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Sedentary Time Patterns Among Preschoolers: Do Sex Disparities Exist?
María Enid Santiago-Rodríguez1, Karin A Pfeiffer2, Kara K Palmer3
1Department of Physical Therapy, Universidad Ana G. Méndez, San Juan, Puerto Rico.
Insights
Preschool girls exhibit higher sedentary time than boys during school hours, potentially impacting their health. This highlights a need for family-based interventions promoting physical activity and healthy habits.
Area of Science:
- Pediatric Health
- Behavioral Science
- Public Health
Background:
- Sedentary time (ST) is a growing public health concern in early childhood.
- Disaggregating ST into periods like before, during, and after preschool offers insights into specific behavioral patterns.
- Understanding sex differences in ST is crucial for targeted health interventions.
Purpose of the Study:
- To investigate sex differences in sedentary time (ST) among US preschoolers.
- To analyze ST patterns specifically before, during, and after preschool hours.
- To inform the development of effective interventions for childhood obesity prevention.
Main Methods:
- Secondary analysis of a two-cohort study involving 292 preschoolers from low-income families.
- Accelerometers worn on the non-dominant wrist for 8 consecutive days to measure ST.
- Three linear regressions analyzed sex differences in ST, controlling for BMI percentile.
Main Results:
- Preschool girls demonstrated significantly higher sedentary time (ST) compared to boys during preschool hours (p=0.006).
- No statistically significant sex differences in ST were observed before or after preschool hours.
- A trend suggested girls might have higher ST after preschool (p=0.06).
Conclusions:
- Girls' increased sedentary time during preschool warrants attention due to potential long-term health implications, including obesity.
- Findings underscore the need for family-centered interventions focusing on physical activity and healthy habits from an early age.
- Targeted strategies may be necessary to mitigate health disparities related to sedentary behavior in preschool girls.
Abstract:
Background: Examining sedentary time (ST) by disaggregating the day into periods such as before, during, and after preschool allows interventionists to understand when sedentary behaviors are most severe. This study aimed to determine if there are sex differences in ST before, during, and after preschool hours in US preschoolers. Methods: A secondary analysis of a two-cohort study with a sample size of 292 preschoolers (67% African Americans/Blacks; 100% from low-income families) was used. Measures were collected in Fall 2017 and Fall 2018. Preschoolers wore an accelerometer on the non-dominant wrist for 8 consecutive days to obtain ST minutes before, during, and after preschool periods. Three separate linear regressions were conducted to test sex differences in ST before, during, and after preschool hours. ST for each period of the day was considered the outcome variable predicted by sex and covarying for BMI percentile. Results: Girls were more sedentary than boys during preschool (F (1, 226) = 5.15, p = 0.006; b = -0.09 [-0.15, -0.03]), but not before preschool (F(1, 225) = 0.98, p = 0.32; b = 2.50 [-2.46, 7.45]) nor after preschool (F(1, 227) = 3.62, p = 0.06; b = 6.60 [-0.21, 13.42]). Conclusions: This difference in ST could have an unfavorable health impact among preschool girls. Given that childhood obesity prevalence dramatically increases from preschool age to childhood, there is a need to design family-based interventions that provide parents/caregivers strategies to develop habits around healthy eating and physical activity that they can carry into later life stages.
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