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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

Nils Joseph Swindell Orcid Logo, Lucy-Joy Wachira Orcid Logo, Victor Okoth, Stanley Kagunda, George Owino, Sophie Ochola, Sinead Brophy Orcid Logo, Huw Summers Orcid Logo, Amie Richards Orcid Logo, Stuart J. Fairclough Orcid Logo, Vincent Onywera, Gareth Stratton Orcid Logo

PLOS ONE, Volume: 17, Issue: 12

Swansea University Authors: Nils Joseph Swindell Orcid Logo, Sinead Brophy Orcid Logo, Huw Summers Orcid Logo, Amie Richards Orcid Logo, Gareth Stratton Orcid Logo

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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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ISSN: 1932-6203
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2023-01-25T14:29:41.6806105</datestamp><bib-version>v2</bib-version><id>62310</id><entry>2023-01-12</entry><title>Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya&#x2014;The Kenya-LINX project</title><swanseaauthors><author><sid>189d1ae79723a932dc37ae54fff6e4cd</sid><ORCID>0000-0003-3742-6139</ORCID><firstname>Nils Joseph</firstname><surname>Swindell</surname><name>Nils Joseph Swindell</name><active>true</active><ethesisStudent>true</ethesisStudent></author><author><sid>84f5661b35a729f55047f9e793d8798b</sid><ORCID>0000-0001-7417-2858</ORCID><firstname>Sinead</firstname><surname>Brophy</surname><name>Sinead Brophy</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>a61c15e220837ebfa52648c143769427</sid><ORCID>0000-0002-0898-5612</ORCID><firstname>Huw</firstname><surname>Summers</surname><name>Huw Summers</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>3ef2b4a7a697e3d98ad63e842e9c45cb</sid><ORCID>0000-0003-1634-656X</ORCID><firstname>Amie</firstname><surname>Richards</surname><name>Amie Richards</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>6d62b2ed126961bed81a94a2beba8a01</sid><ORCID>0000-0001-5618-0803</ORCID><firstname>Gareth</firstname><surname>Stratton</surname><name>Gareth Stratton</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2023-01-12</date><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 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 &#xB1; 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&#x2013;0.87, p = 0.01), was greater among those who could swim (OR = 3.27, 95% CI = 1.09&#x2013;9.83, p = 0.04), and among those who did not engage in ST before school (OR = 4.40, 95% CI = 1.81&#x2013;10.68, p&lt;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&#x2013;3.21, p&lt;0.01) and was greater among children who spent their lunch break walking (OR = 2.52, 95% CI = 1.15&#x2013;5.55, p = 0.02) or running relative to those who spent it sitting (OR = 2.33, 95% CI = 1.27&#x2013;4.27, p = 0.01).ConclusionsPrevalence of meeting movement guidelines among Kenyan children is low and of greatest concern in urban areas. 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spelling 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
author_id_str_mv 189d1ae79723a932dc37ae54fff6e4cd
84f5661b35a729f55047f9e793d8798b
a61c15e220837ebfa52648c143769427
3ef2b4a7a697e3d98ad63e842e9c45cb
6d62b2ed126961bed81a94a2beba8a01
author_id_fullname_str_mv 189d1ae79723a932dc37ae54fff6e4cd_***_Nils Joseph Swindell
84f5661b35a729f55047f9e793d8798b_***_Sinead Brophy
a61c15e220837ebfa52648c143769427_***_Huw Summers
3ef2b4a7a697e3d98ad63e842e9c45cb_***_Amie Richards
6d62b2ed126961bed81a94a2beba8a01_***_Gareth Stratton
author Nils Joseph Swindell
Sinead Brophy
Huw Summers
Amie Richards
Gareth Stratton
author2 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
format Journal article
container_title PLOS ONE
container_volume 17
container_issue 12
publishDate 2022
institution Swansea University
issn 1932-6203
doi_str_mv 10.1371/journal.pone.0279751
publisher Public Library of Science (PLoS)
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 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.
published_date 2022-12-30T04:21:49Z
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