Physical activity, screen time and sleep among children and adolescents: findings from the 2022 active healthy kids Ethiopia

Abstract Background Few studies have been conducted on movement behaviours in low-income countries, indicating a need for further surveillance. This study aimed to track changes since the release of Ethiopia’s 2018 Report Card indicators and explore further gaps in physical activity, sedentary scree...

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Main Authors: Chalchisa Abdeta, Alem Deksisa, Mesfin Hailu, Debrework Tesfaye, Lucy Westerman, Anthony D. Okely, John J. Reilly, Mark S. Tremblay
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-025-05785-4
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author Chalchisa Abdeta
Alem Deksisa
Mesfin Hailu
Debrework Tesfaye
Lucy Westerman
Anthony D. Okely
John J. Reilly
Mark S. Tremblay
author_facet Chalchisa Abdeta
Alem Deksisa
Mesfin Hailu
Debrework Tesfaye
Lucy Westerman
Anthony D. Okely
John J. Reilly
Mark S. Tremblay
author_sort Chalchisa Abdeta
collection DOAJ
description Abstract Background Few studies have been conducted on movement behaviours in low-income countries, indicating a need for further surveillance. This study aimed to track changes since the release of Ethiopia’s 2018 Report Card indicators and explore further gaps in physical activity, sedentary screen time and sleep among Ethiopian children and adolescents (5–17 years). Methods We reviewed studies examining physical activity, sedentary screen time and sleep among Ethiopian children and adolescents. Relevant data were systematically searched from digital databases including PubMed, Medline, Scopus, Web of Science, WHO Hinari and Google Scholar, in alignment with the study objective. Policy or program documents were obtained from Ethiopian government official websites. Records were screened by two independent reviewers and extracted by the first author and verified by a co-author. Data were synthesised according to the harmonised Active Healthy Kids Global Alliance standards (A ≥ 80%, B 60–79%, C 40–59%, D 20–39%, F < 20%, INC = incomplete data). Results We found eight studies (n = 8) with relevant information; all were based on parent- or self-reported data. Only a small proportion of them met the guidelines for physical activity (16%) and sedentary screen time (55%). There were no data available for sleep. Since the release of the 2018 Report Card, there have been improvements in the grades for School, Active Transportation, Sedentary Behaviour, Community and Environment, and Government indicators from D to A-, C to B-, F to C+, F to C-, and D to C, respectively. However, grades for Overall Physical Activity, and Organised Sport and Physical Activity decreased from D to F and from C to C-, respectively, while the rest of the indicators remained unchanged. The Sleep indicator was introduced for the first time. Conclusion Some indicators highlighted positive changes but limitations with data representativeness and quality underscore the need for improved surveillance to understand and promote healthy levels of movement behaviours in Ethiopian children and adolescents.
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spelling doaj-art-e652b8b7e8ba497b84ef42ed32558b912025-08-20T03:45:32ZengBMCBMC Pediatrics1471-24312025-07-0125111010.1186/s12887-025-05785-4Physical activity, screen time and sleep among children and adolescents: findings from the 2022 active healthy kids EthiopiaChalchisa Abdeta0Alem Deksisa1Mesfin Hailu2Debrework Tesfaye3Lucy Westerman4Anthony D. Okely5John J. Reilly6Mark S. Tremblay7Early Start, School of Education, University of WollongongDepartment of Public Health, Adama Hospital Medical CollegeDepartment of Public Health, Adama Hospital Medical CollegeDepartment of Sport Science, Wolaita Sodo UniversitySchool of Population and Global Health, University of MelbourneEarly Start, School of Health and Society, University of WollongongDepartment of Psychological Sciences and Health, University of StrathclydeHealthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research InstituteAbstract Background Few studies have been conducted on movement behaviours in low-income countries, indicating a need for further surveillance. This study aimed to track changes since the release of Ethiopia’s 2018 Report Card indicators and explore further gaps in physical activity, sedentary screen time and sleep among Ethiopian children and adolescents (5–17 years). Methods We reviewed studies examining physical activity, sedentary screen time and sleep among Ethiopian children and adolescents. Relevant data were systematically searched from digital databases including PubMed, Medline, Scopus, Web of Science, WHO Hinari and Google Scholar, in alignment with the study objective. Policy or program documents were obtained from Ethiopian government official websites. Records were screened by two independent reviewers and extracted by the first author and verified by a co-author. Data were synthesised according to the harmonised Active Healthy Kids Global Alliance standards (A ≥ 80%, B 60–79%, C 40–59%, D 20–39%, F < 20%, INC = incomplete data). Results We found eight studies (n = 8) with relevant information; all were based on parent- or self-reported data. Only a small proportion of them met the guidelines for physical activity (16%) and sedentary screen time (55%). There were no data available for sleep. Since the release of the 2018 Report Card, there have been improvements in the grades for School, Active Transportation, Sedentary Behaviour, Community and Environment, and Government indicators from D to A-, C to B-, F to C+, F to C-, and D to C, respectively. However, grades for Overall Physical Activity, and Organised Sport and Physical Activity decreased from D to F and from C to C-, respectively, while the rest of the indicators remained unchanged. The Sleep indicator was introduced for the first time. Conclusion Some indicators highlighted positive changes but limitations with data representativeness and quality underscore the need for improved surveillance to understand and promote healthy levels of movement behaviours in Ethiopian children and adolescents.https://doi.org/10.1186/s12887-025-05785-4Movement behavioursSurveillanceYouthGlobal matrixPhysical fitness
spellingShingle Chalchisa Abdeta
Alem Deksisa
Mesfin Hailu
Debrework Tesfaye
Lucy Westerman
Anthony D. Okely
John J. Reilly
Mark S. Tremblay
Physical activity, screen time and sleep among children and adolescents: findings from the 2022 active healthy kids Ethiopia
BMC Pediatrics
Movement behaviours
Surveillance
Youth
Global matrix
Physical fitness
title Physical activity, screen time and sleep among children and adolescents: findings from the 2022 active healthy kids Ethiopia
title_full Physical activity, screen time and sleep among children and adolescents: findings from the 2022 active healthy kids Ethiopia
title_fullStr Physical activity, screen time and sleep among children and adolescents: findings from the 2022 active healthy kids Ethiopia
title_full_unstemmed Physical activity, screen time and sleep among children and adolescents: findings from the 2022 active healthy kids Ethiopia
title_short Physical activity, screen time and sleep among children and adolescents: findings from the 2022 active healthy kids Ethiopia
title_sort physical activity screen time and sleep among children and adolescents findings from the 2022 active healthy kids ethiopia
topic Movement behaviours
Surveillance
Youth
Global matrix
Physical fitness
url https://doi.org/10.1186/s12887-025-05785-4
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