Akademik Veri Yönetim Sistemi
Journal of Public Health (Germany), 2026 (ESCI, Scopus)
Objective: This study investigated adherence to the WHO 24-h movement guidelines (physical activity—PA, screen time—ST, sleep) among Turkish preschoolers and examined associations with parental factors, an area previously unexplored in Türkiye. Methods: This cross-sectional study included 282 preschool children (mean age 4.4 ± 0.7 years) and their parents. Children’s PA was objectively measured using pedometers. ST and sleep were parent-reported. Parental factors were assessed using validated scales: the Parental Attitude Scale for Children’s Screen Time (PAS-CST), the Parental Self-Efficacy Scale for Children’s Physical Activity (PSES-CPA), a single-item measure for self-efficacy in limiting ST, and the Parental Screen Use During Child Activities Scale (PSU-CAS). Results: The prevalence of meeting all three criteria was 16.0%, while 7.4% met none. The sleep criterion had an adherence rate of 87.6%, the PA 50.4%, and ST 23.4% of the criteria. Logistic regression revealed that adherence to all three criteria was associated with less permissive parental ST attitudes (higher PAS-CST scores) (OR 0.909, 95% CI 0.828–0.997), higher parental self-efficacy for limiting ST (OR 0.560, 95% CI 0.323–0.971), lower parental ST (OR 1.014, 95% CI 1.005–1.023), and less frequent parental screen use during child activities (lower PSU-CAS scores) (OR 1.096, 95% CI 1.010–1.189). Conclusions: The low prevalence of meeting the integrated 24-h movement guidelines among Turkish preschoolers highlights a substantial public health concern. The findings underscore the critical role of modifiable parental factors. Interventions should focus on empowering parents to foster healthier 24-h movement behaviors in their children.