Consensus statement on Singapore integrated 24-hour activity guide for early childhood

Area of Science:

• Pediatrics
• Public Health
• Metabolic Health

Background:

• Early childhood is a critical period for establishing lifelong healthy habits.
• Many young children in Singapore do not meet physical activity, sedentary behavior, and sleep recommendations.
• Unhealthy lifestyles in early childhood increase the risk of non-communicable diseases.

Purpose of the Study:

• To develop evidence-based recommendations for caregivers of infants, toddlers, and preschoolers (under 7 years).
• To guide the integration of beneficial activities within a 24-hour period for optimal child development and metabolic health.

Main Methods:

• The Grading of Recommendations Assessment, Development and Evaluation (GRADE)-ADOLOPMENT approach was used.
• International and national guidelines were reviewed, supplemented by literature searches up to September 2021.
• Recommendations were developed for infants, toddlers, and preschoolers.

Main Results:

• Four consensus statements were created for each age group (infants, toddlers, preschoolers).
• Statements emphasize physical activity, limited sedentary behavior, adequate sleep, and healthy eating for metabolic health.
• Integrating these activities within a 24-hour period is key for optimal results.

Conclusions:

• This set of recommendations aims to guide and encourage caregivers in Singapore.
• Promoting beneficial lifestyle activities within a 24-hour period supports child well-being.
• Adopting these recommendations can improve metabolic health and prevent future non-communicable diseases.