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dc.contributor.authorLeppänen, Marja H.
dc.contributor.authorHaapala, Eero A.
dc.contributor.authorVäistö, Juuso
dc.contributor.authorEkelund, Ulf
dc.contributor.authorBrage, Søren
dc.contributor.authorKilpeläinen, Tuomas O.
dc.contributor.authorLakka, Timo A.
dc.date.accessioned2021-10-20T11:26:19Z
dc.date.available2021-10-20T11:26:19Z
dc.date.issued2022
dc.identifier.citationLeppänen, M. H., Haapala, E. A., Väistö, J., Ekelund, U., Brage, S., Kilpeläinen, T. O., & Lakka, T. A. (2022). Longitudinal and cross‐sectional associations of adherence to 24‐hour movement guidelines with cardiometabolic risk. <i>Scandinavian Journal of Medicine and Science in Sports</i>, <i>32</i>(1), 255-266. <a href="https://doi.org/10.1111/sms.14081" target="_blank">https://doi.org/10.1111/sms.14081</a>
dc.identifier.otherCONVID_101503836
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/78276
dc.description.abstractThis study aimed to examine 1) adherence to 24-hour movement guidelines over a 2-year follow-up in children aged 6-8 years and 2) association of this adherence with cardiometabolic risk factors. Physical activity and sleep were assessed by a monitor combining heart rate and accelerometry measurements. Screen time was reported by the parents. Body fat percentage, waist circumference, blood glucose, serum insulin, plasma lipids and blood pressure were assessed, and a cardiometabolic risk score was calculated using z-scores. Children were classified as meeting the guidelines if they had on average ≥60min/day of moderate-to-vigorous physical activity during the valid days; ≤120min/day of screen time; and 9–11h/day of sleep. In total, 485 children had valid data at baseline or at 2-year follow-up. Analyses were conducted using adjusted logistic and linear regression models. Most children adhered to the 24-hour movement guidelines at baseline, but the adherence decreased over the 2-year follow-up. Meeting physical activity guidelines individually, or in combination with screen time and/or sleep, was longitudinally associated with a lower cardiometabolic risk score, insulin and waist circumference, and cross-sectionally additionally with lower diastolic blood pressure and higher high-density lipoprotein cholesterol. However, these associations became statistically non-significant after adjustment for body fat. In conclusion, meeting 24-hour movement guidelines at baseline increases the odds of meeting them at 2-year follow-up in school-aged children. Furthermore, meeting 24-hour movement guidelines is associated with lower levels of cardiometabolic risk factors, but these associations are partly explained by lower body fat. Thus, promoting movement behaviors, especially physical activity, and healthy weight in early childhood is important in supporting cardiometabolic health in children.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofseriesScandinavian Journal of Medicine and Science in Sports
dc.rightsIn Copyright
dc.titleLongitudinal and cross‐sectional associations of adherence to 24‐hour movement guidelines with cardiometabolic risk
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202110205305
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineLiikuntalääketiedefi
dc.contributor.oppiaineBiomekaniikkafi
dc.contributor.oppiaineSports and Exercise Medicineen
dc.contributor.oppiaineBiomechanicsen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.format.pagerange255-266
dc.relation.issn0905-7188
dc.relation.numberinseries1
dc.relation.volume32
dc.type.versionacceptedVersion
dc.rights.copyright© 2021 Wiley
dc.rights.accesslevelopenAccessfi
dc.subject.ysoverenpaine
dc.subject.ysoterveyskasvatus
dc.subject.ysolapset (ikäryhmät)
dc.subject.ysouni (lepotila)
dc.subject.ysoliikunta
dc.subject.ysosydän- ja verisuonitaudit
dc.subject.ysofyysinen aktiivisuus
dc.subject.ysoinsuliini
dc.subject.ysorasvaprosentti
dc.subject.ysoriskitekijät
dc.subject.ysoylipaino
dc.subject.ysoterveyden edistäminen
dc.subject.ysoverensokeri
dc.subject.ysovarhaislapsuus
dc.subject.ysoterveyskäyttäytyminen
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p7682
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jyx.subject.urihttp://www.yso.fi/onto/yso/p4354
jyx.subject.urihttp://www.yso.fi/onto/yso/p8299
jyx.subject.urihttp://www.yso.fi/onto/yso/p916
jyx.subject.urihttp://www.yso.fi/onto/yso/p9886
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
jyx.subject.urihttp://www.yso.fi/onto/yso/p8422
jyx.subject.urihttp://www.yso.fi/onto/yso/p25528
jyx.subject.urihttp://www.yso.fi/onto/yso/p13277
jyx.subject.urihttp://www.yso.fi/onto/yso/p826
jyx.subject.urihttp://www.yso.fi/onto/yso/p12732
jyx.subject.urihttp://www.yso.fi/onto/yso/p6955
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jyx.subject.urihttp://www.yso.fi/onto/yso/p11100
dc.rights.urlhttp://rightsstatements.org/page/InC/1.0/?language=en
dc.relation.doi10.1111/sms.14081
jyx.fundinginformationMinistry of Education and Culture of Finland, Ministry of Social Affairs and Health of Finland, Research Committee of the Kuopio University Hospital Catchment Area (State Research Funding), Finnish Innovation Fund Sitra, Social Insurance Institution of Finland, Finnish Cultural Foundation, Foundation for Paediatric Research, Diabetes Research Foundation in Finland, Finnish Foundation for Cardiovascular Research, Juho Vainio Foundation, Paavo Nurmi Foundation, Yrjö Jahnsson Foundation, Novo Nordisk Foundation (NNF18CC0034900), and the city of Kuopio.


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