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Consensus statement on Singapore integrated 24-hour activity guide for early childhood
Citation
Loo, B. K. G., Dinesh Sirisena, Müller-Riemenschneider, F., Chia, M. Y. H., Tan, B., Tan, N. C., Teoh, O. H., Lim, E. J. K., Mohammad Ashik Zainuddin, Gao, J. S., Chan, P. C., Tan, T. S. Z., Nirmal Kavalloor Visruthan, Victor Samuel Rajadurai, Chia, M. S., Nur Adila Ahmad Hatib, Cai, S., Ong, J. L., Lo, J. C. Y., … Lee, Y. S. (2023). Consensus statement on Singapore integrated 24-hour activity guide for early childhood. Annals of the Academy of Medicine, Singapore, 52(6), 310–320. https://doi.org/10.47102/annals-acadmedsg.2022315
Author
Loo, Benny Kai Guo
•
Dinesh Sirisena
•
Müller-Riemenschneider, Falk
•
•
Tan, Benedict
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Tan, Ngiap Chuan
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Teoh, Oon Hoe
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Lim, Ethel Jie Kai
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Mohammad Ashik Zainuddin
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Gao, Joanne Shumin
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Chan, Poh Chong
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Tan, Teresa Shu Zhen
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Nirmal Kavalloor Visruthan
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Victor Samuel Rajadurai
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Chia, Moira Suyin
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Nur Adila Ahmad Hatib
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Cai, Shirong
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Ong, Ju Lynn
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Lo, June Chi Yan
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Chong, Mary Foong-Fong
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Lee, Le Ye
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Chew, Elaine Chu Shan
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Siriamornsarp, Ratnaporn
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Lee, Miriam
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Sim, Aaron
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Wong, Chui Mae
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Sherwood, Shelly-Anne
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Toh, Siao Hui
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Quah, Phaik Ling
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Ng, Kee Chong
•
Tan, Kok Hian
•
Lee, Yung Seng
Abstract
Introduction: Early childhood is a critical period for growth and development. Adopting healthy lifestyle behaviours during this period forms the foundation for future well-being and offers the best protection against non-communicable diseases. Singapore studies have shown that many young children are not achieving the recommendations on physical activity, sedentary behaviour and sleep. A workgroup was set up to develop recommendations for caregivers of infants, toddlers and preschoolers (aged <7 years) on how to integrate beneficial activities within a daily 24-hour period for optimal development and metabolic health.
Method: The Grading of Recommendations Assessment, Development and Evaluation (GRADE)-ADOLOPMENT approach was employed for adoption, adaption or de novo development of recommendations. International and national guidelines were used as references, and an update of the literature reviews up to September 2021 was conducted through an electronic search of PubMed, Embase and Cochrane Central Register of Controlled Trials (CENTRAL) databases.
Results: Four consensus statements were developed for each age group: infants, toddlers and preschoolers. The statements focus on achieving good metabolic health through regular physical activity, limiting sedentary behaviour, achieving adequate sleep and positive eating habits. The 13th consensus statement recognises that integration of these activities within a 24-hour period can help obtain the best results.
Conclusion: This set of recommendations guides and encourages caregivers of Singapore infants, toddlers and preschoolers to adopt beneficial lifestyle activities within each 24-hour period.
Publisher
Academy of Medicine, Singapore
Journal
Annals of the Academy of Medicine, Singapore