BMJ Open (Oct 2021)
Cross-sectional examination of 24-hour movement behaviours among 3- and 4-year-old children in urban and rural settings in low-income, middle-income and high-income countries: the SUNRISE study protocol
- Mark S Tremblay,
- Chalchisa Abdeta,
- Ali Turab,
- Xanne Janssen,
- John J Reilly,
- Wei-Peng Teo,
- Peter T Katzmarzyk,
- Eva Roos,
- Anna Kontsevaya,
- Himangi Lubree,
- Hongyan Guan,
- Michael Chia,
- Dong Hoon Kim,
- Anthony D Okely,
- M Löf,
- Sanne L C Veldman,
- Hong Kim Tang,
- Alex A Florindo,
- Germana H Leyna,
- Catherine E Draper,
- Alejandra Jauregui,
- Katharina E Kariippanon,
- Asmaa El Hamdouchi,
- Janette P Green,
- Bang Nguyen Pham,
- Thomas Suesse,
- Juana Willumsen,
- Mohamed Basheer,
- Rebecca Calleia,
- Kar Hau Chong,
- Penny L Cross,
- Maria Nacher,
- Laura Smeets,
- Ellie Taylor,
- Nicolas Aguilar-Farias,
- Aqsa Baig,
- Jambaldori Bayasgalan,
- Cecilia H S Chan,
- P W Prasad Chathurangana,
- Fazlollah Ghofranipour,
- Amy S Ha,
- Mohammad Sorowar Hossain,
- Piyawat Katewongsa,
- Thanh Van Kim,
- Denise Koh,
- Nyaradzai Munambah,
- Tawonga Mwase-Vuma,
- Jackline Nusurupia,
- Aoko Oluwayomi,
- Borja del Pozo-Cruz,
- Jesus del Pozo-Cruz,
- Asima Shirazi,
- Pragya Singh,
- Amanda Staiano,
- Adang Suherman,
- Chiaki Tanaka,
- Marites M Tiongco,
- Dawn Tladi,
- E Kipling Webster,
- Pujitha Wickramasinghe,
- Dyah Anantalia Widyastari
Affiliations
- Mark S Tremblay
- 15 Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Ontario, Canada
- Chalchisa Abdeta
- Hiwot Fana Specialized University Hospital, Harar, Ethiopia
- Ali Turab
- Precision Health Consultants (PHC Global), Karachi, Pakistan
- Xanne Janssen
- School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
- John J Reilly
- 20 Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
- Wei-Peng Teo
- National Institute of Education, Nanyang Technological University, Singapore
- Peter T Katzmarzyk
- 8 Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA
- Eva Roos
- Folkhalsen Research Centre, Helsinki, Finland
- Anna Kontsevaya
- 18 National Research Center for Preventive Medicine, Ministry of Health of the Russian Federation, Moskva, Russian Federation
- Himangi Lubree
- Vadu Rural Health Program, KEM Hospital Pune Research Centre, Pune, India
- Hongyan Guan
- Department of Early Childhood Development, Beijing Municipal Key Laboratory of Child Development and Nutriomics, Capital Institute of Pediatrics, Beijing, China
- Michael Chia
- National Institute of Education, Nanyang Technological University, Singapore
- Dong Hoon Kim
- Korea Institute of Child Care and Education, Seoul, Republic of Korea
- Anthony D Okely
- University of Wollongong, Wollongong, Sydney, Australia
- M Löf
- Department of Health, Medicine och Caring Sciences, Linköping University, Linkoping, Sweden
- Sanne L C Veldman
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Hong Kim Tang
- Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet Nam
- Alex A Florindo
- Universidade de Sao Paulo Escola de Artes Ciencias e Humanidades, Sao Paulo, Brazil
- Germana H Leyna
- Tanzania Food and Nutrition Centre, Dar es Salaam, Tanzania
- Catherine E Draper
- SAMRC/Wits Developmental Pathways for Health Research Unit (DPHRU), University of the Witwatersrand, Johannesburg, Gauteng, South Africa
- Alejandra Jauregui
- 11 Department of Physical Activity and Healthy Lifestyles, National Institute of Public Health, Cuernavaca, Mexico
- Katharina E Kariippanon
- Early Start, School of Health and Society, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
- Asmaa El Hamdouchi
- Unité Mixte de Recherche Nutrition et Alimentation, Regional Designated Center of Nutrition Associated with AFRA/IAEA, CNESTEN-Université Ibn Tofail URAC39, Rabat, Morocco
- Janette P Green
- Faculty of Business and Law, Australian Health Services Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
- Bang Nguyen Pham
- Population Health and Demography, Papua New Guinea Institute of Medical Research, Goroka, Eastern Highlands, Papua New Guinea
- Thomas Suesse
- National Institute for Applied Statistics Research Australia, School of Mathematics and Applied Statistics, Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, New South Wales, Australia
- Juana Willumsen
- Department for Prevention of Non-Communicable Diseases, WHO, Geneve, Switzerland
- Mohamed Basheer
- Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
- Rebecca Calleia
- Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
- Kar Hau Chong
- Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
- Penny L Cross
- Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
- Maria Nacher
- Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
- Laura Smeets
- Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
- Ellie Taylor
- Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
- Nicolas Aguilar-Farias
- Department of Physical Education, Sports and Recreation, Universidad de La Frontera, Temuco, Chile
- Aqsa Baig
- Precision Health Consultants (PHC Global), Karachi, Pakistan
- Jambaldori Bayasgalan
- National Centre for Public Health, Mongolia Ministry of Health, Ulaanbaatar, Mongolia
- Cecilia H S Chan
- Department of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong Kong, Hong Kong, Hong Kong
- P W Prasad Chathurangana
- Department of Paediatrics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
- Fazlollah Ghofranipour
- Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
- Amy S Ha
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, Hong Kong
- Mohammad Sorowar Hossain
- Biomedical Research Foundation, Dhaka, Bangladesh
- Piyawat Katewongsa
- 12 Institute for Population and Social Research, Mahidol University, Salaya, Thailand
- Thanh Van Kim
- Department of Epidemiology, Faculty of Public Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet Nam
- Denise Koh
- Centre of Community Education and Well-being, Faculty of Education, Universiti Kebangsaan Malaysia, Bangi, Malaysia
- Nyaradzai Munambah
- Rehabilitation Sciences Unit, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe
- Tawonga Mwase-Vuma
- Centre for Social Research, University of Malawi, Zomba, Malawi
- Jackline Nusurupia
- Tanzania Food and Nutrition Centre, Dar es Salaam, Tanzania
- Aoko Oluwayomi
- Human Kinetics and Health Education, University of Lagos, Akoka, Nigeria
- Borja del Pozo-Cruz
- Department of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- Jesus del Pozo-Cruz
- 1 Departamento de Educación Física y Deportes, University of Seville, Sevilla, Spain
- Asima Shirazi
- Faculty of Business, University of Wollongong, Dubai, UAE
- Pragya Singh
- School of Public Health and Primary Care, CMNHS, Fiji National University, Nasinu, Fiji
- Amanda Staiano
- Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA
- Adang Suherman
- Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, Indonesia
- Chiaki Tanaka
- College of Health and Welfare, J F Oberlin University, Machida, Japan
- Marites M Tiongco
- School of Economics, De la Salle University, Manila, Philippines
- Dawn Tladi
- Department of Sport Science, Faculty of Education, University of Botswana, Gaborone, Botswana
- E Kipling Webster
- Institute of Public and Preventive Health, Augusta University, Augusta, Georgia, USA
- Pujitha Wickramasinghe
- Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
- Dyah Anantalia Widyastari
- 12 Institute for Population and Social Research, Mahidol University, Salaya, Thailand
- DOI
- https://doi.org/10.1136/bmjopen-2021-049267
- Journal volume & issue
-
Vol. 11,
no. 10
Abstract
Introduction 24-hour movement behaviours (physical activity, sedentary behaviour and sleep) during the early years are associated with health and developmental outcomes, prompting the WHO to develop Global guidelines for physical activity, sedentary behaviour and sleep for children under 5 years of age. Prevalence data on 24-hour movement behaviours is lacking, particularly in low-income and middle-income countries (LMICs). This paper describes the development of the SUNRISE International Study of Movement Behaviours in the Early Years protocol, designed to address this gap.Methods and analysis SUNRISE is the first international cross-sectional study that aims to determine the proportion of 3- and 4-year-old children who meet the WHO Global guidelines. The study will assess if proportions differ by gender, urban/rural location and/or socioeconomic status. Executive function, motor skills and adiposity will be assessed and potential correlates of 24-hour movement behaviours examined. Pilot research from 24 countries (14 LMICs) informed the study design and protocol. Data are collected locally by research staff from partnering institutions who are trained throughout the research process. Piloting of all measures to determine protocol acceptability and feasibility was interrupted by COVID-19 but is nearing completion. At the time of publication 41 countries are participating in the SUNRISE study.Ethics and dissemination The SUNRISE protocol has received ethics approved from the University of Wollongong, Australia, and in each country by the applicable ethics committees. Approval is also sought from any relevant government departments or organisations. The results will inform global efforts to prevent childhood obesity and ensure young children reach their health and developmental potential. Findings on the correlates of movement behaviours can guide future interventions to improve the movement behaviours in culturally specific ways. Study findings will be disseminated via publications, conference presentations and may contribute to the development of local guidelines and public health interventions.
