Also read | Fitness trainer with 18 years of experience shares why exercise is crucial for kids: ‘Not just about health and fitness’ If your day with a toddler feels like a juggle between screen time and bedtime negotiations, the World Health Organisation (WHO) has news for you: it might be time to overhaul the routine.
The verdict? Less sitting, zero passive screens for the youngest toddlers, and a return to uninhibited, active play. “What we really need to do is bring back play for children.
This is about making the shift from sedentary time to playtime, while protecting sleep,” Dr Juana Willumsen, WHO focal point for childhood obesity and physical activity, had said in the April 2019 guidelines.
Establishing these movement habits during early development was critical. The WHO expert panel evaluated the cumulative impact of insufficient sleep , prolonged seat restraint, and passive screen exposure. They concluded that replacing screen time with physical activity and interactive caregiving significantly enhances motor skill development, cognitive growth, and lifelong metabolic health — helping to head off childhood obesity before it takes root. For babies, movement is foundational, even before they take their first steps. Infants should be physically active multiple times daily through interactive, floor-based movement. Infants must not be restrained in prams, strollers, high chairs, or carriers for more than one hour at a time. Sedentary screen time is not recommended at all. When quiet time is needed, caregivers should opt for reading, singing, or storytelling. As toddlers gain mobility, the focus shifts toward continuous movement throughout the day. More is always better. Restraint in strollers or chairs should remain capped at under one hour at a time. For one-year-olds, sedentary screen time remains off the table entirely. Quiet time should prioritise interactive reading and puzzles with a caregiver. By age three, physical intensity becomes an essential part of daily development. Avoid extended sitting or stroller restraint over one hour. Sedentary screen time should be kept to one hour or less.
For those not yet mobile, this requires at least 30 minutes of tummy time spread across waking hours. 0–3 months require 14-17 hours of quality sleep daily (including naps); 4–11 months require 12-16 hours. At least 180 minutes (three hours) of physical activity of any intensity spread throughout the day. For two-year-olds, screen time should not exceed 1 hour total per day — and less is preferred. Plus, 11 to 14 hours of quality sleep per 24-hour period, including regular naps and consistent sleep-wake routines. At least 180 minutes of daily activity, with at least 60 minutes of that total being moderate- to vigorous-intensity exercise (think running, jumping, active games). 10 to 13 hours of consistent sleep, including an afternoon nap, are recommended.
