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Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project
PLOS ONE, Volume: 17, Issue: 12
Swansea University Authors: Nils Joseph Swindell , Sinead Brophy , Huw Summers , Amie Richards , Gareth Stratton
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DOI (Published version): 10.1371/journal.pone.0279751
Abstract
BackgroundLike many countries in sub-Saharan Africa, Kenya has experienced rapid urbanization in recent years. Despite the distinct socioeconomic and environmental differences, few studies have examined the adherence to movement guidelines in urban and rural areas. This cross-sectional study aimed a...
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2023-01-25T14:29:41.6806105 v2 62310 2023-01-12 Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project 189d1ae79723a932dc37ae54fff6e4cd 0000-0003-3742-6139 Nils Joseph Swindell Nils Joseph Swindell true true 84f5661b35a729f55047f9e793d8798b 0000-0001-7417-2858 Sinead Brophy Sinead Brophy true false a61c15e220837ebfa52648c143769427 0000-0002-0898-5612 Huw Summers Huw Summers true false 3ef2b4a7a697e3d98ad63e842e9c45cb 0000-0003-1634-656X Amie Richards Amie Richards true false 6d62b2ed126961bed81a94a2beba8a01 0000-0001-5618-0803 Gareth Stratton Gareth Stratton true false 2023-01-12 BackgroundLike many countries in sub-Saharan Africa, Kenya has experienced rapid urbanization in recent years. Despite the distinct socioeconomic and environmental differences, few studies have examined the adherence to movement guidelines in urban and rural areas. This cross-sectional study aimed at examining compliance to the 24-hour movement guidelines and their correlates among children from urban and rural Kenya.MethodChildren (n = 539) aged 11.1 ± 0.8 years (52% female) were recruited from 8 urban and 8 rural private and public schools in Kenya. Physical activity (PA) and sleep duration were estimated using 24-h raw data from wrist-worn accelerometers. Screen time (ST) and potential correlates were self- reported. Multi-level logistic regression was applied to identify correlates of adherence to combined and individual movement guidelines.ResultsCompliance with the combined movement guidelines was low overall (7%), and higher among rural (10%) than urban (5%) children. Seventy-six percent of rural children met the individual PA guidelines compared to 60% urban children while more rural children also met sleep guidelines (27% vs 14%). The odds of meeting the combined movement guidelines reduced with age (OR = 0.55, 95% CI = 0.35–0.87, p = 0.01), was greater among those who could swim (OR = 3.27, 95% CI = 1.09–9.83, p = 0.04), and among those who did not engage in ST before school (OR = 4.40, 95% CI = 1.81–10.68, p<0.01). The odds of meeting PA guidelines increased with the number of weekly physical education sessions provided at school (OR = 2.1, 95% CI = 1.36–3.21, p<0.01) and was greater among children who spent their lunch break walking (OR = 2.52, 95% CI = 1.15–5.55, p = 0.02) or running relative to those who spent it sitting (OR = 2.33, 95% CI = 1.27–4.27, p = 0.01).ConclusionsPrevalence of meeting movement guidelines among Kenyan children is low and of greatest concern in urban areas. Several correlates were identified, particularly influential were features of the school day, School is thus a significant setting to promote a healthy balance between sleep, sedentary time, and PA. Journal Article PLOS ONE 17 12 Public Library of Science (PLoS) 1932-6203 30 12 2022 2022-12-30 10.1371/journal.pone.0279751 COLLEGE NANME Sports Science COLLEGE CODE Swansea University This research was funded by the British Academy under the urban infrastructure of wellbeing scheme https://www.thebritishacademy. ac.uk/programmes/urban-infrastructures-wellbeing Grant number: UWB190069 The grant was awarded to Gareth Stratton (PI), Vincent Onywera, George Owino, Lucy-Joy Wachira, Huw Summers and Sinead Brophy. 2023-01-25T14:29:41.6806105 2023-01-12T09:58:46.0435856 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Nils Joseph Swindell 0000-0003-3742-6139 1 Lucy-Joy Wachira 0000-0003-2805-5997 2 Victor Okoth 3 Stanley Kagunda 4 George Owino 5 Sophie Ochola 6 Sinead Brophy 0000-0001-7417-2858 7 Huw Summers 0000-0002-0898-5612 8 Amie Richards 0000-0003-1634-656X 9 Stuart J. Fairclough 0000-0001-8358-1979 10 Vincent Onywera 11 Gareth Stratton 0000-0001-5618-0803 12 62310__26267__2690d39108584384966abaf7982ce3e6.pdf 6231.pdf 2023-01-12T10:01:27.6950566 Output 804925 application/pdf Version of Record true © 2022 Swindell et al. This is an open access article distributed under the terms of the Creative Commons Attribution License true eng http://creativecommons.org/licenses/by/4.0/ |
title |
Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project |
spellingShingle |
Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project Nils Joseph Swindell Sinead Brophy Huw Summers Amie Richards Gareth Stratton |
title_short |
Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project |
title_full |
Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project |
title_fullStr |
Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project |
title_full_unstemmed |
Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project |
title_sort |
Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project |
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189d1ae79723a932dc37ae54fff6e4cd 84f5661b35a729f55047f9e793d8798b a61c15e220837ebfa52648c143769427 3ef2b4a7a697e3d98ad63e842e9c45cb 6d62b2ed126961bed81a94a2beba8a01 |
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189d1ae79723a932dc37ae54fff6e4cd_***_Nils Joseph Swindell 84f5661b35a729f55047f9e793d8798b_***_Sinead Brophy a61c15e220837ebfa52648c143769427_***_Huw Summers 3ef2b4a7a697e3d98ad63e842e9c45cb_***_Amie Richards 6d62b2ed126961bed81a94a2beba8a01_***_Gareth Stratton |
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Nils Joseph Swindell Sinead Brophy Huw Summers Amie Richards Gareth Stratton |
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Nils Joseph Swindell Lucy-Joy Wachira Victor Okoth Stanley Kagunda George Owino Sophie Ochola Sinead Brophy Huw Summers Amie Richards Stuart J. Fairclough Vincent Onywera Gareth Stratton |
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10.1371/journal.pone.0279751 |
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Faculty of Science and Engineering |
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BackgroundLike many countries in sub-Saharan Africa, Kenya has experienced rapid urbanization in recent years. Despite the distinct socioeconomic and environmental differences, few studies have examined the adherence to movement guidelines in urban and rural areas. This cross-sectional study aimed at examining compliance to the 24-hour movement guidelines and their correlates among children from urban and rural Kenya.MethodChildren (n = 539) aged 11.1 ± 0.8 years (52% female) were recruited from 8 urban and 8 rural private and public schools in Kenya. Physical activity (PA) and sleep duration were estimated using 24-h raw data from wrist-worn accelerometers. Screen time (ST) and potential correlates were self- reported. Multi-level logistic regression was applied to identify correlates of adherence to combined and individual movement guidelines.ResultsCompliance with the combined movement guidelines was low overall (7%), and higher among rural (10%) than urban (5%) children. Seventy-six percent of rural children met the individual PA guidelines compared to 60% urban children while more rural children also met sleep guidelines (27% vs 14%). The odds of meeting the combined movement guidelines reduced with age (OR = 0.55, 95% CI = 0.35–0.87, p = 0.01), was greater among those who could swim (OR = 3.27, 95% CI = 1.09–9.83, p = 0.04), and among those who did not engage in ST before school (OR = 4.40, 95% CI = 1.81–10.68, p<0.01). The odds of meeting PA guidelines increased with the number of weekly physical education sessions provided at school (OR = 2.1, 95% CI = 1.36–3.21, p<0.01) and was greater among children who spent their lunch break walking (OR = 2.52, 95% CI = 1.15–5.55, p = 0.02) or running relative to those who spent it sitting (OR = 2.33, 95% CI = 1.27–4.27, p = 0.01).ConclusionsPrevalence of meeting movement guidelines among Kenyan children is low and of greatest concern in urban areas. Several correlates were identified, particularly influential were features of the school day, School is thus a significant setting to promote a healthy balance between sleep, sedentary time, and PA. |
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2022-12-30T14:21:39Z |
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