Department of Paediatrics, KK Women's and Children's Hospital, Singapore.
Ann Acad Med Singap. 2022 May;51(5):292-299. doi: 10.47102/annals-acadmedsg.202141.
Lifestyle activities, such as regular physical activity, are important for good metabolic health and the prevention of non-communicable diseases. Epidemiological studies highlight an increase in the proportion of overweight children in Singapore. A workgroup was formed to develop recommendations to encourage children and adolescents (aged 7-17 years) to adopt a holistic approach towards integrating beneficial activities within a daily 24-hour period for good metabolic and general health.
The Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence to Decision framework was employed to formulate the public health question, assess the evidence and draw conclusions for the guide. The evidence for international 24-hour movement guidelines, and guidelines for physical activity, sedentary behaviour, and sleep and eating habits were reviewed. An update of the literature review from August 2018 to end of September 2020 was conducted through an electronic search of Medline and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases.
Ten consensus statements were developed. The statements focused on the overall aim of achieving good metabolic health through integration of these activities and initiatives: light and moderate- to vigorous-intensity physical activity on a regular basis; muscle- and bone-strengthening activities; limiting sedentary behaviour; regular and adequate sleep; good eating habits and choosing nutritionally balanced foods and drinks; practise safety in exercise; and aiming to achieve more or all aforementioned recommendations for the best results.
This set of recommendations provides guidance to encourage Singapore children and adolescents to adopt health-beneficial activities within a 24-hour period.
生活方式活动，如定期进行身体活动，对代谢健康和预防非传染性疾病很重要。流行病学研究强调新加坡超重儿童的比例增加。成立了一个工作组，制定建议，鼓励儿童和青少年（7-17 岁）采取整体方法，将有益的活动融入每天 24 小时的日常生活中，以促进代谢和整体健康。
采用推荐评估、制定和评估（GRADE）证据决策框架来制定公共卫生问题，评估证据并为指南得出结论。审查了国际 24 小时运动指南以及身体活动、久坐行为和睡眠及饮食习惯指南的证据。通过对 Medline 和 Cumulative Index to Nursing and Allied Health Literature（CINAHL）数据库进行电子搜索，对 2018 年 8 月至 2020 年 9 月底的文献进行了更新。
制定了十项共识声明。这些声明侧重于通过整合这些活动和举措实现良好代谢健康的总体目标：定期进行轻至中高强度的身体活动；进行肌肉和骨骼强化活动；限制久坐行为；保持规律充足的睡眠；养成良好的饮食习惯，选择营养均衡的食物和饮料；在运动中注意安全；并努力实现上述所有建议，以获得最佳效果。
这套建议为鼓励新加坡儿童和青少年在 24 小时内采取有益健康的活动提供了指导。
