Canadian 24-hour movement guidelines for the Early Years (0-4 years): An integration of physical activity, sedentary behaviour and sleep
ISPAH ePoster Library. Tremblay M. Oct 16, 2018; 225055; 230
Mark Tremblay
Mark Tremblay
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Abstract
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Abstract Introduction:<\b>
Novel guidelines for children of the early years were developed to respect and embrace the natural and intuitive integration of movement behaviours across the whole day (24-hour period). Methods:<\b>
The guideline development process was guided by the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument and followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. 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. 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 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. Results:<\b>
The resulting guidelines provide evidence-informed recommendations for 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 hours). Proactive dissemination, promotion, implementation, and evaluation plans were prepared to optimize uptake and activation of the new guidelines. Conclusions: These 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.
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