Socio-demographic factors associated with meeting the Canadian 24-hour movement guidelines among adults: Findings from the Canadian Health Measures Survey

ABSTRACT

Background: The Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older (24hrMG) provide evidence-based recommendations for moderate-to-vigorous physical activity (MVPA), sedentary behaviour (SB) and sleep. Purpose: To provide estimates of the proportion of Canadian adults meeting the new 24hrMG and examine associations between socio-demographic factors and meeting vs. not meeting the individual and integrated guideline recommendations. Methods: The study is based on 7,651 respondents aged 18-79 years from the 2007-to-2013 Canadian Health Measures Survey, a nationally representative, cross-sectional survey. Socio-demographic factors included age, sex, household education, household income, ethnicity, having a chronic condition, smoking status, alcohol consumption, and BMI. Participants were classified as meeting or not meeting each of the time-specific recommendations for MVPA, SB, and sleep duration. A combination of self-reported and device-based measures were used. Results: The proportion of adults who met the MVPA, SB, sleep and integrated guidelines were 42.0, 18.4, 65.2, and 7.1%, respectively. Multivariable logistic regression analyses showed that age, BMI, smoking status, and presence of a chronic condition were associated with meeting the integrated guidelines. Examining adherence to the individual recommendations, age, sex, BMI, household education, household income, smoking status, and having a chronic condition were associated with meeting the MVPA recommendation; age was associated with meeting the SB recommendation; and household income, ethnicity, and presence of a chronic condition were associated with meeting the sleep recommendation. Conclusions: Few Canadian adults meet the Canadian 24hrMG and disparities across socio-demographic factors exist. Funding: None.