Is adherence to the 24-hour movement guidelines associated with a reduced risk of adiposity among children and adolescents?

Table 2 Odds of excess adiposity in children who met different numbers and specific combinations of recommendations within the 24-hour movement guidelines (n = 355)

	Adherence	BMI z-score > 1 SD			>85th percentile of FM%			>85th percentile of VAT
	%	OR	(95% CI)	p-value	OR	(95% CI)	p-value	OR	(95% CI)	p-value
Number of recommendations
None	33.0	Ref.			Ref.			Ref.
One	37.7	1.44	(0.79–2.61)	0.234	1.05	(0.53–2.10)	0.891	1.05	(0.52–2.11)	0.898
Two	22.8	1.05	(0.51–2.15)	0.901	0.52	(0.20–1.33)	0.171	0.46	(0.17–1.23)	0.121
Three	6.5	0.33	(0.07–1.54)	0.158	0.25	(0.31–1.93)	0.187	0.26	(0.03–2.05)	0.199
Combinations of recommendations
Did not meet any recommendation	33.0	Ref.			Ref.			Ref.
PA only	18.3	1.66	(0.81–3.39)	0.165	0.94	(0.40–2.24)	0.889	1.09	(0.46–2.57)	0.849
ST only	11.0	1.06	(0.43–2.62)	0.907	1.08	(0.40–2.90)	0.887	0.69	(0.23–2.12)	0.519
SL only	8.4	1.52	(0.59–3.94)	0.387	1.29	(0.43–3.90)	0.647	1.54	(0.53–4.46)	0.425
PA + ST	8.2	0.84	(0.28–2.54)	0.761	0.42	(0.09–1.95)	0.267	0.42	(0.09–1.99)	0.275
PA + SL	9.3	1.16	(0.45–3.00)	0.755	0.73	(0.22–2.38)	0.600	0.54	(0.15–2.05)	0.368
ST + SL	5.3	1.13	(0.34–3.78)	0.837	0.32	(0.04–2.58)	0.285	0.34	(0.04–2.75)	0.312
PA + ST + SL	6.5	0.34	(0.07–1.56)	0.163	0.25	(0.03–1.97)	0.187	0.26	(0.03–2.07)	0.202

BMI – body mass index, CI – confidence interval, FM% – fat mass percentage, OR – odds ratio, PA – physical activity, Ref – reference group, SD – standard deviation, ST – screen time, SL – sleep, VAT – visceral adiposity tissue
The model was adjusted for sex, age, birth weight, maternal obesity, and unhealthy diet
Children with ≥60 min/day of moderate-to-vigorous physical activity, < 2 h/day of recreational ST, and uninterrupted sleep for 9–11 h/day were considered to meet the overall 24-hour movement guidelines

ISSN: 1471-2458