Evidence map›Paper›PMID 32061263›Full record

ArticleBMC pediatrics2020

Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing.

Hongyan Guan, Zhiguang Zhang, Bo Wang, Anthony D Okely, Meiling Tong, Jianxin Wu, Ting Zhang

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 5 syntheses or guidelines pooled it, 119 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Hongyan GuanCapital Institute of Pediatrics, 2 Yabao Rd, Beijing, 100020, China. cip_ghy@yeah.net.ORCID 0000-0002-8153-1676
Zhiguang ZhangEarly Start, Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, Australia.
Bo WangCapital Institute of Pediatrics, 2 Yabao Rd, Beijing, 100020, China.
Anthony D OkelyEarly Start, Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, Australia.
Meiling TongDepartment of Pediatrics, Nanjing Medical University, Nanjing, China.
Jianxin WuCapital Institute of Pediatrics, 2 Yabao Rd, Beijing, 100020, China.
Ting ZhangCapital Institute of Pediatrics, 2 Yabao Rd, Beijing, 100020, China.
Capital Institute of Pediatrics · CNUniversity of Wollongong · AUNanjing Medical University · CN

Funding

Beijing Municipal Commission of Health Z171100000117001Innovation Fund for Medical Science in Chinese Academy of Medical Sciences 2016-12M-1-008
6 · The paper itself

Abstract

backgroundWorld Health Organisation (WHO) Guidelines on Physical Activity, Sedentary Behaviour and Sleep for Children under 5 Years of Age were released in 2019. The aim of this study was to examine the proportion of Chinese kindergarten children who met each individual guideline and each combination of the guidelines and the associations with adiposity.

methodsParticipants were 254 kindergarten children aged 4.1-6.3 years recruited from three kindergartens in urban area of Beijing. Physical activity, sedentary behaviour and sleep duration were assessed using 24-h accelerometry over three consecutive days. Screen time was reported by parents. Weight and height were measured; and children were categorised into normal weight and overweight/obese groups according to the WHO age- and sex- specific criteria. Frequency analyses were performed to examine the proportion of children meeting individual and combination of these guidelines. Logistics regression analyses were conducted to examine the associations between guideline compliance and adiposity.

resultsThe proportion of children who met the physical activity (≥ 3 h daily physical activity, including ≥1 h daily moderate- to vigorous-intensity physical activity (MVPA)), sedentary screen time (< 1 h/day), and sleep guidelines (10-13 h/day) were 65.4, 88.2 and 29.5%, respectively; only 15.0% met all three guidelines and 2.7% did not meet any of the guidelines. Not meeting the physical activity guideline, sleep guideline, or combination of any two guidelines, or all three guidelines was not associated with overweight or obesity; however, children who did not meet the sedentary screen time guidelines were at higher risk for overweight and obesity (odds ratio = 3.76, 95% CI: 1.50-9.45).

conclusionsIn our study, only a small proportion of children met all three guidelines. Most Chinese kindergarten children met physical activity guidelines or screen time guidelines, whereas fewer children met sleep guideline. Not meeting sedentary screen time guidelines was associated with adiposity, which warrant further interventions for limiting screen time in young children.

Indexed as

AdiposityExerciseSedentary BehaviorSleepBeijingChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleObesityUrban PopulationWorld Health OrganizationAdiposityKindergartenPhysical activityScreen timeSedentary behaviour

Identifiers

PMID32061263
PMCPMC7023817
OpenAlexW3012757844

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.