IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i3p1262-d731505.html
   My bibliography  Save this article

Compliance with Health-Related Behaviors Guidelines and Its Relationship with Multiple Factors in Preschool Children Aged 3–6 Years: A National Cross-Sectional Survey in China

Author

Listed:
  • Weizhen Gao

    (National Fitness Survey Center, China Institute of Sport Science, Beijing 100061, China)

  • Yanfeng Zhang

    (National Fitness Survey Center, China Institute of Sport Science, Beijing 100061, China)

  • Dongming Wu

    (National Fitness Survey Center, China Institute of Sport Science, Beijing 100061, China)

  • Yanhui Dong

    (Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China)

  • Na Liu

    (The Fifth Kindergarten of Chinese Academy of Sciences, Beijing 100101, China)

  • Huan Wang

    (National Fitness Survey Center, China Institute of Sport Science, Beijing 100061, China)

Abstract

Purpose: To investigate the compliance rates of health-related behaviors among Chinese preschool children, and to explore how supportive family environment, parental behavior, sociodemographic and community factors affect children’s health-related behavior comprehensively. Method: Preschool children aged 3 to 6 years were chosen from 5760 villages (residential) committees from 471 counties (districts) of 31 provinces by use of a stratified random sampling procedure, with 10,967 preschool children aged 3–6 years old included. The survey was conducted from September 2020 to November 2020. Results: The proportion of Chinese preschool children who met the moderate to vigorous physical activity (MVPA), screen time behavior (ST), and sleep behavior (SLP) guidelines were 62.3%, 52.8%, and 53.8%. Among the supportive family environment factors, parents’ time with their children on weekends had the most significant impact on children’s MVPA, ST, and SLP, with the odds ratio (OR) values of 2.18 (95%CI:1.97, 2.40), 0.69 (0.63, 0.76), and 1.62 (1.48, 1.79), respectively. Among the parental behavior factors, the mother’s exercise frequency had a strong association with the children’s MVPA and SLP, with OR values of 1.65 (1.50, 1.83) and 1.24 (1.13, 1.37), respectively; the mother’s screen time was inversely associated with the children’s ST with an OR value of 0.47 (0.44, 0.51). Conclusions: Different types of family environments were associated with the different levels of MVPA, ST and SLP among Chinese preschool children. In addition to the influence of parents’ education and family income, parents could also improve their children’s behaviors by providing a supportive family environment. The more of these factors presented in a family, the more likely it was for children to meet the guidelines. Therefore, for those families whose children’s health-related behaviors needed to be improved, the parents should create supportive family environments, such as by playing less on mobile phone and spending more time with children.

Suggested Citation

  • Weizhen Gao & Yanfeng Zhang & Dongming Wu & Yanhui Dong & Na Liu & Huan Wang, 2022. "Compliance with Health-Related Behaviors Guidelines and Its Relationship with Multiple Factors in Preschool Children Aged 3–6 Years: A National Cross-Sectional Survey in China," IJERPH, MDPI, vol. 19(3), pages 1-21, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1262-:d:731505
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/3/1262/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/3/1262/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Casey Gray & Rebecca Gibbons & Richard Larouche & Ellen Beate Hansen Sandseter & Adam Bienenstock & Mariana Brussoni & Guylaine Chabot & Susan Herrington & Ian Janssen & William Pickett & Marlene Powe, 2015. "What Is the Relationship between Outdoor Time and Physical Activity, Sedentary Behaviour, and Physical Fitness in Children? A Systematic Review," IJERPH, MDPI, vol. 12(6), pages 1-20, June.
    2. Simone A. Tomaz & Trina Hinkley & Rachel A. Jones & Estelle D. Watson & Rhian Twine & Kathleen Kahn & Shane A. Norris & Catherine E. Draper, 2020. "Screen Time and Sleep of Rural and Urban South African Preschool Children," IJERPH, MDPI, vol. 17(15), pages 1-12, July.
    3. Gabriela Palos-Lucio & Mario Flores & Marta Rivera-Pasquel & V. Salgado-de-Snyder & Eric Monterrubio & Santiago Henao & Nayeli Macias, 2015. "Association between migration and physical activity of school-age children left behind in rural Mexico," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(1), pages 49-58, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Joanna Baj-Korpak & Marian Jan Stelmach & Kamil Zaworski & Piotr Lichograj & Marek Wochna, 2022. "Assessment of Motor Abilities and Physical Fitness in Youth in the Context of Talent Identification—OSF Test," IJERPH, MDPI, vol. 19(21), pages 1-19, November.
    2. Janet Loebach & Marcos Sanches & Julia Jaffe & Tara Elton-Marshall, 2021. "Paving the Way for Outdoor Play: Examining Socio-Environmental Barriers to Community-Based Outdoor Play," IJERPH, MDPI, vol. 18(7), pages 1-25, March.
    3. Junjie Liu & Shirley Wyver & Muhammad Chutiyami & Helen Little, 2023. "Outdoor Time, Space, and Restrictions Imposed on Children’s Play in Australian Early Childhood Education and Care Settings during the COVID Pandemic: A Cross-Sectional Survey from Educators’ Perspecti," IJERPH, MDPI, vol. 20(18), pages 1-11, September.
    4. Donna Niemistö & Taija Finni & Eero A. Haapala & Marja Cantell & Elisa Korhonen & Arja Sääkslahti, 2019. "Environmental Correlates of Motor Competence in Children—The Skilled Kids Study," IJERPH, MDPI, vol. 16(11), pages 1-17, June.
    5. Huilan Xu & Li Ming Wen & Louise L. Hardy & Chris Rissel, 2017. "Mothers’ Perceived Neighbourhood Environment and Outdoor Play of 2- to 3.5-Year-Old Children: Findings from the Healthy Beginnings Trial," IJERPH, MDPI, vol. 14(9), pages 1-14, September.
    6. Mark S. Tremblay & Casey Gray & Shawna Babcock & Joel Barnes & Christa Costas Bradstreet & Dawn Carr & Guylaine Chabot & Louise Choquette & David Chorney & Cam Collyer & Susan Herrington & Katherine J, 2015. "Position Statement on Active Outdoor Play," IJERPH, MDPI, vol. 12(6), pages 1-31, June.
    7. Nicole Rheinheimer & Stefania V. Vacaru & Julie C. van Immerseel & Simone Kühn & Carolina de Weerth, 2024. "Infant Care: Predictors of Outdoor Walking, Infant Carrying and Infant Outdoor Sleeping," IJERPH, MDPI, vol. 21(6), pages 1-24, May.
    8. Jeanett Friis Rohde & Sofus Christian Larsen & Mathilde Sederberg & Anne Bahrenscheer & Ann-Kristine Nielsen & Berit Lilienthal Heitmann & Ina Olmer Specht, 2023. "Outdoor Kindergartens: A Structural Way to Improve Early Physical Activity Behaviour?," IJERPH, MDPI, vol. 20(6), pages 1-12, March.
    9. Maria Chiara Gallotta & Giovanna Zimatore & Ludovica Cardinali & Lavinia Falcioni & Valerio Bonavolontà & Davide Curzi & Laura Guidetti & Carlo Baldari, 2022. "Physical Education on the Beach: An Alternative Way to Improve Primary School Children’s Skill- and Health-Related Outcomes during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    10. David Farbo & Yan Zhang & Robyn Braun-Trocchio & Deborah J. Rhea, 2024. "The Effects of the LiiNK Intervention on Physical Activity and Obesity Rates among Children," IJERPH, MDPI, vol. 21(10), pages 1-14, September.
    11. Steph Scott & Tonia Gray & Jenna Charlton & Sharon Millard, 2022. "The Impact of Time Spent in Natural Outdoor Spaces on Children’s Language, Communication and Social Skills: A Systematic Review Protocol," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
    12. Suwei Wang & Molly B. Richardson & Connor Y.H. Wu & Benjamin F. Zaitchik & Julia M. Gohlke, 2020. "Effect of an Additional 30 Minutes Spent Outdoors during Summer on Daily Steps and Individually Experienced Heat Index," IJERPH, MDPI, vol. 17(20), pages 1-15, October.
    13. Elina Hasanen & Henriikka Koivukoski & Lauri Kortelainen & Hanna Vehmas & Arja Sääkslahti, 2021. "Sociodemographic Correlates of Parental Co-Participation in Digital Media Use and Physical Play of Preschool-Age Children," IJERPH, MDPI, vol. 18(11), pages 1-19, May.
    14. Megan E. Gerdes & Lucy A. Aistis & Naomi A. Sachs & Marcus Williams & Jennifer D. Roberts & Rachel E. Rosenberg Goldstein, 2022. "Reducing Anxiety with Nature and Gardening (RANG): Evaluating the Impacts of Gardening and Outdoor Activities on Anxiety among U.S. Adults during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(9), pages 1-20, April.
    15. Xu Tian & Caicui Ding & Chong Shen & Hui Wang, 2017. "Does Parental Migration Have Negative Impact on the Growth of Left-Behind Children?—New Evidence from Longitudinal Data in Rural China," IJERPH, MDPI, vol. 14(11), pages 1-10, October.
    16. Janae Vlaar & Mariana Brussoni & Ian Janssen & Louise C. Mâsse, 2019. "Roaming the Neighbourhood: Influences of Independent Mobility Parenting Practices and Parental Perceived Environment on Children’s Territorial Range," IJERPH, MDPI, vol. 16(17), pages 1-17, August.
    17. Vicky Van Stappen & Delfien Van Dyck & Julie Latomme & Ilse De Bourdeaudhuij & Luis Moreno & Piotr Socha & Violeta Iotova & Berthold Koletzko & Yannis Manios & Odysseas Androutsos & Greet Cardon & Mar, 2018. "Daily Patterns of Preschoolers’ Objectively Measured Step Counts in Six European Countries: Cross-Sectional Results from the ToyBox-Study," IJERPH, MDPI, vol. 15(2), pages 1-14, February.
    18. Dagmara Stangierska & Beata Fornal-Pieniak & Paweł Szumigała & Katarzyna Widera & Barbara Żarska & Karolina Szumigała, 2023. "Green Physical Activity Indicator: Health, Physical Activity and Spending Time Outdoors Related to Residents Preference for Greenery," IJERPH, MDPI, vol. 20(2), pages 1-14, January.
    19. Richard Larouche & Madeline Kleinfeld & Ulises Charles Rodriguez & Cheryl Hatten & Victoria Hecker & David R. Scott & Leanna Marie Brown & Ogochukwu K. Onyeso & Farzana Sadia & Hanako Shimamura, 2023. "Determinants of Outdoor Time in Children and Youth: A Systematic Review of Longitudinal and Intervention Studies," IJERPH, MDPI, vol. 20(2), pages 1-33, January.
    20. Janet Loebach & Adina Cox, 2022. "Playing in ‘ The Backyard ’: Environmental Features and Conditions of a Natural Playspace Which Support Diverse Outdoor Play Activities among Younger Children," IJERPH, MDPI, vol. 19(19), pages 1-35, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1262-:d:731505. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.