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Better access to destinations and services is associated with higher adherence to sleep guidelines among schoolchildren in regional and remote areas

Among Australian schoolchildren aged 10-12 living in regional and remote areas, better parent-reported access to destinations and services was associated with 48% higher odds of meeting sleep guidelines (OR = 1.48; 95% CI: 1.14, 1.92). No significant associations were found for children in major cities. Overall, only 10.1% of participants met all 24-hour movement guidelines.

Last updated: Aug 29, 2026•0 RCTs•📖 Read as article →

Evidence Score

Evidence Score34/100
Human RCT☆☆☆☆☆
Meta-analysis☆☆☆☆☆
Mechanism★★★★★
Safety★★★★☆
Confidencelow

Study Evidence

Study 1. Neighbourhood environment and meeting 24-hour movement guidelines among schoolchildren.

observational

Xing R, Loh V, Dumuid D, Rachele JN · International journal of environmental health research (2026)

Participants: N/A
Duration: Not specified (cross-sectional)
Intervention: Neighbourhood environment characteristics (access to destinations and services, general safety, social capital and cohesion) as measured by parent questionnaire
Outcome: Adherence to sleep, MVPA, screen time, and all 24-hour movement guidelines
Effect Size: OR = 1.48 (95% CI: 1.14, 1.92) for sleep guideline adherence
Population: 1216 Australian schoolchildren aged 10-12 years (50.2% female), 69.2% from major cities and 30.8% from regional/remote areas

Result:

PubMed: 42658078DOI: 10.1080/09603123.2026.2723970

Mechanism Graph

Better access to destinations and services may provide more opportunities for physical activity and outdoor play
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Increased physical activity during the day may promote better sleep quality and duration
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Improved sleep may contribute to meeting sleep guidelines
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Result: Higher odds of meeting sleep guidelines among regional/remote children

Limitations

  • ⚠Cross-sectional design prevents causal inference
  • ⚠Neighbourhood environment characteristics were parent-reported, potentially introducing reporting bias
  • ⚠Findings may not generalize to other age groups or countries
  • ⚠No significant associations found in major cities, suggesting context-specific effects

Frequently Asked Questions

What percentage of children met all 24-hour movement guidelines?▼

Only 10.1% of participants met all three guidelines (sleep, MVPA, and screen time).

Did neighbourhood environment affect children in major cities?▼

No statistically significant associations were observed among schoolchildren living in major cities.

What other neighbourhood factors were associated with guideline adherence?▼

In regional/remote areas, higher social capital and cohesion was associated with higher adherence to MVPA (OR=1.67) and screen time (OR=1.68) guidelines.

How was sleep measured in this study?▼

Sleep was measured using accelerometers worn by the children.

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References

  1. 1.Xing R, Loh V, Dumuid D, Rachele JN. "Neighbourhood environment and meeting 24-hour movement guidelines among schoolchildren.." International journal of environmental health research, 2026. PMID: 42658078 DOI: 10.1080/09603123.2026.2723970
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.