TABLE 6-1

Evidence-Based Activity Recommendations for Cardiovascular Health

Newborn to 12 moParents should create an environment that promotes and models physical activity and limits sedentary timeGrade D Recommend
Supportive actions:
    Discourage TV viewing altogether
1 to 4 yAllow unlimited active playtime in safe, supportive environmentsGrade D Recommend
Limit sedentary time, especially TV/videoGrade D Recommend
Supportive actions:
    Limit total media time to no more than 1-2 hours of quality programming per day
    For children ≤2 y old, discourage TV viewing altogether
    No TV in child's bedroom
    Encourage family activity at least once per week
    Counsel routine activity for parents as role models for children
5 to 10 yModerate-to-vigorous physical activity every dayaGrade A Strongly recommend
Limit daily leisure screen time (TV/video/computer)Grade B Strongly recommend
Supportive actions:
    Prescribe moderate-to-vigorous activity 1 h/da with vigorous-intensity physical activity 3 d/wkb
    Limit total media time to no more than 1–2 h/d of quality programming
    No TV in child's bedroom
    Take activity and screen-time history from child once per year
    Match physical activity recommendations with energy intake
    Recommend appropriate safety equipment relative to each sport
    Support recommendations for daily physical education in schools
11 to 17 yModerate-to-vigorous physical activity every dayaGrade A Strongly recommend
Limit leisure time TV/video/computer useGrade B Strongly recommend
Supportive actions:
    Encourage adolescents to aim for 1 h/d of moderate-to-vigorous daily activitya with vigorous intense physical activityb 3 d/wk
    Encourage no TV in bedroom
    Limit total media time to no more than 1–2 h/d of quality programming
    Match activity recommendations with energy intake
    Take activity and screen-time history from adolescent at health supervision visits
    Encourage involvement in year-round physical activities
    Support continued family activity once per week and/or family support of adolescent's physical activity program
    Endorse appropriate safety equipment relative to each sport
18 to 21 yModerate-to-vigorous physical activity every dayaGrade A Strongly recommend
Limit leisure time TV/video/computerGrade B Strongly recommend
Supportive actions:
    Support goal of 1 h/d of moderate-to-vigorous activity with vigorous intense physical activity 3 d/wk
    Recommend that combined leisure screen time not exceed 2 h/d
    Activity and screen-time history at health supervision visits
    Encourage involvement in year-round, lifelong physical activities
  • Grades reflect the findings of the evidence review; recommendation levels reflect the consensus opinion of the expert panel; and supportive actions represent expert consensus suggestions from the expert panel provided to support implementation of the recommendations (they are not graded).

  • a Examples of moderate-to-vigorous physical activities are jogging and playing baseball.

  • b Examples of vigorous physical activities are running, playing singles tennis, and playing soccer.