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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