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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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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
ALL-CAUSE MORTALITY, CARDIOVASCULAR-DISEASE, SITTING TIME, ASSOCIATION, HEALTH, DURATION, METAANALYSIS, STRENGTH, GRADE, RISK, guideline development, public health recommendations, knowledge, translation, exercise, movement behaviour

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MLA
Ross, Robert, et al. “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.” APPLIED PHYSIOLOGY NUTRITION AND METABOLISM, vol. 45, no. 10, Canadian Science Publishing, 2020, pp. S57–102, doi:10.1139/apnm-2020-0467.
APA
Ross, R., Chaput, J.-P., Giangregorio, L. M., Janssen, I., Saunders, T. J., Kho, M. E., … Tremblay, M. S. (2020). 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. APPLIED PHYSIOLOGY NUTRITION AND METABOLISM, 45(10), S57–S102. https://doi.org/10.1139/apnm-2020-0467
Chicago author-date
Ross, Robert, Jean-Philippe Chaput, Lora M. Giangregorio, Ian Janssen, Travis J. Saunders, Michelle E. Kho, Veronica J. Poitras, et al. 2020. “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.” APPLIED PHYSIOLOGY NUTRITION AND METABOLISM 45 (10): S57–102. https://doi.org/10.1139/apnm-2020-0467.
Chicago author-date (all authors)
Ross, Robert, Jean-Philippe Chaput, Lora M. Giangregorio, Ian Janssen, Travis J. Saunders, Michelle E. Kho, Veronica J. Poitras, Jennifer R. Tomasone, Rasha El-Kotob, Emily C. McLaughlin, Mary Duggan, Julie Carrier, Valerie Carson, Sebastien Chastin, Amy E. Latimer-Cheung, Tala Chulak-Bozzer, Guy Faulkner, Stephanie M. Flood, Mary Kate Gazendam, Genevieve N. Healy, Peter T. Katzmarzyk, William Kennedy, Kirstin N. Lane, Amanda Lorbergs, Kaleigh Maclaren, Sharon Marr, Kenneth E. Powell, Ryan E. Rhodes, Amanda Ross-White, Frank Welsh, Juana Willumsen, and Mark S. Tremblay. 2020. “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.” APPLIED PHYSIOLOGY NUTRITION AND METABOLISM 45 (10): S57–S102. doi:10.1139/apnm-2020-0467.
Vancouver
1.
Ross R, Chaput J-P, Giangregorio LM, Janssen I, Saunders TJ, Kho ME, et al. 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. APPLIED PHYSIOLOGY NUTRITION AND METABOLISM. 2020;45(10):S57–102.
IEEE
[1]
R. Ross et al., “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,” APPLIED PHYSIOLOGY NUTRITION AND METABOLISM, vol. 45, no. 10, pp. S57–S102, 2020.
@article{8695426,
  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},
  author       = {Ross, Robert and Chaput, Jean-Philippe and Giangregorio, Lora M. and Janssen, Ian and Saunders, Travis J. and Kho, Michelle E. and Poitras, Veronica J. and Tomasone, Jennifer R. and El-Kotob, Rasha and McLaughlin, Emily C. and Duggan, Mary and Carrier, Julie and Carson, Valerie and Chastin, Sebastien and Latimer-Cheung, Amy E. and Chulak-Bozzer, Tala and Faulkner, Guy and Flood, Stephanie M. and Gazendam, Mary Kate and Healy, Genevieve N. and Katzmarzyk, Peter T. and Kennedy, William and Lane, Kirstin N. and Lorbergs, Amanda and Maclaren, Kaleigh and Marr, Sharon and Powell, Kenneth E. and Rhodes, Ryan E. and Ross-White, Amanda and Welsh, Frank and Willumsen, Juana and Tremblay, Mark S.},
  issn         = {1715-5312},
  journal      = {APPLIED PHYSIOLOGY NUTRITION AND METABOLISM},
  keywords     = {ALL-CAUSE MORTALITY,CARDIOVASCULAR-DISEASE,SITTING TIME,ASSOCIATION,HEALTH,DURATION,METAANALYSIS,STRENGTH,GRADE,RISK,guideline development,public health recommendations,knowledge,translation,exercise,movement behaviour},
  language     = {eng},
  number       = {10},
  pages        = {S57--S102},
  publisher    = {Canadian Science Publishing},
  title        = {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},
  url          = {http://dx.doi.org/10.1139/apnm-2020-0467},
  volume       = {45},
  year         = {2020},
}

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