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International Journal of
            Population Studies                                         Pandemic impacts preschoolers’ movement behaviors



            2.2. Setting and participants                      squares, sidewalks); (ii) on a typical weekend day, how

            This study was conducted in João Pessoa, located in the   much time does your child spend playing outdoors (streets,
            Northeast of Brazil (7.1195°S, 34.8450°W), and data were   squares, sidewalks); (iii) on a typical weekday, how much
                                                               time does your child spend playing indoors (home, garage,
            obtained from 3-  to 5-year-old preschoolers who were
            registered in public preschools before the pandemic. For   service area); and (iv) on a typical weekend day, how much
            the purpose of this study, 120 parents of children from   time does your child spend playing indoors (home, garage,
            three Reference Centers in Early Childhood Education   service area). The possible answers include none, <1  h,
                                                               and more than 1 h (Larouche et al., 2017). The questions
            (CREIs), located in low socioeconomic areas of three
            different educational zones that were involved in the main   were separately set, targeting outdoor and indoor activities
            project were invited to participate in the during-pandemic   on weekdays and weekend days, and reintegrated for
            phase, through mobile message. The human development   analyses. These questions were restructured for the during-
                                                               pandemic survey by inserting the term “during pandemic”
            index (HDI) of the neighborhoods where CREIs are
            located ranges from 0.4 to 0.5. The HDI compares country   at the beginning of each  sentence to cover  the period
            indicators in terms of wealth, literacy, education, life   during which most families were confined to their houses
            expectancy, birth rate, and others to evaluate the well-being   due to the lockdown. Parents were invited to answer the
                                                               new questions tailored to the pandemic.
            of a population, especially children. It varies from zero to
            one and is published by the United Nations Development   Parents were also asked to recall the total average hours
            Program (UNDP) in its annual report. Countries with   their child spent sleeping with questions as follows: “on a
            HDI up to 0.499 have low human development, and those   typical weekday, what time does your child sleep?” and “on
            with indexes between 0.50 and 0.799 have medium human   a typical weekday, what time does your child wake up?”
            development (Souza, 2008).                         Questions were also separately set for weekends, before and
              A total  of 40 parents were invited and agreed to   during the pandemic, and reintegrated for analysis. Sleep
            participate. Of those participating, 50.5% of the mothers or   hours were calculated as follows: ([sleep on weekdays × 5]
                                                               + [sleep on weekend days × 2])/7.
            fathers were unemployed, and over 71.8% of the mothers
            had not finished high school.                        Sedentary time was determined based on screen time
                                                               (TV, tablet, computer, and smartphone) during weekdays
              Before the pandemic, the parents were queried about
            the 24-h movement behaviors of their children through a   and weekends, and a similar procedure was followed.
                                                               Parents were firstly asked to answer: “does your child have
            face-to-face interview. During the pandemic, parents were   access to a TV?” An positive response to this question was
            requested to answer a similar pre-pandemic questionnaire   followed by a subsequent question: “on a typical weekday,
            related to their children’s movement behaviors, with some
            adaptations  tailored for  the pandemic  period  (inclusion   how many hours does your child spend watching TV?” and
                                                               “on a typical weekend day, how many hours does she spend
            of the term “during pandemic,” before each question),   watching TV?” Pandemic-tailored questions concerning
            through forms sent through WhatsApp.
                                                               sedentary time were then adopted during the pandemic
            2.3. Variables                                     period. These questions were set to inquire about the time
                                                               spent on all types of screens during the weekdays and the
            2.3.1. Sociodemographic variables                  weekends. For analysis purposes, the total daily hours spent
            Demographic data, sex, age, mothers’ educational level,   on each type of screen was calculated. The total time on
            and residence type (house or apartment) were collected   sedentary behavior was calculated as follows: ([screen time
            before the pandemic through interviews with preschoolers’   on weekdays × 5] + [screen time on weekend days × 2])/7.
            parents at the preschool. During the pandemic, the parents
            were asked to answer the same set of questions through   2.4. Statistical analysis
            WhatsApp.                                          The sample’s characteristics are presented as absolute
                                                               and relative values, stratified before and during the
            2.3.2. Movement behaviors
                                                               pandemic periods. Concerning the absence of preliminary
            The pre-pandemic level of PA among the children was   assumptions, such as normal distribution of the dependent
            subjectively determined based on parental recollection.   variable (outcome) in each group and homogeneity of
            Parents were asked to indicate the length of outdoor and   variance or sphericity, generalized estimation equations
            indoor time spent by their children during weekdays and   were used to analyze the time trends of sleep time, screen
            weekends; for instance, (i) on a typical weekday, how much   time, and outdoor and indoor PA mean values, before and
            time does your child spend playing outdoors (streets,   during the pandemic. This method gives a robust analysis


            Volume 10 Issue 3 (2024)                        93                        https://doi.org/10.36922/ijps.0975
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