Physical Activity, Screen Time, and Sleep Duration of Children Aged 6-9 Years in 25 Countries: An Analysis within the WHO European Childhood Obesity Surveillance Initiative (COSI) 2015-2017
Whiting S. Buoncristiano M. Gelius P. Abu-Omar K. Pattison M. Hyska J. Duleva V. Musić Milanović S. Zamrazilová H. Hejgaard T. Rasmussen M. Nurk E. Shengelia L. Kelleher C.C. Heinen M.M. Spinelli A. Nardone P. Abildina A. Abdrakhmanova S. Aitmurzaeva G. Usuopva Z. Pudule I. Petrauskiene A. Santangelo V.F. Kujundzic E. Popovic S. Fismen A.-S. Bergh I.H. Fijalkowska A. Rito A.I. Cucu A. Brinduse L.A. Peterkova V. Gualtieri A. García-Solano M. Gutiérrez-González E. Abdurrahmonova Z. Boymatova K. Yardim N. Tanrygulyyeva M. Weghuber D. Schindler K. Stojisavljević D. Filipović Hadžiomeragić A. Markidou Ionnaidu E. Ahrens W. Hassapidou M. Kovacs V.A. Ostojic S.M. Ticha L. Starc G. Russell Jonsson K. Spiroski I. Rutter H. Mendes R. Williams J. Rakovac I. Breda J.
March 2021S. Karger AG
Obesity Facts
2021#14Issue 132 - 44 pp.
Background: Children are becoming less physically active as opportunities for safe active play, recreational activities, and active transport decrease. At the same time, sedentary screen-based activities both during school and leisure time are increasing. Objectives: This study aimed to evaluate physical activity (PA), screen time, and sleep duration of girls and boys aged 6-9 years in Europe using data from the WHO European Childhood Obesity Surveillance Initiative (COSI). Method: The fourth COSI data collection round was conducted in 2015-2017, using a standardized protocol that included a family form completed by parents with specific questions about their childrens PA, screen time, and sleep duration. Results: Nationally representative data from 25 countries was included and information on the PA behaviour, screen time, and sleep duration of 150,651 children was analysed. Pooled analysis showed that: 79.4% were actively playing for >1 h each day, 53.9% were not members of a sport or dancing club, 50.0% walked or cycled to school each day, 60.2% engaged in screen time for <2 h/day, and 84.9% slept for 9-11 h/night. Country-specific analyses of these behaviours showed pronounced differences, with national prevalences in the range of 61.7-98.3% actively playing for >1 h/day, 8.2-85.6% were not members of a sport or dancing club, 17.7-94.0% walked or cycled to school each day, 32.3-80.0% engaged in screen time for <2 h/day, and 50.0-95.8% slept for 9-11 h/night. Conclusions: The prevalence of engagement in PA and the achievement of healthy screen time and sleep duration are heterogenous across the region. Policymakers and other stakeholders, including school administrators and parents, should increase opportunities for young people to participate in daily PA as well as explore solutions to address excessive screen time and short sleep duration to improve the overall physical and mental health and well-being of children.
Active transport, active play , Physical inactivity , Sedentary behaviour , Surveillance
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WHO European Office for the Prevention and Control of NCDs, WHO Regional Office for Europe, Leontievsky Per. 9, Moscow, 125009, Russian Federation
EPIUnit -Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
Department of Sport Science and Sport, FAU, Erlangen, Germany
Nutrition and Food Safety Sector, Institute of Public Health, Tirana, Albania
National Center of Public Health and Analyses, Sofia, Bulgaria
School of Medicine, University of Zagreb, Croatian Institute of Public Health, Zagreb, Croatia
Institute of Endocrinology, Obesity Management Centre, Prague, Czech Republic
Danish Health Authority, Copenhagen, Denmark
National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
National Institute for Health Development, Tallinn, Estonia
National Center for Disease Control and Public Health, Tbilisi, Georgia
National Nutrition Surveillance Centre, University College Dublin, Dublin, Ireland
Italian National Institute of Health, Rome, Italy
National Centre of Public Health of the Ministry of Health of the Republic of Kazakhstan, Nur-Sultan, Kazakhstan
Republican Centre for Health Promotion, Bishkek, Kyrgyzstan
Ministry of Health, Centre for Disease Prevention and Control, Riga, Latvia
Lithuanian University of Health Sciences, Health Research Institute and Department of Preventive Medicine, Kaunas, Lithuania
Primary Health Care, Floriana, Malta
Institute of Public Health of Montenegro, Podgorica, Montenegro
Faculty for Sport and Physical Education, University of Montenegro, Niksic, Montenegro
Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
Department of Health and Inequality, Division of Mental and Physical Health, Norwegian Institute of Public Health, Bergen, Norway
Department of Cardiology, Institute of Mother and Child, Warsaw, Poland
National Institute of Health Dr Ricardo Jorge I.P., Lisbon, Portugal
National Institute of Public Health, Bucharest, Romania
University of Medicine and Pharmacy Carol Davila, Bucharest, Romania
The Endocrine Research Centre, Moscow, Russian Federation
Health Authority San Marino, San Marino, San Marino
Spanish Agency for Food Safety and Nutrition, Ministry of Health, Madrid, Spain
Republican Centre for Nutrition, Ministry of Health and Social Protection of Population, Duschanbe, Tajikistan
WHO Tajikistan Country Office, Dushanbe, Duschanbe, Tajikistan
Diabetes and Metabolic Disorders Department, Ministry of Health, Public Health Institution, Ankara, Turkey
Scientific Research Institute of Maternal and Child Health, Ashgabat, Turkmenistan
Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria
Medical University of Vienna, Vienna, Austria
Public Health Institute of Republic of Srpska, The University of Banja Luka, Faculty of Medicine, Banja Luka, Bosnia and Herzegovina
Institute of Public Health of Federation of Bosnia and Herzegovina, Banja Luka, Bosnia and Herzegovina
Ministry of Health, Limassol, Cyprus
Leibniz Institute for Prevention Research and Epidemiology -BIPS, Institute of Statistics, University of Bremen, Bremen, Germany
International Hellenic University, Thessaloniki, Greece
Hungarian School Sport Federation, Budapest, Hungary
Faculty of Sport and PE, University of Novi Sad, Novi Sad, Serbia
National Institute of Children Diseases, Medical Faculty of Comenius University, Bratislava, Slovakia
Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia
Department of Living Conditions and Lifestyle, Public Health Agency of Sweden, Solna, Sweden
Department of Physiology and Monitoring of Nutrition, Institute of Public Health, Skopje, North Macedonia
Department of Social and Policy Sciences, University of Bath, Bath, United Kingdom
WHO European Office for the Prevention and Control of NCDs
EPIUnit -Instituto de Saúde Pública
Department of Sport Science and Sport
Nutrition and Food Safety Sector
National Center of Public Health and Analyses
School of Medicine
Institute of Endocrinology
Danish Health Authority
National Institute of Public Health
National Institute for Health Development
National Center for Disease Control and Public Health
National Nutrition Surveillance Centre
Italian National Institute of Health
National Centre of Public Health of the Ministry of Health of the Republic of Kazakhstan
Republican Centre for Health Promotion
Ministry of Health
Lithuanian University of Health Sciences
Primary Health Care
Institute of Public Health of Montenegro
Faculty for Sport and Physical Education
Department of Health Promotion
Department of Health and Inequality
Department of Cardiology
National Institute of Health Dr Ricardo Jorge I.P.
National Institute of Public Health
University of Medicine and Pharmacy Carol Davila
The Endocrine Research Centre
Health Authority San Marino
Spanish Agency for Food Safety and Nutrition
Republican Centre for Nutrition
WHO Tajikistan Country Office
Diabetes and Metabolic Disorders Department
Scientific Research Institute of Maternal and Child Health
Department of Pediatrics
Medical University of Vienna
Public Health Institute of Republic of Srpska
Institute of Public Health of Federation of Bosnia and Herzegovina
Ministry of Health
Leibniz Institute for Prevention Research and Epidemiology -BIPS
International Hellenic University
Hungarian School Sport Federation
Faculty of Sport and PE
National Institute of Children Diseases
Faculty of Sport
Department of Living Conditions and Lifestyle
Department of Physiology and Monitoring of Nutrition
Department of Social and Policy Sciences
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