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Objectively measured 24-h movement behaviours of child-guardian pairs in low-to-middle income households in Nairobi City County, Kenya

Lucy-Joy Wachira Orcid Logo, Nils Swindell Orcid Logo, Noora Kanerva, Muhoro Munuhe, Timo Vuorimaa, Tiina Laiho, Sophie Ochola, Maijaliisa Erkkola, George Owino, Gareth Stratton Orcid Logo, Mikael Fogelholm Orcid Logo, Vincent Onywera

Sports Medicine and Health Science, Volume: 7, Issue: 4, Pages: 263 - 271

Swansea University Authors: Nils Swindell Orcid Logo, Gareth Stratton Orcid Logo

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DOI (Published version): 10.1016/j.smhs.2025.01.008

Abstract

Background: The decreasing prevalence of physical activity (PA) among urban children in Sub-Saharan Africa is a growing public health concern. More emphasis should focus on examining the influence of parental PA behaviour on the children’s PA patterns. We explored associations of 24hr accelerometer-...

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Published in: Sports Medicine and Health Science
ISSN: 2666-3376
Published: Elsevier BV 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa68808
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More emphasis should focus on examining the influence of parental PA behaviour on the children&#x2019;s PA patterns. We explored associations of 24hr accelerometer-measured movement behaviours of guardian-child pairs in Nairobi City County, Kenya. Methods: This cross-sectional study assessed 80 pairs consisting of children aged 9-14 years and their guardians in one area of low and one area of middle socioeconomic status (SES) (Embakasi Sub-County and Lang&#x2019;ata Sub-County), in Nairobi City County, Kenya. The study used waist worn Tri-axial Actigraph (GT3X+ and ActiSleep+) accelerometers to quantify PA and sedentary time (SED). Association between guardians' and children's PA was examined using linear regression, adjusting for guardians&#x2019; educational attainment and household wealth. Results: Of the children, 42 (52.5%) and 76 (96.2%) of the guardians were women. Children in low SES areas spent more time (p&lt;0.001) in moderate-to-vigorous physical activity compared to children from middle SES area. The guardians in low SES area were younger and spent more time in light PA (p=0.036) while their counterparts had higher daily SED (p=0.049). Guardian's SED associated with higher children's SED (p=0.033) even after adjusting for guardians&#x2019; educational attainment (p=0.032) and wealth (p=0.05). There was no association between guardians&#x2019; and children&#x2019;s MVPA. 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HEL7M0453-82</funders><projectreference/><lastEdited>2025-04-24T13:43:19.4442649</lastEdited><Created>2025-02-05T16:07:51.2000746</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2">School of Engineering and Applied Sciences - Sport and Exercise Sciences</level></path><authors><author><firstname>Lucy-Joy</firstname><surname>Wachira</surname><orcid>0000-0003-2805-5997</orcid><order>1</order></author><author><firstname>Nils</firstname><surname>Swindell</surname><orcid>0000-0003-3742-6139</orcid><order>2</order></author><author><firstname>Noora</firstname><surname>Kanerva</surname><order>3</order></author><author><firstname>Muhoro</firstname><surname>Munuhe</surname><order>4</order></author><author><firstname>Timo</firstname><surname>Vuorimaa</surname><order>5</order></author><author><firstname>Tiina</firstname><surname>Laiho</surname><order>6</order></author><author><firstname>Sophie</firstname><surname>Ochola</surname><order>7</order></author><author><firstname>Maijaliisa</firstname><surname>Erkkola</surname><order>8</order></author><author><firstname>George</firstname><surname>Owino</surname><order>9</order></author><author><firstname>Gareth</firstname><surname>Stratton</surname><orcid>0000-0001-5618-0803</orcid><order>10</order></author><author><firstname>Mikael</firstname><surname>Fogelholm</surname><orcid>0000-0001-8110-102x</orcid><order>11</order></author><author><firstname>Vincent</firstname><surname>Onywera</surname><order>12</order></author></authors><documents><document><filename>68808__34097__28c5ec8a3bfd488a9cda9cd097c1f419.pdf</filename><originalFilename>68808.VOR.pdf</originalFilename><uploaded>2025-04-24T13:39:52.6322139</uploaded><type>Output</type><contentLength>333914</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>This is an open access article under the CC BY-NC-ND license.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by-nc-nd/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2025-04-24T13:43:19.4442649 v2 68808 2025-02-05 Objectively measured 24-h movement behaviours of child-guardian pairs in low-to-middle income households in Nairobi City County, Kenya d89a0a3fb118e1cf625fddc68cdf25bb 0000-0003-3742-6139 Nils Swindell Nils Swindell true false 6d62b2ed126961bed81a94a2beba8a01 0000-0001-5618-0803 Gareth Stratton Gareth Stratton true false 2025-02-05 EAAS Background: The decreasing prevalence of physical activity (PA) among urban children in Sub-Saharan Africa is a growing public health concern. More emphasis should focus on examining the influence of parental PA behaviour on the children’s PA patterns. We explored associations of 24hr accelerometer-measured movement behaviours of guardian-child pairs in Nairobi City County, Kenya. Methods: This cross-sectional study assessed 80 pairs consisting of children aged 9-14 years and their guardians in one area of low and one area of middle socioeconomic status (SES) (Embakasi Sub-County and Lang’ata Sub-County), in Nairobi City County, Kenya. The study used waist worn Tri-axial Actigraph (GT3X+ and ActiSleep+) accelerometers to quantify PA and sedentary time (SED). Association between guardians' and children's PA was examined using linear regression, adjusting for guardians’ educational attainment and household wealth. Results: Of the children, 42 (52.5%) and 76 (96.2%) of the guardians were women. Children in low SES areas spent more time (p<0.001) in moderate-to-vigorous physical activity compared to children from middle SES area. The guardians in low SES area were younger and spent more time in light PA (p=0.036) while their counterparts had higher daily SED (p=0.049). Guardian's SED associated with higher children's SED (p=0.033) even after adjusting for guardians’ educational attainment (p=0.032) and wealth (p=0.05). There was no association between guardians’ and children’s MVPA. Conclusion: Considered alongside the extant literature, these results suggest that health promotion strategies should aim to reduce parental SED time while also planning to increase children's PA. Journal Article Sports Medicine and Health Science 7 4 263 271 Elsevier BV 2666-3376 24-h movement behaviour; Accelerometer; Adolescents; Parent; Physical activity; Socio-economic status 1 7 2025 2025-07-01 10.1016/j.smhs.2025.01.008 COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University Another institution paid the OA fee The KENFIN-EDURA project was funded by the Finnish Ministry of Foreign Affairs through the Higher Education Institutions Institutional Cooperation Instrument; grant no. HEL7M0453-82 2025-04-24T13:43:19.4442649 2025-02-05T16:07:51.2000746 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Lucy-Joy Wachira 0000-0003-2805-5997 1 Nils Swindell 0000-0003-3742-6139 2 Noora Kanerva 3 Muhoro Munuhe 4 Timo Vuorimaa 5 Tiina Laiho 6 Sophie Ochola 7 Maijaliisa Erkkola 8 George Owino 9 Gareth Stratton 0000-0001-5618-0803 10 Mikael Fogelholm 0000-0001-8110-102x 11 Vincent Onywera 12 68808__34097__28c5ec8a3bfd488a9cda9cd097c1f419.pdf 68808.VOR.pdf 2025-04-24T13:39:52.6322139 Output 333914 application/pdf Version of Record true This is an open access article under the CC BY-NC-ND license. true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title Objectively measured 24-h movement behaviours of child-guardian pairs in low-to-middle income households in Nairobi City County, Kenya
spellingShingle Objectively measured 24-h movement behaviours of child-guardian pairs in low-to-middle income households in Nairobi City County, Kenya
Nils Swindell
Gareth Stratton
title_short Objectively measured 24-h movement behaviours of child-guardian pairs in low-to-middle income households in Nairobi City County, Kenya
title_full Objectively measured 24-h movement behaviours of child-guardian pairs in low-to-middle income households in Nairobi City County, Kenya
title_fullStr Objectively measured 24-h movement behaviours of child-guardian pairs in low-to-middle income households in Nairobi City County, Kenya
title_full_unstemmed Objectively measured 24-h movement behaviours of child-guardian pairs in low-to-middle income households in Nairobi City County, Kenya
title_sort Objectively measured 24-h movement behaviours of child-guardian pairs in low-to-middle income households in Nairobi City County, Kenya
author_id_str_mv d89a0a3fb118e1cf625fddc68cdf25bb
6d62b2ed126961bed81a94a2beba8a01
author_id_fullname_str_mv d89a0a3fb118e1cf625fddc68cdf25bb_***_Nils Swindell
6d62b2ed126961bed81a94a2beba8a01_***_Gareth Stratton
author Nils Swindell
Gareth Stratton
author2 Lucy-Joy Wachira
Nils Swindell
Noora Kanerva
Muhoro Munuhe
Timo Vuorimaa
Tiina Laiho
Sophie Ochola
Maijaliisa Erkkola
George Owino
Gareth Stratton
Mikael Fogelholm
Vincent Onywera
format Journal article
container_title Sports Medicine and Health Science
container_volume 7
container_issue 4
container_start_page 263
publishDate 2025
institution Swansea University
issn 2666-3376
doi_str_mv 10.1016/j.smhs.2025.01.008
publisher Elsevier BV
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
document_store_str 1
active_str 0
description Background: The decreasing prevalence of physical activity (PA) among urban children in Sub-Saharan Africa is a growing public health concern. More emphasis should focus on examining the influence of parental PA behaviour on the children’s PA patterns. We explored associations of 24hr accelerometer-measured movement behaviours of guardian-child pairs in Nairobi City County, Kenya. Methods: This cross-sectional study assessed 80 pairs consisting of children aged 9-14 years and their guardians in one area of low and one area of middle socioeconomic status (SES) (Embakasi Sub-County and Lang’ata Sub-County), in Nairobi City County, Kenya. The study used waist worn Tri-axial Actigraph (GT3X+ and ActiSleep+) accelerometers to quantify PA and sedentary time (SED). Association between guardians' and children's PA was examined using linear regression, adjusting for guardians’ educational attainment and household wealth. Results: Of the children, 42 (52.5%) and 76 (96.2%) of the guardians were women. Children in low SES areas spent more time (p<0.001) in moderate-to-vigorous physical activity compared to children from middle SES area. The guardians in low SES area were younger and spent more time in light PA (p=0.036) while their counterparts had higher daily SED (p=0.049). Guardian's SED associated with higher children's SED (p=0.033) even after adjusting for guardians’ educational attainment (p=0.032) and wealth (p=0.05). There was no association between guardians’ and children’s MVPA. Conclusion: Considered alongside the extant literature, these results suggest that health promotion strategies should aim to reduce parental SED time while also planning to increase children's PA.
published_date 2025-07-01T19:01:42Z
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