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Asia-Pacific Consensus Statement on integrated 24-hour activity guidelines for children and adolescents
  1. Benny Kai Guo Loo1,
  2. Anthony David Okely2,3,
  3. Aman Pulungan4,
  4. Muhammad Yazid Jalaludin5
  5. Asia-Pacific 24-Hour Activity Guidelines for Children and Adolescents Committee
    1. 1Department of Paediatrics, KK Women's and Children's Hospital, Singapore
    2. 2School of Health and Society, University of Wollongong, Wollongong, New South Wales, Australia
    3. 3Illawarra Health and Medical Research Institute, Wollongong, New South Wales, Australia
    4. 4Child Health Department, Universitas Indonesia-Cipto Mangunkusumo Hospital, Depok, Jawa Barat, Indonesia
    5. 5Department of Paediatrics, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia
    1. Correspondence to Dr Benny Kai Guo Loo, Paediatric Medicine, KK Women's and Children's Hospital, Singapore, Singapore; benny.loo.k.g{at}


    Non-communicable diseases (NCDs) constitute a significant public health challenge and pose a great burden on health and social systems throughout the world. The Asia-Pacific region is in a vulnerable position as the prevalence of NCDs will inevitably increase with rapid socioeconomic transitions; yet it is ill prepared for this public health challenge as Asian children are among the most physically inactive in the world. Aligned with the WHO’s global strategy to control NCDs via preventive measures and health promotion policies, representatives from the Asia-Pacific region came together to develop consensus statement on integrated 24-hour activity guidelines for children and adolescents. These guidelines apply to children and adolescents, aged 5–18 years, in the Asia-Pacific region, regardless of gender, cultural background or socioeconomic status. These guidelines aim to provide the latest evidence-based recommendations, taking a holistic approach to lifestyle activities and adopting a practical perspective by framing these activities within a 24-hour period. Eating and dietary elements were incorporated as they closely influence the energy balance of the movement behaviours and vice versa. By investing in the younger generations through advocacy for healthier lifestyles, we aim to reduce the burden of NCDs in the Asia-Pacific region.

    • physical activity
    • sedentary behavior
    • sleep
    • diet
    • children

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    • Collaborators The members of the consensus working group are: Australia - Senior Prof Anthony OKELY, University of Wollongong, New South Wales; China - Prof Feihong LUO, Children’s Hospital, Fudan University, Shanghai; Germany – Assoc Prof Falk MÜLLER-RIEMENSCHNEIDER, Berlin Institute of Health, Berlin; Hong Kong - Assoc Prof Betty Wain Man BUT, Queen Elizabeth Hospital; India - Prof M.C.K. NAIR, Kerala University of Health Sciences, Kerala; Indonesia - Dr Aman Bakhti PULUNGAN, Indonesian Pediatric Society, Jakarta; Japan - Prof Ichiro MORIOKA, Nihon University, Tokyo; Assoc Prof Nobuhiko NAGANO, Nihon University, Tokyo; Malaysia - Assoc Prof Azriyanti ANUAR ZAINI, University of Malaya, Kuala Lumpur; Dr Thiyagar NADARAJAW, Hospital Sultanah Bahiyah, Kedah; Prof Muhammad Yazid JALALUDIN, University of Malaya, Kuala Lumpur; Myanmar - Dr Mya Sandar THEIN, Yangon Children Hospital, Yangon; Philippines - Dr Divina Cristy REDONDO-SAMIN, Premier Medical Center, Neuva Ecija; Singapore – Dr Benny Kai Guo LOO, KK Women’s and Children’s Hospital; Prof Kok Hian TAN, KK Women’s and Children’s Hospital; Assoc Prof Benedict TAN, Changi General Hospital; Prof Michael Yong Hwa CHIA, Nanyang Technological University; Dr Dinesh SIRISENA, Khoo Teck Puat Hospital; Mr Micheal LIM, KK Women’s and Children’s Hospital; Ms Ethel Jie Kai LIM, KK Women’s and Children’s Hospital; Dr Mohammad Ashik ZAINUDDIN, KK Women’s and Children’s Hospital; Dr Poh Chong CHAN, National University Hospital; Assoc Prof Ngiap Chuan TAN, SingHealth Polyclinics; Dr Ratnaporn SIRIAMORNSARP, SingHealth Polyclinics; Dr Jean Yin OH, KK Women’s and Children’s Hospital; Dr Oon Hoe TEOH, KK Women’s and Children’s Hospital; Dr Teresa TAN, National University Hospital; Prof Victor Samuel RAJADURAI, KK Women’s and Children’s Hospital; Dr Terry Chin Chye TEO, KK Women’s and Children’s Hospital; Dr Phaik Ling QUAH, KK Women’s and Children’s Hospital; Dr Natarajan PADMAPRIYA, National University of Singapore; Sri Lanka - Prof Sachith METTANANADA, University of Kelaniya, Kelaniya; Thailand - Dr Areekul AMORNSRIWATANAKUL, Mahidol University, Bangkok; Assoc Prof Pongsak NOIPAYAK, Navamindradhiraj University, Bangkok; Vietnam - Dr Manh Nhi HUYNH, Hospital for Traumatology and Orthopedics, Ho Chi Minh; Dr Thuy Song Ha NGUYEN, University of Medicine Pham Ngoc Thach, Ho Chi Minh.

    • Contributors All authors are part of the consensus workgroup and contributed to the consensus statement. The manuscript was drafted by BKGL and reviewed by all coauthors. All authors approved the final manuscript.

    • Funding Integrated platform for research in advancing metabolic health outcomes of women and children (NMRC/CG/C008A/2017_KKH).

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.