'Exercise, sleep, screens' - World Health Organization issues first-ever guidelines for children under 5

A young child playing with an iPad

"Our research has shown that now there is not strong enough evidence to support the setting of screen time limits, and that screen use should be considered alongside a range of activities to assess its impact", he said.

"It is very much the passive screen time", she told reporters in Geneva.

Spend 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; more is better. "Early childhood is a period of rapid development and a time when family lifestyle patterns can be adapted to boost health gains", WHO Director-General Tedros Adhanom said.

Willumsen said the screen time guidelines do not pertain to "an interactive tablet based game or a TV programme where children are encouraged to move, to copy movements to dance to interact with the media". This has garnered a lot of parents' attention as they've allowed their children to use the gadgets way longer than the recommended time all this while. They assessed the effects on young children of inadequate sleep, and time spent sitting watching screens or restrained in chairs and prams. Long-term consequences can be hard to measure, and ethical concerns prevent experiments in which, for example, one group of infants watches two hours of videos a day while a second group plays outside or chats with parents.

Children between one and four should spend at least three hours in a variety of physical activities spread across the day, with no more than an hour of screen time.

"The release of new WHO guidelines does not help to clarify the situation, as its specific recommendations with regards to "sedentary screen time" and their negative impacts on physical, cognitive and psychosocial health are, by its own admission based on "moderate to very low-quality evidence".

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"Healthy physical activity, sedentary behaviour and sleep habits are established early in life, providing an opportunity to shape habits through childhood, adolescence and into adulthood", the World Health Organization said in the guidelines to member states.

The failure to meet current physical activity recommendations is responsible for more than five million deaths every year worldwide across all age groups, according to World Health Organization, which estimates that 80% of children and 23% of adults are not physically active enough.

It also recommend children aged two to five years limit screen time to one hour per day of high-quality programming. "What we really need to do is bring back play for children".

Screen time should be limited to one hour a day for 3- to 4-year-olds as well, according to the guidelines.

WHO's screen time advice "overly focuses on quantity of screen time and fails to consider the content and context of use", said Andrew Przybylski, director of research at the Oxford Internet Institute at the University of Oxford.

One in five children in England are overweight or obese by the time they start primary school, rising to one in three by the time they leave.



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