Parental perception and guideline awareness of children’s lifestyle behaviours at ages 5 to 14 in Singapore

• Published in: Annals of the Academy of Medicine, Singapore Vol. 50; no. 9; pp. 695 - 702
• Main Authors: Quah, Phaik Ling, Loo, Benny Kai Guo, Razali, Nurul Syaza, Razali, Nurul Sakinah, Teo, Chin Chye, Tan, Kok Hian
• Format: Journal Article
• Language: English
• Published: 01.09.2021
• ISSN: 0304-4602; 0304-4602
• DOI: 10.47102/annals-acadmedsg.2021134

ABSTRACT Introduction: There are limited data on the descriptive lifestyle behaviour of school-age children in Singapore. Methods: A total of 100 parents of children ages 5 to 14 participated in a parents’ proxy-reported survey. Frequency of moderate physical activity (PA) and vigorous PA was assessed, while t-tests or chi-square test was used to examine differences between weekdays and weekends for sleep, screen viewing time (SVT) and sedentary behaviour (SB). Results: Of the 100 children (68% of Chinese ethnicity, 59% boys, mean age 9.1±2.9 years), 31% were overweight or obese, with body mass index z-score of >1. For moderate and vigorous PA participation in a typical week, 32.0% and 43.0%, respectively, did not participate, while median (interquartile range) days of participation were 3 (2–3) days/week and 2 (1–3) days/week for a duration of 60 (interquartile range 30–120) minutes/session. When comparing weekends with weekdays, the means (standard deviation) of both SVT and sleep duration were higher on weekends (SVT: 4.1 [2.9] versus 3.3 [3.1] hours/day, P=0.07; sleep: 8.8 [1.5] vs 8.3 [1.3] hours/day, P=0.02), while there were no significant differences for SB. A higher proportion of children had SB of ≥10 hours/day and slept <8 hours/day on weekdays compared with on weekends (SB: 23.5% vs 20.6%, P>0.05; sleep:18.8% vs 2.1%, P<0.05), while the proportion exceeding SVT of 2 hours/day were higher on weekends than on weekdays (63.8% vs 45.4%, P=0.03). Overall, there was higher parental awareness of sleep guidelines (80.0%), but lower awareness of PA (51.0%) and SVT (59.0%) guidelines. Conclusion: Lifestyle behaviours were suboptimal in Singapore children compared with existing overseas guidelines, indicating a need for an integrated guideline with greater dissemination. Keywords: Childhood and adolescents, integrated guideline, lifestyle behaviours, physical activity, screen viewing time, sleep