Associations Between 24‐h Movement Behaviours and Health in 3‐ and 4‐Year‐Old Children From a Low‐Income Country: The SUNRISE Ethiopia Study.

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Title: Associations Between 24‐h Movement Behaviours and Health in 3‐ and 4‐Year‐Old Children From a Low‐Income Country: The SUNRISE Ethiopia Study.
Authors: Abdeta, Chalchisa, Cliff, Dylan, Kariippanon, Katharina, Deksisa, Alem, Garoma, Sileshi, Tesfaye, Debrework, Okely, Anthony D.
Source: Child: Care, Health & Development. Jul2025, Vol. 51 Issue 4, p1-9. 9p.
Subjects: Motor ability, Middle-income countries, Cross-sectional method, Adipose tissues, Research funding, Sedentary lifestyles, Executive function, Accelerometry, Screen time, Evaluation of medical care, Descriptive statistics, Child development, Sleep quality, Body movement, Confidence intervals, Physical activity, Low-income countries, Poverty, Grip strength, Children
Geographic Terms: Ethiopia
Abstract: Background: There is little evidence on the associations between 24‐h movement behaviours and health in children from low‐income countries. We examined the associations of physical activity, sedentary behaviour, screen time and sleep with adiposity, motor skills and executive functions among 3‐ and 4‐year‐old children in Ethiopia. Methods: Cross‐sectional study conducted in Adama city and Lume Woreda, Oromia region, Ethiopia. We recruited children from kindergartens and rural Kebeles or villages. Children's time spent in physical activity, sedentary behaviour and sleep were measured using hip worn ActiGraph accelerometers. Children's screen time was parent‐reported. Linear mixed models tested associations of 24‐h movement behaviours with adiposity (BMI z‐score), motor skills (NIH Toolbox) and executive functions (Early Years Toolbox). All models accounted for child sex, age and dietary diversity as fixed effects and clustering of children within kindergarten/villages as a random effect. Results: A total of 430 children participated (4.2 ± 0.6 years). Children who slept longer had lower adiposity (−0.12, 95% CI: −0.19, −0.06). Those who had higher levels of total physical activity (TPA) (0.06, 95% CI 0.01, 0.13) and moderate to vigorous‐intensity physical activity (MVPA) (0.03, 95% CI 0.01, 0.06) had higher scores on handgrip strength. Children who spent more time in sedentary behaviour had lower handgrip strength (−0.08, 95% CI −0.16, −0.01). There were no significant associations with executive functions. Conclusions: Strategies to improve adiposity and motor skills should focus on promoting healthy levels of 24‐h movement behaviours, especially adequate sleep and time spent in physical activity in Ethiopian children. [ABSTRACT FROM AUTHOR]
Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Associations Between 24‐h Movement Behaviours and Health in 3‐ and 4‐Year‐Old Children From a Low‐Income Country: The SUNRISE Ethiopia Study.
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  Data: <searchLink fieldCode="AR" term="%22Abdeta%2C+Chalchisa%22">Abdeta, Chalchisa</searchLink><br /><searchLink fieldCode="AR" term="%22Cliff%2C+Dylan%22">Cliff, Dylan</searchLink><br /><searchLink fieldCode="AR" term="%22Kariippanon%2C+Katharina%22">Kariippanon, Katharina</searchLink><br /><searchLink fieldCode="AR" term="%22Deksisa%2C+Alem%22">Deksisa, Alem</searchLink><br /><searchLink fieldCode="AR" term="%22Garoma%2C+Sileshi%22">Garoma, Sileshi</searchLink><br /><searchLink fieldCode="AR" term="%22Tesfaye%2C+Debrework%22">Tesfaye, Debrework</searchLink><br /><searchLink fieldCode="AR" term="%22Okely%2C+Anthony D%2E%22">Okely, Anthony D.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Child%3A+Care%2C+Health+%26+Development%22">Child: Care, Health & Development</searchLink>. Jul2025, Vol. 51 Issue 4, p1-9. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Motor+ability%22">Motor ability</searchLink><br /><searchLink fieldCode="DE" term="%22Middle-income+countries%22">Middle-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Adipose+tissues%22">Adipose tissues</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Sedentary+lifestyles%22">Sedentary lifestyles</searchLink><br /><searchLink fieldCode="DE" term="%22Executive+function%22">Executive function</searchLink><br /><searchLink fieldCode="DE" term="%22Accelerometry%22">Accelerometry</searchLink><br /><searchLink fieldCode="DE" term="%22Screen+time%22">Screen time</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Child+development%22">Child development</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+quality%22">Sleep quality</searchLink><br /><searchLink fieldCode="DE" term="%22Body+movement%22">Body movement</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Low-income+countries%22">Low-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Poverty%22">Poverty</searchLink><br /><searchLink fieldCode="DE" term="%22Grip+strength%22">Grip strength</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Ethiopia%22">Ethiopia</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: There is little evidence on the associations between 24‐h movement behaviours and health in children from low‐income countries. We examined the associations of physical activity, sedentary behaviour, screen time and sleep with adiposity, motor skills and executive functions among 3‐ and 4‐year‐old children in Ethiopia. Methods: Cross‐sectional study conducted in Adama city and Lume Woreda, Oromia region, Ethiopia. We recruited children from kindergartens and rural Kebeles or villages. Children's time spent in physical activity, sedentary behaviour and sleep were measured using hip worn ActiGraph accelerometers. Children's screen time was parent‐reported. Linear mixed models tested associations of 24‐h movement behaviours with adiposity (BMI z‐score), motor skills (NIH Toolbox) and executive functions (Early Years Toolbox). All models accounted for child sex, age and dietary diversity as fixed effects and clustering of children within kindergarten/villages as a random effect. Results: A total of 430 children participated (4.2 ± 0.6 years). Children who slept longer had lower adiposity (−0.12, 95% CI: −0.19, −0.06). Those who had higher levels of total physical activity (TPA) (0.06, 95% CI 0.01, 0.13) and moderate to vigorous‐intensity physical activity (MVPA) (0.03, 95% CI 0.01, 0.06) had higher scores on handgrip strength. Children who spent more time in sedentary behaviour had lower handgrip strength (−0.08, 95% CI −0.16, −0.01). There were no significant associations with executive functions. Conclusions: Strategies to improve adiposity and motor skills should focus on promoting healthy levels of 24‐h movement behaviours, especially adequate sleep and time spent in physical activity in Ethiopian children. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/cch.70096
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 1
    Subjects:
      – SubjectFull: Motor ability
        Type: general
      – SubjectFull: Middle-income countries
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Adipose tissues
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Sedentary lifestyles
        Type: general
      – SubjectFull: Executive function
        Type: general
      – SubjectFull: Accelerometry
        Type: general
      – SubjectFull: Screen time
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Child development
        Type: general
      – SubjectFull: Sleep quality
        Type: general
      – SubjectFull: Body movement
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Low-income countries
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Grip strength
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Ethiopia
        Type: general
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      – TitleFull: Associations Between 24‐h Movement Behaviours and Health in 3‐ and 4‐Year‐Old Children From a Low‐Income Country: The SUNRISE Ethiopia Study.
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              Text: Jul2025
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              Y: 2025
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