Preschool-aged children 24-hour movement behaviours before and during COVID-19

Mingming Cui1, Xiaojuan Wang2,3, Zhaoxu Lu1

  • 1Beijing Municipal Key Laboratory of Child Development and Nutriomics, Capital Institute of Pediatrics, Beijing, China.

Insights

The COVID-19 pandemic significantly altered preschool children's movement behaviors, with fewer meeting guidelines. Factors like sleep quality and parental internet use influenced physical activity levels during this period.

Area of Science:

  • Pediatrics
  • Public Health
  • Behavioral Science

Background:

  • The COVID-19 pandemic profoundly impacted global health, economies, and daily life.
  • Limited understanding exists regarding the specific effects of the pandemic on young children's behaviors.

Purpose of the Study:

  • To investigate changes in 24-hour movement behaviors of preschool children before and during the COVID-19 pandemic.
  • To identify factors influencing these behavioral changes in early childhood.

Main Methods:

  • Utilized data from the International Study of Movement Behaviors in the Early Years (SUNRISE) in Beijing.
  • Surveyed 196 parents of children aged 3-6 years regarding movement behaviors at two time points: pre-pandemic and during COVID-19.
  • Compared movement behaviors and analyzed associated factors before and during the pandemic.

Main Results:

  • A significant decrease in the percentage of children meeting movement guidelines was observed during the pandemic (p < 0.01).
  • Total physical activity reduction was less pronounced in children with good sleep quality or more adults at home (p < 0.01).
  • Increased sedentary screen time was associated with pre-bedtime screen use and parental reporting of body temperature via webchats (p < 0.05).
  • Children spending more time outdoors experienced a smaller decrease in sleep duration (p < 0.01).

Conclusions:

  • The COVID-19 pandemic led to significant shifts in preschool children's 24-hour movement behaviors.
  • Sleep quality, household structure, parental engagement with technology, and outdoor time emerged as key influencing factors.
  • Findings highlight the need for targeted interventions to support healthy movement behaviors in children during public health crises.