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

医学 指南 分级(工程) 生物统计学 利益相关者 系统回顾 焦点小组 批判性评价 心理干预 公共卫生 梅德林 应用心理学 医学教育 心理学 替代医学 护理部 公共关系 土木工程 法学 营销 业务 病理 工程类 政治学
作者
Mark S. Tremblay,Jean‐Philippe Chaput,Kristi B. Adamo,Salomé Aubert,Joel D. Barnes,Louise Choquette,Mary Duggan,Guy Faulkner,Gary S. Goldfield,Casey Gray,Reut Gruber,Katherine Janson,Ian Janssen,Xanne Janssen,Alejandra Jaramillo Garcia,Nicholas Kuzik,Claire LeBlanc,Joanna E. MacLean,Anthony D. Okely,Veronica J. Poitras,Mary-Ellen Rayner,John J. Reilly,Margaret Sampson,John C. Spence,Brian W. Timmons,Valerie Carson
出处
期刊:BMC Public Health [Springer Nature]
卷期号:17 (S5) 被引量:415
标识
DOI:10.1186/s12889-017-4859-6
摘要

The 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). The 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. The 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. 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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