WHO Recommendations For Children Under Five



In April 2019, the World Health Organization (WHO) published the guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age.


Essentially the guidelines are for all healthy children under 5 years of age, irrespective of gender, cultural background or socio-economic status of families and are relevant for children of all abilities.


However for caregivers of children with a disability or those with a medical condition are advised to  seek additional guidance from a health professional.


Recommendations

Infants (less than 1 year)

Physical Activity

Be physically active several times a day in a variety of ways, particularly through interactive floor-based play

For infants who are not yet mobile, this includes at least 30 minutes in prone position (tummy time) spread throughout the day while awake

They should not be restrained for more than 1 hour at a time (for example in prams/strollers, high chairs, or strapped on a caregiver’s back)

Sedentary Screen time

Not recommended

When sedentary, engaging in reading and storytelling with a caregiver is encouraged

Quality sleep

0–3 months: 14–17 hours 

4-11 months: 12–16 hours including naps

Children (1–2 years)

Physical Activity

At least 180 minutes in a variety of types of physical activities at any intensity, including moderate to vigorous-intensity physical activity, spread throughout the day

Not be restrained for more than one hour at a time or sit for extended periods of time

Sedentary Screen Time

Such as watching TV or videos, playing computer games 

Not recommended for one year olds, not more than one hour for two year olds

When sedentary, engaging in reading and storytelling with a caregiver is encouraged

Quality Sleep

11-14 hours including naps, with regular sleep and wake-up times

Children (3–4 years)

Physical Activity

At least 180 minutes in a variety of types of physical activities at any intensity, of which at least 60 minutes is moderate-to vigorous intensity physical activity, spread throughout the day

Not be restrained for more than one hour at a time or sit for extended periods of time

Sedentary Screen Time

No more than one hour

When sedentary, engaging in reading and storytelling with a caregiver is encouraged

Quality Sleep

10–13 hours which may include a nap, with regular sleep and wake-up times

Source: WHO






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