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Developing International Consensus on Key Indicators for a 24-Hour Movement Behaviour Report Card in Early Childhood:
Wendy Y Huang1,2, Danqing Zhang3, Mark S Tremblay4,5,6
1Department of Sports and Health Sciences, Academy of Wellness and Human Development, Hong Kong Baptist University, Hong Kong, China. wendyhuang@hkbu.edu.hk.
Sports Medicine - Open
|August 7, 2025
Summary
This study developed a standardized framework for assessing 24-hour movement behaviors in young children. The resulting indicators and benchmarks will support global health initiatives for early childhood well-being.
Area of Science:
- Public Health
- Pediatrics
- Behavioral Science
Background:
- World Health Organization guidelines exist for 24-hour movement behaviors in children under five.
- This study builds upon the Active Healthy Kids Global Alliance Report Cards model.
- A framework for early years movement behaviors was needed.
Purpose of the Study:
- To develop a standardized report card for 24-hour movement behaviors in early childhood.
- To establish expert consensus on key indicators and benchmarks for this age group.
- To create an advocacy tool for policy and public health.
Main Methods:
- A three-round, twin-panel Delphi survey was used to achieve expert consensus.
- Experts were identified through international projects, networks, and literature searches.
- Consensus was defined as ≥75% agreement on indicators and benchmarks.
Main Results:
- 72 experts participated, with 56 completing all three survey rounds.
- Consensus was reached on 12 indicators, with refined definitions and benchmarks.
- Weight Status and Motor Proficiency indicators were excluded due to insufficient agreement.
Conclusions:
- A finalized set of indicators, definitions, and benchmarks provides a foundation for a standardized early childhood report card.
- This framework can improve surveillance, facilitate comparisons, and inform policy.
- The results aim to support global public health initiatives for children's well-being.

