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Table 2 Detailed guideline summary

From: Comparing and assessing physical activity guidelines for children and adolescents: a systematic literature review and analysis

Descriptors Recommendations Reference
Country Issuing authority Date of release Age group Duration Intensity Frequency Inclusion of vigorous physical activity Additional information Bouts Inclusion of a sedentary behaviour recommendation Guideline link or pdf
Argentina
Manual Director De Actividad Física Y Salud De La Republica Argentina
Ministerio De Salud De La Nación
(Spanish)
2013 5–17 years At least 60 min Moderate to vigorous Every Day Should incorporate intense activities at least 3 times per week. Physical activity > 60 min reported additional health benefits.
Daily physical activity should be, for the most part, cardiorespiratory endurance.
Should include activities to strengthen muscles and bones, at least 3 times a week
   https://www.slideshare.net/GESAD/manual-director-de-actividad-fsica-de-la-repblica-argentina
Australia Australian Government Department of Health 2019 5–17 years At least 60 min Moderate to vigorous (involving mainly aerobic activities) Every day Activities that are vigorous at least 3 days per week. Several hours of a variety of light physical activities.
As well as those that strengthen muscle and bone should be incorporated at least 3 days per week.
Sleep: An uninterrupted 9 to 11 h of sleep per night for 5–13 years and 8 to 10 h per night for 14–17 years.
Consistent bed and wake-up times.
  Limiting sedentary recreational screen time to no more than 2 h per day.
Breaking up long periods of sitting as often as possible.
For greater benefit replace sedentary time with additional MVPA, while preserving sufficient sleep.
http://www.health.gov.au/internet/main/publishing.nsf/Content/health-24-hours-phys-act-guidelines
Austria
Austrian recommendations
For health-enhancing physical Activity
Federal Ministry of Health, Health Austria GmbH and Business Unit Fund Healthy Austria 2013 School aged children and adolescents At least 60 min Moderate to vigorous Every day Several times a week activities that stimulate the cardiovascular system through endurance sport activities. Several times a week activities that build strong bones, strengthen muscles, improve agility and maintain flexibility
Several times a week:
activities that improve agility and maintain flexibility
Children at primary school should engage in considerably more physical activity.
  Avoid long periods of inactivity- It is recommended that individuals avoid long periods of physical inertia as much as possible or that they punctuate such periods lasting around two hours or longer with active stints of physical activity. http://fgoe.org/sites/fgoe.org/files/2017-10/2012-10-17.pdf
Canada Canadian Society for Exercise Physiology (CSEP) 2016 5–17 years Accumulate at least 60 min High levels of physical activity, low levels of sedentary behaviour, and sufficient sleep. Every day Vigorous PA should each be incorporated at least 3 days per week. Several hours of a variety of structured and unstructured light physical activities
Muscle and bone strengthening activities should each be incorporated at least 3 days per week.
Sleep: Uninterrupted 9 to 11 h of sleep per night for 5–13 years and 8 to 10 h per night for 14–17 years.
  Sedentary behaviour: no more than 2 h per day of screen time and limit sitting for extended periods. https://indd.adobe.com/view/b82b4a90-6e46-4b1a-b628-d53805688baf
Chile
Recomendaciones para la práctica de Actividad Fisica segun curso de vida
Ministerio de Deporte, Saludy Educacion
(Spanish)
2017 0–3 years
4–6 years
7–9 years
10–17 years
At least 60 to 90 min Moderate to vigorous Every day   Muscle and bone strengthening activities should be incorporated 2 or more days per week.
Activities for muscle strengthening and flexibility at least 2 times per week.
Encourage active transport and outdoor physical activities.
Promoto to be active at home, at the school and in general during daily routine.
Aerobic activities can be done in bouts of at least 10 min.   http://www.mindep.cl/wp-content/uploads/2016/06/Recomendaci%C3%B3n-para-la-pr%C3%A1ctica-de-actividad-f%C3%ADsica-seg%C3%BAn-curso-de-vida.pdf
China National Children’s Medical Center 2018 6–17 years Minimum of 60 min Moderate to vigorous (involving mainly aerobic activities) Every day Recommend vigorous PA be incorporated at least 3 days per week. Recommend bone and muscle strengthening activities be incorporated at least 3 days per week.   Limiting screen time to no more than 2 h per day.
Reducing prolonged sedentary behaviour at class.
Promoting physical activity during break times.
张云婷, et al. “中国儿童青少年身体活动指南.” 中国循证儿科杂志 12.6 (2017): 401–409.
Finland National Institute for Health and Welfare 2008 for PA
2015 for SB
7–18 years At least 1 to 2 h Physically active Every day   In a variety of ways suitable for each age group. At least two hours for a 7-year-old and at least an hour for an 18-year-old The daily dose of exercise should include several at least 10 min of brisk exercise periods Do not sit still continuously for longer than one hour.
Sitting still for more than two hours straight should be avoided. Screen time with entertainment media should not exceed two hours a day.
https://julkaisut.valtioneuvosto.fi/bitstream/handle/10024/69943/978-952-00-3417-7_korj.pdf?sequence=1&isAllowed=y
http://julkaisut.valtioneuvosto.fi/handle/10024/74710
France French Agency for food environmental and occupational health safety Updated 2016 6–11 year and 12–17 years At least
60 min (6–11 years)
60 min (12–17 years)
MVPA Every day   6-11 years: 1 h of MVPA daily
12-17 years: 1 h of MVPA daily exercising the muscles and improving stamina and flexibility
Sleep: 6–11 years 9–11 h of sleep
12–17 years: 8.5–9.5 h of sleep
At least 3 sessions of at least 20 min of high intensity PA (non-consecutive days) 6–11 years: no more than 2 h per day in front of a screen
12–17 years: Limit time in front of a screen and avoid staying in a sitting position for more than 2 consecutive hours
https://www.anses.fr/en/content/physical-activities-%E2%80%93-our-recommendations-children-and-adolescents
Germany German Federal Ministry for Health 2016 6-11 years and 12-18 years 90 min or more; (60 min on every day activities e.g. at least 12,000 steps) MVPA Every day   For primary school aged children, the large muscle groups should be subject to higher-intensity loading on two to three days a week to improve strength and endurance.
Physically inactive children and adolescents should be introduced gradually to the target, e.g. initially 30 min of physical activity on one to two days per week. The duration is then increased first, after which the intensity is increased
  Reduce avoidable sitting to a minimum; particularly reduce screen media to a minimum.
Primary school children maximum 60 min/day
Adolescents: maximum of 120 min/day
https://www.sport.fau.de/files/2015/05/National-Recommendations-for-Physical-Activity-and-Physical-Activity-Promotion.pdf
Ghana Ministry of Health 2009 Children and adolescents (age not stated)   Moderate to vigorous Every day Vigorous aerobic exercise at least 3 days a week. Bone-strengthening physical activity 3 days a week.    http://alwag.org/education/courses/pa-guide.pdf
Malaysia Malaysian Ministry of Health 2017 5–17 years At least 60 min Moderate or vigorous (involving mainly aerobic activities) Every day Vigorous intensity should be incorporated Amounts of physical activity greater than 60 min provide additional health benefits.
Activities that strengthen muscle and bone such as squat, push-ups, curl-ups and lunges should be incorporated.
It is recommended that 30 min of physical activities should be performed in the morning and the rest in the evening depending on the individual’s schedule.
   https://mdes.org.my/wp-content/uploads/2017/07/garis-panduan-aktiviti-fizikal-2017.pdf
Mexico National council for science and technology and Board of Directors
of the National Academy of Medicine in agreement with the WHO
2015 5–17 years Should accumulate at least 60 min Moderate or vigorous or a combination from both. Every day Vigorous –intensity should be incorporated Including those that strengthen muscle and bone at least 3 times per week.
Increase physical activity for more than 60 min a day has additional health benefits.
Daily physical activity should be mostly aerobic, such as walking, running, jumping, dancing.
It can consist of several session throughout the day (e.g. two runs of 30 min)   http://guiasalimentacionyactividadfisica.org.mx/wp-content/uploads/2015/10/Guias-alimentarias-y-de-actividad-fisica.pdf
Netherlands The Health Council Netherlands 2017 4–18 years At least 60 min Moderate to vigorous Moderate intensity: every day Heavy intensity: at least 3 times per week Include activities that strengthen muscle and bone at least 3 times per week.   Avoid spending long periods sitting https://www.healthcouncil.nl/documents/advisory-reports/2017/08/22/physical-activity-guidelines-2017
New Zealand Ministry of Health New Zealand 2017 5–17 years At least 60 min Moderate or vigorous Every day Include vigorous activity at least 3 days a week. Activities that strengthen muscles and bone at least 3 days a week.
Include a variety of light physical activity for several hours a day.
Get enough sleep 5–13 year olds, get 9–11 h of quality uninterrupted sleep each night.
14–17 year olds, get 8–10 h of quality uninterrupted sleep each night.
Have a regular bed time and wake up time.
  Don’t spend much time sitting no more than 2 h a day on recreational screen time. Sit less move more and break up sitting. https://www.health.govt.nz/your-health/healthy-living/food-activity-and-sleep/physical-activity/how-much-activity-recommended
The Nordic Nutrition Recommendations (NNR) Nordic Council of Ministers 2012 Children and adolescents (age not specified) At least 60 min Moderate to vigorous Every day Vigorous activity should be incorporated at least 3 times per week. Incorporate activities that strengthen muscle and bone at least 3 times/week
Physical activity of amounts greater than 60 mins daily will provide additional health benefits.
Activities should be as diverse as possible in order to provide optimal opportunities for developing all aspects of physical fitness, including cardio-respiratory fitness, muscle strength, flexibility, speed, mobility, reaction time, and coordination.
  Reduce sedentary behaviour http://norden.diva-portal.org/smash/get/diva2:704251/FULLTEXT01.pdf
Paraguay Directorate of surveillance of non-transmissible diseases; General directorate of health surveillance 2014 5–17 years Accumulate at least 60 mins Moderate to vigorous Every day Vigorous physical activity 3 times per week Activity to strengthen muscles and bones 3 times/week.
Physical activity for more than 60 mins/day brings additional benefits for health.
Daily PA should be for the most part cardio-respiratory resistant (aerobic).
The period of 60 mins/day can be done in several sessions throughout the day e.g. 2 run blocks of 30 mins   http://www.vigisalud.gov.py/documentos/01_07_2016_15_47_12_Manual-de-Actividad-Fisica.pdf
Philippines Philippine Department of Health 2010 5–12 years and 13–20/21 years 60 min Physical activity broken into (Active daily tasks, Exercise dance or sports and High impact play) Every day 5–12 years: Include high impact unstructured play (e.g. running, jumping)
13–20 years: Include high impact unstructured play at least 20 mins of sustained MVPA (brisk walking or jogging) for a minimum of 30 mins
5–12 years: programed PA for 20–30 min each day (sports or active games). Include high impact unstructured play (e.g. running, jumping)
13–20 years at least 40 mins of programmed PA (fitness related rhythmic or sports activities). For fitness goals you should have 20–30 min minimum for at least 3–5 times/week.
At least 2–3 times a week of activities that build muscle and bone strength and flexibility such as weight bearing calisthenics and other load bearing exercises involving major muscle groups.
13–20 years at least 20 mins of sustained MVPA continuously for a minimum of 30 mins OR accumulated bouts of 10 mins or longer   https://www.doh.gov.ph/sites/default/files/publications/HBEAT58a.pdf
Qatar State of Qatar National Physical activity guidelines 2014 5–11 years and 12–17 years At least 60 min Moderate to vigorous Every day Vigorous activity at least 3 times/week Strength training at least 3 times per week   Reduce sitting time.
Reduce time spent in front of electronic devices.
Take an activity break every hour of sitting
Reduce sitting time.
Limit screen time to less than 2 h.
Take an activity break every hour of sitting
https://www.namat.qa/NamatImages/Publications/75/QATAR%20PA%20GUIDLINE%20ENGLISH.PDF
Singapore Singapore Health Promotion board 2011 7–18 years 60 min MVPA Everyday Incorporate vigorous intensity physical activity on at least 3 times per week as part of the 60 min Incorporate physical activity that strengthen muscle and bones at least 3 times per week as part of the 60 min   Limit total sedentary entertainment screen time (e.g. TV & video games) to < 2 h/day. Break up sedentary period (except time spent sleeping) lasting longer than 90 mins with 5–10 min of standing, moving around, active play or doing some PA https://www.academia.edu/10443994/National_Physical_Activity_Guidelines_for_Children_and_Youth
South Africa Department of Health Republic of South Africa 2013 5–17 years At least 60 min MVPA Every day   Activities that strengthen the muscles and bones of children should be performed three times a week    http://www.fao.org/3/a-as842e.pdf
Spain Ministry of Health, Social Services and Equality 2015 5–17 years At least 60 min Moderate to vigorous Every day Include at least 3 days/week vigorous activities Include at least 3 days/week activities that strengthen muscle and improve bone mass. Muscle strengthening and bone mass improvement activities that include large muscle groups.
Moderate/vigorous intensity aerobic activity.
Encourage active transport and outdoor activities
  Reduce prolonged sedentary periods.
Limit screen time to a maximum of 2 h a day.
https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/Estrategia/docs/Recomendaciones_ActivFisica_para_la_Salud.pdf
Switzerland Federal Office of Sport & Federal Office of Public Health 2012 School age children and adolescents At least 60 min Moderate to vigorous Everyday   Undertake a varied range of physical activities and sports:
• Build strong bones through weight-bearing and strength-building activities
• Stimulate the cardiovascular system
• Strengthen muscles
• Improve agility (coordination)
• Maintain flexibility
  Avoid long periods of inactivity https://www.hepa.ch/de/dokumentation.detail.document.html/hepa-internet/de/documents/en/bewegungsempfehlungen/hepa_Gesundheitswirksame%20Bewegung_Grundlagendok_EN.pdf.html
Turkey Republic of Turkey; Ministry of Health- Public Health Institution 2014 5–17 years 60 min MVPA Every day Vigorous intensity at least 3 times/week Activity for more than 60 mins provides extra benefits.
Endurance activities (strengthening) are recommended.
Shorter activities provide benefits for inactive children.
Adolescents aged 12–18 years accumulate 60 min of MVPA; should include VPA 3 times per week and muscle and bone strengthening activities 3 days per week.
A well planned PA program should include 4 activities: endurance (aerobic), muscle and bone strengthening, weight lifting, balance and stretching activities.
Activities can be performed in multiple shorter periods spread throughout the day. Not recommended for children to stay sedentary for a long period of time. http://beslenme.gov.tr/content/files/basin_materyal/Fiziksel_aktivite_rehberi/ingilizce.pdf
page 9
United Kingdom (UK) Department of Health and Social Care UK July 2011 5–18 years At least 60 min and up to several hours Moderate to vigorous Every day Vigorous intensity physical activity should be incorporated at least 3 days/week Activity that strengthens muscle and bone, should be incorporated at least 3 days/week   All children should minimise the amount of time spent being sedentary for extended periods https://www.gov.uk/government/publications/uk-physical-activity-guidelines
United States (USA) U.S. Department of Health and Human Services (HHS) 2018 6–17 years 60 min or more Moderate to vigorous activity Every day Vigorous intensity at least 3 days of the week As part of the 60 min or more of daily physical activity, children and adolescents should include muscle strengthening physical activity on 3 days a week.
As part of the 60 min or more of daily physical activity, children and adolescents should include bone-strengthening physical activity on at least 3 days a week.
   https://health.gov/paguidelines/second-edition/pdf/Physical_Activity_Guidelines_2nd_edition.pdf (page 46)
Uruguay Ministry of Public Health & National Secretariat of Sport
Ministry of Health
Unknown (note document cites a reference from 2016) 5 years to pre-pubertal and Adolescents At least 60 min/day Moderate to vigorous Every day   Include exercises that help strengthen muscle and bones
Incorporate strength exercises at least twice a week
  Decrease the times of sitting, especially in front of the screens or cell phones and televisions. https://www.gub.uy/ministerio-salud-publica/comunicacion/publicaciones/guia-actividad-fisica
World Health Organisation (WHO) WHO 2010 5–17 years At least 60 min Moderate to vigorous Every day Vigorous –intensity should be incorporated at least 3 times per week. Amounts of physical activity > 60 min provide additional health benefits.
Most daily physical activity should be aerobic.
Including those that strengthen muscle and bone at least 3 times per week.
   http://www.who.int/dietphysicalactivity/publications/9789241599979/en/
  1. Re: Belgium, Bulgaria, Denmark, Estonia, European Union, Fiji, Greece, Hong Kong, India, Italy, Kenya, Latvia, Lithuania, Luxembourg, Malta, Poland, Portugal, Romania, Slovakia, Slovenia, use the international WHO guidelines for physical activity. Iceland, Norway and Sweden use the Nordic Nutrition guidelines