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Asia-Pacific consensus statement on integrated 24-hour activity guidelines for the early years

Benny Kai Guo Loo1, Anthony Okely2, Rachael Taylor3

  • 1Sport and Exercise Medicine Service, KK Women's and Children's Hospital, Singapore.

The Lancet Regional Health. Western Pacific
|February 14, 2023
PubMed

Insights

Promoting healthy lifestyle behaviors in early childhood is crucial for development and preventing future non-communicable diseases (NCDs). Integrated 24-hour activity guidelines were developed for Asia-Pacific children under five to optimize health.

Area of Science:

  • Pediatrics
  • Public Health
  • Preventive Medicine

Background:

  • Early childhood is a critical period for establishing lifelong health behaviors.
  • Non-communicable diseases (NCDs) pose a significant health burden in the Asia-Pacific region, with high rates of risk factors in young children.
  • Promoting healthy lifestyles in early years offers protection against future NCDs and optimizes development.

Purpose of the Study:

  • To develop integrated 24-hour activity guidelines for children under five years in the Asia-Pacific region.
  • To provide a holistic framework for physical activity, sedentary behavior, and sleep.
  • To align with global strategies for NCD prevention through early life interventions.

Main Methods:

  • A consensus statement was developed by representatives from 19 Asia-Pacific nations.
  • The GRADE-ADOLOPMENT framework was utilized in guideline development.
  • Guidelines integrate physical activity, sedentary behavior, sleep, and dietary patterns within a 24-hour period.

Main Results:

  • Integrated 24-hour activity guidelines were established for infants, toddlers, and preschoolers (<5 years).
  • The guidelines offer a practical approach to optimizing children's lifestyle behaviors.
  • Dietary patterns are recognized as integral to metabolic health and energy balance.

Conclusions:

  • Implementing these guidelines can provide children with a healthy start in life.
  • Cultivating healthy behaviors in early childhood is key to reducing the future burden of NCDs in the Asia-Pacific.
  • These guidelines support the World Health Organization's Global Action Plan for NCD prevention.
Abstract

Keywords:
DietInfantPhysical activityPre-schoolerSedentary behaviourSleepToddler

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