Prevalence and correlates of compliance with 24-h movement guidelines among children from urban and rural Kenya—The Kenya-LINX project

Nils Swindell*, Lucy-Joy Wachira, Victor Okoth, Stanley Kagunda, George Owino, Sophie Ochola, Sinead Brophy, Huw Summers, Amie Richards, Stuart J. Fairclough, Vincent Onywera, Gareth Stratton, Zulkarnain Jaafar (Editor)

*Corresponding author for this work

Research output: Contribution to journalArticle (journal)peer-review

Abstract

Background: Like many countries in sub-Saharan Africa, Kenya has experienced rapid urbanization in recent years. Despite the distinct socioeconomic and environmental differences, few studies have examined the adherence to movement guidelines in urban and rural areas. This cross-sectional study aimed at examining compliance to the 24-hour movement guidelines and their correlates among children from urban and rural Kenya. Method: Children (n = 539) aged 11.1 ± 0.8 years (52% female) were recruited from 8 urban and 8 rural private and public schools in Kenya. Physical activity (PA) and sleep duration were estimated using 24-h raw data from wrist-worn accelerometers. Screen time (ST) and potential correlates were self- reported. Multi-level logistic regression was applied to identify correlates of adherence to combined and individual movement guidelines. Results: Compliance with the combined movement guidelines was low overall (7%), and higher among rural (10%) than urban (5%) children. Seventy-six percent of rural children met the individual PA guidelines compared to 60% urban children while more rural children also met sleep guidelines (27% vs 14%). The odds of meeting the combined movement guidelines reduced with age (OR = 0.55, 95% CI = 0.35–0.87, p = 0.01), was greater among those who could swim (OR = 3.27, 95% CI = 1.09–9.83, p = 0.04), and among those who did not engage in ST before school (OR = 4.40, 95% CI = 1.81–10.68, p
Original languageEnglish
JournalPLoS One
Volume17
Issue number12
Early online date30 Dec 2022
DOIs
Publication statusE-pub ahead of print - 30 Dec 2022

Keywords

  • Research Article
  • Social sciences
  • Medicine and health sciences
  • Earth sciences
  • People and places
  • Biology and life sciences

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