Sociodemographic and anthropometric determinants associated with compliance with physical activity recommendations in mexican infants
DOI:
https://doi.org/10.15517/7xp08b05Keywords:
Movement behaviors, Sociodemographic factors, Body mass index, InfantAbstract
Introduction: Movement behaviors are associated with indicators of child health at the psychosocial, cognitive, and physical levels. There is low adherence to recommendations, evidencing knowledge gaps in middle-income countries. The objective was to evaluate the sociodemographic and anthropometric determinants of the dyad associated with compliance with the recommendations of the 24-hour movement guidelines in Mexican infants under six months of age. Methodology: Cross-sectional analytical study in 322 mother-child dyads. A data sheet and a validated parental diary were used to record the infant's movement behaviors over 24 hours. Binary logistic regression models were constructed (1 = compliant and 0 = noncompliant). Results: 16.7% of infants were overweight or obese. Only 4.3% met all four physical activity recommendations. Maternal factors (occupation and marital status) and infant factors (age and z-score for body mass index) were associated with physical activity behaviors (R² = .093; p < .001) and non-screen time (R² = .128; p < .001). Conclusions: There is low adherence to movement recommendations for infants under 6 months of age. A key factor is to implement interventions that consider the determinants of the dyad and target primary caregivers to encourage physically active behaviors.
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Altenburg, T. M., Gubbels, J. S., Arts, J., Lettink, A., Veldman, S., Verhoeff, A., & Chinapaw, M. (2024). 24-hour movement behaviours in the early years, potential behavioural determinants and prospective associations with growth, motor and social-emotional development: The My Little Moves study protocol. BMJ Open, 14(10), e081836. https://doi.org/10.1136/bmjopen-2023-081836 DOI: https://doi.org/10.1136/bmjopen-2023-081836
Cárdenas Villarreal, V. M., Hernández-Barrera, L., Castro-Sifuentes, D., Guevara-Valtier, M. C., & Trejo-Valdivia, B. (2023). Trends in overweight and obesity in children under 24 months of age in Mexico (2012–2020): Analysis of four national health surveys. Cadernos de Saúde Pública, 39(12). https://doi.org/10.1590/0102-311XEN046123 DOI: https://doi.org/10.1590/0102-311xen046123
Carson, V., Lee, E. Y., Hewitt, L., Jennings, C., Hunter, S., Kuzik, N., Stearns, J. A., Unrau, S. P., Poitras, V. J., Gray, C., Adamo, K. B., Janssen, I., Okely, A. D., Spence, J. C., Timmons, B. W., Sampson, M., & Tremblay, M. S. (2017). Systematic review of the relationships between physical activity and health indicators in the early years (0–4 years). BMC Public Health, 17(Suppl 5), 854. https://doi.org/10.1186/s12889-017-4860-0 DOI: https://doi.org/10.1186/s12889-017-4860-0
Carson, V., Zhang, Z., Boyd, M., Pritchard, L., & Hesketh, K. D. (2025). Longitudinal associations between movement behaviours and development among infants using compositional data analysis. Child: Care, Health and Development, 51(1), e70025. https://doi.org/10.1111/cch.70025 DOI: https://doi.org/10.1111/cch.70025
Delisle Nyström, C., Alexandrou, C., Henström, M., Nilsson, E., Okely, A. D., Wehbe, T. S. & Löf M. (2020). International Study of Movement Behaviors in the Early Years (SUNRISE): Results from SUNRISE Sweden’s Pilot and COVID-19 Study. International Journal of Environmental Research and Public Health, 17(22), 8491. https://doi.org/10.3390/ijerph17228491 DOI: https://doi.org/10.3390/ijerph17228491
Downing, K. L., Del Pozo Cruz, B., Sanders, T., Zheng, M., Hnatiuk, J. A., Salmon, J. & Hesketh K.D. (2022). Outdoor time, screen time and sleep reported across early childhood: Concurrent trajectories and maternal predictors. International Journal of Behavioral Nutrition and Physical Activity, 19(1), 160. https://doi.org/10.1186/s12966-022-01386-x DOI: https://doi.org/10.1186/s12966-022-01386-x
Estrada-Gutiérrez, G., Zambrano, E., Polo-Oteyza, E., Cardona-Pérez, A., & Vadillo-Ortega, F. (2020). Intervention during the first 1000 days in Mexico. Nutrition Reviews, 78(Suppl 2), 80–90. https://doi.org/10.1093/nutrition/nuaa082 DOI: https://doi.org/10.1093/nutrit/nuaa082
Felzer-Kim, I. T., Adkins, K. E. C., & Hauck, L. (2020). Wakeful prone “Tummy Time” during infancy: How can we help parents? Physical & Occupational Therapy in Pediatrics. https://doi.org/10.1080/01942638.2020.1742847 DOI: https://doi.org/10.1080/01942638.2020.1742847
Flores-Peña, Y., Aguado-Barrera, M. E., Cerda-Flores, R. M., Cortés-Gutiérrez, E. I., & Dávila-Rodríguez, M. I. (2016). Percepción materna del peso del hijo y de niños no emparentados menores de un año [Maternal perception of her child's weight and unrelated children less than 1 year old]. Atención Primaria, 48(9), 579–585. https://doi.org/10.1016/j.aprim.2015.10.003 DOI: https://doi.org/10.1016/j.aprim.2015.10.003
Hesketh, K. R., & Janssen, X. (2022). Movement behaviours and adherence to guidelines: Perceptions of a sample of UK parents with children 0–18 months. International Journal of Behavioral Nutrition and Physical Activity, 19(1), 58. https://doi.org/10.1186/s12966-022-01300-5 DOI: https://doi.org/10.1186/s12966-022-01300-5
Hewitt, L., Kerr, E., Stanley, R. M., & Okely, A. D. (2020). Tummy time and infant health outcomes: A systematic review. Pediatrics, 145(6), e20192168. https://doi.org/10.1542/peds.2019-2168 DOI: https://doi.org/10.1542/peds.2019-2168
Jia, Z., Zhang, J., Trindade, D., & Sobko, T. (2018). Physical activity patterns and correlates of 9-month-old Chinese infants in the Macau population. Maternal and Child Health Journal, 22(10), 1526–1533. https://doi.org/10.1007/s10995-018-2614-y DOI: https://doi.org/10.1007/s10995-018-2614-y
Lee, E. Y., Jayawardena, R., Park, S., Jeon, J. Y., Kim, Y. S., & Tremblay, M. S. (2025). Global trends in importance of 24-hour movement behaviors to pediatric health: Implications for South Korea. Clinical and Experimental Pediatrics, 68(1), 16–29. https://doi.org/10.3345/cep.2024.00178 DOI: https://doi.org/10.3345/cep.2024.00178
Organización Mundial de la Salud & Organización Panamericana de la Salud. (2019). Directrices sobre la actividad física, el comportamiento sedentario y el sueño para menores de 5 años [Internet]. OMS. https://iris.paho.org/handle/10665.2/51805
Organización Mundial de la Salud. (2025a). Determinantes sociales de la salud [Internet]. OMS. https://www.who.int/es/news-room/fact-sheets/detail/social-determinants-of-health
Organización Mundial de la Salud. (2025b). Herramientas de análisis de las normas de crecimiento infantil: WHO Anthro y WHO Anthro Survey Analyser [Internet]. OMS. https://www.who.int/tools/child-growth-standards/software
Poncet, L., Saïd, M., Gassama, M., Dufourg, M. N., Müller-Riemenschneider, F., Lioret, S., Dargent-Molina, P., Charles, M. A., & Bernard, J. Y. (2022). Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort. International Journal of Behavioral Nutrition and Physical Activity, 19(1), 104. https://doi.org/10.1186/s12966-022-01342-9 DOI: https://doi.org/10.1186/s12966-022-01342-9
Secretaría de Salud. (2014). Ley General de Salud. Reglamento de la Ley General de Salud en materia de investigación para la salud [Internet]. Secretaría de Salud. https://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS.pdf
Vandenbroucke, J. P., Von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., Poole C., Schlesselman J.J. & Egger M. (2009). Mejorar la comunicación de estudios observacionales en epidemiología (STROBE): Explicación y elaboración. Gaceta Sanitaria, 23(2), 158.e1–158.e28. http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112009000200015 DOI: https://doi.org/10.1016/j.gaceta.2008.12.001
Vasconcelos e Silva, B. F., Santos, Sampaio. S. S., Raffin, Moura, J., Barretos, de Medeiros, C. E., de Lima-Alvarez, C. D., Rocha, Simão, C., Guerra, Azevedo I. & Alves Pereira S. (2023). “I am afraid of positioning my baby in prone”: Beliefs and knowledge about tummy time practice. International Journal of Pediatrics, 2023, 4153523. https://doi.org/10.1155/2023/4153523 DOI: https://doi.org/10.1155/2023/4153523
Zhang, Z., Predy, M., Hesketh, K. D., Pritchard, L., & Carson, V. (2022). Characteristics of tummy time and dose-response relationships with development in infants. European Journal of Pediatrics, 182(1), 113–121. https://doi.org/10.1007/s00431-022-04647-w DOI: https://doi.org/10.1007/s00431-022-04647-w
Zhang, Z., Predy, M., Kuzik, N., Hewitt, L., Hesketh, K. D., Pritchard, L., Okely A.D. & Carson V. (2021). Validity of an infant tummy time questionnaire and time-use diary against the GENEActiv accelerometer. Measurement in Physical Education and Exercise Science, 26(1), 27–38. https://doi.org/10.1080/1091367X.2021.1941033 DOI: https://doi.org/10.1080/1091367X.2021.1941033
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