Health associations with meeting new 24-hour movement guidelines for Canadian children and youth
Abstract
The study objective was to examine whether meeting the new Canadian 24-hour movement guidelines was associated with health indicators in a representative sample of Canadian children and youth. Cross-sectional findings are based on 4157 (1239 fasting subsample) children and youth aged 6-17years from cycles 1-3 of the Canadian Health Measures Survey (CHMS). Sleep and screen time were subjectively measured while moderate- to vigorous-intensity physical activity (MVPA) was accelerometer-determined. Health indicators in the full sample (body mass index (BMI) z-scores, waist circumference, blood pressure, behavioral strengths and difficulties score (lower=better), and aerobic fitness) and fasting subsample (triglycerides, high-density lipoprotein (HDL)-cholesterol, C-reactive protein, and insulin) were measured. Meeting the overall guidelines was defined as: 9-11 hour/night (5-13years) or 8-10 hour/day (14-17years) of sleep, ≤2 hour/day of screen time, and ≥60 minute/day of MVPA. Compared to meeting all three recommendations, meeting none, one, and two recommendations were associated with a higher BMI z-score, waist circumference, and behavioral strengths and difficulties score and lower aerobic fitness in a gradient pattern (P trend<0.05). Additionally, compared to meeting all three recommendations, meeting none and one recommendation were associated with higher systolic blood pressure and insulin (P trend<0.05). Finally, compared to meeting all three recommendations, meeting no recommendations was associated with higher triglycerides and lower HDL-cholesterol (P trend<0.05). Collectively, meeting more recommendations within the 24-hour movement guidelines was associated with better overall health. Since a small proportion (17%) of this representative sample was meeting the overall guidelines, efforts to promote adoption are needed.
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Participants achieving all 3 recommendations had preferable scores for social and emotional health compared with participants who did not meet the recommendations.
“3/3 studies found that participants achieving all 3 recommendations had preferable scores for the health outcomes compared with participants who did not meet the recommendations.”
A dose-response relationship exists between the number of recommendations met and mental health outcomes, with a greater number met associated with lower risk of mental health problems.
“2/10 studies found a dose-response relationship between the number of recommendations met and mental health outcomes [33, 37].”
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- Authors
- Carson, V., Chaput, J.-P., Janssen, I., & Tremblay, M. S.
- Affiliations
- University of Alberta (CA)
- Children's Hospital of Eastern Ontario (CA)
- Queen's University (CA)
- Corresponding author
- Carson, Valerie
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2017-02
- Volume
- 95
- Pages
- 7-13
- ISSN
- 0091-7435 (ISSN-L)
- OpenAlex
- W2560321923
- Cited by
- 285
- References
- 39
- Citations by year
- 2026: 20 · 2025: 30 · 2024: 32 · 2023: 41 · 2022: 42 · 2021: 36 · 2020: 48 · 2019: 14 · 2018: 13 · 2017: 8 · 2016: 1
- FWCI
- 8.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Research Data Centre Network
- Social Sciences and Humanities Research Council
- Canadian Institutes of Health Research
- Canadian Foundation for Innovation
- Statistics Canada
- CIHR New Investigator Salary Award
- Canada Research Chair
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- 24-hour movement guidelines, children and young people, sleep duration, screen time, moderate-to-vigorous physical activity, body mass index, waist circumference, blood pressure, insulin, triglycerides, HDL cholesterol, C-reactive protein, cardiorespiratory fitness, Canadian Health Measures Survey
- MeSH terms
- Canada, Health Status, Health Surveys, Humans, Risk Factors, Sleep, Time Factors, Exercise, Guidelines as Topic, Sedentary Behavior
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