@article{Okely_T-2021_57779, title = {Cross-sectional examination of 24-hour movement behaviours among 3- and 4-year-old children in urban and rural settings in low-income, middle-income and high-income countries : the SUNRISE study protocol}, author = {Okely, T. and Reilly, J. and Tremblay, M. and Kariippanon, K. and Draper, C. and El Hamdouchi, A. and Florindo, A. and Green, J. and Guan, H. and Katzmarzyk, P. and Lubree, H. and Pham, B. and Suesse, T. and Willumsen, J. and Basheer, M. and Calleia, R. and Chong, K. and Cross, P. and Nacher, M. and Smeets, L. and Taylor, E. and Abdeta, C. and Aguilar-Farias, N. and Baig, A. and Bayasgalan, J. and Chan, C. and Chathurangana, P. and Chia, M. and Ghofranipour, F. and Ha, A. and Hossain, M. and Janssen, X. and Jáuregui, A. and Katewongsa, P. and Kim, D. and Kim, T. and Koh, D. and Kontsevaya, A. and Leyna, G. and Löf, M. and Munambah, N. and Mwase-Vuma, T. and Nusurupia, J. and Oluwayomi, A. and Del Pozo-Cruz, B. and Del Pozo-Cruz, J. and Roos, E. and Shirazi, A. and Singh, P. and Staiano, A. and Suherman, A. and Tanaka, C. and Tang, H. and Teo, W. and Tiongco, M. and Tladi, D. and Turab, A. and Veldman, S. and Webster, E. and Wickramasinghe, P. and Widyastari, D.}, month = {oct}, year = {2021}, abstract = {Introduction 24-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 analysis SUNRISE 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 dissemination The 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.}, volume = {11}, issue = {10}, journal = {BMJ Open}, publisher = {BMJ Publishing Group}, url = {http://dx.doi.org/10.1136/bmjopen-2021-049267}, }