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Report sets exercise guidelines for young kids, including 㽶Ƶֱtummy time㽶Ƶֱ for babies

Kids aged one to four should get at least three hours of physical activity throughout the day
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(Pixabay)

New guidelines set the minimum amount of activity that toddlers, preschoolers and even babies should get each day.

The new report was developed by experts including the Canadian Society for Exercise Physiology; obesity specialists at Ottawa㽶Ƶֱs Children㽶Ƶֱs Hospital of Eastern Ontario; and the non-profit group ParticipAction.

The 㽶Ƶֱ24-Hour Movement Guidelines for the Early Years㽶Ƶֱ suggests kids aged one to four should get at least three hours of physical activity spread throughout the day.

That includes at least one hour of 㽶Ƶֱenergetic play㽶Ƶֱ for three- and four-year-olds 㽶Ƶֱ something that previously wasn㽶Ƶֱt recommended until age five. Suggestions include running, dancing, or playing outside.

Babies, too, should work on daily goals. Researchers suggest those younger than 12 months get at least 30 minutes of 㽶Ƶֱtummy time㽶Ƶֱ spread throughout the day. It㽶Ƶֱs the first time this group has been assigned a minimum duration of what could be considered exercise.

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The guidelines are based on research that suggests kids aged four and younger are much too sedentary and get too much screen time.

㽶ƵֱThe earlier we can influence the trajectory of children㽶Ƶֱs behaviours, growth and development, the better,㽶Ƶֱ says Dr. Mark Tremblay, director of the Healthy Active Living and Obesity Research Group at the Ottawa hospital.

㽶ƵֱThere㽶Ƶֱs a greater chance that if that trajectory changes a little wee bit, way back when you㽶Ƶֱre really young, by the time you reach the end of adolescence that could amount to a whole heck of a lot.㽶Ƶֱ

The guide follows a similar report released in June 2016 with advice for five- to 17-year-olds.

Like that previous report, the guide takes a 㽶Ƶֱwhole day㽶Ƶֱ approach that integrates previously separate recommendations for sedentary and active time. Parents are urged to see how their kids㽶Ƶֱ sleep, sedentary and active time are all interrelated.

Tremblay says just 13 per cent of preschoolers aged three and four meet the overall guidelines, a shortfall he blames on too much screen time. As much as 76 per cent of preschoolers exceed the one-hour limit of screen time per day.

He㽶Ƶֱd like to see that age group in 㽶Ƶֱenergetic㽶Ƶֱ play for at least 60 minutes spread throughout the day, in addition to two more hours of activity at any level 㽶Ƶֱ 㽶Ƶֱmore intensity is better,㽶Ƶֱ he adds.

There wasn㽶Ƶֱt enough data to suggest a minimum amount of energetic play for toddlers aged one and two, but again, Tremblay says more is better.

There was enough data to recommend that babies who are not yet sitting or crawling get at least 30 minutes of waking time on their tummy, supervised and spread out throughout the day.

㽶ƵֱAllow them to develop the muscles on the front and the back, in different positions,㽶Ƶֱ Tremblay says of the practice, which puts a baby on their tummy, thereby forcing them to use their neck and back muscles to get a look at their surroundings.

Floor-based play can help build strength, too, with suggestions including reaching and grasping, pushing and pulling, and crawling.

Also new this time around: references to 㽶Ƶֱscreen time㽶Ƶֱ are now qualified as 㽶Ƶֱsedentary screen time.㽶Ƶֱ

That㽶Ƶֱs because screens have become so ubiquitous that it㽶Ƶֱs possible for a preschooler to have a smartphone in their hand while walking, says Tremblay.

㽶ƵֱThe safety of assuming that screen time is sedentary has deteriorated over time,㽶Ƶֱ he acknowledges, adding a quick qualification. 㽶ƵֱI still think the vast majority of it for all of us is done sedentary.㽶Ƶֱ

There is no recommendation on 㽶Ƶֱactive㽶Ƶֱ screen use 㽶Ƶֱ such as video games based on a player㽶Ƶֱs movement 㽶Ƶֱ which was not studied.

㽶ƵֱI know kids sometimes at home are watching Disney videos and they㽶Ƶֱre dancing around to them and that happens. That㽶Ƶֱs better than if they weren㽶Ƶֱt (moving), but not as good as if they were just dancing around to music with Mom and Dad,㽶Ƶֱ says Tremblay.

㽶ƵֱThat㽶Ƶֱs what the literature seems to show 㽶Ƶֱ the authenticity of human contact and three-dimensional experiences is better.㽶Ƶֱ

Excessive screen time before age five is linked to language delays, reduced attention and lower school readiness.

While not all sedentary time is harmful 㽶Ƶֱ such as reading or storytelling with a caregiver 㽶Ƶֱ the report says toddlers and preschoolers should not be allowed to sit for extended periods, or be restrained for more than one hour at a time, such as in a stroller.





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