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

Draper, Catherine E. and Tomaz, Simone A. and Biersteker, Linda and Cook, Caylee J. and Couper, Jacqui and De Milander, Monique and Flynn, Kamesh and Giese, Sonja and Krog, Soezin and Lambert, Estelle V. and Liebenberg, Tamarin and Mendoza, Cyndi and Nunes, Terri and Pienaar, Anita and Priorieschi, Alessandra and Rae, Dale E. and Rahbeeni, Nafeesa and Reilly, John J. and Reynolds, Louis and Samuels, Marie Louise and Siljeur, Ricardo and Urion, Jody and Van Wyk, Mariza and Okely, Anthony D. (2020) The South African 24-hour movement guidelines for birth to 5 years : an integration of physical activity, sitting behavior, screen time, and sleep. Journal of Physical Activity and Health, 17 (1). pp. 109-119. ISSN 1543-3080

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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.