• Ann Acad Med Singap · May 2022

    Review

    Consensus statement on Singapore integrated 24-hour activity guide for children and adolescents.

    • Benny Kai Guo Loo, Benedict Tan, Michael Yong Hwa Chia, Poh Chong Chan, Dinesh Sirisena, Mohammad Ashik Zainuddin, Jean Yin Oh, Oon Hoe Teoh, Teresa Shu Zhen Tan, Micheal Chee Meng Lim, Ethel Jie Kai Lim, Falk Müller-Riemenschneider, Ngiap Chuan Tan, Ratnaporn Siriamornsarp, Terry Chin Chye Teo, Phaik Ling Quah, Victor Samuel Rajadurai, Kok Hian Tan, and Kee Chong Ng.
    • Department of Paediatrics, KK Women's and Children's Hospital, Singapore.
    • Ann Acad Med Singap. 2022 May 1; 51 (5): 292-299.

    IntroductionLifestyle 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.MethodsThe 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.ResultsTen 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.ConclusionThis set of recommendations provides guidance to encourage Singapore children and adolescents to adopt health-beneficial activities within a 24-hour period.

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