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Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep
Open accessAbstract
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.
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In the citing paper
“In order to preserve both overall mental health and cognitive functioning, both Canada's 15 and Australia's 16 24-Hour Movement Guidelines have adopted a 'whole day time-use' paradigm for young people, recommending that each day should include at least 60 min of moderate-to-vigorous exercise, several hours of light physical activity, no more than two hours of sedentary leisure activities, and 8-11”
From A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders (2020) · cites this paper as [15]
In the citing paper
“Recent 24-h movement guidelines have promoted whole-day movement patterns that target both enhanced MVPA and restriction of sedentary time (ST).6”
From A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children (2020) · cites this paper as [6]
In the citing paper
“A specific policy in Japan (limiting the distance between the children and youth homes and the public elementary and junior high schools) 77 and the high density of Hong Kong, Japanese, and South Korean cities, allow children and youth to live a short trip away from their school, which can minimize the use of cars or other forms of motorized vehicles, and promote active travel.25,78,79”
From Global Matrix 3.0 Physical Activity Report Card Grades for Children and Youth: Results and Analysis From 49 Countries (2018) · cites this paper as [78]
In the citing paper
“the Canadian 24-Hour Movement Guidelines for Children and Youth (aged 5 to 17 years) have been released in 2016 and recommend ≥60 min/day of moderate-to-vigorous physical activity (MVPA), ≤2 h/day of recreational screen time, and 9 to 11 h of sleep per day for 5- to 13-year-olds or 8 to 10 h of sleep per day for 14- to 17-year-olds to support healthy development [17].”
In the citing paper
“To our knowledge, this is the first time the relationship between 24-h movement guidelines and mental health indicators in children and adolescents has been systematically reviewed since the release of aforementioned guidelines in 2016 [17].”
In the citing paper
“This is in line with current recommendations and previous research showing that MVPA, screen time and sleep duration are the components of the 24-h day that are more strongly associated with obesity and other health outcomes [2, 4, 11, 14].”
From Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study (2016) · cites this paper as [4]
Citations
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BackgroundGRADE guidelines: 1. Introduction—GRADE evidence profiles and summary of findings tables
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MethodGRADE guidelines: 3. Rating the quality of evidence
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“…seem inappropriate or counter-intuitive to include sedentary behaviour and sleep in a list of “movement behaviours”, we do so throughout this paper and the guidelines in the context of a movement continuum (Tremblay et al. 2010a) and to succinctly capture the relevant components of the whole day.”
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“2011; ParticipACTION 2015, 2016), sleep (Chaput et al. 2016; Owens 2014; Matricciani et al. 2012; ParticipACTION 2016), and obesity (Gotay et al.”
Background
Research works printed but not linked: 3
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Cited by
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“Similar guidelines are very likely to emerge for older age groups in Canada [21], though the recommendations for these age groups might be different.”
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Biswas, T., Townsend, N. P., Huda, M. M., Maravilla, J. C., Begum, T., Pervin, S., Ghosh, A., Mahumud, R. A., Islam, S. M. S., Anwar, S. N., et al. (2022) · EClinicalMedicine · doi:10.1016/j.eclinm.2022.101591 · Cited by 95
Sleep Deprivation, Sleep Disorders, and Chronic Disease
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“Pediatrics.”
InfluentialRowlands, A. V. (2018) · Pediatric Exercise Science · doi:10.1123/pes.2018-0201 · Cited by 87
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“The compliance rates for the sleep and ST guidelines may be underestimated because shorter sleep duration and higher upper limits of ST were recommended for children aged 5– 13 years (Tremblay et al., 2016).”
Sleep duration trends and trajectories among youth in the COMPASS study☆,☆☆
Patte, K., Qian, W., & Leatherdale, S. (2017) · Sleep Health · doi:10.1016/j.sleh.2017.06.006 · Cited by 84
Introducing 24-Hour Movement Guidelines for the Early Years: A New Paradigm Gaining Momentum
Tremblay, M. S. (2019) · Journal of Physical Activity and Health · doi:10.1123/jpah.2019-0401 · Cited by 91
Self-citationAssociations between duration and type of electronic screen use and cognition in US children
Walsh, J. J., Barnes, J. D., Tremblay, M. S., & Chaput, J.-P. (2020) · Computers in Human Behavior · doi:10.1016/j.chb.2020.106312 · Cited by 87
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“Ano de estudo Até 2007 6 61,0 (41,7-79,3) 100 2008-2012 4 55,7 (44,7-66,4) 100”
InfluentialKek, C. C., Bengoechea, E. G., Spence, J. C., & Mandic, S. (2019) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2019.02.006 · Cited by 88
“Participants who accumulated 60 min or more of MVPA/day on all valid days met the minimum PA guidelines.(13) Data were analyzed using SPSS Version 24.”
BackgroundMethodCorrelates of Parental Support of Child and Youth Physical Activity: a Systematic Review
Rhodes, R. E., Perdew, M., & Malli, S. (2020) · International Journal of Behavioral Medicine · doi:10.1007/s12529-020-09909-1 · Cited by 91
Łuszczki, E., Bartosiewicz, A., Pezdan-Śliż, I., Kuchciak, M., Jagielski, P., Oleksy, Ł., Stolarczyk, A., & Dereń, K. (2021) · Nutrients · doi:10.3390/nu13072447 · Cited by 99
Sedentary behaviour surveillance in Canada: trends, challenges and lessons learned
Prince, S. A., Melvin, A., Roberts, K. C., Butler, G., & Thompson, W. (2020) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-020-00925-8 · Cited by 86
“Only surveys with the same questions and responses have been joined by solid lines Where possible, the number of children and youth meeting screen time recommendations (≤ 2 h/day of recreational screen time) from the Canadian 24 Hour Movement Guidelines for Children and Youth [29] were estimated using proportions and…”
MethodInfluentialThivel, D., Tremblay, M. S., Katzmarzyk, P. T., Fogelholm, M., Hu, G., Maher, C. A., Maia, J. A. R., Olds, T., Sarmiento, O. L., Standage, M., et al. (2018) · Preventive Medicine · doi:10.1016/j.ypmed.2018.10.025 · Cited by 88
“This suggests that interventions aimed at increasing adherence to 24-hour movement guidelines(4), at least as it relates to dietary patterns of children, could be generalized across different settings and demographic subgroups of the population.”
BackgroundInfluentialSelf-citationRhodes, R. E., Spence, J. C., Berry, T. R., Faulkner, G., Latimer‐Cheung, A. E., O’Reilly, N., Tremblay, M. S., & Vanderloo, L. M. (2019) · BMC Public Health · doi:10.1186/s12889-019-7744-7 · Cited by 90
“Of course, the purpose of the Canadian 24-Hour Movement Guidelines for Children and Youth is to highlight the integration of sleep, LPA, MVPA, and sedentary behavior on health outcomes [7].”
MethodInfluentialSelf-citationChen, B., Bernard, J. Y., Padmapriya, N., Yao, J., Goh, C. M. J. L., Tan, K. H., Yap, F. K. P., Chong, Y. S., Shek, L. P., Godfrey, K. M., et al. (2019) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-019-0834-1 · Cited by 87
Adherence to the 24-Hour Movement Guidelines among 10- to 17-year-old Canadians
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Self-citationKatzmarzyk, P. T., & Staiano, A. E. (2017) · Journal of Physical Activity and Health · doi:10.1123/jpah.2017-0090 · Cited by 83
“Although specific quantitative recommendations are not provided for overall sedentary behavior and light physical activity, the guidelines call for at least 60 minutes of daily MVPA, no more than 2 hours of recreational screen time per day, and uninterrupted 9 to 11 hours of sleep per night for those aged 5–13 y and 8…”
InfluentialSelf-citationMilanović, S. M., Buoncristiano, M., Križan, H., Rathmes, G., Williams, J., Hyska, J., Duleva, V., Zamrazilová, H., Hejgaard, T., Jørgensen, M., et al. (2021) · Obesity Reviews · doi:10.1111/obr.13209 · Cited by 76
“children from the sample slept for 9 h per night or longer, as recommended.(11,76) The prevalence of children who slept under 9 h per night was highest among children from families with low perceived wealth.”
BackgroundKatzmarzyk, P. T., Chaput, J., Fogelholm, M., Hu, G., Maher, C. A., Maia, J. A. R., Olds, T., Sarmiento, O. L., Standage, M., Tremblay, M. S., et al. (2019) · Nutrients · doi:10.3390/nu11040848 · Cited by 86
“Canada has recently released 24-h Movement Guidelines for Children and Youth, which attempts to integrate these movement behaviors [69].”
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“Then, adolescents were divided into two groups: those involved in screen-based behaviour ≤2 h per day and > 2 h per day based on recommendations for children and youth [38].”
Moore, S. A., Faulkner, G., Rhodes, R. E., Vanderloo, L. M., Ferguson, L. J., Guerrero, M., BRUSSONI, M. J., Mitra, R., O’Reilly, N., Spence, J. C., et al. (2021) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2021-0354 · Cited by 81
“, 2020), indicated that most children and youth were not meeting the 24-hour movement behaviour guidelines (Tremblay et al., 2016; Carson et al., 2017) in the rst wave of the COVID-19 pandemic.”
BackgroundSelf-citationSampasa‐Kanyinga, H., Hamilton, H. A., & Chaput, J. (2018) · Acta Paediatrica · doi:10.1111/apa.14210 · Cited by 96
“Students who met the physical activity recommendation of at least 60 min per day of moderate-to-vigorous physical activity on all seven days were compared to those not meeting the physical activity guidelines (3,28).”
BackgroundMethodInfluentialSelf-citationHealy, S., Aigner, C. J., Haegele, J. A., & Patterson, F. (2019) · Autism Research · doi:10.1002/aur.2095 · Cited by 80
“A dichotomous variable was created, categorizing the children as meeting the guidelines of 1 hr per day of PA (“every day”) or not (6 days or less) [Tremblay et al., 2016; US Department of Health and Human Services, 2008].”
BackgroundMethodInfluentialdel Pozo-Cruz, B., Perales, F., Parker, P. D., Lonsdale, C., Noetel, M., Hesketh, K. D., & Sanders, T. (2019) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-019-0816-3 · Cited by 80
Kuzik, N., da Costa, B. G. G., Hwang, Y., Verswijveren, S. J. J. M., Rollo, S., Tremblay, M. S., Bélanger, S. A., Carson, V., Davis, M. J., Hornby, S., et al. (2022) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-022-01258-4 · Cited by 101
“In line with the public health concerns surrounding children’s sedentary behaviours, Canada and Australia released 24-h movement behaviour guidelines for children and youth or young-people that included specific sedentary behaviour benchmarks [5, 6].”
BackgroundSelf-citationType 2 Diabetes in Children and Adolescents
Panagiotopoulos, C., Hadjiyannakis, S., & Henderson, M. (2018) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2017.10.037 · Cited by 79
“Level 3 (10,11)] to prevent type 2 diabetes.”
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Impact of COVID-19 Restrictions on Western Australian Children’s Physical Activity and Screen Time
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“has resulted in limited opportunities for children to engage in unstructured PA and free play [5,6].”
BackgroundSleep timing and health indicators in children and adolescents: a systematic review
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“This categorization was based on WHO guideline recommendations for ST for children under 5 years old [3] and on the Canadian guidelines on ST for children and youth [4].”
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“The well-known recommendation is to have no more than 2 h of recreational screen time per day [7].”
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“The current international recommendation for SB states that children should not have more than 2 h of screen-based SB per day (Tremblay et al., 2016; Tremblay, Leblanc, et al., 2011).”
BackgroundPatterns of health behaviour associated with active travel: a compositional data analysis
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“In Canada, the most recent physical activity guidelines for children and young people are based on a ‘healthy 24 h’ including a set of specific recommendations for sleep, sedentary behaviour, light physical activity and MVPA [49].”
BackgroundSelf-citationVandoni, M., Codella, R., Pippi, R., Pellino, V. C., Lovecchio, N., Marin, L., Silvestri, D., Gatti, A., Magenes, V. C., Regalbuto, C., et al. (2021) · Nutrients · doi:10.3390/nu13124459 · Cited by 82
Cristi‐Montero, C., Chillón, P., Labayen, I., Casajús, J. A., González‐Gross, M., Vanhelst, J., Μanios, Y., Moreno, L. A., Ortega, F. B., & Ruiz, J. R. (2018) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2018.03.004 · Cited by 70
“The majority of studies published to date using an integrative methodology to classify PA combining SB and MVPA (high/low SB and meeting/not meeting PA recommendations)21 have mainly focused on the association between single health markers, such as fitness and adiposity in children and adolescents.4,7,8,19,23 Computin…”
ResultInfluentialSleep patterns and sugar-sweetened beverage consumption among children from around the world
Chaput, J., Tremblay, M. S., Katzmarzyk, P. T., Fogelholm, M., Hu, G., Maher, C. A., Maia, J. A. R., Olds, T., Onywera, V. O., Sarmiento, O. L., et al. (2018) · Public Health Nutrition · doi:10.1017/s1368980018000976 · Cited by 71
“9–11 h/night (meeting the sleep recommendations; reference category), in agreement with current sleep duration guidelines((24,25)), to calculate the odds of meeting the sleep duration recommendations for each of the four SSB consumption variables (treated as categorical variables).”
Self-citationScreen time and depression risk: A meta-analysis of cohort studies
Li, L., Zhang, Q., Zhu, L., Zeng, G., Huang, H., Zhuge, J., Kuang, X., Yang, S., Yang, D., Chen, Z., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1058572 · Cited by 71
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“Sleep duration was compared to the Canadian 24-Hour Movement Guidelines for Children and Youth [33] (Table 1), accounting for child age, in order to construct binary dependent variables (i.e., meets guideline versus does not meet guideline) for weekdays and weekends.”
BackgroundMethodInfluentialGonçalves, W. S. F., Byrne, R., Viana, M. T., & Trost, S. G. (2019) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-019-0788-3 · Cited by 75
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“HEALTH BENEFITS OF regular physical activity (PA) in youth are well-documented (Tremblay et al., 2016).”
BackgroundMaking a Strong Case for Prioritizing Muscular Fitness in Youth Physical Activity Guidelines
Faigenbaum, A. D., MacDonald, J. P., Stracciolini, A., & Rebullido, T. R. (2020) · Current Sports Medicine Reports · doi:10.1249/jsr.0000000000000784 · Cited by 75
“Canada (25) 2016 Daily MV ≥60 min Aerobic Strength”
BackgroundPrince, S. A., Roberts, K. C., Melvin, A., Butler, G., & Thompson, W. (2020) · BMC Public Health · doi:10.1186/s12889-020-09234-y · Cited by 74
Kaditis, A. G., Ohler, A., Gileles‐Hillel, A., Choshen‐Hillel, S., Gozal, D., Bruni, O., Aydınöz, S., Cortese, R., & Kheirandish‐Gozal, L. (2021) · Pediatric Pulmonology · doi:10.1002/ppul.25367 · Cited by 69
“Children represent a particularly active population group.(7) Confinement at home during the lockdown period has led to disruption of their daily lifestyle, principally as cessation of in‐person school attendance, transition to online learning, discontinuation of interactions with peers, and limited outdoor activities.”
BackgroundMitra, R., Waygood, E. O. D., & Fullan, J. (2021) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2021.101404 · Cited by 67
“Healthy movement behaviours We explored four movement behaviours during the COVID-19 pandemic, following the Canadian 24-Hour Movement Guidelines for Children and Youth (Tremblay et al., 2016)- (1) physical activity or exercise; (2) screen time (e.”
InfluentialSleep and Adiposity in Preadolescent Children: The Importance of Social Jetlag
Stoner, L. R., Castro, N., Signal, T. L., Skidmore, P. M. L., Faulkner, J., Lark, S. D., Williams, M. A., Muller, D., & Harrex, H. A. L. (2018) · Childhood Obesity · doi:10.1089/chi.2017.0272 · Cited by 67
International school-related sedentary behaviour recommendations for children and youth
Saunders, T. J., Rollo, S., Kuzik, N., Demchenko, I., Bélanger, S. A., Brisson‐Boivin, K., Carson, V., da Costa, B. G. G., Davis, M. J., Hornby, S., et al. (2022) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-022-01259-3 · Cited by 66
“Australian Government Department of Health; 2021 [cited 2021 Nov 18].”
MethodInfluentialSelf-citationManyanga, T., Barnes, J. D., Chaput, J., Katzmarzyk, P. T., Prista, A., & Tremblay, M. S. (2019) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-019-0861-y · Cited by 75
Self-citationMougharbel, F., & Goldfield, G. S. (2020) · Current Obesity Reports · doi:10.1007/s13679-020-00401-1 · Cited by 67
Obesity and Endocrine Management of the Patient With Duchenne Muscular Dystrophy
Weber, D. R., Hadjiyannakis, S., McMillan, H., Noritz, G., & Ward, L. (2018) · Pediatrics · doi:10.1542/peds.2018-0333f · Cited by 51
Kim, H., Ma, J., Harada, K., Lee, S., & Gu, Y. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17249320 · Cited by 65
“The results of this study were similar to those of the Finnish study [33], and the trends of high PA, long sleep duration and low screen time were similar to those reported in Canada, Australia, and the United States.”
BackgroundInfluentialLoo, B. K. G., Okely, A. D., Pulungan, A. B., & Jalaludin, M. Y. (2021) · British Journal of Sports Medicine · doi:10.1136/bjsports-2021-104527 · Cited by 72
Self-citationSociodemographic Differences in Young Children Meeting 24-Hour Movement Guidelines
Kracht, C. L., Webster, E. K., & Staiano, A. E. (2019) · Journal of Physical Activity and Health · doi:10.1123/jpah.2019-0018 · Cited by 64
Goldilocks Days: optimising children’s time use for health and well-being
Dumuid, D., Olds, T., Lange, K., Edwards, B., Lycett, K., Burgner, D. P., Simm, P. J., Dwyer, T., Le, H., & Wake, M. A. (2021) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2021-216686 · Cited by 64
Self-citationZou, L., Wang, T., Herold, F., Ludyga, S., Liu, W., Zhang, Y., Healy, S., Zhang, Z., Kuang, J., Taylor, A., et al. (2022) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2022.100337 · Cited by 72
Self-citationBrown, D. M. Y., Arbour‐Nicitopoulos, K. P., Ginis, K. A. M., Latimer‐Cheung, A. E., & Bassett-Gunter, R. L. (2020) · Autism · doi:10.1177/1362361320922658 · Cited by 65
“First, while the Canadian 24-Hour Movement Guidelines recommend 60 min of moderate to vigorous PA each day (Tremblay et al., 2016), parents in the present study may have overestimated their child’s PA behaviour by including in their estimate, light-intensity PA such as walking, in addition to…”
BackgroundMethodInfluentialSelf-citationThe Impact of COVID-19 and Homeschooling on Students' Engagement With Physical Activity
Roe, A., Blikstad‐Balas, M., & Dalland, C. P. (2021) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2020.589227 · Cited by 63
“, 2019), and there is ample evidence that a sedentary lifestyle in students is associated with chronic diseases later in life and other health-related risk behaviors such has unhealthy dietary patterns (Carson et al., 2016; Tremblay et al., 2016).”
BackgroundCain, K. L., Salmon, J., Conway, T. L., Cerin, E., Hinckson, E. A., Mitáš, J., Schipperijn, J., Frank, L. D., Anjana, R. M., Barnett, A. H., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-046636 · Cited by 64
Lang, J. J., Chaput, J., Longmuir, P. E., Barnes, J. D., Belanger, K., Tomkinson, G. R., Anderson, K. D., Bruner, B., Copeland, J. L., Gregg, M. J., et al. (2018) · BMC Public Health · doi:10.1186/s12889-018-5896-5 · Cited by 63
Self-citation24-Hour Movement Behaviors and Internalizing and Externalizing Behaviors Among Youth.
Sampasa-Kanyinga, H., Colman, I., Goldfield, G., Janssen, I., Wang, J.-L., Tremblay, M., Barnes, J., Walsh, J. J., & Chaput, J. (2020) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2020.09.003 · Cited by 57
“6 at least 60 minutes of moderate-to-vigorous physical activity per day, 2 hours or less of recreational screen time per day, and 9-11 hours of sleep per night for 5- to 13-year-olds and 810 hours per night for 14- to 17-year-olds [25].”
BackgroundMethodSelf-citationWatson, A., Dumuid, D., Maher, C. A., & Olds, T. (2021) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2020.12.004 · Cited by 67
“The guidelines for children in Australia (5 17 years old), New Zealand (5 17 years old), South Africa (school-aged children), and Canada (5 17 years old) recommend that a healthy 24-h period should comprise at least 60 min of daily MVPA, no more than 2 h of daily recreational screen time, and 9 11 h of sleep per night…”
BackgroundSelf-citationVincent, G. E., Jay, S. M., Sargent, C., Vandelanotte, C., Ridgers, N. D., & Ferguson, S. A. (2017) · Frontiers in Physiology · doi:10.3389/fphys.2017.00865 · Cited by 62
“…a 24-h period to promote health and prevent chronic disease represents a new direction of behavior change intervention research (Chastin et al., 2015; Tremblay et al., 2016), beyond conventional approaches that advocate improving any single behavior in isolation (e.g., increasing amount of MVPA).”
BackgroundTesting the association between physical activity and executive function skills in early childhood
Willoughby, M. T., Wylie, A. C., & Catellier, D. (2018) · Early Childhood Research Quarterly · doi:10.1016/j.ecresq.2018.03.004 · Cited by 69
Chong, K. H., Parrish, A., Cliff, D. P., Kemp, B. J., Zhang, Z., & Okely, A. D. (2019) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2019.12.002 · Cited by 60
Self-citationSedentary behavior patterns and adiposity in children: a study based on compositional data analysis
Gába, A., Pedišić, Ž., Štefelová, N., Dygrýn, J., Hron, K., Dumuid, D., & Tremblay, M. S. (2020) · BMC Pediatrics · doi:10.1186/s12887-020-02036-6 · Cited by 65
Self-citation24-hour movement guidelines and suicidality among adolescents
Sampasa‐Kanyinga, H., Chaput, J., Goldfield, G. S., Janssen, I., Wang, J., Hamilton, H. A., & Colman, I. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.096 · Cited by 61
Self-citationMental Health, Smartphone Use Type, and Screen Time Among Adolescents in South Korea
Woo, K. S., Bong, S. H., Choi, T. Y., & Kim, J. W. (2021) · Psychology Research and Behavior Management · doi:10.2147/prbm.s324235 · Cited by 66
Gilchrist, J. D., Battista, K., Patte, K. A., Faulkner, G., Carson, V., & Leatherdale, S. T. (2021) · Mental Health and Physical Activity · doi:10.1016/j.mhpa.2020.100380 · Cited by 57
Self-citationKontostoli, E., Jones, A., Pearson, N., Foley, L. S., Biddle, S., & Atkin, A. J. (2021) · Obesity Reviews · doi:10.1111/obr.13263 · Cited by 73
Banks, L., Rosenthal, S., Manlhiot, C., Fan, C. S., McKillop, A., Longmuir, P. E., & McCrindle, B. W. (2017) · Pediatric Cardiology · doi:10.1007/s00246-017-1645-2 · Cited by 65
Duncan, S., Stewart, T. I., Mackay, L. M., Neville, J., Narayanan, A., Walker, C. G., Berry, S., & Morton, S. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15071296 · Cited by 60
“Indeed, public health agencies in Canada (followed by New Zealand and Australia) recently released universal movement guidelines that provide physical activity, sedentary behaviour, and sleep recommendations across a hypothetical 24 h day [7,8].”
BackgroundChen, B., Bernard, J. Y., Padmapriya, N., Ning, Y., Cai, S., Lança, C., Tan, K. H., Yap, F. K. P., Chong, Y. S., Shek, L. P., et al. (2020) · The Lancet Child & Adolescent Health · doi:10.1016/s2352-4642(19)30424-9 · Cited by 64
The impact of COVID-19 on Physical Activity of Czech children
Štveráková, T., Jačiško, J., Busch, A. M., Šafářová, M., Kolář, P., & Kobesová, A. (2021) · PLoS ONE · doi:10.1371/journal.pone.0254244 · Cited by 67
Groves, C. I., Huong, C., Porter, C. D., Summerville, B., Swafford, I., Witham, B., Hayward, M., KWAN, M. Y. W., & Brown, D. M. Y. (2024) · Journal of Activity Sedentary and Sleep Behaviors · doi:10.1186/s44167-024-00048-6 · Cited by 74
School start time and sleep in Canadian adolescents
Gariépy, G., Janssen, I., Sentenac, M., & Elgar, F. J. (2016) · Journal of Sleep Research · doi:10.1111/jsr.12475 · Cited by 60
“The evidence indicates that at least one-third of adolescents do not meet the minimum sleep recommendations of 8–9 h (Tremblay et al., 2016) on weeknights (Basch et al.”
BackgroundMethodInfluentialSelf-citationHesketh, K. D., Downing, K. L., Campbell, K. J., Crawford, D. A., Salmon, J., & Hnatiuk, J. A. (2017) · BMC Public Health · doi:10.1186/s12889-017-4856-9 · Cited by 61
“For these reasons, 24-h movement guidelines for the early years have recently been developed within Canada and Australia, with a focus on these health behaviours in three age groups: infants (birth – <1 year), toddlers (1–2 years) and preschool children (3–5 years) [6, 7].”
BackgroundBuck, C., Loyen, A., Foraita, R., Cauwenberg, J. V., Craemer, M. D., MacDonncha, C., Oppert, J., Brug, J., Lien, N., Cardon, G., et al. (2019) · PLoS ONE · doi:10.1371/journal.pone.0211546 · Cited by 58
“Consequently, several countries have issued specific recommendations to reduce time spent in sedentary behaviours at all ages as part of their national public health guidelines for physical activity [9, 10].”
BackgroundRubín, L., Gába, A., Dygrýn, J., Jakubec, L., Materová, E., & Vencálek, O. (2020) · BMC Public Health · doi:10.1186/s12889-020-09802-2 · Cited by 60
Zheng, C., Feng, J., Huang, Y., & Wong, S. H. (2021) · Health & Place · doi:10.1016/j.healthplace.2021.102546 · Cited by 56
Loebach, J. E., Sanches, M., Jaffe, J., & Elton‐Marshall, T. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18073617 · Cited by 58
“The Canadian Society for Exercise Physiology (CSEP) 24-Hour Movement Guidelines recommend that young people aged 5 to 17 years should spend no more than 2 hours per day of sedentary behavior, particularly recreational screen time [122].”
BackgroundYang, Z., Hotterbeex, P., Marent, P.-J., Cerin, E., Thomis, M. A., & van Uffelen, J. G. Z. (2024) · Ageing Research Reviews · doi:10.1016/j.arr.2024.102283 · Cited by 67
Jakubec, L., Gába, A., Dygrýn, J., Rubín, L., Šimůnek, A., & Sigmund, E. (2020) · BMC Public Health · doi:10.1186/s12889-020-09213-3 · Cited by 63
“On the basis of the understanding of the effects of human movement behaviors during the entire 24-h period on health [11], the first 24-hour movement guidelines for children and adolescents were developed and presented in Canada [14] in 2016.”
BackgroundBullying involvement, psychological distress, and short sleep duration among adolescents
Sampasa‐Kanyinga, H., Chaput, J., Hamilton, H. A., & Colman, I. (2018) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-018-1590-2 · Cited by 59
Self-citationResults from the Hong Kong's 2018 report card on physical activity for children and youth
Huang, Y., Wong, S. H., Sit, C. H. P., Wong, M. C. S., Sum, R. K. W., Wong, S. W. S., & Yu, J. J. (2018) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2018.10.003 · Cited by 60
Jensen, M., Carpentier, F. R. D., Corvalán, C., Popkin, B. M., Evenson, K. R., Adair, L. S., & Taillie, L. S. (2020) · Appetite · doi:10.1016/j.appet.2021.105670 · Cited by 69
Mazur, A., Zachurzok, A., Baran, J., Dereń, K., Łuszczki, E., Weres, A., Wyszyńska, J., Dylczyk, J., Szczudlik, E., Drożdż, D., et al. (2022) · Nutrients · doi:10.3390/nu14183806 · Cited by 68
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“Exposure of interest: meeting the 24‐HMB guidelines The exposure of interest was meeting the 24-HMB guidelines [41].”
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Duran, A. T., Friel, C. P., Serafini, M. A., Ensari, I., Cheung, Y. K., & Diaz, K. M. (2023) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003109 · Cited by 56
Mougharbel, F., Chaput, J., Sampasa‐Kanyinga, H., Hamilton, H. A., Colman, I., Leatherdale, S. T., & Goldfield, G. S. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1190390 · Cited by 77
Self-citation
Metadata
- Authors
- Tremblay, M. S., Carson, V., Chaput, J.-P., Connor Gorber, S., Dinh, T., Duggan, M., Faulkner, G., Gray, C. E., Gruber, R., Janson, K., Janssen, I., Katzmarzyk, P. T., Kho, M. E., Latimer-Cheung, A. E., LeBlanc, C., Okely, A. D., Olds, T., Pate, R. R., Phillips, A., Poitras, V. J., Rodenburg, S., Sampson, M., Saunders, T. J., Stone, J. A., Stratton, G., Weiss, S. K., & Zehr, L.
- Affiliations
- University of Ottawa (CA)
- University of Alberta (CA)
- Public Health Agency of Canada, Ottawa, ON K1A 0K9, Canada.
- Conference Board of Canada (CA)
- Canadian Society for Exercise Physiology (CA)
- University of British Columbia (CA)
- Children's Hospital of Eastern Ontario (CA)
- Douglas Mental Health University Institute (CA)
- ParticipACTION (CA)
- Queen's University (CA)
- Pennington Biomedical Research Center (US)
- McMaster University (CA)
- Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada.
- McGill University (CA)
- University of Wollongong (AU)
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute of Health Research, University of South Australia, Adelaide 5001, Australia.
- University of South Carolina (US)
- No affiliation.
- University of Prince Edward Island (CA)
- University of Calgary (CA)
- Swansea University (GB)
- University of Toronto (CA)
- Camosun College (CA)
- ORCID
- Venue
- Applied Physiology, Nutrition, and Metabolism
- Publisher
- Canadian Science Publishing
- Published
- 2016-06
- Volume
- 41
- Issue
- 6 (Suppl. 3)
- Pages
- S311-S327
- ISSN
- 1715-5312 (ISSN-L)
- 1715-5320
- OpenAlex
- W2435437921
- Cited by
- 2,024
- References
- 49
- Citations by year
- 2026: 178 · 2025: 241 · 2024: 246 · 2023: 264 · 2022: 285 · 2021: 270 · 2020: 223 · 2019: 129 · 2018: 108 · 2017: 61 · 2016: 19
- FWCI
- 84.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Applied Physiology, Nutrition, and Metabolism (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- IslandScholar (University of Prince Edward Island) (submittedVersion)
- QSpace (Queen's University Library) (submittedVersion, cc-by)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- 24-hour movement guidelines, children and young people, physical activity, sedentary behavior, sleep, light physical activity, moderate physical activity, high-intensity exercise, health indicators, AGREE II, GRADE, Canadian Health Measures Survey, stakeholder engagement
- MeSH terms
- Adolescent, Adolescent Behavior, Canada, Child, Child Behavior, Child, Preschool, Cross-Sectional Studies, Humans, Sleep, Health Behavior, Exercise, Focus Groups, Guidelines as Topic, Sedentary Behavior
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