Eun-Young Lee1, Asaduzzaman Khan2, Riaz Uddin3, Eva Lim4, Lauren George5. 1. School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario K7L3N6, Canada; Department of Gender Studies, Queen's University, Kingston, Ontario K7L3N6, Canada. Electronic address: eunyoung.lee@queensu.ca. 2. School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland 4072, Australia; Active Healthy Kids Bangladesh (AHKBD), Dhaka, Bangladesh. 3. Active Healthy Kids Bangladesh (AHKBD), Dhaka, Bangladesh; Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria 3220, Australia. 4. Faculty of Health Sciences, Queen's University, Kingston, Ontario K7L3N6, Canada. 5. School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario K7L3N6, Canada.
Abstract
BACKGROUND: Grounded in intersectionality theory, this study examined the 6-year prevalence trend and correlates in meeting Canada's 24-Hour Movement Guidelines (Guidelines hereafter) in a nationally representative sample of South Korean adolescents. METHODS: Self-reported, annually repeated cross-sectional data collected between 2013 and 2018 were used (n = 372,433, 12-17 years old, 47.9% females). Adolescents were categorized as meeting or not meeting different sets of physical activity, screen time (ST), and sleep recommendations within the Guidelines, separately for weekdays and weekend days. Intersectional correlates included sex and social class (i.e., family economic status, parental education level, and academic performance). Multiple logistic regression analyses were performed. RESULTS: Overall, the proportion of adolescents meeting physical activity, ST, and sleep recommendations were 5.3%, 60.3%, and 10.2% on weekdays and 5.3%, 28.2%, and 46.4% on weekend days, respectively. Between 2013 and 2018, no substantial changes were observed for meeting the physical activity or sleep recommendation, while meeting the ST recommendation was markedly lower in 2018. The proportion of meeting all 3 recommendations were 0.5% for weekdays and 0.8% for weekend days. Overall, compared to female adolescents, male adolescents were consistently associated with more favorable patterns of meeting different sets of recommendations, regardless of social class. Among females only, social class appeared to be not important or even detrimental in meeting different sets of recommendations. Being male, compounded with social class, was associated with meeting the ST recommendation. CONCLUSION: Less than 1% of Korean adolescents met the overall Guidelines. Intersectionality-based analysis and intervention may be important in promoting healthy active lifestyles among South Korean adolescents.
BACKGROUND: Grounded in intersectionality theory, this study examined the 6-year prevalence trend and correlates in meeting Canada's 24-Hour Movement Guidelines (Guidelines hereafter) in a nationally representative sample of South Korean adolescents. METHODS: Self-reported, annually repeated cross-sectional data collected between 2013 and 2018 were used (n = 372,433, 12-17 years old, 47.9% females). Adolescents were categorized as meeting or not meeting different sets of physical activity, screen time (ST), and sleep recommendations within the Guidelines, separately for weekdays and weekend days. Intersectional correlates included sex and social class (i.e., family economic status, parental education level, and academic performance). Multiple logistic regression analyses were performed. RESULTS: Overall, the proportion of adolescents meeting physical activity, ST, and sleep recommendations were 5.3%, 60.3%, and 10.2% on weekdays and 5.3%, 28.2%, and 46.4% on weekend days, respectively. Between 2013 and 2018, no substantial changes were observed for meeting the physical activity or sleep recommendation, while meeting the ST recommendation was markedly lower in 2018. The proportion of meeting all 3 recommendations were 0.5% for weekdays and 0.8% for weekend days. Overall, compared to female adolescents, male adolescents were consistently associated with more favorable patterns of meeting different sets of recommendations, regardless of social class. Among females only, social class appeared to be not important or even detrimental in meeting different sets of recommendations. Being male, compounded with social class, was associated with meeting the ST recommendation. CONCLUSION: Less than 1% of Korean adolescents met the overall Guidelines. Intersectionality-based analysis and intervention may be important in promoting healthy active lifestyles among South Korean adolescents.