Analysis of the status and influencing factors of tummy time for infants under 4 months of age

ZHANG Lijin, SHANG Xiaorui, HE Hui, WEI Qianwei, LI Yichen

Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (12) : 1374-1378.

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Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (12) : 1374-1378. DOI: 10.11852/zgetbjzz2023-1399
Clinical Research

Analysis of the status and influencing factors of tummy time for infants under 4 months of age

  • ZHANG Lijin, SHANG Xiaorui, HE Hui, WEI Qianwei, LI Yichen
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Abstract

Objective To analyze the current status of tummy time among infants in Beijing during early infancy and its influencing factors, in order to provide basis for parental guidance on childcare practices and promote children's growth and development. Methods From June 1st to August 31st, 2021, two streets/township community health service centers from each of two districts in Beijing were selected using cluster sampling, from which 447 resident infants were randomly sampled. Caregivers were surveyed via questionnaire covering demographic information and details of infants' tummy time. Results Among 447 infants, 58.4% started their tummy time within 1 month of birth. Only 15.0% of infants under 4 months spent ≥ 30min on tummy time. Univariate analysis showed that infant tummy time increased with infant age(χ2=0.283,P<0.05). Infants in the 30- to 34-year-old maternal age group had a higher proportion of ≥30-minute tummy time compared to those with mothers younger than 30 or older than 35. Multivariate analysis revealed that being 0-month-old (OR=12.369, 95%CI: 4.056 - 37.723) or 1-month-old (OR=4.751, 95%CI: 1.657 - 13.080), and maternal education levels of college or below (OR=2.670, 95%CI: 1.143 - 6.242) were risk factors for tummy time during infancy (P<0.05), while fathers being under 30 years old acted as protective role in tummy time during infancy (OR=0.135, 95%CI: 0.034 - 0.533, P<0.05). Conclusions The proportion of infants spending ≥30 minutes daily in tummy time during early infancy is not high. Tummy time is influenced by factors including infant age, mother's educational level, and father's age, necessitating enhanced education and guidance for parents regarding the importance of tummy time in early infancy.

Key words

tummy time / physical activity / infants

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ZHANG Lijin, SHANG Xiaorui, HE Hui, WEI Qianwei, LI Yichen. Analysis of the status and influencing factors of tummy time for infants under 4 months of age[J]. Chinese Journal of Child Health Care. 2024, 32(12): 1374-1378 https://doi.org/10.11852/zgetbjzz2023-1399

References

[1] Hewitt L,Kerr E,Stanley RM,et al.Tummy time and infant health outcomes: A systematic review[J].Pediatrics,2020,145(6):e20192168.
[2] Cachón-Zagalaz J,Zagalaz-Sánchez M,Arufe-Giráldez V,et al. Physical activity and daily routine among children aged 0-12 during the COVID-19 Pandemic in Spain[J].Int J Environ Res Public Health,2021,18(2):703.
[3] 王晓彤,常佳慧,刘爱华,等.婴儿期俯卧时间的研究进展[J].中国儿童保健杂志,2023,31(1):58-61.
Wang XT,Chang JH,Liu AH,et al.Research advances in tummy time during infancy[J].Chin J Child Health Care,2023,31(1):58-61.
[4] World Health Organization.Global action plan on physical activity 2018-2030:More active people for a healthier world[EB/OL].(2018-06-01)[2021-05-21].http://apps.who.int/iris/bitstream/handle/10665/272722/9789241514187-eng.pdf
[5] Thomson JL,Tussing-Humphreys LM,Goodman MH, et al.Infant activity and sleep behaviors in a maternal and infant home visiting project among rural,southern,African American women[J].Matern Health Neonatol Perinatol,2018(4):10.
[6] Koren A,Kahn-D'angelo L,Reece SM,et al.Examining childhood obesity from infancy: The relationship between tummy time, infant bmiz, weight gain, and motor development-an exploratory study[J]. J Pediatr Health Care,2019,33(1):80-91.
[7] 谢亮亮,严双琴,曹慧,等.视屏暴露和户外活动与幼儿睡眠的关联研究[J].中国儿童保健杂志,2022,30(5):566-569.
Xie LL,Yan SQ,Cao H,et al.Association of screen exposure, outdoor activities with sleep among toddler[J].Chin J Child Health Care,2022,30(5):566-569.(in Chinese)
[8] Carson V,Zhang Z,Predy M,et al.Adherence to Canadian 24-hour movement guidelines among infants and associations with development:A longitudinal study[J].Int J Behav Nutr Phys Act,2022,19(1):154.
[9] 王佳悦,姜艳蕊,金志娟,等.俯卧位时间对婴儿运动发育的影响[J].临床儿科杂志,2021,39(11):851-854.
Wang JY, Jiang YR,Jin ZJ,et al.Study on the effect of prone time on motor development in infants[J].J Clin Pediatr,2021,39(11):851-854.(in Chinese)
[10] World Health Organization.Guidelines on physical activity, sedentary behavior and sleep for children under 5 years of age[EB/OL].(2019-04-02)[2021-05-21].http://www.who.int/ publications/i/item/9789241550536
[11] Hesketh KD, Downing KL, Campbell K, et al.Proportion of infants meeting the Australian 24-hour movement guidelines for the early years:Data from the Melbourne InFANT Program[J].BMC Public Health,2017,17(Suppl 5):856.
[12] Perrin EM,Rothman RL,Sanders LM,et al.Racial and ethnic differences associated with feeding- and activity-related behaviors in infants[J].Pediatrics,2014,133(4):857-867.
[13] Hesketh KR,Janssen X.Movement behaviours and adherence to guidelines:Perceptions of a sample of UK parents with children 0-18 months[J].Int J Behav Nutr Phys Act,2022,19(1):58.
[14] Zhang Z, Predy M, Hesketh KD, et al. Characteristics of tummy time and dose-response relationships with development in infants[J].Eur J Pediatr,2023,182(1):113-121.
[15] Hewitt L,Stanley RM, Okely AD.Correlates of tummy time in infants aged 0-12 months old:A systematic review[J].Infant Behav Dev,2017(49):310-321.
[16] Shull ER,Dowda M,McIver KL, et al.Behavioral, environmental, and demographic factors associated with objectively measured physical activity in infants[J].Child Obes,2022,18(7):466-475.
[17] Yin HS, Sanders LM, Rothman RL, et al. Parent health literacy and "obesogenic" feeding and physical activity-related infant care behaviors[J].J Pediatr,2014,164(3):577-583.
[18] Zhang Z,Predy M,Hesketh KD,et al.Demographic correlates of movement behaviors in infants: A longitudinal study[J].J Phys Act Health,2022,19(3):177-185.
[19] Gross RS,Mendelsohn AL,Yin HS,et al.Randomized controlled trial of an early child obesity prevention intervention:Impacts on infant tummy time[J].Obesity (Silver Spring),2017,25(5):920-927.
[20] Ortega R,Fienup DM.Effects of a preferred stimulus and mother's attention on infant behavior during tummy time[J].Behav Anal Pract,2014,8(1):66-69.
[21] E Silva BFV,Sampaio SSS,Moura JR,et al."I Am Afraid of Positioning my Baby in Prone":Beliefs and knowledge about tummy time practice[J].Int J Pediatr,2023(2023):4153523.
[22] Grad E.Tummy time in infants[J].Arch Argent Pediatr,2023,121(6):e202310119.
[23] Felzer-Kim IT, Erickson K, Adkins C,et al.Wakeful prone "tummy time" during infancy:How can we help parents?[J].Phys Occup Ther Pediatr,2020,40(6):651-668.
[24] Prioreschi A,Brage S,Westgate K,et al.Describing the diurnal relationships between objectively measured mother and infant physical activity[J].Int J Behav Nutr Phys Act,2018,15(1):59.
[25] Hewitt L,Stanley RM,Cliff D,et al.Objective measurement of tummy time in infants (0 - 6 months):A validation study[J].PLoS One,2019,14(2):e0210977.
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