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Association between Compliance with Movement Behavior Guidelines and Obesity among Malaysian Preschoolers

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  • Shoo Thien Lee

    (Center for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia)

  • Jyh Eiin Wong

    (Center for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia)

  • Geraldine K. L. Chan

    (Center for Research in Development, Social and Environment (SEEDS), Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, Bangi 43600, Selangor, Malaysia)

  • Bee Koon Poh

    (Center for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia)

Abstract

A daily balance of physical activities, sedentary behaviors and sleep are important for maintaining the health of young children. The aim of this study is to explore the association between 24-h movement behavior of Malaysian children aged 4 to 6 years with weight status. A total of 230 preschoolers were recruited from 22 kindergartens in Kuala Lumpur. Physical activity was assessed by Actical accelerometer while screen time and sleep duration were proxy-reported by parents. Children spent on average 5.5 ± 1.3 h on total physical activity (including 1.0 ± 0.4 h of moderate- vigorous physical activity), 3.0 ± 1.6 h on screen activities and 9.5 ± 1.3 h sleeping daily. The proportion of children who complied with physical activity and sleep guidelines were 48.7% and 55.2%, respectively. About 25.2% of children met screen time recommendation. Only 6.5% of children met all three age-specific physical activity, screen time and sleep guidelines. Children who met any two guidelines were less likely to be overweight or obesity compared to those who did not meet any of the guidelines (OR: 0.276; 95% CI: 0.080–0.950). In conclusion, Malaysian preschoolers have low compliance to movement behavior guidelines, especially in meeting screen time recommendations. Compliance to movement behavior guidelines was associated with lower odds of overweight and obesity.

Suggested Citation

  • Shoo Thien Lee & Jyh Eiin Wong & Geraldine K. L. Chan & Bee Koon Poh, 2021. "Association between Compliance with Movement Behavior Guidelines and Obesity among Malaysian Preschoolers," IJERPH, MDPI, vol. 18(9), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4611-:d:544029
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    References listed on IDEAS

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    1. Jorge A Banda & K Farish Haydel & Tania Davila & Manisha Desai & Susan Bryson & William L Haskell & Donna Matheson & Thomas N Robinson, 2016. "Effects of Varying Epoch Lengths, Wear Time Algorithms, and Activity Cut-Points on Estimates of Child Sedentary Behavior and Physical Activity from Accelerometer Data," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-13, March.
    2. Hyunshik Kim & Jiameng Ma & Kenji Harada & Sunkyoung Lee & Ying Gu, 2020. "Associations between Adherence to Combinations of 24-h Movement Guidelines and Overweight and Obesity in Japanese Preschool Children," IJERPH, MDPI, vol. 17(24), pages 1-11, December.
    3. Marieke De Craemer & Duncan McGregor & Odysseas Androutsos & Yannis Manios & Greet Cardon, 2018. "Compliance with 24-h Movement Behaviour Guidelines among Belgian Pre-School Children: The ToyBox-Study," IJERPH, MDPI, vol. 15(10), pages 1-10, October.
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    Cited by:

    1. Evelyn Martin-Moraleda & Sandy Mandic & Ana Queralt & Cristina Romero-Blanco & Susana Aznar, 2022. "Associations among Active Commuting to School and Prevalence of Obesity in Adolescents: A Systematic Review," IJERPH, MDPI, vol. 19(17), pages 1-13, August.

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