Abstract
Introduction24-hour movement behaviours (physical activity, sedentary behaviour and sleep) during the early years are associated with health and developmental outcomes, prompting the WHO to develop Global guidelines for physical activity, sedentary behaviour and sleep for children under 5 years of age. Prevalence data on 24-hour movement behaviours is lacking, particularly in low-income and middle-income countries (LMICs). This paper describes the development of the SUNRISE International Study of Movement Behaviours in the Early Years protocol, designed to address this gap.Methods and analysisSUNRISE is the first international cross-sectional study that aims to determine the proportion of 3- and 4-year-old children who meet the WHO Global guidelines. The study will assess if proportions differ by gender, urban/rural location and/or socioeconomic status. Executive function, motor skills and adiposity will be assessed and potential correlates of 24-hour movement behaviours examined. Pilot research from 24 countries (14 LMICs) informed the study design and protocol. Data are collected locally by research staff from partnering institutions who are trained throughout the research process. Piloting of all measures to determine protocol acceptability and feasibility was interrupted by COVID-19 but is nearing completion. At the time of publication 41 countries are participating in the SUNRISE study.Ethics and disseminationThe SUNRISE protocol has received ethics approved from the University of Wollongong, Australia, and in each country by the applicable ethics committees. Approval is also sought from any relevant government departments or organisations. The results will inform global efforts to prevent childhood obesity and ensure young children reach their health and developmental potential. Findings on the correlates of movement behaviours can guide future interventions to improve the movement behaviours in culturally specific ways. Study findings will be disseminated via publications, conference presentations and may contribute to the development of local guidelines and public health interventions.
Funder
Canadian Institutes of Health Research Frederick Banting and Charles Best Canada Graduate Scholarship
Pham Ngoc Thach University of Medicine, Vietnam
Global Challenges Program, University of Wollongong, Australia
Canadian Institutes of Health Research Planning and Dissemination Grant
The DST-NRF Centre for Excellence in Human Development at the University of Witwatersrand, Johannesburg, South Africa
Early Start, University of Wollongong, Australia
Harry Crossley Foundation, South Africa
Sasakawa Sports Research Grant, Sasakawa Sports Foundation, Japan
WHO European Office for Prevention and Control of Noncommunicable Diseases
The University Research Coordination Office of the De La Salle University, Philippines
Civilian Research Development Foundation (CRDF) Global
Department of National Planning and Monitoring, PNG Government
Stella de Silva Research grant from Sri Lanka College of Paediatricians, Sri Lanka
Faculty of Health Sciences at the University of the Witwatersrand, Johannesburg, South Africa
The International Society of Behavioral Nutrition and Physical Activity, Pioneers Program
Biomedical Research Foundation, Dhaka, Bangladesh
Universidad de La Frontera Research Directorate, Chile
Fogarty International Center (FIC) of the National Institutes of Health
Beijing Health System High Level Talents Training Project, China
Geran Universiti Penyelidikan (GUP), Universiti Kebangsaan Malaysia
American Council on Exercise, USA
National Institute of Education-Ministry of Education, Singapore