World Health Organization 2020 guidelines on physical activity and sedentary behaviour

Fiona C Bull, Salih S Al-Ansari, Stuart Biddle, Katja Borodulin, Matthew P Buman, Greet Cardon, Catherine Carty, Jean-Philippe Chaput, Sebastien Chastin, Roger Chou, Paddy C Dempsey, Loretta DiPietro, Ulf Ekelund, Joseph Firth, Christine M Friedenreich, Leandro Garcia, Muthoni Gichu, Russell Jago, Peter T Katzmarzyk, Estelle Lambert, Michael Leitzmann, Karen Milton, Francisco B Ortega, Chathuranga Ranasinghe, Emmanuel Stamatakis, Anne Tiedemann, Richard P Troiano, Hidde P van der Ploeg, Vicky Wari, Juana F Willumsen, Fiona C Bull, Salih S Al-Ansari, Stuart Biddle, Katja Borodulin, Matthew P Buman, Greet Cardon, Catherine Carty, Jean-Philippe Chaput, Sebastien Chastin, Roger Chou, Paddy C Dempsey, Loretta DiPietro, Ulf Ekelund, Joseph Firth, Christine M Friedenreich, Leandro Garcia, Muthoni Gichu, Russell Jago, Peter T Katzmarzyk, Estelle Lambert, Michael Leitzmann, Karen Milton, Francisco B Ortega, Chathuranga Ranasinghe, Emmanuel Stamatakis, Anne Tiedemann, Richard P Troiano, Hidde P van der Ploeg, Vicky Wari, Juana F Willumsen

Abstract

Objectives: To describe new WHO 2020 guidelines on physical activity and sedentary behaviour.

Methods: The guidelines were developed in accordance with WHO protocols. An expert Guideline Development Group reviewed evidence to assess associations between physical activity and sedentary behaviour for an agreed set of health outcomes and population groups. The assessment used and systematically updated recent relevant systematic reviews; new primary reviews addressed additional health outcomes or subpopulations.

Results: The new guidelines address children, adolescents, adults, older adults and include new specific recommendations for pregnant and postpartum women and people living with chronic conditions or disability. All adults should undertake 150-300 min of moderate-intensity, or 75-150 min of vigorous-intensity physical activity, or some equivalent combination of moderate-intensity and vigorous-intensity aerobic physical activity, per week. Among children and adolescents, an average of 60 min/day of moderate-to-vigorous intensity aerobic physical activity across the week provides health benefits. The guidelines recommend regular muscle-strengthening activity for all age groups. Additionally, reducing sedentary behaviours is recommended across all age groups and abilities, although evidence was insufficient to quantify a sedentary behaviour threshold.

Conclusion: These 2020 WHO guidelines update previous WHO recommendations released in 2010. They reaffirm messages that some physical activity is better than none, that more physical activity is better for optimal health outcomes and provide a new recommendation on reducing sedentary behaviours. These guidelines highlight the importance of regularly undertaking both aerobic and muscle strengthening activities and for the first time, there are specific recommendations for specific populations including for pregnant and postpartum women and people living with chronic conditions or disability. These guidelines should be used to inform national health policies aligned with the WHO Global Action Plan on Physical Activity 2018-2030 and to strengthen surveillance systems that track progress towards national and global targets.

Keywords: health promotion; non-communicable disease; physical activity; prevention; public health.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

References

    1. World Health Organization Global action plan on physical activity 2018-2030: more active people for a healthier world. Geneva: World Health Organization, 2018.
    1. World Health Organization Global recommendations on physical activity for health. Geneva: World Health Organization, 2010.
    1. Guthold R, Stevens GA, Riley LM, et al. . Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Glob Health 2018;6:e1077–86. 10.1016/S2214-109X(18)30357-7
    1. Guthold R, Stevens GA, Riley LM, et al. . Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Health 2020;4:23–35. 10.1016/S2352-4642(19)30323-2
    1. World Health Organization Guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization, 2020.
    1. World Health Organization Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. Geneva: World Health Organization, 2019.
    1. World Health Organization Who Handbook for Guideline development -. 2nd ed Geneva: World Health Organization, 2014.
    1. Poitras VJ, Gray CE, Borghese MM, et al. . Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Appl Physiol Nutr Metab 2016;41:S197–239. 10.1139/apnm-2015-0663
    1. Carson V, Hunter S, Kuzik N, et al. . Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Appl Physiol Nutr Metab 2016;41:S240–65. 10.1139/apnm-2015-0630
    1. Okely AD, Ghersi D, Loughran SP, et al. . Australian 24-hour movement guidelines for children (5-12 years) and young people (13-17 years): an integration of physical activity, sedentary behaviour, and sleep — research report: Australian government, department of health, 2019.
    1. Mottola MF, Davenport MH, Ruchat S-M, et al. . 2019 Canadian guideline for physical activity throughout pregnancy. Br J Sports Med 2018;52:1339–46. 10.1136/bjsports-2018-100056
    1. Physical Activity Guidelines Advisory Committee 2018 physical activity guidelines Advisory Committee scientific report. Washington, DC: US Department of Health and Human Services, 2018.
    1. U.S. Department of Health and Human Services Physical activity guidelines for Americans. 2nd edition Washington, DC: U.S: Department of Health and Human Services, 2018.
    1. Nussbaumer-Streit B, Klerings I, Dobrescu AI, et al. . Excluding non-English publications from evidence-syntheses did not change conclusions: a meta-epidemiological study. J Clin Epidemiol 2020;118:42–54. 10.1016/j.jclinepi.2019.10.011
    1. Guyatt GH, Oxman AD, Vist GE, et al. . Grade: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008;336:924–6. 10.1136/
    1. Jakicic JM, Kraus WE, Powell KE, et al. . Association between bout duration of physical activity and health: systematic review. Med Sci Sports Exerc 2019;51:1213–9. 10.1249/MSS.0000000000001933
    1. Weggemans RM, Backx FJG, Borghouts L, et al. . The 2017 Dutch physical activity guidelines. Int J Behav Nutr Phys Act 2018;15:58. 10.1186/s12966-018-0661-9
    1. Department of Health & Social Care UK Chief Medical Officers’ Physical Activity Guidelines, 2019. Available:
    1. Australian Government, The Department of Health . Australian 24-hour movement guidelines for children (5-12 years) and young people (13-17 years): an integration of physical activity, sedentary behavior, and sleep, 2019. Available:
    1. Canadian Society for Exercise Physiology (CSEP) Canadian 24-hour movement guidelines for children and youth (ages 5-17 years): an integration of physical activity, sedentary behaviour and sleep. Ottowa, Ontario, CANADA, 2016.
    1. Canadian Society for Exercise Physiology Canadian 24-hour movement guidelines: an integration of physical activity, sedentary behaviour, and sleep, 2017. Available: [Accessed 2 May 2020].
    1. Commonwealth of Australia Australia’s Physical Activity and Sedentary Behavior Guidelines, 2014. Available: [Accessed 2 May 2020].
    1. Ekelund U, Tarp J, Steene-Johannessen J, et al. . Dose-Response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis. BMJ 2019;366:l4570. 10.1136/bmj.l4570
    1. United Nations Transforming our world: the 2030 agenda for sustainable development. New York: United Nations, 2015.
    1. United Nations The convention on the rights of persons with disabilities. New York: United Nations Headquarters, 2006.
    1. Milton K, Bauman A, G F, et al. . Maximising the impact of global and national physical activity guidelines - the critical role of communication strategies. Br J Sports Med 2020. 10.1136/bjsports-2020-102324
    1. Strain T, Milton K, Dall P, et al. . How are we measuring physical activity and sedentary behaviour in the four home nations of the UK? A narrative review of current surveillance measures and future directions. Br J Sports Med 2019. 10.1136/bjsports-2018-100355. [Epub ahead of print: 22 May 2019].
    1. Milton K, Varela AR, Strain T, et al. . A review of global surveillance on the muscle strengthening and balance elements of physical activity recommendations. J Frailty Sarcopenia Falls 2018;3:114–24. 10.22540/JFSF-03-114
    1. Wijndaele K, White T, Andersen LB, et al. . Substituting prolonged sedentary time and cardiovascular risk in children and youth: a meta-analysis within the International children's Accelerometry database (ICAD). Int J Behav Nutr Phys Act 2019;16:96. 10.1186/s12966-019-0858-6
    1. Troiano RP, Stamatakis E, Bull F. How can global physical activity surveillance adapt to evolving physical activity guidelines? needs, challenges, and future directions. Br J Sports Med 2020. 10.1136/bjsports-2020-102621
    1. DiPietro L, Al-Ansari S, Biddle S, et al. . Advancing the global physical activity agenda: recommendations for future research by the 2020 who physical activity and sedentary behavior guidelines development group. Int J Behav Nutr Phys Act. In Press 2020.

Source: PubMed

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