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Activity Behaviors in British 6-Year-Olds: Cross-Sectional Associations and Longitudinal Change During the School Transition.

Accepted version
Peer-reviewed

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Article

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Authors

Hesketh, Kathryn R 
Brage, Soren 
Inskip, Hazel M 
Crozier, Sarah R 
Godfrey, Keith M 

Abstract

BACKGROUND: To explore activity behaviors at school entry, we describe temporal/demographic associations with accelerometer-measured physical activity in a population-based sample of British 6-year-olds, and examine change from ages 4 to 6. METHODS: A total of 712 six-year-olds (308 at both ages) wore Actiheart accelerometers for ≥3 (mean 6.0) days. We derived minutes per day sedentary (<20 cpm) and moderate to vigorous physical activity (MVPA, ≥460 cpm), also segmented across mornings (06:00 AM to 09:00 AM), school (09:00 AM to 3:00 PM), and evenings (3:00 PM to 11:00 PM). Using mixed effects linear regression, we analyzed associations between temporal/demographic factors and children's activity intensities at age 6, and change between ages 4 and 6. RESULTS: Six-year-old children engaged in MVPA (mean [SD]): 64.9 (25.7) minutes per day (53% met UK guidelines). Girls did less MVPA than boys, particularly during school hours. Children were less active on weekends (vs weekdays) and more active on spring/summer evenings (vs winter). Longitudinally, 6-year-old children did less light physical activity (-43.0; 95% confidence interval, -47.5 to -38.4 min/d) but were more sedentary (29.4; 24.6 to 34.2), and engaged in greater MVPA (7.1; 5.2 to 9.1) compared to when they were aged 4. CONCLUSION: Half of 6-year-old children met current activity guidelines; MVPA levels were lower in girls and at weekends. UK children became more sedentary but did more MVPA as they entered formal schooling. Physical activity promotion efforts should capitalize on these changes in MVPA, to maintain positive habits.

Description

Keywords

accelerometer, cohort, movement behavior, preschool, sedentary, Accelerometry, Child, Cross-Sectional Studies, Exercise, Female, Humans, Male, Schools, Sedentary Behavior

Journal Title

J Phys Act Health

Conference Name

Journal ISSN

1543-3080
1543-5474

Volume Title

Publisher

Human Kinetics
Sponsorship
Medical Research Council (MR/K023187/1)
MRC (MC_UU_00006/5)
MRC (MC_UU_00006/4)
Wellcome Trust (087636/Z/08/Z)
Economic and Social Research Council (ES/G007462/1)
Medical Research Council (MC_UU_12015/3)
Medical Research Council (MC_UU_12015/7)
European Commission (289346)
Wellcome Trust (107337/A/15/Z)
This work was conducted by the Medical Research Council [Unit Programme number MC_UU_12015/3 and MC_UU_12015/7] and the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence. Funding from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged (CEDAR grant numbers: ES/G007462/1; 087636/Z/08/Z; MR/K023187/1). The work of CC, KMG, NCH, HMI and SMR was supported by funding from the Medical Research Council, British Heart Foundation, the UK Food Standards Agency, Arthritis Research UK, National Osteoporosis Society, International Osteoporosis Foundation, Cohen Trust, the European Union Seventh Framework Programme (FP7/2007-2013) EarlyNutrition project under grant agreement 289346, the European Union’s Horizon 2020 research and innovation programme under grant agreement N: 733206, LIFE-CYCLE project, NIHR Southampton Biomedical Research Centre, and National Institute of Health Research Musculoskeletal Biomedical Research Unit, Oxford. KMG is supported by the NIHR as an NIHR Senior Investigator (NF-SI-0515-10042). KRH is funded by the Wellcome Trust (107337/Z/15/Z).