Tony Okely, John J. Reilly, Mark S. Tremblay, Katharina E. Kariippanon, Catherine E. Draper, Asmaa El Hamdouchi, Alex A. Florindo, Janette P. Green, Hongyan Guan, Peter T. Katzmarzyk, Himangi Lubree, Bang Nguyen Pham, Thomas Suesse, Juana Willumsen, Mohamed Basheer, Rebecca Calleia, Kar Hau Chong, Penny L. Cross, Maria Nacher, Laura Smeets, Ellie Taylor, Chalchisa Abdeta, Nicolas Aguilar-Farias, Aqsa Baig, Jambaldori Bayasgalan, Cecilia H.S. Chan, P.W. Prasad Chathurangana, Michael Chia, Fazlollah Ghofranipour, Amy S. Ha, Mohammad Sorowar Hossain, Xanne Janssen, Alejandra Jáuregui, Piyawat Katewongsa, Dong Hoon Kim, Thanh Van Kim, Denise Koh, Anna Kontsevaya, Germana H. Leyna, M. Löf, Nyaradzai Munambah, Tawonga Mwase-Vuma, Jackline Nusurupia, Aoko Oluwayomi, Borja Del Pozo-Cruz, Jesus Del Pozo-Cruz, Eva Roos, Asima Shirazi, Pragya Singh, Amanda Staiano, Adang Suherman, Chiaki Tanaka, Hong Kim Tang, Wei-Peng Teo, Marites M. Tiongco, Dawn Tladi, Ali Turab, Sanne L.C. Veldman, E. Kipling Webster, Pujitha Wickramasinghe, Dyah Anantalia Widyastari
Introduction 24-hour movement behaviours (physical activity, sedentary behaviour and sleep) during the early years are associated with health and developmental outcomes, prompting the WHO to develop Global guidelines for physical activity, sedentary behaviour and sleep for children under 5 years of age. Prevalence data on 24-hour movement behaviours is lacking, particularly in low-income and middle-income countries (LMICs). This paper describes the development of the SUNRISE International Study of Movement Behaviours in the Early Years protocol, designed to address this gap. Methods and analysis SUNRISE is the first international cross-sectional study that aims to determine the proportion of 3- and 4-year-old children who meet the WHO Global guidelines. The study will assess if proportions differ by gender, urban/rural location and/or socioeconomic status. Executive function, motor skills and adiposity will be assessed and potential correlates of 24-hour movement behaviours examined. Pilot research from 24 countries (14 LMICs) informed the study design and protocol. Data are collected locally by research staff from partnering institutions who are trained throughout the research process. Piloting of all measures to determine protocol acceptability and feasibility was interrupted by COVID-19 but is nearing completion. At the time of publication 41 countries are participating in the SUNRISE study. Ethics and dissemination The SUNRISE protocol has received ethics approved from the University of Wollongong, Australia, and in each country by the applicable ethics committees. Approval is also sought from any relevant government departments or organisations. The results will inform global efforts to prevent childhood obesity and ensure young children reach their health and developmental potential. Findings on the correlates of movement behaviours can guide future interventions to improve the movement behaviours in culturally specific ways. Study findings will be disseminated via publications, conference presentations and may contribute to the development of local guidelines and public health interventions. © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Early Start, School of Health and Society, Faculty of the Arts,Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia; Physical Activity for Health, University of Strathclyde, Glasgow, United Kingdom; Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada; MRC-Wits DPHRU, University of the Witwatersrand, Johannesburg-Braamfontein, South Africa; Unité Mixte de Recherche Nutrition et Alimentation, Regional Designated Center of Nutrition Associated with AFRA/IAEA, CNESTEN-Université Ibn Tofail URAC39, Rabat, Morocco; Universidade de Sao Paulo Escola de Artes Ciencias e Humanidades, Sao Paulo, Brazil; Faculty of Business and Law, Australian Health Services Research Institute, University of Wollongong, Wollongong, NSW, Australia; Department of Early Childhood Development, Beijing Municipal Key Laboratory of Child Development and Nutriomics, Capital Institute of Pediatrics, Beijing, China; Pennington Biomedical Research Center, Baton Rouge, LA, United States; Vadu Rural Health Program, KEM Hospital Pune Research Centre, Pune, India; Population Health and Demography Unit, PNG Institute of Medical Research, Goroka, Papua New Guinea; National Institute for Applied Statistics Research Australia, School of Mathematics and Applied Statistics, Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, NSW, Australia; Department for Prevention of Non-Communicable Diseases, WHO, Geneve, Switzerland; Early Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia; Hiwot Fana Specialized University Hospital, Harar, Ethiopia; Department of Physical Education, Sports and Recreation, Universidad de la Frontera, Temuco, Chile; Precision Health Consultants (PHC Global), Karachi, Pakistan; National Centre for Public Health, Mongolia Ministry of Health, Ulaanbaatar, Mongolia; Department of Sports Science and Physical Education, Faculty of Education, Chinese University of Hong Kong, Hong Kong, Hong Kong; Department of Paediatrics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka; National Institute of Education, Nanyang Technological University, Singapore; Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran; Department of Sports Science and Physical Education, Chinese University of Hong Kong, Hong Kong, Hong Kong; Biomedical Research Foundation, Dhaka, Bangladesh; School of Psychological Sciences and Health, University of Strathclyde, Glasgow, United Kingdom; Department of Physical Activity and Healthy Lifestyles, Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico; Thailand Physical Activity Knowledge Development Centre, Institute for Population and Social Research, Mahidol University, Salaya, Thailand; Korea Institute of Child Care and Education, Seoul, South Korea; Department of Epidemiology, Faculty of Public Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet Nam; Centre of Community Education and Well-being, Faculty of Education, Universiti Kebangsaan Malaysia, Bangi, Malaysia; National Medical Research Centre for Therapy and Preventive Medicine, Moscow, Russian Federation; Tanzania Food and Nutrition Centre, Dar es Salaam, Tanzania; Department of Health, Medicine Och Caring Sciences, Linköping University, Linkoping, Sweden; Department of Biosciences and Nutrition, Karolinska Institute, Stockholm, Sweden; Rehabilitation Sciences Unit, Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe; Centre for Social Research, University of Malawi, Zomba, Malawi; Human Kinetics and Health Education, University of Lagos, Akoka, Nigeria; Department of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Universidad de Sevilla, Sevilla, Spain; Folkhalsen Research Centre, Helsinki, Finland; Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland; Faculty of Business, University of Wollongong, Dubai, United Arab Emirates; School of Public Health and Primary Care, CMNHS, Fiji National University, Nasinu, Fiji; Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, Indonesia; College of Health and Welfare, J F Oberlin University, Machida, Japan; Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet Nam; School of Economics, De la Salle University, Manila, Philippines; Department of Sport Science, Faculty of Education, University of Botswana, Gaborone, Botswana; Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Amsterdam, Netherlands; Institute of Public and Preventive Health, Augusta University, Augusta, GA, United States; Faculty of Medicine, University of Colombo, Colombo, Sri Lanka
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