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Davenport MH, Mottola MF, Ruchat SM, Davies GA, Poitras VJ, Gray CE, Jaramillo Garcia A, Barrowman N, Adamo KB, Duggan M, Barakat R, Chilibeck P, Fleming K, Forte M, Korolnek J, Nagpal TS, Slater LG, Stirling D, Zehr L. Author response: Comment and questions to Mottola et al (2018): 2018 Canadian guideline for physical activity throughout pregnancy. J Obstet Gynaecol Can 2019; 41:1406-1408. [PMID: 31548038 DOI: 10.1016/j.jogc.2019.04.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 04/16/2019] [Accepted: 04/18/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Margie H Davenport
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB
| | | | - Stephanie-May Ruchat
- Department of Human Kinetics, Université du Québec à Trois-Rivières, Trois-Rivières, QC
| | - Gregory A Davies
- Department of Obstetrics and Gynaecology, Queen's University, Kingston, ON
| | | | - Casey E Gray
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON
| | | | - Nick Barrowman
- Clinical Research Unit, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON
| | - Kristi B Adamo
- School of Human Kinetics, University of Ottawa, Ottawa, ON
| | - Mary Duggan
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Ruben Barakat
- Faculty of Sciences of Physical Activity and Sport-INEF, Universidad Politécnica de Madrid, Madrid, Spain
| | - Phil Chilibeck
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
| | - Karen Fleming
- Department of Family and Community Medicine, Sunnybrook Health Sciences Centre, Toronto, ON
| | - Milena Forte
- Department of Family and Community Medicine, Mount Sinai Hospital, Toronto, ON
| | | | | | - Linda G Slater
- John W. Scott Health Sciences Library, University of Alberta, Edmonton, AB
| | | | - Lori Zehr
- School of Health and Human Services, Camosun College, Victoria, BC
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Mottola MF, Davenport MH, Ruchat SM, Davies GA, Poitras VJ, Gray CE, Jaramillo Garcia A, Barrowman N, Adamo KB, Duggan M, Barakat R, Chilibeck P, Fleming K, Forte M, Korolnek J, Nagpal T, Slater LG, Stirling D, Zehr L. 2019 Canadian guideline for physical activity throughout pregnancy. Br J Sports Med 2018; 52:1339-1346. [DOI: 10.1136/bjsports-2018-100056] [Citation(s) in RCA: 221] [Impact Index Per Article: 36.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2018] [Indexed: 01/01/2023]
Abstract
The objective is to provide guidance for pregnant women and obstetric care and exercise professionals on prenatal physical activity. The outcomes evaluated were maternal, fetal or neonatal morbidity, or fetal mortality during and following pregnancy. Literature was retrieved through searches of MEDLINE, EMBASE, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Scopus and Web of Science Core Collection, CINAHL Plus with Full Text, Child Development & Adolescent Studies, Education Resources Information Center, SPORTDiscus, ClinicalTrials.gov and the Trip Database from inception up to 6 January 2017. Primary studies of any design were eligible, except case studies. Results were limited to English-language, Spanish-language or French-language materials. Articles related to maternal physical activity during pregnancy reporting on maternal, fetal or neonatal morbidity, or fetal mortality were eligible for inclusion. The quality of evidence was rated using the Grading of Recommendations Assessment, Development and Evaluation methodology. The Guidelines Consensus Panel solicited feedback from end users (obstetric care providers, exercise professionals, researchers, policy organisations, and pregnant and postpartum women). The development of these guidelines followed the Appraisal of Guidelines for Research and Evaluation II instrument. The benefits of prenatal physical activity are moderate and no harms were identified; therefore, the difference between desirable and undesirable consequences (net benefit) is expected to be moderate. The majority of stakeholders and end users indicated that following these recommendations would be feasible, acceptable and equitable. Following these recommendations is likely to require minimal resources from both individual and health systems perspectives.
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Mottola MF, Davenport MH, Ruchat SM, Davies GA, Poitras V, Gray C, Jaramillo Garcia A, Barrowman N, Adamo KB, Duggan M, Barakat R, Chilibeck P, Fleming K, Forte M, Korolnek J, Nagpal T, Slater L, Stirling D, Zehr L. N° 367-2019 Lignes Directrices Canadiennes Sur L'activité Physique Durant La Grossesse. J Obstet Gynaecol Can 2018; 40:1538-1548. [PMID: 30343980 DOI: 10.1016/j.jogc.2018.09.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
OBJECTIF L'objectif est de guider les femmes enceintes et les professionnels de l'obstétrique et de l'exercice en ce qui concerne l'activité physique prénatale. RéSULTATS: Les issues évaluées étaient la morbidité maternelle, fœtale ou néonatale et la mortalité fœtale pendant et après la grossesse. DONNéES: Nous avons interrogé MEDLINE, Embase, PsycINFO, la Cochrane Database of Systematic Reviews, le Cochrane Central Register of Controlled Trials, Scopus et la Web of Science Core Collection, CINAHL Plus with Full Text, Child Development & Adolescent Studies, ERIC, SPORTDiscus, ClinicalTrials.gov de leur création jusqu'au 6 janvier 2017. Les études primaires de tous types étaient admissibles, à l'exception des études de cas. Seules les publications en anglais, en espagnol et en français ont été retenues. Les articles liés à l'activité physique durant la grossesse qui abordaient la morbidité maternelle, fœtale ou néonatale ou la mortalité fœtale étaient admissibles. La qualité des données probantes a été évaluée au moyen de l'approche GRADE (Grading of Recommendations Assessment, Development and Evaluation). VALEURS Le groupe d'experts responsable des lignes directrices a recueilli les commentaires d'utilisateurs finaux (fournisseurs de soins obstétricaux, professionnels de l'exercice, chercheurs, organismes responsables de politiques, et femmes enceintes et en période postpartum). La directive clinique a été élaborée au moyen de l'outil Appraisal of Guidelines for Research Evaluation (AGREE) II. AVANTAGES, INCONVéNIENTS, ET COûTS: Les avantages de l'activité physique prénatale sont modérés, et aucun inconvénient n'a été relevé; la différence entre les conséquences désirables et indésirables (avantage net) devrait donc être modérée. La majorité des intervenants et des utilisateurs finaux ont indiqué qu'il serait faisable, acceptable et équitable de suivre ces recommandations, qui nécessitent généralement des ressources minimes de la part des personnes et des systèmes de santé. PRÉAMBULE: Les présentes lignes directrices contiennent des recommandations fondées sur des données probantes au sujet de l'activité physique durant la grossesse visant à favoriser la santé maternelle, fœtale et néonatale. En l'absence de contre-indications (voir la liste détaillée plus loin), le fait de suivre ces lignes directrices est associé à : 1) moins de complications pour le nouveau-né (p. ex., gros par rapport à l'âge gestationnel); et 2) des bienfaits pour la santé maternelle (p. ex., diminution du risque de prééclampsie, d'hypertension gravidique, de diabète gestationnel, de césarienne, d'accouchement opératoire, d'incontinence urinaire, de gain de poids excessif durant la grossesse et de dépression; amélioration de la glycémie; diminution du gain de poids total durant la grossesse; et diminution de la gravité des symptômes dépressifs et de la douleur lombo-pelvienne). L'activité physique n'est pas associée à la fausse couche, à la mortinaissance, au décès néonatal, à l'accouchement prématuré, à la rupture prématurée préterme des membranes, à l'hypoglycémie néonatale, au poids insuffisant à la naissance, aux anomalies congénitales, au déclenchement du travail, ou aux complications à la naissance. En général, une augmentation de l'activité physique (fréquence, durée ou volume) est liée à une augmentation des bienfaits. Cependant, nous n'avons pas trouvé de données probantes concernant l'innocuité ou l'avantage accru de l'exercice à des niveaux considérablement supérieurs aux recommandations. L'activité physique prénatale devrait être vue comme un traitement de première ligne pour réduire le risque de complications de la grossesse et améliorer la santé physique et mentale de la mère. Pour les femmes enceintes qui n'atteignent actuellement pas le niveau recommandé, nous recommandons une augmentation progressive pour l'atteindre. Les femmes déjà actives peuvent continuer de l'être tout au long de la grossesse. Elles pourraient devoir modifier le type d'activité à mesure que leur grossesse avance. Il peut devenir impossible de suivre les lignes directrices pendant certaines périodes en raison de la fatigue ou des inconforts de la grossesse; nous encourageons les femmes à faire ce qu'elles peuvent et à revenir aux recommandations lorsqu'elles en sont capables. Les recommandations qui suivent reposent sur une revue systématique approfondie de la littérature, l'opinion d'experts, la consultation d'utilisateurs finaux et des considérations de faisabilité, d'acceptabilité, de coût et d'équité. RECOMMANDATIONS Les recommandations des Lignes directrices canadiennes sur l'activité physique durant la grossesse 2019 sont fournies ci-dessous avec des énoncés indiquant la qualité des données probantes utilisées et la force des recommandations (des explications suivent). CONTRE-INDICATIONS Toutes les femmes enceintes peuvent faire de l'activité physique durant la grossesse, sauf celles qui présentent des contre-indications (voir ci-dessous). Celles présentant des contre-indications absolues peuvent poursuivre leurs activités quotidiennes habituelles, mais ne devraient pas faire d'activités plus vigoureuses. Celles présentant des contre-indications relatives devraient discuter des avantages et des inconvénients de l'activité physique d'intensité modérée à vigoureuse avec leur fournisseur de soins obstétricaux avant d'y prendre part. CONTRE-INDICATIONS ABSOLUES Contre-indications relatives FORCE DES RECOMMANDATIONS: Nous avons utilisé le système GRADE pour évaluer la force des recommandations. Les recommandations sont jugées fortes ou faibles en fonction de : 1) l'équilibre entre les avantages et les inconvénients; 2) la qualité globale des données probantes; 3) l'importance des issues (valeurs et préférences des femmes enceintes); 4) l'utilisation de ressources (coût); 5) l'incidence sur l'équité en matière de santé; 6) la faisabilité et 7) l'acceptabilité. Recommandation forte : La majorité ou la totalité des femmes enceintes auraient avantage à suivre la recommandation. Recommandation faible : Les femmes enceintes n'auraient pas toutes avantage à suivre la recommandation; il faut tenir compte d'autres facteurs comme la situation, les préférences, les valeurs, les ressources et le milieu de chaque personne. La consultation d'un fournisseur de soins obstétricaux peut faciliter la prise de décisions. QUALITé DES DONNéES PROBANTES: La qualité des données probantes fait référence au degré de confiance dans les données et va de très faible à élevée. Qualité élevée : Le groupe d'experts responsable des lignes directrices est très convaincu que l'effet estimé de l'activité physique sur l'issue de santé est près de l'effet réel. Qualité moyenne : Le groupe d'experts responsable des lignes directrices a moyennement confiance en l'effet estimé de l'activité physique sur l'issue de santé; l'effet estimé est probablement près de l'effet réel, mais il est possible qu'il soit très différent. Qualité faible : Le groupe d'experts responsable des lignes directrices a peu confiance en l'effet estimé de l'activité physique sur l'issue de santé; l'effet estimé pourrait être très différent de l'effet réel. Qualité très faible : Le groupe d'experts responsable des lignes directrices a très peu confiance en l'effet estimé de l'activité physique sur l'issue de santé; l'effet estimé est probablement très différent de l'effet réel. a Il s'agit d'une recommandation faible parce que la qualité des données probantes était faible et que l'avantage net entre les femmes qui étaient physiquement actives et celles qui ne l'étaient pas était petit. b Il s'agit d'une recommandation forte parce que, malgré le fait que les données probantes appuyant l'activité physique durant la grossesse pour les femmes en surpoids ou obèses étaient de qualité faible, des données tirées d'essais cliniques randomisés démontraient une diminution du gain de poids durant la grossesse et une amélioration de la glycémie. c On parle d'intensité modérée lorsque l'activité est assez intense pour augmenter la fréquence cardiaque de façon perceptible; une personne peut parler, mais pas chanter durant les activités de cette intensité. Pensons par exemple à la marche rapide, à la gymnastique aquatique, au vélo stationnaire (effort modéré), à l'entraînement musculaire, au port de charges modérées et aux travaux ménagers (p. ex., jardinage, lavage de fenêtres). d Il s'agit d'une recommandation faible parce que l'incontinence urinaire n'était pas jugée comme étant une issue « critique » et que les données étaient de qualité faible. e Il s'agit d'une recommandation faible parce que : 1) la qualité des données probantes était très faible; et 2) bien que nous ayons étudié les inconvénients, il y avait peu de renseignements disponibles sur l'équilibre entre les avantages et les inconvénients. Cette recommandation était principalement fondée sur l'opinion d'experts.
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Mottola MF, Davenport MH, Ruchat SM, Davies GA, Poitras V, Gray C, Jaramillo Garcia A, Barrowman N, Adamo KB, Duggan M, Barakat R, Chilibeck P, Fleming K, Forte M, Korolnek J, Nagpal T, Slater L, Stirling D, Zehr L. No. 367-2019 Canadian Guideline for Physical Activity throughout Pregnancy. J Obstet Gynaecol Can 2018; 40:1528-1537. [PMID: 30297272 DOI: 10.1016/j.jogc.2018.07.001] [Citation(s) in RCA: 94] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The objective is to provide guidance for pregnant women, and obstetric care and exercise professionals, on prenatal physical activity. OUTCOMES The outcomes evaluated were maternal, fetal, or neonatal morbidity or fetal mortality during and following pregnancy. EVIDENCE Literature was retrieved through searches of Medline, EMBASE, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Scopus and Web of Science Core Collection, CINAHL Plus with Full-text, Child Development & Adolescent Studies, ERIC, Sport Discus, ClinicalTrials.gov, and the Trip Database from database inception up to January 6, 2017. Primary studies of any design were eligible, except case studies. Results were limited to English, Spanish, or French language materials. Articles related to maternal physical activity during pregnancy reporting on maternal, fetal, or neonatal morbidity or fetal mortality were eligible for inclusion. The quality of evidence was rated using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. VALUES The Guidelines Consensus Panel solicited feedback from end-users (obstetric care providers, exercise professionals, researchers, policy organizations, and pregnant and postpartum women). The development of this guideline followed the Appraisal of Guidelines for Research Evaluation (AGREE) II instrument. BENEFITS, HARMS, AND COSTS The benefits of prenatal physical activity are moderate, and no harms were identified; therefore, the difference between desirable and undesirable consequences (net benefit) is expected to be moderate. The majority of stakeholders and end-users indicated that following these recommendations would be feasible, acceptable, and equitable. Following these recommendations is likely to require minimal resources from both individual and health systems perspectives. PREAMBLE This guideline provide evidence-based recommendations regarding physical activity throughout pregnancy in the promotion of maternal, fetal, and neonatal health. In the absence of contraindications (see later for a detailed list), following this guideline is associated with: (1) fewer newborn complications (i.e., large for gestational age); and (2) maternal health benefits (i.e., decreased risk of preeclampsia, gestational hypertension, gestational diabetes, Caesarean section, instrumental delivery, urinary incontinence, excessive gestational weight gain, and depression; improved blood glucose; decreased total gestational weight gain; and decreased severity of depressive symptoms and lumbopelvic pain). Physical activity is not associated with miscarriage, stillbirth, neonatal death, preterm birth, preterm/prelabour rupture of membranes, neonatal hypoglycemia, low birth weight, birth defects, induction of labour, or birth complications. In general, more physical activity (frequency, duration, and/or volume) is associated with greater benefits. However, evidence was not identified regarding the safety or additional benefit of exercising at levels significantly above the recommendations. Prenatal physical activity should be considered a front-line therapy for reducing the risk of pregnancy complications and enhancing maternal physical and mental health. For pregnant women not currently meeting this guideline, a progressive adjustment toward them is recommended. Previously active women may continue physical activity throughout pregnancy. Women may need to modify physical activity as pregnancy progresses. There may be periods when following the guideline is not possible due to fatigue and/or discomforts of pregnancy; women are encouraged to do what they can and to return to following the recommendations when they are able. This guideline were informed by an extensive systematic review of the literature, expert opinion, end-user consultation and considerations of feasibility, acceptability, costs, and equity. RECOMMENDATIONS The specific recommendations in this 2019 Canadian Guideline for Physical Activity Throughout Pregnancy are provided below with corresponding statements indicating the quality of the evidence informing the recommendations and the strength of the recommendations (explanations follow). CONTRAINDICATIONS All pregnant women can participate in physical activity throughout pregnancy with the exception of those who have contraindications (listed below). Women with absolute contraindications may continue their usual activities of daily living but should not participate in more strenuous activities. Women with relative contraindications should discuss the advantages and disadvantages of moderate-to-vigorous intensity physical activity with their obstetric care provider prior to participation. Absolute contraindications to exercise are the following: Relative contraindications to exercise are the following: STRENGTH OF THE RECOMMENDATIONS: The GRADE system was utilized to grade the strength of the recommendations. Recommendations are rated as strong or weak based on the: (1) balance between benefits and harms; (2) overall quality of the evidence; (3) importance of outcomes (i.e., values and preferences of pregnant women); (4) use of resources (i.e., cost); (5) impact on health equity; (6) feasibility, and (7) acceptability. Strong recommendation: Most or all pregnant women will be best served by the recommended course of action. Weak recommendation: Not all pregnant women will be best served by the recommended course of action; there is a need to consider other factors such as the individual's circumstances, preferences, values, resources available, or setting. Consultation with an obstetric care provider may assist in decision-making. QUALITY OF THE EVIDENCE The quality of the evidence refers to the level of confidence in the evidence and ranges from very low to high. High quality: The Guideline Consensus Panel is very confident that the estimated effect of physical activity on the health outcome is close to the true effect. Moderate quality: The Guideline Consensus Panel is moderately confident in the estimated effect of physical activity on the health outcome; the estimate of the effect is likely to be close to the true effect, but there is a possibility that it is substantially different. Low quality: The Guideline Consensus Panel's confidence in the estimated effect of physical activity on the health outcome is limited; the estimate of the effect may be substantially different from the true effect. Very low quality: The Guideline Consensus Panel has very little confidence in the estimated effect of physical activity on the health outcome; the estimate of the effect is likely to be substantially different from the true effect. aThis was a weak recommendation because the quality of evidence was low, and the net benefit between women who were physically active and those who were not was small. bThis was a strong recommendation because, despite low quality evidence supporting physical activity during pregnancy for women categorized as overweight or obese, there was evidence from randomized controlled trials demonstrating an improvement in gestational weight gain and blood glucose. cModerate-intensity physical activity is intense enough to noticeably increase heart rate; a person can talk but not sing during activities of this intensity. Examples of moderate-intensity physical activity include brisk walking, water aerobics, stationary cycling (moderate effort), resistance training, carrying moderate loads, and household chores (e.g., gardening, washing windows). dThis was a weak recommendation because urinary incontinence was was not rated as a "critical" outcome and the evidence was low quality. eThis was a weak recommendation because: (1) the quality of evidence was very low; and (2) although harms were investigated there was limited available information to inform the balance of benefits and harms. This recommendation was primarily based on expert opinion.
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Latimer-Cheung AE, Copeland JL, Fowles J, Zehr L, Duggan M, Tremblay MS. The Canadian 24-Hour Movement Guidelines for Children and Youth: Implications for practitioners, professionals, and organizations. Appl Physiol Nutr Metab 2017; 41:S328-35. [PMID: 27306438 DOI: 10.1139/apnm-2016-0086] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The new Canadian 24-Hour Movement Guidelines for Children and Youth emphasize the integration of all movement behaviours that occur over a whole day (i.e., light, moderate, and vigorous physical activity, sedentary behaviour, and sleep). These guidelines shift the paradigm away from considering each behaviour in isolation. This concept of the "whole day matters" not only calls for a change in thinking about movement but also for redevelopment of dissemination and implementation practice. Past guideline launch activities largely have aimed to create awareness through passive dissemination strategies (e.g., Website posts, distribution of print resources). For the integrated guidelines to have public health impact, we must move beyond dissemination and raising of awareness to implementation and behaviour change. Shifting this focus requires new, innovative approaches to intervention, including interdisciplinary collaboration, policy change, and refocused service provision. The purpose of this paper is to identify practitioners, professionals, and organizations with potential to disseminate and/or implement the guidelines, discuss possible implementation strategies for each of these groups, and describe the few resources being developed and those needed to support dissemination and implementation efforts. This discussion makes readily apparent the need for a well-funded, comprehensive, long-term dissemination, implementation, and evaluation plan to ensure uptake and activation of the guidelines.
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Affiliation(s)
- Amy E Latimer-Cheung
- a School of Kinesiology and Health Studies, Queen's University, 28 Division Street, Kingston, ON K7L 3N6, Canada.,b Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
| | - Jennifer L Copeland
- c Deptartment of Kinesiology and Physical Education, University of Lethbridge, 4401 University Drive, Lethbridge AB T1K 3M4, Canada
| | - Jonathon Fowles
- d School of Kinesiology, Acadia University, 550 Main Street, Wolfville, NS B4P 2R6, Canada
| | - Lori Zehr
- e Camosun College, 3100 Foul Bay Road, Victoria, BC V8P 5J2, Canada
| | - Mary Duggan
- f Canadian Society for Exercise Physiology, 370-18 Louisa St., Ottawa, ON K1R 6Y6, Canada
| | - Mark S Tremblay
- b Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada.,g Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
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Tremblay MS, Carson V, Chaput JP, Connor Gorber S, Dinh T, Duggan M, Faulkner G, Gray CE, Gruber R, Janson K, Janssen I, Katzmarzyk PT, Kho ME, Latimer-Cheung AE, LeBlanc C, Okely AD, Olds T, Pate RR, Phillips A, Poitras VJ, Rodenburg S, Sampson M, Saunders TJ, Stone JA, Stratton G, Weiss SK, Zehr L. Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. Appl Physiol Nutr Metab 2017; 41:S311-27. [PMID: 27306437 DOI: 10.1139/apnm-2016-0151] [Citation(s) in RCA: 924] [Impact Index Per Article: 132.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Leaders from the Canadian Society for Exercise Physiology convened representatives of national organizations, content experts, methodologists, stakeholders, and end-users who followed rigorous and transparent guideline development procedures to create the Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. These novel guidelines for children and youth aged 5-17 years respect the natural and intuitive integration of movement behaviours across the whole day (24-h period). The development process was guided by the Appraisal of Guidelines for Research Evaluation (AGREE) II instrument and systematic reviews of evidence informing the guidelines were assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Four systematic reviews (physical activity, sedentary behaviour, sleep, integrated behaviours) examining the relationships between and among movement behaviours and several health indicators were completed and interpreted by expert consensus. Complementary compositional analyses were performed using Canadian Health Measures Survey data to examine the relationships between movement behaviours and health indicators. A stakeholder survey was employed (n = 590) and 28 focus groups/stakeholder interviews (n = 104) were completed to gather feedback on draft guidelines. Following an introductory preamble, the guidelines provide evidence-informed recommendations for a healthy day (24 h), comprising a combination of sleep, sedentary behaviours, light-, moderate-, and vigorous-intensity physical activity. Proactive dissemination, promotion, implementation, and evaluation plans have been prepared in an effort to optimize uptake and activation of the new guidelines. Future research should consider the integrated relationships among movement behaviours, and similar integrated guidelines for other age groups should be developed.
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Affiliation(s)
- Mark S Tremblay
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada.,b Department of Pediatrics, University of Ottawa, ON K1H 8L1, Canada
| | - Valerie Carson
- c Faculty of Physical Education and Recreation, University of Alberta, Edmonton, AB T6G 2H9, Canada
| | - Jean-Philippe Chaput
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada.,b Department of Pediatrics, University of Ottawa, ON K1H 8L1, Canada
| | | | - Thy Dinh
- e The Conference Board of Canada, Ottawa, ON K1H 8M7, Canada
| | - Mary Duggan
- f Canadian Society for Exercise Physiology, Ottawa, ON K1R 6Y6, Canada
| | - Guy Faulkner
- g School of Kinesiology, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
| | - Casey E Gray
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Reut Gruber
- h Attention, Behavior, and Sleep Laboratory, Douglas Mental Health University Institute, Verdun, QC H4H 1R3, Canada
| | | | - Ian Janssen
- j School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada.,k Department of Public Health Sciences, Queen's University, Kingston, ON K7L 3N6, Canada
| | | | - Michelle E Kho
- m School of Rehabilitation Science, McMaster University, Hamilton, ON L8S 1C7, Canada
| | - Amy E Latimer-Cheung
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada.,j School of Kinesiology and Health Studies, Queen's University, Kingston, ON K7L 3N6, Canada
| | - Claire LeBlanc
- n Department of Pediatrics, McGill University, Montreal, QC H4A 3J1, Canada
| | - Anthony D Okely
- o Early Start Research Institute, Faculty of Social Sciences, University of Wollongong, Wollongong, New South Wales 2522, Australia
| | - Timothy Olds
- p Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute of Health Research, University of South Australia, Adelaide 5001, Australia
| | - Russell R Pate
- q Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
| | | | - Veronica J Poitras
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | | | - Margaret Sampson
- a Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada
| | - Travis J Saunders
- s Applied Human Sciences, Faculty of Science, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada
| | - James A Stone
- t Cardiovascular Health and Stroke Strategic Clinical Network, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
| | - Gareth Stratton
- u Applied Sport Technology Exercise and Medicine Research Centre, College of Engineering, Swansea University, Wales, SA2 8PP, UK
| | - Shelly K Weiss
- v Division of Neurology, The Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1X8, Canada
| | - Lori Zehr
- f Canadian Society for Exercise Physiology, Ottawa, ON K1R 6Y6, Canada.,w Camosun College, Victoria, BC V9E 2C1, Canada
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Tremblay MS, Warburton DE, Janssen I, Paterson DH, Latimer AE, Rhodes RE, Kho ME, Hicks A, LeBlanc AG, Zehr L, Murumets K, Duggan M. New Canadian Physical Activity Guidelines. Appl Physiol Nutr Metab 2011; 36:36-46; 47-58. [PMID: 21326376 DOI: 10.1139/h11-009] [Citation(s) in RCA: 679] [Impact Index Per Article: 52.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The Canadian Society for Exercise Physiology (CSEP), in cooperation with ParticipACTION and other stakeholders, and with support from the Public Health Agency of Canada (PHAC), has developed the new Canadian Physical Activity Guidelines for Children (aged 5–11 years), Youth (aged 12–17 years), Adults (aged 18–64 years), and Older Adults (aged ≥65 years). The new guidelines include a preamble to provide context and specific guidelines for each age group. The entire guideline development process was guided by the Appraisal of Guidelines for Research Evaluation (AGREE) II instrument, which is the international standard for clinical practice guideline development. Thus, the guidelines have gone through a rigorous and transparent developmental process; we based the recommendations herein on evidence from 3 systematic reviews, and the final guidelines benefitted from an extensive online and in-person consultation process with hundreds of stakeholders and key informants, both domestic and international. Since 2006, the products of our efforts resulted in the completion of 21 peer-reviewed journal articles (including 5 systematic reviews) that collectively guided this work. The process that Canadian researchers undertook to update the national physical activity guidelines represents the most current synthesis, interpretation, and application of the scientific evidence to date.
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Affiliation(s)
- Mark S. Tremblay
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Darren E.R. Warburton
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Ian Janssen
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Donald H. Paterson
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Amy E. Latimer
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Ryan E. Rhodes
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Michelle E. Kho
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Audrey Hicks
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Allana G. LeBlanc
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Lori Zehr
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Kelly Murumets
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Mary Duggan
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
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Tremblay MS, Warburton DE, Janssen I, Paterson DH, Latimer AE, Rhodes RE, Kho ME, Hicks A, LeBlanc AG, Zehr L, Murumets K, Duggan M. Nouvelles Directives canadiennes en matière d’activité physique. Appl Physiol Nutr Metab 2011. [DOI: 10.1139/h11-010] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
La Société canadienne de physiologie de l’exercice (SCPE) en collaboration avec ParticipACTION et des parties prenantes et avec l’appui de l’Agence de santé publique du Canada (ASPC) a élaboré de nouvelles Directives canadiennes en matière d’activité physique à l’intention des enfants (âgés de 5 à 11 ans), des jeunes (âgés de 12 à 17 ans), des adultes (âgés de 18 à 64 ans) et des aînés (âgés de 65 ans et plus). Les nouvelles directives sont composées d’un préambule situant le contexte et de directives spécifiques à chaque tranche d’âge. L’élaboration complète des directives a respecté la Grille II d’évaluation de la qualité des recommandations pour la pratique clinique (AGREE), un outil reconnu internationalement pour l’élaboration des lignes directrices en pratique clinique. L’élaboration des directives résulte d’un processus rigoureux et transparent. Les recommandations présentées dans cet article sont basées sur les données probantes relevées dans trois analyses documentaires systématiques, et les directives finales ont bénéficié des fruits d’une vaste consultation en ligne et en personne auprès de centaines d’intervenants concernés et de sources de premier plan, sur la scène nationale et internationale. Depuis 2006, les résultats de nos efforts se retrouvent entre autres dans 21 articles (dont 5 analyses documentaires systématiques) sanctionnés par des pairs. La démarche entreprise par les chercheurs canadiens pour la mise à jour des directives en matière d’activité physique a abouti à la synthèse, l’interprétation et l’application des données probantes les plus récentes à ce jour.
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Affiliation(s)
- Mark S. Tremblay
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Darren E.R. Warburton
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Ian Janssen
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Donald H. Paterson
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Amy E. Latimer
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Ryan E. Rhodes
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Michelle E. Kho
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Audrey Hicks
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Allana G. LeBlanc
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Lori Zehr
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Kelly Murumets
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Mary Duggan
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Department of Pediatrics, University of Ottawa, 401 Smyth Road, Ottawa, ON K1H 8L1, Canada
- Experimental Medicine Program, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
- School of Kinesiology and Health Studies and Department of Community Health and Epidemiology, Queen’s University, Kingston, ON K7L 3N6, Canada
- School of Kinesiology, University of Western Ontario, London ON N6G 2M3, Canada
- Behavioural Medicine Laboratory, Faculty of Education, University of Victoria, Victoria, BC V8P 5C2, Canada
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Tremblay MS, Shephard RJ, Brawley LR, Cameron C, Craig CL, Duggan M, Esliger DW, Hearst W, Hicks A, Janssen I, Katzmarzyk PT, Latimer AE, Ginis KAM, McGuire A, Paterson DH, Sharratt M, Spence JC, Timmons B, Warburton D, Young TK, Zehr L. Lignes directrices et guides sur l’activité physique à l’intention des Canadiens : les faits et l’avenir. Appl Physiol Nutr Metab 2007; 32 Suppl 2F:S242-9. [DOI: 10.1139/h07-170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This article summarizes the main findings from the papers included in this journal supplement. It consolidates the evidence currently available to inform and advance the development of physical activity guidelines for Canadians, and it highlights the specific needs of various population subgroups. The challenges of translating guideline information into effective and persuasive physical activity messages, of campaigns to disseminate messages and of related evaluations are underlined. Recommendations on how to proceed are based on the evidence base provided by this series of papers; the immediate next steps mandated by this initiative are outlined and priorities for future research are indicated.
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Tremblay MS, Shephard RJ, Brawley LR, Cameron C, Craig CL, Duggan M, Esliger DW, Hearst W, Hicks A, Janssen I, Katzmarzyk PT, Latimer AE, Martin Ginis KA, McGuire A, Paterson DH, Sharratt M, Spence JC, Timmons B, Warburton D, Young TK, Zehr L. Physical activity guidelines and guides for Canadians: facts and futureThis article is part of a supplement entitled Advancing physical activity measurement and guidelines in Canada: a scientific review and evidence-based foundation for the future of Canadian physical activity guidelines co-published by Applied Physiology, Nutrition, and Metabolism and the Canadian Journal of Public Health. It may be cited as Appl. Physiol. Nutr. Metab. 32(Suppl. 2E) or as Can. J. Public Health 98(Suppl. 2). Appl Physiol Nutr Metab 2007. [DOI: 10.1139/h07-125] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This article summarizes the main findings from the papers included in this journal supplement. It consolidates the evidence currently available to inform and advance the development of physical activity guidelines for Canadians, and it highlights the specific needs of various population subgroups. The challenges of translating guideline information into effective and persuasive physical activity messages, of campaigns to disseminate messages, and of related evaluations are underlined. Recommendations on how to proceed are based on the evidence base provided by this series of papers; the immediate next steps mandated by this initiative are outlined and priorities for future research are indicated.
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Affiliation(s)
- Mark S. Tremblay
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Roy J. Shephard
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Lawrence R. Brawley
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Christine Cameron
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Cora Lynn Craig
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Mary Duggan
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Dale W. Esliger
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - William Hearst
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Audrey Hicks
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Ian Janssen
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Peter T. Katzmarzyk
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Amy E. Latimer
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Kathleen A. Martin Ginis
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Ashlee McGuire
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Donald H. Paterson
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Michael Sharratt
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - John C. Spence
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Brian Timmons
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Darren Warburton
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - T. Kue Young
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
| | - Lori Zehr
- Children’s Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1
- University of Toronto, Toronto, ON
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK
- Canadian Fitness and Lifestyle Research Institute, Ottawa, ON
- Canadian Society for Exercise Physiology, Ottawa, ON
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Tremblay MS, Shephard RJ, Brawley LR, Cameron C, Craig CL, Duggan M, Esliger DW, Hearst W, Hicks A, Janssen I, Katzmarzyk PT, Latimer AE, Ginis KAM, McGuire A, Paterson DH, Sharratt M, Spence JC, Timmons B, Warburton D, Young TK, Zehr L. Physical activity guidelines and guides for Canadians: facts and future. Can J Public Health 2007; 98 Suppl 2:S218-S224. [PMID: 18213951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
This article summarizes the main findings from the papers included in this journal supplement. It consolidates the evidence currently available to inform and advance the development of physical activity guidelines for Canadians, and it highlights the specific needs of various population subgroups. The challenges of translating guideline information into effective and persuasive physical activity messages, of campaigns to disseminate messages, and of related evaluations are underlined. Recommendations on how to proceed are based on the evidence base provided by this series of papers; the immediate next steps mandated by this initiative are outlined and priorities for future research are indicated.
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Affiliation(s)
- Mark S Tremblay
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
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