24-hour movement behaviour profiles and their transition in children aged 5.5 and 8 years – findings from a prospective cohort study
24-hour movement behaviour profiles and their transition in children aged 5.5 and 8 years – findings from a prospective cohort study
Background
Time spent in movement behaviours, including physical activity (PA), sedentary behaviour (SB) and sleep, across the 24-h day may have distinct health consequences. We aimed to describe 24-h movement behaviour (24 h-MB) profiles in children and how profile membership changed from age 5.5 to 8 years.
Methods
Children in the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort were asked to wear an accelerometer (ActiGraph-GT3X+) on their wrist for seven consecutive days at ages 5.5 and 8 years to measure 24 h-MB patterns. Time spent in night sleep, inactivity (proxy for SB), light PA, moderate PA (MPA), and vigorous PA (VPA) per day were calculated using the R-package GGIR 2.0. Using latent profile analyses (n = 442) we identified 24 h-MB profiles, which were given animal names to convey key characteristics. Latent transition analyses were used to describe the profile membership transition from ages 5.5 to 8 years. Associations with sex and ethnicity were examined.
Results
We identified four profiles, “Rabbits” (very high-MPA/VPA, low-inactivity and average-night-sleep), “Chimpanzees” (high-MPA, low-inactivity and average-night-sleep), “Pandas” (low-PA, high-inactivity and high-night-sleep) and “Owls” (low-PA, high-inactivity and low-night-sleep), among children at both time points. At ages 5.5 and 8 years, the majority of children were classified into profiles of “Chimpanzees” (51 and 39%, respectively) and “Pandas” (24 and 37%). Half of the sample (49%), particularly “Rabbits”, remained in the same profile at ages 5.5 and 8 years: among children who changed profile the predominant transitions occurred from “Chimpanzees” (27%) and “Owls” (56%) profiles to “Pandas”. Sex, but not ethnicity, was associated with profile membership: compared to girls, boys were more likely to be in the “Rabbits” profile (adjusted OR [95% CI]: 3.6 [1.4, 9.7] and 4.5 [1.8, 10.9] at ages 5.5 and 8 years, respectively) and less likely to be in the “Pandas” profile (0.5 [0.3, 0.9] and 0.4 [0.2, 0.6]) at both ages.
Conclusions
With increasing age about half the children stayed in the same of four 24 h-MB profiles, while the predominant transition for the remaining children was towards lower PA, higher inactivity and longer sleep duration. These findings can aid development and implementation of public health strategies to promote better health.
Children, Inactivity, Movement behaviour, Physical activity, Sedentary behaviour, Sleep
Padmapriya, Natarajan
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Chen, Bozhi
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Goh, Claire Marie Jie Lin
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Shek, Lynette Pei-Chi
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Chong, Yap-Seng
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Tan, Kok Hian
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Chan, Shiao-Yng
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Yap, Fabian
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Godfrey, Keith
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Lee, Yung Seng
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Eriksson, Johan G.
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Bernard, Jonathan Y.
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Müller-Riemenschneider, Falk
b308e28e-08ef-4eac-9eab-1cc0a4105c9f
6 November 2021
Padmapriya, Natarajan
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Chen, Bozhi
7c1f7f8a-8b70-4af0-a46a-75fe4cf97502
Goh, Claire Marie Jie Lin
54c72573-e566-4a91-912f-39c996f8616d
Shek, Lynette Pei-Chi
9a77403c-0e0c-4536-a5ad-628ce94b279a
Chong, Yap-Seng
7043124b-e892-4d4b-8bb7-6d35ed94e136
Tan, Kok Hian
4714c94d-334a-42ad-b879-f3aa3a931def
Chan, Shiao-Yng
3c9d8970-2cc4-430a-86a7-96f6029a5293
Yap, Fabian
22f6b954-31fc-4696-a52b-e985a424b95b
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Lee, Yung Seng
0e28a8d6-3085-4086-9fa1-ac0684783bcf
Eriksson, Johan G.
eb96b1c5-af07-4a52-8a73-7541451d32cd
Bernard, Jonathan Y.
c831fc27-9e1a-46ca-b335-859e14c5083b
Müller-Riemenschneider, Falk
b308e28e-08ef-4eac-9eab-1cc0a4105c9f
Padmapriya, Natarajan, Chen, Bozhi, Goh, Claire Marie Jie Lin, Shek, Lynette Pei-Chi, Chong, Yap-Seng, Tan, Kok Hian, Chan, Shiao-Yng, Yap, Fabian, Godfrey, Keith, Lee, Yung Seng, Eriksson, Johan G., Bernard, Jonathan Y. and Müller-Riemenschneider, Falk
(2021)
24-hour movement behaviour profiles and their transition in children aged 5.5 and 8 years – findings from a prospective cohort study.
International Journal of Behavioral Nutrition and Physical Activity, 18 (1), [145].
(doi:10.1186/s12966-021-01210-y).
Abstract
Background
Time spent in movement behaviours, including physical activity (PA), sedentary behaviour (SB) and sleep, across the 24-h day may have distinct health consequences. We aimed to describe 24-h movement behaviour (24 h-MB) profiles in children and how profile membership changed from age 5.5 to 8 years.
Methods
Children in the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort were asked to wear an accelerometer (ActiGraph-GT3X+) on their wrist for seven consecutive days at ages 5.5 and 8 years to measure 24 h-MB patterns. Time spent in night sleep, inactivity (proxy for SB), light PA, moderate PA (MPA), and vigorous PA (VPA) per day were calculated using the R-package GGIR 2.0. Using latent profile analyses (n = 442) we identified 24 h-MB profiles, which were given animal names to convey key characteristics. Latent transition analyses were used to describe the profile membership transition from ages 5.5 to 8 years. Associations with sex and ethnicity were examined.
Results
We identified four profiles, “Rabbits” (very high-MPA/VPA, low-inactivity and average-night-sleep), “Chimpanzees” (high-MPA, low-inactivity and average-night-sleep), “Pandas” (low-PA, high-inactivity and high-night-sleep) and “Owls” (low-PA, high-inactivity and low-night-sleep), among children at both time points. At ages 5.5 and 8 years, the majority of children were classified into profiles of “Chimpanzees” (51 and 39%, respectively) and “Pandas” (24 and 37%). Half of the sample (49%), particularly “Rabbits”, remained in the same profile at ages 5.5 and 8 years: among children who changed profile the predominant transitions occurred from “Chimpanzees” (27%) and “Owls” (56%) profiles to “Pandas”. Sex, but not ethnicity, was associated with profile membership: compared to girls, boys were more likely to be in the “Rabbits” profile (adjusted OR [95% CI]: 3.6 [1.4, 9.7] and 4.5 [1.8, 10.9] at ages 5.5 and 8 years, respectively) and less likely to be in the “Pandas” profile (0.5 [0.3, 0.9] and 0.4 [0.2, 0.6]) at both ages.
Conclusions
With increasing age about half the children stayed in the same of four 24 h-MB profiles, while the predominant transition for the remaining children was towards lower PA, higher inactivity and longer sleep duration. These findings can aid development and implementation of public health strategies to promote better health.
Text
LPTA_Manuscript_20210203_20210915_v1
- Accepted Manuscript
More information
Published date: 6 November 2021
Additional Information:
Funding Information:
This research is supported by the Singapore National Research Foundation under its Translational and Clinical Research (TCR) Flagship Programme and administered by the Singapore Ministry of Health’s National Medical Research Council (NMRC), Singapore- NMRC/TCR/004-NUS/2008; NMRC/TCR/012-NUHS/2014. Additional funding is provided by the Singapore Institute for Clinical Sciences, Agency for Science Technology and Research (A*STAR), Singapore. KMG is supported by the UK Medical Research Council (MC_UU_12011/4), the National Institute for Health Research (NIHR Senior Investigator (NF-SI-0515-10042), NIHR Southampton 1000DaysPlus Global Nutrition Research Group (17/63/154) and NIHR Southampton Biomedical Research Centre (IS-BRC-1215-20004)), the British Heart Foundation (RG/15/17/3174) and by the European Union’s Erasmus+ Capacity-Building ENeASEA Project ImpENSA (598488-EPP-1-2018-1-DE-EPPKA2-CBHE-JP).
Funding Information:
We would like to thank GUSTO study group, operational managers, research fellows, study coordinators and data management team. We greatly appreciate the voluntary participation of all participants and the cooperation of KK Women?s and Children?s Hospital and National University Hospital. The GUSTO study group includes Allan Sheppard, Amutha Chinnadurai, Anne Eng Neo Goh, Anne Rifkin-Graboi, Anqi Qiu, Arijit Biswas, Bee Wah Lee, Birit F.P. Broekman, Boon Long Quah, Borys Shuter, Chai Kiat Chng, Cheryl Ngo, Choon Looi Bong, Christiani Jeyakumar Henry, Claudia Chi, Cornelia Yin Ing Chee, Yam Thiam Daniel Goh, Doris Fok, E Shyong Tai, Elaine Tham, Elaine Quah Phaik Ling, Evelyn Xiu Ling Loo, George Seow Heong Yeo, Helen Chen, Heng Hao Tan, Hugo P S van Bever, Iliana Magiati, Inez Bik Yun Wong, Ivy Yee-Man Lau, Izzuddin Bin Mohd Aris, Jeevesh Kapur, Jenny L. Richmond, Jerry Kok Yen Chan, Joanna D. Holbrook, Joanne Yoong, Joao N. Ferreira, Jonathan Tze Liang Choo, Joshua J. Gooley, Krishnamoorthy Niduvaje, Kuan Jin Lee, Leher Singh, Lieng Hsi Ling, Lin Lin Su, Ling-Wei Chen, Lourdes Mary Daniel, Marielle V. Fortier, Mark Hanson, Mary Foong-Fong Chong, Mary Rauff, Mei Chien Chua, Melvin Khee-Shing Leow, Michael Meaney, Mya Thway Tint, Neerja Karnani, Ngee Lek, Oon Hoe Teoh, P. C. Wong, Paulin Tay Straughan, Pratibha Agarwal, Queenie Ling Jun Li, Rob M. van Dam, Salome A. Rebello, S. Sendhil Velan, Seng Bin Ang, Shang Chee Chong, Sharon Ng, Shiao-Yng Chan, Shu-E Soh, Sok Bee Lim, Stella Tsotsi, Chin-Ying Stephen Hsu, Sue Anne Toh, Swee Chye Quek, Victor Samuel Rajadurai, Walter Stunkel, Wayne Cutfield, Wee Meng Han, Wei Wei Pang, Yin Bun Cheung, Yiong Huak Chan.
Publisher Copyright:
© 2021, The Author(s).
Keywords:
Children, Inactivity, Movement behaviour, Physical activity, Sedentary behaviour, Sleep
Identifiers
Local EPrints ID: 452270
URI: http://eprints.soton.ac.uk/id/eprint/452270
ISSN: 1479-5868
PURE UUID: 19ed395e-e61f-4e36-a625-cdad37b095ae
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Date deposited: 02 Dec 2021 17:34
Last modified: 17 Mar 2024 02:38
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Contributors
Author:
Natarajan Padmapriya
Author:
Bozhi Chen
Author:
Claire Marie Jie Lin Goh
Author:
Lynette Pei-Chi Shek
Author:
Yap-Seng Chong
Author:
Kok Hian Tan
Author:
Shiao-Yng Chan
Author:
Fabian Yap
Author:
Yung Seng Lee
Author:
Johan G. Eriksson
Author:
Jonathan Y. Bernard
Author:
Falk Müller-Riemenschneider
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