International Journal of Behavioral Nutrition and Physical Activity

Table 4 Differences in BMI z-score between children meeting vs. not meeting the MVPA, screen time, and sleep duration recommendations and combinations of these recommendations in the full study sample (n = 6128)¹

From: Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study

	Total sample (n = 6128)		Boys (n = 2763)		Girls (n = 3365)
	BMI z-score	95% CI	BMI z-score	95% CI	BMI z-score	95% CI
MVPA
Meet	0.24*	0.20–0.29	0.33*	0.27–0.39	0.09*	0.02–0.15
Do not meet	0.63	0.58–0.67	0.89	0.80–0.97	0.51	0.45–0.56
ST
Meet	0.36*	0.31–0.41	0.44*	0.35–0.53	0.31*	0.25–0.37
Do not meet	0.53	0.49–0.57	0.61	0.55–0.67	0.45	0.39–0.51
SLEEP
Meet	0.34*	0.29–0.38	0.42*	0.34–0.50	0.29*	0.22–0.35
Do not meet	0.55	0.51–0.59	0.64	0.57–0.70	0.48	0.42–0.53
MVPA + ST
Meet	0.12*	0.05–0.19	0.17*	0.07–0.28	0.05*	–0.04–0.14
Do not meet	0.53	0.49–0.57	0.65	0.59–0.71	0.43	0.38–0.48
MVPA + SLEEP
Meet	0.12*	0.05–0.18	0.21*	0.11–0.30	−0.01*	–0.10–0.09
Do not meet	0.53	0.49–0.57	0.65	0.58–0.70	0.44	0.39–0.49
ST + SLEEP
Meet	0.23*	0.15–0.30	0.32*	0.19–0.45	0.18*	0.08–0.27
Do not meet	0.50	0.46–0.53	0.58	0.52–0.63	0.43	0.38–0.48
All three recommendations
Meet	0.01*	−0.09–0.11	0.07*	−0.08–0.23	−0.05*	−0.17–0.07
Do not meet	0.49	0.45–0.52	0.58	0.53–0.64	0.41	0.36–0.45

Meeting the recommendations is defined as ≥60 min/day for MVPA, ≤2 h/day for screen time, and between 9 and 11 h/night for sleep duration
Multilevel models are adjusted for age, sex (combined analysis), highest parental education and unhealthy diet pattern score
Values are least square means (SEM)
MVPA and sleep duration were accelerometer-determined while screen time was self-reported
MVPA moderate-to-vigorous physical activity, ST screen time, SLEEP sleep duration, BMI body mass index, CI confidence interval
*P < 0.05 vs. do not meet the recommendation
¹BMI z-score determined according to World Health Organization criteria [23]

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