Assessment of sedentary behaviors | Examples of goals* | Counseling tips |
Recreational screen time, including: - Television, videos, or movies
- Video games
- Other internet, such as tablets
- Social media and smart phones
| Goals vary by age:[1] - <2 years – Little or no screen time
- ≥2 years – Maximum 1 hour daily
| Household rules that may help to limit screen time: - Set a specific screen time limit, which applies to all family members
- No television viewing during meals
- No television in child's bedroom
- No smartphone in bedroom at night
- Develop a "Family Media Agreement" that outlines family rules and objectives for online and media use
- Include children/adolescents in the goal-setting process; this is important because caregivers cannot continuously monitor and enforce these rules
|
Educational screen time: - Homework
- Reading
- Computer-based learning
| | Educational screen time is not restricted. However, advise the family to: - Track these activities for the purposes of awareness
- Do not mix with recreational screen time
- Balance with physical activity
|
Assessment of physical activity | Examples of goals* | Counseling tips |
Record type, frequency, and duration of: - Unstructured activity/active play
- Time outdoors
- Routine activity, such as walking to school
- Structured physical activity
- Sports
- Physical conditioning
| Goals vary by age: - Preschool-aged – ≥2 hours of unstructured activity daily[2]
- School-aged and older – ≥1 hour moderate or vigorous structured physical activity daily[3,4]
| Strategies to promote physical activity:[5,6] - Include family-based physical activity for modeling and encouragement ("game-night," walks, hikes, family sports)
- Start with appealing recreational activities and progress to more structured activity as tolerated
- Offer options: team-based or individual sports; coached or self-directed; competitive or noncompetitive
- Encourage children to participate in choice of activity
- A step counter (pedometer) may interest and motivate some children
- Consider physical activity levels when choosing daycare or after-school programming
- Barriers to physical activity, including cost and access
- What opportunities are available (eg, school- or community-based programs or facilities)
|