GRADE ADOLOPMENT process to develop 24-hour movement behavior recommendations and physical activity guidelines for the under 5s in the UK, 2019

Reilly, J. J., Hughes, A. R., Janssen, X., Hesketh, K., Livingstone, S., Hill, C., Kipping, R., Draper, C. E., Okely, A. D. and Martin, A. (2020) GRADE ADOLOPMENT process to develop 24-hour movement behavior recommendations and physical activity guidelines for the under 5s in the UK, 2019. Journal of Physical Activity and Health, 17(1), pp. 101-108. (doi:10.1123/jpah.2019-0139) (PMID:31877556)

[img]
Preview
Text
191282.pdf - Accepted Version

275kB

Abstract

Background: This article summarizes the approach taken to develop UK Chief Medical Officers’ physical activity guidelines for the Under 5s, 2019. Methods: The Grading of Recommendations Assessment, Development and Evaluation (GRADE)-Adaptation, Adoption, De Novo Development (ADOLOPMENT) approach was used, based on the guidelines from Canada and Australia, with evidence updated to February 2018. Recommendations were based on the associations between (1) time spent in sleep, sedentary time, physical activity, and 10 health outcomes and (2) time spent in physical activity and sedentary behavior on sleep outcomes (duration and latency). Results: For many outcomes, more time spent in physical activity and sleep (up to a point) was beneficial, as was less time spent in sedentary behavior. The authors present, for the first time, evidence in GRADE format on behavior type–outcome associations for infants, toddlers, and preschoolers. Stakeholders supported all recommendations, but recommendations on sleep and screen time were not accepted by the Chief Medical Officers; UK guidelines will refer only to physical activity. Conclusions: This is the first European use of GRADE-ADOLOPMENT to develop physical activity guidelines. The process is robust, rapid, and inexpensive, but the UK experience illustrates a number of challenges that should help development of physical activity guidelines in future.

Item Type:Articles
Additional Information:The work was undertaken with the support of The Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UKCRC Public Health Research Centre of Excellence. Joint funding (MR/KO232331/1) from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the Welsh Government and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. AM was supported by the UK Medical Research Council (grant number MC_UU_12017/14) and the Scottish Government Chief Scientist Office (grant number SPHSU14). KRH is supported by the Wellcome Trust (107337/Z/15/Z).
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Martin, Dr Anne
Authors: Reilly, J. J., Hughes, A. R., Janssen, X., Hesketh, K., Livingstone, S., Hill, C., Kipping, R., Draper, C. E., Okely, A. D., and Martin, A.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:Journal of Physical Activity and Health
Publisher:Human Kinetics
ISSN:1543-3080
ISSN (Online):1543-5474
Copyright Holders:Copyright © 2019 Human Kinetics
First Published:First published in Journal of Physical Activity and Health 17(1):101-108
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

University Staff: Request a correction | Enlighten Editors: Update this record

Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727661SPHSU Core Renewal: Complexity in Health Improvement Research ProgrammeLaurence MooreMedical Research Council (MRC)MC_UU_12017/14IHW - MRC/CSO SPHU
SPSHU14