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. 2024 Aug;11(4):2346-2354.
doi: 10.1007/s40615-023-01702-6. Epub 2023 Jul 10.

How do People Spend their Day? Sociodemographic Disparities in 24-hour Movement Guideline Adherence among US Adults Using 2017-2020 NHANES Data

Tiffany B Kindratt  1 , Jhoceline Moza  2 , Chad D Rethorst  3 , Yue Liao  2
Affiliations

How do People Spend their Day? Sociodemographic Disparities in 24-hour Movement Guideline Adherence among US Adults Using 2017-2020 NHANES Data

Tiffany B Kindratt et al. J Racial Ethn Health Disparities. 2024 Aug.

Abstract

Introduction: The 24-hour movement guidelines recommend that adults be physically active every day, get good sleep quality, and limit sedentary behavior to lower disease risk and improve quality of life. Adherence to these guidelines have not been evaluated among racially and ethnically diverse adults in the United States. The objectives were to: 1) estimate and compare the prevalence of guideline adherence among all adults and separated by age recommendations (ages 18-64; 65 + years); and 2) determine whether the odds of movement adherence differ by sociodemographics.

Methods: Self-reported data from 2017-2020 National Health and Nutrition Examination Survey (NHANES) were analyzed (n = 9,627) using multivariate logistic regression for all adults and age stratified. Sedentary behavior was measured by minutes of sedentary activity per day (< 480 minutes adherent). Sleep was measured by hours per night (7-9 hours adherent ages 18-64; 7-8 hours adherent ages > = 65). Physical activity was measured by minutes of recreational activity per week (150 + minutes adherent).

Results: Guideline adherence among all adults was 23.7% (ages 18-64 = 26%: ages 65 + = 14.7%). Guideline adherence was highest among non-Hispanic Asians (28.1%) and lowest among non-Hispanic Blacks (19.2%) (p = .0070). Males (25.8%) were more likely to meet movement guidelines than females (21.8%; p = .0009). In adjusted models, the odds of meeting movement guidelines were lower among non-Hispanic Blacks (OR = 0.81; 95%CI = 0.66-0.98) compared to Whites, females (OR = 0.84; 95%CI = 0.72-0.97) compared to males, and lower education (OR = 0.22; 95%CI = 0.14- 0.35) compared to adults with a college degree or higher.

Recommendation: Future interventions should be developed to improve guideline adherence tailored to particular at-risk groups.

Keywords: 24-hour movement guidelines; NHANES; Older adults; Physical activity; Sedentary behavior; Sleep.

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Conflict of interest statement

Competing Interests: The authors have no relevant financial or non-financial interests to disclose.

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References

    1. Ross R, Chaput J-P, Giangregorio LM, Janssen I, Saunders TJ, Kho ME, et al. Canadian 24-Hour Movement Guidelines for Adults aged 18–64 years and Adults aged 65 years or older: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab. 2020;45:S57–102. - PubMed
    1. Clarke AE, Carson V, Chaput J-P, Colley RC, Roberts KC, Rollo S, et al. Meeting Canadian 24-Hour Movement Guideline recommendations and risk of all-cause mortality. Appl Physiol Nutr Metab. 2021;46:1487–94. - PubMed
    1. Rollo S, Lang JJ, Roberts KC, Bang F, Carson V, Chaput J-P, et al. Health associations with meeting the Canadian 24-hour movement guidelines for adults: Results from the Canadian Health Measures Survey. Health Rep. 2022;33:16–26. - PubMed
    1. Carson V, Tremblay MS, Chaput J-P, McGregor D, Chastin S. Compositional analyses of the associations between sedentary time, different intensities of physical activity, and cardiometabolic biomarkers among children and youth from the United States. PLoS One. 2019;14:e0220009. - PMC - PubMed
    1. Vanderloo LM, Maguire JL, Keown-Stoneman CDG, Parkin PC, Borkhoff CM, Tremblay MS, et al. Associations Between Meeting the 24-Hour Movement Guidelines and Cardiometabolic Risk in Young Children. Pediatr Exerc Sci. 2021;33:112–9. - PubMed