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Correlates of physical activity in 2-year-old toddlers: the generation R study
Anne I Wijtzes1, Marjolein N Kooijman, Jessica C Kiefte-de Jong
1The Generation R Study Group, Erasmus Medical Center, Rotterdam, The Netherlands. a.wijtzes@erasmusmc.nl
Insights
Two-year-old toddlers exhibit high sedentary behavior, spending over 80% of their time inactive. Researchers found no modifiable factors influencing this, highlighting a need for further study on physical activity in early childhood.
Area of Science:
- Pediatrics
- Public Health
- Kinesiology
Background:
- Understanding physical activity and sedentary behavior in early childhood is crucial for long-term health.
- Objectively measuring activity levels in toddlers presents unique methodological challenges.
Purpose of the Study:
- To objectively measure physical activity and sedentary behavior in 2-year-old toddlers.
- To identify correlates associated with these behaviors in this age group.
Main Methods:
- Utilized ActiGraph accelerometers to monitor activity in 347 toddlers over weekdays and weekend days.
- Collected correlate data through parent questionnaires, delivery reports, and child health center visits.
- Employed univariate and multivariable linear regression to analyze associations.
Main Results:
- Toddlers spent a significant majority of monitored time in sedentary behavior (85.6% weekdays, 84.5% weekend days).
- Child's sex, age, number of siblings, and season of measurement were significant correlates.
- Gross motor development approached significance for moderate-to-vigorous physical activity; socioeconomic factors and BMI z-score were not significant.
Conclusions:
- Two-year-old toddlers predominantly engage in sedentary behavior.
- No modifiable correlates were identified in this study.
- Further research is essential to understand physical activity patterns and health benefits in very young children.
Objective:
To describe and identify correlates of objectively measured physical activity and sedentary behavior in 2-year-old toddlers.
Study Design:
A total of 347 children participating in a birth cohort study wore a unaxial ActiGraph accelerometer during 1 weekday and 1 weekend day. Information on potential correlates was assessed by parent-reported questionnaires, delivery reports, and regular visits to child health centers. Univariate and multivariable linear regression analyses were conducted to examine the associations between potential correlates and the following physical activity outcomes: percentage of time spent in sedentary behavior, percentage of time spent in moderate-to-vigorous physical activity, and mean counts per minute.
Results:
A high percentage of monitored time was spent in sedentary behavior; 85.6% on weekdays and 84.5% on weekend days. Four correlates were significantly associated with at least 1 physical activity outcome in the multivariable regression models: child's sex, child's age, number of siblings, and season of measurement. The associations of gross motor development with moderate-to-vigorous physical activity and mean counts per minute approached significance. Associations of socioeconomic variables and child's body mass index z-score with physical activity outcomes were not significant.
Conclusion:
Two-year-old toddlers spend most of their time in sedentary behavior. No modifiable correlates were identified. Further research on physical activity and associated health benefits among very young children is warranted.
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