Socioeconomic disparities in physical activity, sedentary behavior and sleep patterns among 6- to 9-year-old children from 24 countries in the WHO European region

Musić Milanović S. Buoncristiano M. Križan H. Rathmes G. Williams J. Hyska J. Duleva V. Zamrazilová H. Hejgaard T. Jørgensen M.B. Salanave B. Shengelia L. Kelleher C.C. Spinelli A. Nardone P. Abdrakhmanova S. Usupova Z. Pudule I. Petrauskiene A. Farrugia SantAngelo V. Kujundžić E. Fijałkowska A. Rito A.I. Cucu A. Brinduse L.A. Peterkova V. Gualtieri A. García-Solano M. Gutiérrez-González E. Boymatova K. Yardim M.S. Tanrygulyyeva M. Melkumova M. Weghuber D. Nurk E. Mäki P. Bergh I.H. Ostojic S.M. Russell Jonsson K. Spiroski I. Rutter H. Ahrens W. Rakovac I. Whiting S. Breda J.
November 2021 John Wiley and Sons Inc

Obesity Reviews
2021 #22 Issue S6

Physical activity, sedentary behavior, and sleep are important predictors of childrens health. This paper aimed to investigate socioeconomic disparities in physical activity, sedentary behavior, and sleep across the WHO European region. This cross-sectional study used data on 124,700 children aged 6 to 9 years from 24 countries participating in the WHO European Childhood Obesity Surveillance Initiative between 2015 and 2017. Socioeconomic status (SES) was measured through parental education, parental employment status, and family perceived wealth. Overall, results showed different patterns in socioeconomic disparities in childrens movement behaviors across countries. In general, high SES children were more likely to use motorized transportation. Low SES children were less likely to participate in sports clubs and more likely to have more than 2 h/day of screen time. Children with low parental education had a 2.24 [95% CI 1.94–2.58] times higher risk of practising sports for less than 2 h/week. In the pooled analysis, SES was not significantly related to active play. The relationship between SES and sleep varied by the SES indicator used. Importantly, results showed that low SES is not always associated with a higher prevalence of “less healthy” behaviors. There is a great diversity in SES patterns across countries which supports the need for country-specific, targeted public health interventions.

physical activity , sedentary behavior , sleep hygiene , social inequalities

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Croatian Institute of Public Health, Zagreb, Croatia
School of Medicine, University of Zagreb, Zagreb, Croatia
World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programmes, WHO Regional Office for Europe, Moscow, Russian Federation
Nutrition and Food Safety Sector, Institute of Public Health, Tirana, Albania
Department Food and Nutrition, National Centre of Public Health and Analyses, Sofia, Bulgaria
Obesity Management Centre, Institute of Endocrinology, Prague, Czech Republic
Health Promotion and Inequality, Danish Health Authority, Copenhagen, Denmark
National Institute of Public Health, University of Southern Denmark, Odense, Denmark
Department of Non-Communicable Diseases and Traumatisms, Santé publique France, the French Public Health Agency, Saint-Maurice, France
Nutritional Surveillance and Epidemiology Team (ESEN), University Sorbonne Paris Nord, Bobigny, France
Maternal, Child and Reproductive Health, National Center for Disease Control and Public Health, Tbilisi, Georgia
College of Health and Agricultural Sciences, University College Dublin, Dublin, Ireland
National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health (Istituto Superiore di Sanità), Rome, Italy
Department of Science and Professional Development, National Center of Public Health of the Ministry of Health of the Republic of Kazakhstan, Almaty, Kazakhstan
Kazakhstan School of Public Health, Kazakhstans Medical University, Almaty, Kazakhstan
Republican Center for Health Promotion and Mass Communication, Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan
Department of Research and Health Statistics, Centre for Disease and Prevention Control, Riga, Latvia
Department of Preventive Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania
Primary Child Health Unit, Primary Health Care, Floriana, Malta
Center for Health Ecology, Institute of Public Health, Podgorica, Montenegro
Department of Cardiology, Institute of Mother and Child, Warsaw, Poland
WHO/Europe Collaborating Center for Nutrition and Childhood Obesity - Food and Nutrition Department, National Institute of Health Dr. Ricardo Jorge, Lisbon, Portugal
Faculty of Midwifery and Nursing, Discipline of Public Health and Health Management, University of Medicine and Pharmacy Carol Davila Bucharest, Bucharest, Romania
National Centre of Health Promotion and Health Evaluation, National Institute of Public Health, Bucharest, Romania
Faculty of Medicine, Department of Public Health and Management, University of Medicine and Pharmacy Carol Davila Bucharest, Bucharest, Romania
Institute of Paediatric Endocrinology, National Medical Research Centre for Endocrinology of the Ministry of Health of the Russian Federation, Moscow, Russian Federation
Health Authority, Ministry of Health, San Marino, San Marino
Spanish Agency for Food Safety and Nutrition, Ministry of Consumer Affairs, Madrid, Spain
Division of Noncommunicable Diseases and Promoting Health through the Life-Course, WHO Country Office for Tajikistan, Dushanbe, Tajikistan
Faculty of Medicine, Hacettepe University, Ankara, Turkey
Scientific Research Institute of Maternal and Child Health, Ashgabat, Turkmenistan
Institute of Child and Adolescent Health, Arabkir Medical Centre-Institute of Child and Adolescent Health, Yerevan, Armenia
Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria
Department of Nutrition Research, National Institute for Health Development, Tallinn, Estonia
Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland
Department of Health and Inequality, Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway
Biomedical Sciences Department, Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
Department of Living Conditions and Lifestyle, Public Health Agency of Sweden, Solna, Sweden
Institute of Public Health, Skopje, North Macedonia
Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, North Macedonia
Department of Social and Policy Sciences, University of Bath, Bath, United Kingdom
Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany
Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany

Croatian Institute of Public Health
School of Medicine
World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases
Nutrition and Food Safety Sector
Department Food and Nutrition
Obesity Management Centre
Health Promotion and Inequality
National Institute of Public Health
Department of Non-Communicable Diseases and Traumatisms
Nutritional Surveillance and Epidemiology Team (ESEN)
Maternal
College of Health and Agricultural Sciences
National Centre for Disease Prevention and Health Promotion
Department of Science and Professional Development
Kazakhstan School of Public Health
Republican Center for Health Promotion and Mass Communication
Department of Research and Health Statistics
Department of Preventive Medicine
Primary Child Health Unit
Center for Health Ecology
Department of Cardiology
WHO/Europe Collaborating Center for Nutrition and Childhood Obesity - Food and Nutrition Department
Faculty of Midwifery and Nursing
National Centre of Health Promotion and Health Evaluation
Faculty of Medicine
Institute of Paediatric Endocrinology
Health Authority
Spanish Agency for Food Safety and Nutrition
Division of Noncommunicable Diseases and Promoting Health through the Life-Course
Faculty of Medicine
Scientific Research Institute of Maternal and Child Health
Institute of Child and Adolescent Health
Department of Pediatrics
Department of Nutrition Research
Public Health and Welfare
Department of Health and Inequality
Biomedical Sciences Department
Department of Living Conditions and Lifestyle
Institute of Public Health
Faculty of Medicine
Department of Social and Policy Sciences
Leibniz Institute for Prevention Research and Epidemiology
Institute of Statistics

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