Comparative analysis of adherence to 24-hour movement guidelines in adolescents: Objective versus subjective measures

Rafaela Cavalheiro do Espírito Santo; Geiziane Melo; Viney Prakash Dubey; Cesar Agostinis-Sobrinho

doi:10.1016/j.numecd.2024.10.016

Comparative analysis of adherence to 24-hour movement guidelines in adolescents: Objective versus subjective measures

Nutr Metab Cardiovasc Dis. 2024 Oct 24:103778. doi: 10.1016/j.numecd.2024.10.016. Online ahead of print.

Authors

Rafaela Cavalheiro do Espírito Santo¹, Geiziane Melo², Viney Prakash Dubey², Cesar Agostinis-Sobrinho²

Affiliations

¹ Health Research and Innovation Science Centre, Klaipeda University, Klaipeda, Lithuania. Electronic address: rafaela.santo@ku.lt.
² Health Research and Innovation Science Centre, Klaipeda University, Klaipeda, Lithuania.

PMID: 39643478
DOI: 10.1016/j.numecd.2024.10.016

Abstract

Background and aims: Previous studies have investigated the concordance between objective and subjective measures for assessing physical activity, sedentary behaviour, and sleep duration separately. However, no studies have compared adherence to the 24-h movement guidelines using both objective and subjective measures in adolescents. The aim of this study was to compare adherence to the 24-h movement guidelines using both objective and subjective measures.

Methods and results: A comprehensive search was conducted in PubMed, Scopus, Web of Science, EMBASE, CINAHL, and SPORTDiscus up to May 2024. A meta-analysis using a random-effects model was conducted, and a p-value of <0.05 was considered statistically significant of the 5968 studies identified, only 42 met the inclusion criteria, with the included studies reporting a mean age of participants ranging from 11.99 to 17.99 years, comprising a total sample of 856,235 participants. There was no statistically significant difference between objective and self-reported measures of adherence to the 24-h movement guidelines (p > 0.05). When analysing each behaviour separately, there was a statistically significant difference between objective and self-reported measures of physical activity and sleep time (p < 0.05). Regarding sedentary behaviour, all studies used subjective measures; therefore, no meta-analysis was performed for screen time as all studies relied on subjective measures.

Conclusion: Based on these findings, both objective and subjective measures can be used to assess adherence to the 24-h movement guidelines in adolescents. Thus, researchers and policymakers can choose either objective or subjective methods to assess adherence to the 24-h movement guidelines, with decisions tailored to the clinical context.

Keywords: Objective measures; Observational studies; Physical activity; Sedentary behaviour; Sleep; Subjective measures; Systematic review.

Copyright © 2024 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.