背景:加拿大运动生理学协会召集了国家组织的代表,研究专家,方法学家,利益相关者,和最终用户遵循严格和透明的指南开发程序,以创建加拿大早期(0-4年)的24小时运动指南:身体活动的整合,久坐的行为,和睡眠。这些针对早年儿童的新颖指南涵盖了全天(24小时)运动行为的自然和直观整合。
方法:开发过程以研究和评估指南(AGREE)II工具为指导。四项系统评价(身体活动,久坐的行为,睡眠,合并行为)检查运动行为内部和之间的关系以及准则制定小组完成并解释了一些健康指标。为指导准则的制定而进行的系统审查,以及用于制定建议的框架,遵循建议评估的分级,发展,和评估(等级)方法。使用来自加拿大健康措施调查的数据进行补充成分分析,以检查运动行为与肥胖指标之间的关系。还对与执行拟议准则有关的成本效益和资源使用的证据进行了审查。利益相关者调查(n=546),10次关键线人采访,并完成了14个焦点小组(n=92名参与者),以收集有关指南草案及其传播的反馈意见.
结果:该指南提供了有关光组合的循证建议-,中等强度和高强度的体力活动,久坐的行为,和睡眠婴儿(<1岁),幼儿(1-2年)和学龄前儿童(3-4年)应该达到一个健康的一天(24小时)。积极传播,促销,实施,并制定了评估计划,以优化新指南的吸收和激活。
结论:这些指南代表了公共卫生指南的合理发展,即在一整天的运动行为平衡中构建最佳健康框架。同时尊重最终用户的偏好。未来的研究应该考虑运动行为之间的综合关系,应制定其他年龄组的类似综合指南。
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.