Compliance With the 24-h Movement Behaviours Guidelines Among Brazilian Toddlers.
Jessica Gomes Mota, Rafael Miranda Tassitano, Luís Lemos and 6 others
PMID 40219811WHAT IT FOUND
Only 21% of Brazilian toddlers met all 24-hour activity, screen, and sleep guidelines.
Nearly all met activity, but screen time was the main failure, with 1-year-old boys least compliant.
Key findings
01Only 21% of toddlers complied with all three 24-h movement behaviour recommendations, while 54% complied with two of three.
02Compliance was highest for physical activity, at 98.63% for girls and 98.59% for boys, and lowest for screen time.
03Screen-time compliance was associated with sex and age, favouring girls and toddlers aged 2 years.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The sample came from seven early childhood centres in one city in northeast Brazil, so it may not represent toddlers in other regions or countries. Screen time and night sleep were reported by parents, and centre naps were recorded by researchers, so these measures may be less accurate than direct measurement. The study included only typically developing toddlers who could walk independently, so it does not describe toddlers with mobility or developmental limitations. Accelerometer data were not used for sleep because valid sleep cutoff points were not available for hip placement in toddlers. The study is cross-sectional, so it reports current compliance and does not show change over time. No prior published study of Brazilian toddler 24-h compliance was available for direct comparison.
The easy way to misread this
Do not read the high physical activity compliance as proof that toddlers were active at moderate or vigorous intensity. The guideline counted total activity, and the study reported that approximately 80% of total activity was light.