On the 24th of April, the World Health Organisation (WHO) recently published a new guideline on physical actvities, sedentary behaviour and screen time for children under the age of 5. According to Dr Tedros Adhanom Ghebreyesus, WHO’s Director General, “Early childhood is a period of rapid development and a time when family lifestyle patterns can be adapted to boost health gains.”
Upon coming up with the guideline, WHO’s panel of experts assessed the effects on young children of inadequate sleep, and time spent sitting watching screens or restrained in chairs and prams. They also reviewed evidence around the benefits of increased activity levels and physical activity for children in general. “Improving physical activity, reducing sedentary time and ensuring quality sleep in young children will improve their physical, mental health and wellbeing, and help prevent childhood obesity and associated diseases later in life,” says Dr Fiona Bull, programme manager for surveillance and population-based prevention of noncommunicable diseases, at WHO. If healthy physical activity, sedentary behaviour and sleep habits are established early in life, this helps shape habits through childhood, adolescence and into adulthood.
Recommendations at a glance:
Infants (less than 1 year) should:
- Be physically active several times a day in a variety of ways, particularly through interactive floor-based play; more is better. For those not yet mobile, this includes at least 30 minutes in prone position (tummy time) spread throughout the day while awake.
- Not be restrained for more than 1 hour at a time (e.g. prams/strollers, high chairs, or strapped on a caregiver’s back). Screen time is not recommended. When sedentary, engaging in reading and storytelling with a caregiver is encouraged.
- Have 14–17h (0–3 months of age) or 12–16h (4–11 months of age) of good quality sleep, including naps.
Children 1-2 years of age should:
- Spend at least 180 minutes in a variety of types of physical activities at any intensity, including moderate-to-vigorous-intensity physical activity, spread throughout the day; more is better.
- Not be restrained for more than 1 hour at a time (e.g., prams/strollers, high chairs, or strapped on a caregiver’s back) or sit for extended periods of time. For 1-year-olds, sedentary screen time (such as watching TV or videos, playing computer games) is not recommended. For those aged 2 years, sedentary screen time should be no more than 1 hour; less is better. When sedentary, engaging in reading and storytelling with a caregiver is encouraged.
- Have 11-14 hours of good quality sleep, including naps, with regular sleep and wake-up times.
Children 3-4 years of age should:
- Spend at least 180 minutes in a variety of types of physical activities at any intensity, of which at least 60 minutes is moderate- to vigorous intensity physical activity, spread throughout the day; more is better.
- Not be restrained for more than 1 hour at a time (e.g., prams/strollers) or sit for extended periods of time. Sedentary screen time should be no more than 1 hour; less is better. When sedentary, engaging in reading and storytelling with a caregiver is encouraged.
- Have 10–13h of good quality sleep, which may include a nap, with regular sleep and wake-up times.
More information:
- WHO guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age
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