{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T08:06:35Z","timestamp":1750925195227,"version":"3.32.0"},"reference-count":65,"publisher":"Human Kinetics","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Background<\/jats:bold>:<\/jats:italic> Physical activity (PA), sedentary behavior (SB), and sleep are interrelated 24-hour movement behaviors that are important for the growth and well-being of children. This cross-sectional study examined the relationship between 24-hour movement behaviors and adiposity, and predicted changes in adiposity following compositional time reallocations in 7- to 12.9-year-old Malaysian children from the South East Asian Nutrition Surveys II Malaysia. <jats:italic><jats:bold>Methods<\/jats:bold>:<\/jats:italic> A total of 381 children (mean age 9.7\u2009[1.6]\u00a0y, 57% girls) provided 24-hour wrist-worn GENEActiv accelerometry data which captured time spent for sleep, SB, light PA and moderate to vigorous PA (MVPA). Indicators of adiposity were derived from anthropometry and bioelectrical impedance analysis: body-mass-index-for-age, waist circumference, waist-to-height ratio, percent body fat, and body mass index. The composition of 4-part movement behaviors was expressed as isometric log-ratio coordinates which were entered into regression models. Isotemporal substitution analysis was used to assess changes in adiposity indicators when reallocating time between movement behaviors. <jats:italic><jats:bold>Results<\/jats:bold>:<\/jats:italic> Relative to other movement behaviors, time spent on MVPA was significantly associated with waist circumference, waist-to-height ratio, percent body fat, and fat mass index. A 15-minute one-to-one reallocation from other movement behaviors to MVPA predicted lower body-mass-index-for-age (\u22120.03 to \u22120.11), smaller waist circumference (\u22120.67\u00a0to \u22121.28\u00a0cm), lower waist-to-height ratio (\u22120.004 to \u22120.008), percent body fat (\u22120.87% to \u22121.47%), and fat mass index (\u22120.23 to \u22120.42). Replacing SB and light PA with sleep or MVPA was associated with lower adiposity. <jats:italic><jats:bold>Conclusions<\/jats:bold>:<\/jats:italic> The overall composition of movement behavior was significantly associated with the adiposity of Malaysian schoolchildren. Promoting MVPA and sleep and reducing SB and light PA are important for prevention of childhood obesity.<\/jats:p>","DOI":"10.1123\/jpah.2024-0161","type":"journal-article","created":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T19:57:50Z","timestamp":1730750270000},"page":"100-111","source":"Crossref","is-referenced-by-count":2,"title":["Association Between 24-Hour Movement Behaviors and Adiposity in Malaysian Schoolchildren: A Compositional Isotemporal Substitution Analysis"],"prefix":"10.1123","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9206-3257","authenticated-orcid":true,"given":"Jyh Eiin","family":"Wong","sequence":"first","affiliation":[{"name":"Center for Community Health Studies (ReaCH), Faculty of Health Sciences, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia"},{"name":"Obesity-UKM Research Group, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0162-669X","authenticated-orcid":true,"given":"Javier","family":"Palarea-Albaladejo","sequence":"additional","affiliation":[{"name":"Department of Computer Science, Applied Mathematics and Statistics, University of Girona, Girona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0490-1143","authenticated-orcid":true,"given":"Shoo Thien","family":"Lee","sequence":"additional","affiliation":[{"name":"Center for Community Health Studies (ReaCH), Faculty of Health Sciences, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia"},{"name":"Department of Healthcare Professional, Faculty of Health and Life Sciences, Management & Science University, Shah Alam, Selangor Darul Ehsan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5086-219X","authenticated-orcid":true,"given":"Denise","family":"Koh","sequence":"additional","affiliation":[{"name":"Obesity-UKM Research Group, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia"},{"name":"School of Education and Community Well-being, Faculty of Education, Universiti Kebangsaan Malaysia, Bangi, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8958-8880","authenticated-orcid":true,"given":"Ilse","family":"Khouw","sequence":"additional","affiliation":[{"name":"FrieslandCampina, Amersfoort, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0713-5197","authenticated-orcid":true,"given":"Bee Koon","family":"Poh","sequence":"additional","affiliation":[{"name":"Center for Community Health Studies (ReaCH), Faculty of Health Sciences, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia"},{"name":"Obesity-UKM Research Group, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"_","family":"_","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"10261","key":"r1","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"1511","DOI":"10.1016\/S0140-6736(20)31859-6","article-title":"Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants","volume":"396","author":"Rodriguez-Martinez A","year":"2020","unstructured":"Rodriguez-Martinez A, Zhou B, Sophiea MK, et\u00a0al. 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