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Q.State the WHO recommendations on physical activity/exercise for infants and children below 5 years of age.

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The WHO recommends that infants under 1 year be physically active several times a day (especially through tummy time), children 1–2 years get at least 180 minutes of varied activity daily, and children 3–4 years get at least 180 minutes daily, of which at least 60 minutes should be moderate-to-vigorous intensity.

The World Health Organization (WHO) guidelines on physical activity for children under 5 are built on a simple but critical idea: movement in early life is not a luxury — it is a biological necessity for healthy growth, motor development, and lifelong health habits. The recommendations are split into three age bands, because a newborn’s needs are radically different from a four-year-old’s.

Infants (less than 1 year) should be physically active several times a day in a variety of ways. The most important specific activity here is tummy time — at least 30 minutes total spread across the day while the infant is awake. This strengthens neck, shoulder, and trunk muscles and prevents flat spots on the head. For infants not yet mobile, any interactive floor-based play counts: reaching, grasping, pushing, pulling. The key principle is that they should not be restrained (in a stroller, high chair, or carrier) for more than 1 hour at a time, and screen time is not recommended at all.

Children 1–2 years of age need at least 180 minutes (3 hours) of physical activity every day, spread throughout the day. This should be a mix of light, moderate, and vigorous activities — running, jumping, climbing, dancing, playing ball. More is better. The 180-minute floor is a minimum, not a target to stop at. Screen time remains discouraged for 1-year-olds, and for 2-year-olds should be no more than 1 hour (less is better). Being restrained for more than 1 hour at a time is still to be avoided.

Children 3–4 years of age also need at least 180 minutes of total physical activity daily. The critical addition here is that at least 60 minutes of that total should be moderate-to-vigorous intensity — activity that makes them breathe harder and faster than usual, like brisk walking, running, cycling, or active play. The remaining 120 minutes can be lighter activity. Screen time should be no more than 1 hour per day, and again, prolonged sitting or restraint is discouraged.

Important

The 180-minute figure is the same for 1–2 and 3–4 year olds, but the intensity requirement changes: the older group must have at least 60 minutes of moderate-to-vigorous activity within that total. This is a common exam distinction.

Across all three age groups, the WHO emphasises that any activity is better than none, and that the benefits — improved motor skills, bone health, cardiovascular fitness, reduced body fat, and better cognitive development — are dose-dependent. The guidelines also stress that adequate sleep and limited sedentary time are part of the same healthy equation.

✓Final answer

For infants under 1 year: several times daily activity including at least 30 minutes of tummy time. For children 1–2 years: at least 180 minutes of varied physical activity daily. For children 3–4 years: at least 180 minutes daily, with at least 60 minutes of moderate-to-vigorous intensity activity. Screen time is not recommended for infants and limited to 1 hour for children 2–4 years.

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