Child and parent physical activity, sleep and screen time during COVID-19 compared to pre-pandemic nationally representative data and associations with mental health

Author:

Olive Lisa,Sciberras Emma,Berkowitz Tomer S,Hoare Erin,Rohan.Telford ,Mikocka-Walus Antonina,Evans Subhadra,Hutchinson Delyse,McGillivray Jane,Teague SamanthaORCID,Wood AmandaORCID,Olsson CraigORCID,Westrupp ElizabethORCID

Abstract

Objective: To investigate differences in movement behaviors (physical activity, sleep, screen time) in both parents and children during the early stages of COVID-19 pandemic in Australia, compared to pre-COVID-19 national data; and, estimate associations between these movement behaviors with parent and child mental health. Methods: We used cross-sectional baseline data from the COVID-19 Pandemic Adjustment Study (CPAS; N=2,365). Participants were parents of children aged ≤18 years, residing in Australia. We drew on nationally representative pre-COVID data from the Longitudinal Study of Australian Children (LSAC; N=9,438). In both studies, parents provided the same self-report measures of physical activity, sleep quality, as well as measures of child physical activity and screen time. Parents reported on their own and their child’s mental health. Results: Compared to LSAC, children in CPAS had more sleep problems (17.4% vs 8.9%, p<.001) and more weekend screen time (3.98 hours vs 3.35 hours, p<.001), while more parents had poor sleep quality (56.7% vs 21.0%, p<.001) despite increased weekly physical activity (3.86 days vs 2.85 days, p<.001). Children’s sleep problems were associated with increased depression, anxiety and irritability symptoms, after accounting for physical activity and screen time (all p<.001). Poorer parent sleep quality and lower levels of physical activity were associated with poorer mental health across all indicators (all p≤.001).Conclusion: Government funded mental health programs to implement evidence-based sleep interventions for children and their parents, along with targeted messaging around physical activity should be considered to promote mental health within the family context during lockdown restrictions.

Publisher

Center for Open Science

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