Canadian 24-Hour Movement Guidelines for the Early Years (0–4 years): An Integration of Physical Activity, Sedentary Behaviour, and Sleep

BMC Public Health

Research

Louise Choquette¹  Mary Duggan²  Brian W. Timmons³  Joanna MacLean⁴  Reut Gruber⁵  Anthony D. Okely⁶  John C. Spence⁷  Nicholas Kuzik⁷  Valerie Carson⁷  Casey E. Gray⁸  Mark S. Tremblay⁸  Salomé Aubert⁸  Joel D. Barnes⁸  Veronica J. Poitras⁸  Jean-Philippe Chaput⁸  Gary S. Goldfield⁸  Margaret Sampson⁹  Claire LeBlanc^1,10  Katherine Janson^1,11  Alejandra Jaramillo Garcia^1,12  Kristi B. Adamo^1,13  Ian Janssen^1,14  Guy Faulkner^1,15  Mary-Ellen Rayner^1,16  Xanne Janssen^1,17  John J. Reilly^1,17 

[1] Best Start Resource Centre, Health Nexus, M5G 1Z8, Toronto, ON, Canada;Canadian Society for Exercise Physiology, K1R 6Y6, Ottawa, ON, Canada;Child Health & Exercise Medicine Program, Department of Pediatrics, McMaster University, L8S 4K1, Hamilton, ON, Canada;Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, T6G 1C9, Edmonton, AB, Canada;Department of Psychiatry, Faculty of Medicine, McGill University, H3A 1A1, Montreal, QC, Canada;Early Start Research Institute, Faculty of Social Sciences, University of Wollongong, 2522, Wollongong, NSW, Australia;Faculty of Physical Education and Recreation, University of Alberta, T6G 2H9, Edmonton, AB, Canada;Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, K1H 8L1, Ottawa, ON, Canada;Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, K1H 8L1, Ottawa, ON, Canada;Library Services, Children’s Hospital of Eastern Ontario, K1H 8L1, Ottawa, ON, Canada;Montreal Children’s Hospital, H3H 1P3, Montreal, QC, Canada;ParticipACTION, M5S 1M2, Toronto, ON, Canada;Public Health Agency of Canada, K1A 0K9, Ottawa, ON, Canada;School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, K1N 1A2, Ottawa, ON, Canada;School of Kinesiology and Health Studies, and Department of Community Health and Epidemiology, Queen’s University, K7L 3N6, Kingston, ON, Canada;School of Kinesiology, University of British Columbia, V6T 1Z3, Vancouver, BC, Canada;The Sandbox Project, M5C 2C5, Toronto, ON, Canada;University of Strathclyde, School of Psychological Science and Health, G1 1QE, Glasgow, Scotland, UK;

关键词: Infants;    Toddlers;    Preschoolers;    Adiposity;    Motor development;    Cognitive development;    Public health;    Recommendations;    Guideline development;   

DOI  :  10.1186/s12889-017-4859-6

来源: Springer

【 摘 要 】

BackgroundThe Canadian Society for Exercise Physiology convened representatives of national organizations, research experts, methodologists, stakeholders, and end-users who followed rigorous and transparent guideline development procedures to create the Canadian 24-Hour Movement Guidelines for the Early Years (0–4 years): An Integration of Physical Activity, Sedentary Behaviour, and Sleep. These novel guidelines for children of the early years embrace the natural and intuitive integration of movement behaviours across the whole day (24-h period).MethodsThe development process was guided by the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. Four systematic reviews (physical activity, sedentary behaviour, sleep, combined behaviours) examining the relationships within and among movement behaviours and several health indicators were completed and interpreted by a Guideline Development Panel. The systematic reviews that were conducted to inform the development of the guidelines, and the framework that was applied to develop the recommendations, followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Complementary compositional analyses were performed using data from the Canadian Health Measures Survey to examine the relationships between movement behaviours and indicators of adiposity. A review of the evidence on the cost effectiveness and resource use associated with the implementation of the proposed guidelines was also undertaken. A stakeholder survey (n = 546), 10 key informant interviews, and 14 focus groups (n = 92 participants) were completed to gather feedback on draft guidelines and their dissemination.ResultsThe guidelines provide evidence-informed recommendations as to the combinations of light-, moderate- and vigorous-intensity physical activity, sedentary behaviours, and sleep that infants (<1 year), toddlers (1–2 years) and preschoolers (3–4 years) should achieve for a healthy day (24 h). Proactive dissemination, promotion, implementation, and evaluation plans were prepared to optimize uptake and activation of the new guidelines.ConclusionsThese guidelines represent a sensible evolution of public health guidelines whereby optimal health is framed within the balance of movement behaviours across the whole day, while respecting preferences of end-users. Future research should consider the integrated relationships among movement behaviours, and similar integrated guidelines for other age groups should be developed.

【 授权许可】

CC BY   
© The Author(s). 2017