Background: The World Health Organization (WHO) has 24-hour movement behavior guidelines for children 3-5 years of age that includes monitoring physical activity, sleep and limited sedentary time. Despite these regulations, there are disparities in the ability of caregivers and children to adhere to these conditions due to socioeconomic factors. Understanding more about the relations between sociodemographic factors and children’s 24-hour movement behaviors can help determine strategies to promote awareness about these gaps and encourage action.    

Purpose: To identify the proportion of western Massachusetts preschool children who meet the WHO 24-hour movement behavior guidelines and to determine the associations between socioeconomic factors and meeting these guidelines.

Methods: Used a cross-sectional design study where participants were preschool children, ages 3-5 residing in Western Massachusetts. Adult caregivers shared sociodemographic information (highest household education, caregiver income and housing type) and children’s screen time via an online questionnaire. Children wore a GENEActiv activity monitor on their non-dominant wrist for one week to estimate 24-hour movement behaviors and caregivers completed a daily activity and sleep log. 

Results: Descriptive statistics will be calculated to determine the proportion of participants meeting the WHO guidelines and the association with socioeconomic status. Correlations will be examined with logistic regression models.

Conclusion: Households with lower income and education will be more likely to have limited access to materials and the resources to promote 24-hour behaviors in children therefore having poor WHO guideline adherence. Our findings can help identify and better understand potential health disparities and areas where additional support is needed for intervention approaches.