The South African 24-hour movement guidelines for birth to 5 years: an integration of physical activity, sitting behavior, screen time, and sleep

Catherine E. Draper*, Simone A. Tomaz, Linda Biersteker, Caylee J. Cook, Jacqui Couper, Monique De Milander, Kamesh Flynn, Sonja Giese, Soezin Krog, Estelle V. Lambert, Tamarin Liebenberg, Cyndi Mendoza, Terri Nunes, Anita Pienaar, Alessandra Priorieschi, Dale E. Rae, Nafeesa Rahbeeni, John J. Reilly, Louis Reynolds, Marie Louise SamuelsRicardo Siljeur, Jody Urion, Mariza Van Wyk, Anthony D. Okely

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

85 Citations (Scopus)
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Abstract

Background: In December 2018, the South African 24-hour movement guidelines for birth to 5 years were released. This article describes the process used to develop these guidelines. Methods: The Grading of Recommendations Assessment, Development, and Evaluation-ADOLOPMENT approach was followed, with some pragmatic adaptions, using the Australian guidelines for the early years as a starting point. A consensus panel, including stakeholders in early childhood development and academics, was formed to assist with the development process. Results: At a face-to-face meeting of the panel, global and local literatures were considered. Following this meeting, a first draft of the guidelines (including a preamble) was formulated. Further reviews of these drafts by the panel were done via e-mail, and a working draft was sent out for stakeholder consultation. The guidelines and preamble were amended based on stakeholder input, and an infographic was designed. Practical "tips" documents were also developed for caregivers of birth to 5-year-olds and early childhood development practitioners. The guidelines (and accompanying documents) were released at a launch event and disseminated through various media channels. Conclusions: These are the first movement guidelines for South African and the first such guidelines for this age group from a low- and middle-income country.

Original languageEnglish
Pages (from-to)109-119
Number of pages11
JournalJournal of Physical Activity and Health
Volume17
Issue number1
DOIs
Publication statusPublished - 31 Jan 2020

Funding

The authors are grateful for the assistance of the WHO, which provided us access to the updated systematic literature reviews for use in the development of these guidelines. The development of the SA guidelines was funded by the Laureus Sport for Good Foundation South Africa. Additional dissemination support was provided by the DST-NRF Centre of Excellence in Human Development, and the launch of the guidelines was hosted and funded by the Nelson Mandela Children’s Fund. The authors would like to thank colleagues from the University of South Africa and the National Department of Basic Education for their assistance with the translation of the guideline material as well as Lisa Fincham and Catherine Lacey for their input in developing the 2 documents of practical suggestions for parents and practitioners.

Keywords

  • early childhood
  • GRADE-ADOLOPMENT
  • public health recommendations
  • sedentary behavior

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