Yoko Narasaki, Man Kit Siu, Matthew Nguyen, Kamyar Kalantar-Zadeh, Connie M Rhee
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childhood obesity high republic marshall islands rmi report prevalence sociodemographic distribution selected obesityrelated risk factors among children majuro rmi sixteen elementary schools approached students parents grades 1 3 5 invited participate crosssectional populationbased survey accelerometry questionnaire used collect data childrens physical activity pa sleep screen time dietary behaviours descriptive statistics mixedeffects logistic regression used examine differences proportions children meeting selected rmi healthy living guidelines sex school grade school sector thirteen schools 958 children recruited 892 522 girls mean age 93 18 years provided useable data around 90 met pa 29 screen time 13 sleep 69 sugarsweetened beverage 56 highly processed food guidelines proportion meeting individual guidelines higher among children grade 1 compared grade 5 girl 027 95 ci 016 046 associated lower odds meeting pa recommendation compared children grade 1 grade 5 lower odds meeting pa 028 95 ci 015 055 screen time 060 95 ci 040 089 sleep duration 033 95 ci 018 059 sugarsweetened beverage 035 95 ci 023 053 consumption highly processed foods recommendations 049 95 ci 033 072 children rmi adequately active resources needed promote healthier levels screen time sleep sugarsweetened beverage highly processed food consumption especially among older children study funded world diabetes foundation canvasback missions rmi nhmrc australia app1176858 pacific community