ArticleBMC pediatrics2020
Proportion of kindergarten children meeting the WHO guidelines on physical activity, sedentary behaviour and sleep and associations with adiposity in urban Beijing.
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.
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.
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.
Who cites it
51 citing papers in PubMed, 5 syntheses or guidelines pooled it, 119 citations in OpenAlex.
- Prevalence of meeting 24-hour movement guidelines in China: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Adherence to the World Health Organization's physical activity recommendation in preschool-aged children: a systematic review and meta-analysis of accelerometer studies.The international journal of behavioral nutrition and physical activity · 2023Pooled it
- Combinations of Physical Activity, Sedentary Behavior, and Sleep Duration and Their Associations With Physical, Psychological, and Educational Outcomes in Children and Adolescents: A Systematic Review.American journal of epidemiology · 2023Pooled it
- Correlates of Physical Activity in 0- to 5-year-olds: A Systematic Umbrella Review and Consultation of International Researchers.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Prevalence of meeting 24-Hour Movement Guidelines from pre-school to adolescence: A systematic review and meta-analysis including 387,437 participants and 23 countries.Journal of sport and health science · 2022Pooled it
- Optimising 24-Hour movement behaviours in preschoolers through parenting practices: an evidence-based intervention study.The international journal of behavioral nutrition and physical activity · 2025Trial
- Effectiveness of a parent-focused intervention targeting 24-hour movement behaviours in preschool-aged children: a randomised controlled trial.The international journal of behavioral nutrition and physical activity · 2024Trial
- Trial
- International study of 24-hour movement behaviours among preschool children (SUNRISE): A pilot study from Nepal.Archives of public health = Archives belges de sante publique · 2026Article
- Prevalence, patterns and parental perceptions of excessive screen time among children aged 2-4 years: A cross-sectional study from a rural setting of Haryana, India.The Indian journal of medical research · 2026Article
- Preschool children's sleep duration and parental depressive symptoms in western China: role of children's mental health and socioeconomic factors.Frontiers in pediatrics · 2026Article
- Screen exposure patterns and their associations with obesity and sleep among preschool children in a resource-limited city in eastern China: a multicenter cross-sectional study protocol.Frontiers in public health · 2026Observational
- The Relationship with Meeting Physical Activity Guidelines in Preschool-Aged Children: A Systematic Review.Pediatric reports · 2025Review
- Preschool-aged children 24-hour movement behaviours before and during COVID-19.Sports medicine and health science · 2025Article
- Methodological Choices on 24-h Movement Behavior Assessment by Accelerometry: A Scoping Review.Sports medicine - open · 2025Review
- The association between 24-h movement behaviours and adiposity among Australian preschoolers: a compositional data analysis.BMC public health · 2025Article
- Exploring urban-rural differences in 24-h movement behaviours among tunisian preschoolers: Insights from the SUNRISE study.Sports medicine and health science · 2025Article
- Reallocation of time to moderate-to-vigorous physical activity and estimated changes in physical fitness among preschoolers: a compositional data analysis.BMC public health · 2024Article
- Effectiveness of a Parent-Based eHealth Intervention for Physical Activity, Dietary Behavior, and Sleep Among Preschoolers: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- Adherence to the WHO physical activity, screen time and sleep guidelines and associations with socio-demographic factors among Ethiopian preschool children: The SUNRISE study.Journal of activity, sedentary and sleep behaviors · 2024Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
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.
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Registered trials
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.