{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:03:10Z","timestamp":1792598590542,"version":"4.5.0"},"reference-count":80,"publisher":"Human Kinetics","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Background<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Prevalence and correlates of meeting 24-hour movement guidelines in 3 and 4 year-olds from low-income countries are unknown. This study assessed prevalence and correlates of meeting World Health Organization movement behavior guidelines in Malawi.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    We recruited four hundred and seventeen\u00a03\u20134 year-olds (49% boys) from urban and rural settings from Zomba district, Malawi. Participant sociodemographic information was collected using a modified version of the World Health Organization STEPS survey. Total physical activity was assessed using step counts from hip-worn ActiGraph accelerometers, and meeting the 3\u00a0hour per day total physical activity guideline defined as average daily steps \u226511,500. Parent questionnaires were used to assess prevalence of meeting World Health Organization guidelines for screen time (&lt;1\u00a0h\/d), sleep duration (10\u201313\u00a0h\/d), and not being in restrained sitting for &gt;1\u00a0hour at a time. Backward multivariable survey logistic regression was used to determine correlates of meeting guidelines. Potential correlates included sex, age, weight status, socioeconomic status (parent education), urban versus rural setting, and season.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Prevalence of meeting all 4 guidelines was 60% (confidence interval [CI], 52%\u201368%). Prevalence of meeting the individual guidelines was: total physical activity 98% (95% CI, 96%\u201399%); sleep duration 91% (87%\u201393%); restrained sitting 76% (95% CI, 68%\u201383%); sedentary screen time 79% (95% CI, 71%\u201386%). Urban children had significantly lower odds of meeting all 4 guidelines compared to their rural counterparts (odds ratio: 0.11, 95% CI, 0.04\u20130.37).\n                    <jats:italic>\n                      <jats:bold>Conclusions<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Prevalence of meeting the guidelines was high, though the physical activity transition may be underway in urban areas. Preserving healthy levels of movement behaviors as economic development progresses in Malawi will be challenging.\n                  <\/jats:p>","DOI":"10.1123\/jpah.2024-0650","type":"journal-article","created":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T19:12:08Z","timestamp":1755630728000},"page":"1357-1369","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence and Correlates of Meeting World Health Organization 24-Hour Movement Guidelines Among 3\u20134 Year-Olds in Malawi: The Cross-Sectional SUNRISE Malawi Study"],"prefix":"10.1123","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0189-1488","authenticated-orcid":true,"given":"Tawonga W.","family":"Mwase-Vuma","sequence":"first","affiliation":[{"name":"Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland"},{"name":"Center for Social Research, University of Malawi, Zomba, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1355-0792","authenticated-orcid":true,"given":"Xanne","family":"Janssen","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1626-8170","authenticated-orcid":true,"given":"Anthony D.","family":"Okely","sequence":"additional","affiliation":[{"name":"Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3817-730X","authenticated-orcid":true,"given":"Janine","family":"Kayange","sequence":"additional","affiliation":[{"name":"Center for Social Research, University of Malawi, Zomba, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3893-4306","authenticated-orcid":true,"given":"Kar Hau","family":"Chong","sequence":"additional","affiliation":[{"name":"Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3963-2107","authenticated-orcid":true,"given":"Penny","family":"Cross","sequence":"additional","affiliation":[{"name":"Research Services Office, Research and Innovation Division, University of Wollongong, Wollongong, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth","family":"Evance","sequence":"additional","affiliation":[{"name":"Center for Social Research, University of Malawi, Zomba, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6165-5471","authenticated-orcid":true,"given":"John J.","family":"Reilly","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"key":"r1","series-title":"World Health Organization Guidelines for Physical Activity, Sedentary Behaviour, and Sleep for Children Under 5\u00a0Years of Age","year":"2019","unstructured":"World Health Organization. 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