ArticleDiscover public health2026
Sociodemographic correlates of perceived COVID-19 impact on movement behaviors in Croatian school-aged children.
Article in Discover public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Levels of physical activity (PA), sedentary behavior (SB), and sleep, as important determinants of children's health and weight status, may have been significantly affected by the COVID-19 pandemic. This cross-sectional study aimed to determine factors associated with parental perception of COVID-19 negative impact in PA, SB, and sleep during the COVID-19 period, and whether the parental perception of COVID-19 negative impact was associated with actual post-lockdown behavioral levels among 2nd and 3rd grade elementary school students in Croatia. Method: Data was gathered on a nationally representative sample of Croatian children participating in the CroCOSI 2021/2022 study. The final sample consisted of 5438 children (male = 51.4%, female = 48.6%) aged 7 to 10 years ( Results: Multinomial logistic regression models showed that the parental perception of negative COVID-19 impact on active play, screen time, and learning time was associated with various SES indicators, child-related variables, and degree of urbanization. Parents with high education levels were more likely to perceive a negative impact across all behaviors. Children of parents with high education compared to low had a higher likelihood of parental perception of COVID-19 negative impact on screen time (weekdays: Conclusion: The study results suggest that the parental perception of COVID-19 impact on children's movement behaviors varied according to sociodemographic factors of the children and their families, and was also associated with certain post-lockdown movement behavior in children. These findings highlight the need for targeted public health strategies that provide safe and accessible opportunities for play and physical activity while reducing excessive screen time. Continuous multisectoral efforts are important for promoting healthy lifestyles and preventing childhood obesity. Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1186/s12982-026-02827-9.
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