Temporal relationships between device-derived sedentary behavior, physical activity, and sleep in early childhood
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Updated: Oct 6, 2025

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Published on: July 27, 2022
Christine W St Laurent1, Chloe Andre1, Jennifer F Holmes1
1Department of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Insights
Higher sleep efficiency in children positively influences next-day physical activity and reduces sedentary behavior. Understanding these relationships is key for establishing healthy daily routines in early childhood.
Area of Science:
- Pediatric Sleep Science
- Childhood Behavior Analysis
- Chronobiology
Background:
- Establishing healthy sleep and physical activity patterns in early childhood is crucial as these behaviors are largely caregiver-determined.
- Understanding the temporal links between daytime behaviors and overnight sleep is essential for optimizing children's daily routines.
Purpose of the Study:
- To investigate the within- and between-person temporal associations between daytime wake behaviors (sedentary behavior and physical activity) and overnight sleep in young children.
- To identify how daily variations in physical activity and sleep influence subsequent behaviors in early childhood.
Main Methods:
- Utilized wrist-worn actigraphy for daily, repeated measures of wake behavior and overnight sleep in 240 children (mean age 50.8 months) over 9 days/nights.
- Employed multilevel models with lagged effects to analyze temporal associations, adjusting for nap duration, age, sex, and socioeconomic status.
Main Results:
- Higher sleep efficiency (SE) was associated with less subsequent sedentary behavior (SB) and more moderate-to-vigorous physical activity (MVPA) and total physical activity (PA) the following day.
- Between-person analyses showed negative associations between MVPA and total PA with sleep efficiency, and positive associations between sleep duration and light PA.
Conclusions:
- While most daily behaviors were not strongly influenced by prior day's activity or sleep, higher sleep efficiency demonstrated a beneficial impact on subsequent wake behaviors.
- Future research should focus on within-person associations and explore lagged effects beyond one day to fully understand these dynamic relationships in young children.
Study Objectives:
Understanding the ideal composition of a child's day requires a better understanding of the relations between wake behaviors (sedentary behavior [SB], physical activity [PA]) and sleep. Here, we examine between- and within-person temporal associations between daytime wake behaviors and overnight sleep in early childhood, an important age when healthy behaviors are initiated and 24-hour behaviors are largely determined by caregivers.
Methods:
Daily, repeated measures of wake behavior and overnight sleep were assessed via wrist-worn actigraphy (mean = 9 days/nights) in 240 children (50.8 ± 9.8 months). Multilevel models with lagged effects were used to examine the temporal associations between wake and overnight sleep measures and adjusted for daily nap duration, age, sex, and socioeconomic status.
Results:
Between-person associations for sleep outcomes were negative between moderate-to vigorous-intensity PA (MVPA) and total activity for sleep efficiency (SE). Between-person associations for wake outcomes were positive between sleep duration and light PA, and negative between SE and both MVPA and total PA. When children obtained higher SE relative to their individual average, they were more likely to engage in less SB and greater MVPA and total PA the next day.
Conclusions:
Generally, days with greater activity or sleep were not associated with greater subsequent sleep or PA. Most subsequent behaviors were not influenced by children achieving higher activity or sleep relative to their individual average levels, although higher SE was beneficially associated with next day wake behaviors. Future analyses with young children should consider within-person associations and could investigate lagged effects beyond one day.
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