What are the guidelines of physical fitness?

1. World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010.

   Google Scholar 

2. Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1.6 million participants. Lancet Child Adolesc Health. 2020;4(1):23–35.

   Article  PubMed  PubMed Central  Google Scholar 

3. World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013–2020. Geneva: World Health Organization; 2013.

   Google Scholar 

4. Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380(9838):219–29.

   Article  PubMed  PubMed Central  Google Scholar 

5. Ekelund U, Tarp J, Steene-Johannessen J, Hansen BH, Jefferis B, Fagerland MW, et al. Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis. BMJ. 2019;366:l4570.

   Article  PubMed  PubMed Central  Google Scholar 

6. Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health. 2018;6(10):e1077–e86.

   Article  PubMed  Google Scholar 

7. Katzmarzyk PT, Powell KE, Jakicic JM, Troiano RP, Piercy K, Tennant B. 2018 PHYSICAL ACTIVITY GUIDELINES ADVISORY COMMITTEE*. Sedentary Behavior and Health: Update from the 2018 Physical Activity Guidelines Advisory Committee. Med Sci Sports Exerc. 2019;51(6):1227–41.

   Article  PubMed  PubMed Central  Google Scholar 

8. Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary behavior research network (SBRN) - terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75.

   Article  PubMed  PubMed Central  Google Scholar 

9. LeBlanc AG, Gunnell KE, Prince SA, Saunders TJ, Barnes JD, Chaput JP. The ubiquity of the screen: an overview of the risks and benefits of screen time in our modern world. Transl J Am Coll Sports Med. 2017;2(17):104–13.

   Google Scholar 

10. Gibbs BB, Hergenroeder AL, Katzmarzyk PT, Lee IM, Jakicic JM. Definition, measurement, and health risks associated with sedentary behavior. Med Sci Sports Exerc. 2015;47(6):1295–300.

    Article  PubMed  PubMed Central  Google Scholar 

11. World Health Organization. Global action plan on physical activity 2018–2030: more active people for a healthier world. Geneva: World Health Organization; 2018.

    Google Scholar 

12. World Health Organization. Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. Geneva: World Health Organization; 2019.

    Google Scholar 

13. World Health Organization. WHO Guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization; 2020.

14. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 Guidelines on Physical Activity and SedentaryBehaviour. Br J Sports Med. 2020 (in press).

15. World Health Organization. WHO Handbook for guideline development – 2nd ed. Geneva: World Health Organization; 2014.

    Google Scholar 

16. Poitras VJ, Gray CE, Borghese MM, Carson V, Chaput JP, Janssen I, et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Appl Physiol Nutr Metab. 2016;41(6 Suppl 3):S197–239.

    Article  PubMed  Google Scholar 

17. Tremblay MS, Carson V, Chaput JP, Connor Gorber S, Dinh T, Duggan M, et al. Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab. 2016;41(6 Suppl 3):S311–27.

    Article  PubMed  Google Scholar 

18. Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput JP, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Appl Physiol Nutr Metab. 2016;41(6 Suppl 3):S240–65.

    Article  PubMed  Google Scholar 

19. Okely AD, Ghersi D, Loughran SP, Cliff DP, Shilton T, Jones RA, et al. Australian 24-hour movement guidelines for children (5–12 years) and young people (13–17 years): an integration of physical activity, sedentary behaviour, and sleep — research report: Australian Government, The Department of Health; 2019. Available from: https://www1.health.gov.au/internet/main/publishing.nsf/Content/ti-5-17years [Accessed 12 August 2020].

20. Australian Government, The Department of Health. Australian 24-Hour Movement Guidelines for Children (5–12 years) and Young People (13–17 years): An Integration of Physical Activity, Sedentary Behaviour, and Sleep; 2019. p. 148. Available from: https://www.health.gov.au/internet/main/publishing.nsf/Content/ti-5-17years [Accessed 12 August 2020].

    Google Scholar 

21. Physical Activity Guidelines Advisory Committee. 2018 physical activity guidelines Advisory committee scientific report. Washington, DC: US Department of Health and Human Services; 2018.

    Google Scholar 

22. U.S. Department of Health and Human Services. Physical Activity Guidelines for Americans. 2nd ed. Washington, DC: U.S. Department of Health and Human Services; 2018.

    Google Scholar 

23. Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358:j4008.

    Article  PubMed  PubMed Central  Google Scholar 

24. Guyatt GH, Oxman AD, Vist G, Kunz R, Brozek J, Alonso-Coello P, et al. GRADE guidelines: 4. Rating the quality of evidence – study limitations (risk of bias). J Clin Epidemiol. 2011;64(4):407–15.

    Article  PubMed  Google Scholar 

25. Bea JW, Blew RM, Howe C, Hetherington-Rauth M, Going SB. Resistance training effects on metabolic function among youth: a systematic review. Pediatr Exerc Sci. 2017;29(3):297–315.

    Article  PubMed  PubMed Central  Google Scholar 

26. Belmon LS, van Stralen MM, Busch V, Harmsen IA, Chinapaw MJM. What are the determinants of children’s sleep behavior? A systematic review of longitudinal studies. Sleep Med Rev. 2019;43:60–70.

    Article  PubMed  Google Scholar 

27. Cao M, Quan M, Zhuang J. Effect of high-intensity interval training versus moderate-intensity continuous training on cardiorespiratory fitness in children and adolescents: a meta-analysis. Int J Environ Res Public Health. 2019;16(9):1533.

    Article  PubMed Central  Google Scholar 

28. Collins H, Fawkner S, Booth JN, Duncan A. The effect of resistance training interventions on weight status in youth: a meta-analysis. Sports Med Open. 2018;4(1):41.

    Article  PubMed  PubMed Central  Google Scholar 

29. Eddolls WTB, McNarry MA, Stratton G, Winn CON, Mackintosh KA. High-intensity interval training interventions in children and adolescents: a systematic review. Sports Med. 2017;47(11):2363–74.

    Article  PubMed  PubMed Central  Google Scholar 

30. Errisuriz VL, Golaszewski NM, Born K, Bartholomew JB. Systematic review of physical education-based physical activity interventions among elementary school children. J Prim Prev. 2018;39(3):303–27.

    Article  CAS  PubMed  Google Scholar 

31. Fang K, Mu M, Liu K, He Y. Screen time and childhood overweight/obesity: a systematic review and meta-analysis. Child Care Health Dev. 2019;45(5):744–53.

    Article  PubMed  Google Scholar 

32. Koedijk JB, van Rijswijk J, Oranje WA, van den Bergh JP, Bours SP, Savelberg HH, et al. Sedentary behaviour and bone health in children, adolescents and young adults: a systematic review. Osteoporos Int. 2017;28(9):2507–19.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

33. Krahenbuhl T, Guimaraes RF, Barros Filho AA, Goncalves EM. Bone geometry and physical activity in children and adolescents: systematic review. Rev Paul Pediatr. 2018;36(2):230–7.

    Article  PubMed  PubMed Central  Google Scholar 

34. Lee JE, Pope Z, Gao Z. The role of youth sports in promoting Children’s physical activity and preventing pediatric obesity: a systematic review. Behav Med. 2016;44(1):62–76.

    Article  PubMed  Google Scholar 

35. Marker C, Gnambs T, Appel M. Exploring the myth of the chubby gamer: a meta-analysis on sedentary video gaming and body mass. Soc Sci Med [internet]. 2019;112325 Available from: https://doi.org/10.1016/j.socscimed.2019.05.030 [Accessed 12 August 2020].

36. Marques A, Santos DA, Hillman CH, Sardinha LB. How does academic achievement relate to cardiorespiratory fitness, self-reported physical activity and objectively reported physical activity: a systematic review in children and adolescents aged 6-18 years. Br J Sports Med. 2018;52(16):1039.

    Article  PubMed  Google Scholar 

37. Martin R, Murtagh EM. Effect of active lessons on physical activity, academic, and health outcomes: a systematic review. Res Q Exerc Sport. 2017;88(2):149–68.

    Article  PubMed  Google Scholar 

38. Miguel-Berges ML, Reilly JJ, Moreno Aznar LA, Jimenez-Pavon D. Associations between pedometer-determined physical activity and adiposity in children and adolescents: systematic review. Clin J Sport Med. 2018;28(1):64–75.

    Article  PubMed  Google Scholar 

39. Mohammadi S, Jalaludin MY, Su TT, Dahlui M, Mohamed MNA, Majid HA. Dietary and physical activity patterns related to cardio-metabolic health among Malaysian adolescents: a systematic review. BMC Public Health. 2019;19(1):251.

    Article  PubMed  PubMed Central  Google Scholar 

40. Pozuelo-Carrascosa DP, Cavero-Redondo I, Herraiz-Adillo A, Diez-Fernandez A, Sanchez-Lopez M, Martinez-Vizcaino V. School-based exercise programs and Cardiometabolic risk factors: a meta-analysis. Pediatrics. 2018;142(5):e20181033.

    Article  PubMed  Google Scholar 

41. Singh AS, Saliasi E, van den Berg V, Uijtdewilligen L, de Groot RHM, Jolles J, et al. Effects of physical activity interventions on cognitive and academic performance in children and adolescents: a novel combination of a systematic review and recommendations from an expert panel. Br J Sports Med. 2019;53(10):640–7.

    Article  PubMed  Google Scholar 

42. Skrede T, Steene-Johannessen J, Anderssen SA, Resaland GK, Ekelund U. The prospective association between objectively measured sedentary time, moderate-to-vigorous physical activity and cardiometabolic risk factors in youth: a systematic review and meta-analysis. Obes Rev. 2019;20(1):55–74.

    Article  CAS  PubMed  Google Scholar 

43. Stanczykiewicz B, Banik A, Knoll N, Keller J, Hohl DH, Rosinczuk J, et al. Sedentary behaviors and anxiety among children, adolescents and adults: a systematic review and meta-analysis. BMC Public Health. 2019;19(1):459.

    Article  PubMed  PubMed Central  Google Scholar 

44. Verswijveren S, Lamb KE, Bell LA, Timperio A, Salmon J, Ridgers ND. Associations between activity patterns and cardio-metabolic risk factors in children and adolescents: a systematic review. PLoS One. 2018;13(8):e0201947.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

45. Xue Y, Yang Y, Huang T. Effects of chronic exercise interventions on executive function among children and adolescents: a systematic review with meta-analysis. Br J Sports Med. 2019;53(22):1397–404.

    Article  PubMed  Google Scholar 

46. Chief Medical Officers, United Kingdom (2019). Physical activity guidelines: UK Chief Medical Officers' report [Online]. Available from: http://publichealthwell.ie/node/1278661 [Accessed 12 August 2020].

    Google Scholar 

47. Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388(10051):1302–10.

    Article  PubMed  Google Scholar 

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