Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep
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- 1 June 2016
- journal article
- Published by Canadian Science Publishing in Applied Physiology, Nutrition, and Metabolism
- Vol. 41 (6 (Suppl. ), S311-S327
- https://doi.org/10.1139/apnm-2016-0151
Abstract
Leaders from the Canadian Society for Exercise Physiology convened representatives of national organizations, content experts, methodologists, stakeholders, and end-users who followed rigorous and transparent guideline development procedures to create the Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. These novel guidelines for children and youth aged 5–17 years respect 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 Evaluation (AGREE) II instrument and systematic reviews of evidence informing the guidelines were assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Four systematic reviews (physical activity, sedentary behaviour, sleep, integrated behaviours) examining the relationships between and among movement behaviours and several health indicators were completed and interpreted by expert consensus. Complementary compositional analyses were performed using Canadian Health Measures Survey data to examine the relationships between movement behaviours and health indicators. A stakeholder survey was employed (n = 590) and 28 focus groups/stakeholder interviews (n = 104) were completed to gather feedback on draft guidelines. Following an introductory preamble, the guidelines provide evidence-informed recommendations for a healthy day (24 h), comprising a combination of sleep, sedentary behaviours, light-, moderate-, and vigorous-intensity physical activity. Proactive dissemination, promotion, implementation, and evaluation plans have been prepared in an effort to optimize uptake and activation of the new guidelines. Future research should consider the integrated relationships among movement behaviours, and similar integrated guidelines for other age groups should be developed.Keywords
This publication has 33 references indexed in Scilit:
- Light-Intensity Physical Activity and Cardiometabolic Biomarkers in US AdolescentsPLOS ONE, 2013
- In search of lost sleep: Secular trends in the sleep time of school-aged children and adolescentsSleep Medicine Reviews, 2012
- Canadian Sedentary Behaviour Guidelines for the Early Years (aged 0–4 years)Applied Physiology, Nutrition, and Metabolism, 2012
- Canadian Physical Activity Guidelines for the Early Years (aged 0–4 years)Applied Physiology, Nutrition, and Metabolism, 2012
- Systematic review of sedentary behaviour and health indicators in school-aged children and youthInternational Journal of Behavioral Nutrition and Physical Activity, 2011
- AGREE II: advancing guideline development, reporting and evaluation in health careCMAJ : Canadian Medical Association Journal, 2010
- Development of the AGREE II, part 2: assessment of validity of items and tools to support applicationCMAJ : Canadian Medical Association Journal, 2010
- Development of the AGREE II, part 1: performance, usefulness and areas for improvementCMAJ : Canadian Medical Association Journal, 2010
- Process description and evaluation of Canadian Physical Activity Guidelines developmentInternational Journal of Behavioral Nutrition and Physical Activity, 2010
- Making research relevant: if it is an evidence-based practice, where's the practice-based evidence?Family Practice, 2008