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Background <p>The World Health Organization has established recommendations for 24-h movement behaviours in children under 5&#xa0;years. Building on the successful knowledge translation model of <i>Active Healthy Kids Global Alliance Report Cards</i>, this study aimed to develop a similar framework for the early years.</p> Methods <p>Using a three-round twin-panel Delphi survey (conducted via an online survey between 28 November 2024 and 11 March 2025), expert consensus was sought on indicators and benchmarks for the first dedicated report card on 24-h movement behaviours for the early years. The experts were identified through a three-step selection process, which included recognised international projects and networks as well as literature search. In Round 1, participants evaluated the applicability of 15 initial indicators. In Rounds 2 and 3, they rated the importance of each indicator, with results from their own panel (Round 2) and the other panel (Round 3) provided to inform their decisions. Qualitative feedback on definitions and benchmarks&#xa0;was systematically reviewed and incorporated. Consensus was predefined as ≥ 75% agreement, with stability across rounds considered.</p> Results <p>Of 175 invited experts, 72 (41.1% recruitment rate) from 15 regions participated in Round 1, with 61 (84.7% response rate) and 56 (77.8% response rate) completing Rounds 2 and 3, respectively. Consensus was achieved for 12 indicators, with definitions and benchmarks refined based on expert inputs. Notably, <i>Weight Status</i> and <i>Motor Proficiency</i> were excluded due to lower agreement.</p> Conclusions <p>The finalised set of indicators, definitions, and benchmarks provides a robust foundation for creating a standardised report card for early childhood. The finalised results serve as a critical advocacy instrument to raise awareness, improve surveillance, facilitate cross-jurisdictional comparisons, and inform policy and public health initiatives, ultimately supporting the health and well-being of young children globally.</p>

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Developing International Consensus on Key Indicators for a 24-Hour Movement Behaviour Report Card in Early Childhood: A Twin-Panel Delphi Study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月7日

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  • Wendy Y. Huang,
  • Danqing Zhang,
  • Mark S. Tremblay,
  • Martin C. S. Wong,
  • Cindy H. P. Sit,
  • Sam W. S. Wong,
  • Derwin K. C. Chan,
  • Stephen H. S. Wong,
  • Eivind Aadland,
  • Nicolas Aguilar-Farias,
  • Devan Antczak,
  • Liane Azevedo,
  • Farid Bardid,
  • Catherine M. Capio,
  • Angela Carlin,
  • Valerie Carson,
  • Zhenya Chang,
  • Michael Yong Hwa Chia,
  • Silvia Costa,
  • Yolanda Demetriou,
  • Marsha Dowda,
  • Catherine E. Draper,
  • Susan Edwards,
  • Vladimir Essau Martínez-Bello,
  • Hongyan Guan,
  • Asmaa E. L. Hamdouchi,
  • Sandra Hansmann,
  • Elisabeth Straume Haugland,
  • Jaroslaw Herbert,
  • Marianella Herrera,
  • Kylie Hesketh,
  • Stephen Hunter,
  • Justin Jeon,
  • Fan Jiang,
  • Jaak Jürimäe,
  • Sebastian Kerzel,
  • Hyunshik Kim,
  • Susi Kriemler,
  • Nicholas Kuzik,
  • Eun-Young Lee,
  • Cong Liu,
  • Yang Liu,
  • Marie Löf,
  • Himangi Lubree,
  • Marlene Rosager Lund Pedersen,
  • Daga Makaza,
  • Taru Manyanga,
  • Clarice Martins,
  • Shawnda A. Morrison,
  • Jorge Mota,
  • Rowena Naidoo,
  • Nelson Nardo Junior,
  • Paulina Nowicka,
  • Christine Delisle Nyström,
  • Timothy Olds,
  • Line Grønholt Olesen,
  • Vincent O. Onywera,
  • Sabine Plancoulaine,
  • Bee Koon Poh,
  • Alessandra Prioreschi,
  • John J. Reilly,
  • Blanca Roman-Viñas,
  • Rute Santos,
  • Diego Augusto Santos Silva,
  • Olga Lucia Sarmiento,
  • John Scriven,
  • Mohd Razif Shahril,
  • Ann-Christin Sollerhed,
  • Martyn Standage,
  • Gareth Stratton,
  • Tim Takken,
  • Chiaki Tanaka,
  • Brian W. Timmons,
  • Simone Tomaz,
  • Grant R. Tomkinson,
  • Patricia Tucker,
  • Leigh M. Vanderloo,
  • Guanghai Wang,
  • Sunyue Ye,
  • Long Yin

摘要

Background

The World Health Organization has established recommendations for 24-h movement behaviours in children under 5 years. Building on the successful knowledge translation model of Active Healthy Kids Global Alliance Report Cards, this study aimed to develop a similar framework for the early years.

Methods

Using a three-round twin-panel Delphi survey (conducted via an online survey between 28 November 2024 and 11 March 2025), expert consensus was sought on indicators and benchmarks for the first dedicated report card on 24-h movement behaviours for the early years. The experts were identified through a three-step selection process, which included recognised international projects and networks as well as literature search. In Round 1, participants evaluated the applicability of 15 initial indicators. In Rounds 2 and 3, they rated the importance of each indicator, with results from their own panel (Round 2) and the other panel (Round 3) provided to inform their decisions. Qualitative feedback on definitions and benchmarks was systematically reviewed and incorporated. Consensus was predefined as ≥ 75% agreement, with stability across rounds considered.

Results

Of 175 invited experts, 72 (41.1% recruitment rate) from 15 regions participated in Round 1, with 61 (84.7% response rate) and 56 (77.8% response rate) completing Rounds 2 and 3, respectively. Consensus was achieved for 12 indicators, with definitions and benchmarks refined based on expert inputs. Notably, Weight Status and Motor Proficiency were excluded due to lower agreement.

Conclusions

The finalised set of indicators, definitions, and benchmarks provides a robust foundation for creating a standardised report card for early childhood. The finalised results serve as a critical advocacy instrument to raise awareness, improve surveillance, facilitate cross-jurisdictional comparisons, and inform policy and public health initiatives, ultimately supporting the health and well-being of young children globally.