Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older: an integration of physical activity, sedentary behaviour, and sleep

doi:10.1139/apnm-2020-0467

Guideline

. 2020 Oct;45(10 (Suppl. 2)):S57-S102.

doi: 10.1139/apnm-2020-0467.

Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older: an integration of physical activity, sedentary behaviour, and sleep

Robert Ross¹, Jean-Philippe Chaput², Lora M Giangregorio^{3

4}, Ian Janssen¹, Travis J Saunders⁵, Michelle E Kho⁶, Veronica J Poitras⁷, Jennifer R Tomasone¹, Rasha El-Kotob^{3

8}, Emily C McLaughlin³, Mary Duggan⁹, Julie Carrier¹⁰, Valerie Carson¹¹, Sebastien F Chastin^{12

13}, Amy E Latimer-Cheung¹, Tala Chulak-Bozzer¹⁴, Guy Faulkner¹⁵, Stephanie M Flood¹, Mary Kate Gazendam¹⁶, Genevieve N Healy¹⁷, Peter T Katzmarzyk¹⁸, William Kennedy¹⁹, Kirstin N Lane^{9

20}, Amanda Lorbergs²¹, Kaleigh Maclaren⁹, Sharon Marr²², Kenneth E Powell¹⁹, Ryan E Rhodes²⁰, Amanda Ross-White²³, Frank Welsh²⁴, Juana Willumsen²⁵, Mark S Tremblay²

Affiliations

¹ School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada.
² Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada.
³ Department of Kinesiology, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
⁴ Schlegel-University of Waterloo Research Institute for Aging, University of Waterloo, ON N2J 0E2, Canada.
⁵ Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada.
⁶ School of Rehabilitation Sciences, McMaster University, Hamilton, ON L8S 1C7, Canada.
⁷ Independent Researcher, Kanata, ON K2K 0E5, Canada.
⁸ KITE, Toronto Rehabilitation Institute, University Health Network, Toronto, ON M4G 3V9, Canada.
⁹ Canadian Society for Exercise Physiology, Ottawa, ON K2A 4B1, Canada.
¹⁰ Départment de psychologie, Université de Montréal, Montréal, QC H2V 2S9, Canada.
¹¹ Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada.
¹² School of Health and Life Science, Glasgow Caledonian University, Glasgow, G4 0BA, Scotland.
¹³ Department of Movement and Sport Sciences, Ghent University, Belgium, Ghent.
¹⁴ ParticipACTION, Toronto, ON M5S 1M2, Canada.
¹⁵ School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z1, Canada.
¹⁶ Loyalist Family Health Team, Amherstview, ON K7N 0B6, Canada.
¹⁷ School of Public Health, University of Queensland, Herston, QLD 4006, Australia.
¹⁸ Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA.
¹⁹ Retired, No Affiliation.
²⁰ School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8P 5C2, Canada.
²¹ Canadian Frailty Network, Kingston, ON K7L 3N6, Canada.
²² Department of Medicine, Division of Geriatric Medicine, McMaster University, Hamilton, ON L8S 4L8, Canada.
²³ Queen's University Library, Queen's University, Kingston, ON K7L 3N6, Canada.
²⁴ Canadian Public Health Association, Ottawa, ON K1Z 8R9, Canada.
²⁵ Department of Health Promotion, World Health Organization, Geneva 27, Switzerland.

PMID: 33054332
DOI: 10.1139/apnm-2020-0467

Free article

Guideline

Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older: an integration of physical activity, sedentary behaviour, and sleep

Robert Ross et al. Appl Physiol Nutr Metab. 2020 Oct.

Free article

. 2020 Oct;45(10 (Suppl. 2)):S57-S102.

doi: 10.1139/apnm-2020-0467.

Authors

Affiliations

¹ School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada.
² Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada.
³ Department of Kinesiology, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
⁴ Schlegel-University of Waterloo Research Institute for Aging, University of Waterloo, ON N2J 0E2, Canada.
⁵ Department of Applied Human Sciences, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada.
⁶ School of Rehabilitation Sciences, McMaster University, Hamilton, ON L8S 1C7, Canada.
⁷ Independent Researcher, Kanata, ON K2K 0E5, Canada.
⁸ KITE, Toronto Rehabilitation Institute, University Health Network, Toronto, ON M4G 3V9, Canada.
⁹ Canadian Society for Exercise Physiology, Ottawa, ON K2A 4B1, Canada.
¹⁰ Départment de psychologie, Université de Montréal, Montréal, QC H2V 2S9, Canada.
¹¹ Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada.
¹² School of Health and Life Science, Glasgow Caledonian University, Glasgow, G4 0BA, Scotland.
¹³ Department of Movement and Sport Sciences, Ghent University, Belgium, Ghent.
¹⁴ ParticipACTION, Toronto, ON M5S 1M2, Canada.
¹⁵ School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z1, Canada.
¹⁶ Loyalist Family Health Team, Amherstview, ON K7N 0B6, Canada.
¹⁷ School of Public Health, University of Queensland, Herston, QLD 4006, Australia.
¹⁸ Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA.
¹⁹ Retired, No Affiliation.
²⁰ School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC V8P 5C2, Canada.
²¹ Canadian Frailty Network, Kingston, ON K7L 3N6, Canada.
²² Department of Medicine, Division of Geriatric Medicine, McMaster University, Hamilton, ON L8S 4L8, Canada.
²³ Queen's University Library, Queen's University, Kingston, ON K7L 3N6, Canada.
²⁴ Canadian Public Health Association, Ottawa, ON K1Z 8R9, Canada.
²⁵ Department of Health Promotion, World Health Organization, Geneva 27, Switzerland.

PMID: 33054332
DOI: 10.1139/apnm-2020-0467

Abstract

The Canadian Society for Exercise Physiology assembled a Consensus Panel representing national organizations, content experts, methodologists, stakeholders, and end-users and followed an established guideline development procedure to create the Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. These guidelines underscore the importance of movement behaviours across the whole 24-h day. The development process followed the strategy outlined in the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. A large body of evidence was used to inform the guidelines including 2 de novo systematic reviews and 4 overviews of reviews examining the relationships among movement behaviours (physical activity, sedentary behaviour, sleep, and all behaviours together) and several health outcomes. Draft guideline recommendations were discussed at a 4-day in-person Consensus Panel meeting. Feedback from stakeholders was obtained by survey (n = 877) and the draft guidelines were revised accordingly. The final guidelines provide evidence-based recommendations for a healthy day (24-h), comprising a combination of sleep, sedentary behaviours, and light-intensity and moderate-to-vigorous-intensity physical activity. Dissemination and implementation efforts with corresponding evaluation plans are in place to help ensure that guideline awareness and use are optimized. Novelty First ever 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older with consideration of a balanced approach to physical activity, sedentary behaviour, and sleep Finalizes the suite of 24-Hour Movement Guidelines for Canadians across the lifespan.

Keywords: application des connaissances; comportement de mouvement; exercice; exercise; guideline development; knowledge translation; movement behaviour; public health recommendations; recommandations de santé publique; élaboration de directives.

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Comment in

First sleep health guidelines for Canadian adults: implications for clinicians.
Chaput JP, Carrier J. Chaput JP, et al. Sleep Med. 2021 Mar;79:117-118. doi: 10.1016/j.sleep.2021.01.012. Epub 2021 Jan 12. Sleep Med. 2021. PMID: 33524835 No abstract available.

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Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older: an integration of physical activity, sedentary behaviour, and sleep

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Canadian 24-Hour Movement Guidelines for Adults aged 18-64 years and Adults aged 65 years or older: an integration of physical activity, sedentary behaviour, and sleep

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