods: The set consists of a representative sample of 425 families from urban and rural municipalities in the regions of Bohemia, Moravia and Silesia. All family members completed 7 days of 24-hour monitoring of movement behaviour using wrist-worn accelerometers. The anthropometric data along with potential weight-related factors were collected via questionnaire and a family completed by parents. Body mass index z-scores and categorization by World Health Organization percentile charts differentiated by age and gender of the child were used to determine overweight and obesity. Binary logistic regression analysis was used to analyse factors reducing the risk of prevalence of childhood excess body weight.

Results: Children with excessive sitting were less likely to meet sleep and physical activity recommendations and were less likely to have breakfast with their parents than children with shorter daily sedentary time. There were no statistically significant differences between the prevalence of excess body weight in 3–8-year-old girls (19.2%) and boys (18.7%), contrary to parents, where fathers significantly (p < 0.05) outnumbered mothers in the prevalence of obesity (14.4%FATHER and 9.5%MOTHER) and overweight (46.5%FATHER and 20.1%MOTHER). The prevalence of obesity in parents significantly (p < 0.05) increased the risk of excess body weight in children, while shorter duration of sedentary behaviour significantly (p < 0.05) decreases the risk of excess body weight in children.

Conclusions: A child’s excessive sitting and parental obesity increases their risk of being overweight and obese, regardless of the socioeconomic status of the families or the gender of the children.


Sources
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