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Cited by 637

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

Open access
Tremblay, Mark S., Chaput, Jean-Philippe, Adamo, Kristi B., Aubert, Salomé, Barnes, Joel D., Choquette, Louise, Duggan, Mary, Faulkner, Guy, Goldfield, Gary S., Gray, Casey E., Gruber, Reut, Janson, Katherine, Janssen, Ian, Janssen, Xanne, Jaramillo Garcia, Alejandra, Kuzik, Nicholas, LeBlanc, Claire, MacLean, Joanna, Okely, Anthony D., Poitras, Veronica J., Rayner, Mary-Ellen, Reilly, John J., Sampson, Margaret, Spence, John C., Timmons, Brian W., Carson, Valerie·2017·BMC Public Health

Abstract

BACKGROUND: 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). METHODS: 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. RESULTS: 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. 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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Metadata

Authors
Tremblay, M. S., Chaput, J.-P., Adamo, K. B., Aubert, S., Barnes, J. D., Choquette, L., Duggan, M., Faulkner, G., Goldfield, G. S., Gray, C. E., Gruber, R., Janson, K., Janssen, I., Janssen, X., Jaramillo Garcia, A., Kuzik, N., LeBlanc, C., MacLean, J., Okely, A. D., Poitras, V. J., Rayner, M.-E., Reilly, J. J., Sampson, M., Spence, J. C., Timmons, B. W., & Carson, V.
Venue
BMC Public Health
Published
2017-11
Volume
17
Issue
S5
Pages
874-874
ISSN
1471-2458 (ISSN-L)
OpenAlex
W2770656318
Cited by
637
References
20
FWCI
33.99
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Canadian 24-Hour Movement Guidelines for the Early Years (0–4 years): An Integration of Physical Activity, Sedentary Behaviour, and Sleep. https://app.cochat.ai/papers/10.1186/s12889-017-4859-6
The paper
Tremblay, M. S., Chaput, J.-P., Adamo, K. B., Aubert, S., Barnes, J. D., Choquette, L., Duggan, M., Faulkner, G., Goldfield, G. S., Gray, C. E., Gruber, R., Janson, K., Janssen, I., Janssen, X., Jaramillo Garcia, A., Kuzik, N., LeBlanc, C., MacLean, J., Okely, A. D., . . . Carson, V. (2017). Canadian 24-Hour Movement Guidelines for the Early Years (0–4 years): An Integration of Physical Activity, Sedentary Behaviour, and Sleep. BMC Public Health. https://doi.org/10.1186/s12889-017-4859-6

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.