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n
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N (%) who met guideline
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Attentional problems at 5 years of age
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Hyperactivity at 5 years of age
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Emotional self-control at 5 years of age
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Executive functioning at 5 years of age
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Standardised mean difference (95% CI)a for those who met the guideline compared to those who did not
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Physical activity: ≥ 180 min/day LMVPAb
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At 1 year of age
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315
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122 (38.7)
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-0.18 (-0.40, 0.04)
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-0.11 (-0.35, 0.12)
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0.18 (-0.03, 0.40)
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0.10 (-0.12, 0.33)
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Physical activity: ≥ 180 min/day LMVPA including 60 min energetic playc
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At 3.5 years of age
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305
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187 (61.3)
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0.00 (-0.21, 0.20)
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0.16 (-0.07, 0.39)
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0.02 (-0.21, 0.24)
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-0.17 (-0.39, 0.06)
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At 5 years of age
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382
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310 (81.2)
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-0.09 (-0.34, 0.15)
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0.15 (-0.11, 0.41)
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0.05 (-0.20, 0.31)
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0.02 (-0.23, 0.27)
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At both 3.5 and 5 years of age
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266
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144 (54.1)
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0.01 (-0.21, 0.22)
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0.22 (-0.01, 0.46)
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0.04 (-0.19, 0.26)
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-0.11 (-0.34, 0.12)
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Sedentary time: no screen time or no > 60 minutesd
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At 1 year of age
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305
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191 (62.6)
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-0.09 (-0.31, 0.13)
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-0.15 (-0.38, 0.09)
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0.12 (-0.09, 0.34)
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0.07 (-0.15, 0.30)
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At 2 years of age
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220
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35 (15.9)
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-0.04 (-0.39, 0.31)
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0.00 (-0.37, 0.37)
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0.12 (-0.22, 0.47)
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0.13 (-0.25, 0.50)
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At 5 years of age
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377
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151 (40.1)
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-0.14 (-0.34, 0.06)
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-0.07 (-0.28, 0.15)
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0.17 (-0.03, 0.38)
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0.14 (-0.07, 0.35)
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At 2 or more time points
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311
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83 (26.7)
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-0.11 (-0.35, 0.14)
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-0.26 (-0.52, -0.01)
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0.35 (0.11, 0.59)
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0.28 (0.03, 0.53)
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Sedentary time: not being restrained for > 60 min at a timee
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At 1 year of age
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305
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273 (89.5)
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-0.25 (-0.60, 0.09)
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-0.37 (-0.74, -0.00)
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0.14 (-0.21, 0.48)
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0.19 (-0.17, 0.55)
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Sedentary time: no screen time or no > 60 min AND not being restrained for > 60 min at a time
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At 1 year of age
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305
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176 (57.7)
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-0.12 (-0.34, 0.09)
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-0.15 (-0.38, 0.08)
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0.10 (-0.11, 0.31)
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0.05 (-0.17, 0.28)
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Sleep: 11 – 14 h or 10 – 13 h including napsf
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At 1 year of age
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307
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258 (84.0)
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-0.01 (-0.30, 0.28)
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-0.05 (-0.36, 0.26)
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0.07 (-0.21, 0.35)
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0.09 (-0.21, 0.39)
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At 5 years of age
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370
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325 (87.8)
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0.14 (-0.15, 0.44)
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0.04 (-0.28, 0.35)
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-0.03 (-0.34, 0.28)
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-0.12 (-0.42, 0.18)
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Sleep: consistent sleep and wake timesg
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At 1 year of age
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307
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56 (18.2)
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-0.19 (-0.47, 0.08)
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-0.04 (-0.33, 0.25)
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0.21 (-0.06, 0.48)
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0.17 (-0.11, 0.45)
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At 2 years of age
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254
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67 (26.4)
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0.09 (-0.18, 0.36)
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0.01 (-0.28, 0.30)
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-0.12 (-0.40, 0.15)
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-0.09 (-0.38, 0.20)
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At 3.5 years of age
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398
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59 (19.8)
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-0.04 (-0.30, 0.21)
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0.07 (-0.21, 0.34)
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-0.14 (-0.41, 0.14)
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0.02 (-0.26, 0.29)
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At 5 years of age
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370
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84 (22.7)
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-0.18 (-0.41, 0.05)
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-0.19 (-0.43, 0.06)
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0.16 (-0.08, 0.40)
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0.13 (-0.10, 0.37)
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At 2 or more time points
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380
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58 (15.3)
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-0.19 (-0.46, 0.07)
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-0.10 (-0.38, 0.18)
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0.03 (-0.24, 0.30)
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0.15 (-0.13, 0.43)
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Sleep: both sleep guidelines (duration and consistency)
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At 1 year of age
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307
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42 (13.7)
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-0.17 (-0.48, 0.14)
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-0.07 (-0.40, 0.25)
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0.22 (-0.08, 0.52)
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0.23 (-0.09, 0.55)
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At 2 years of age
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254
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64 (25.2)
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0.05 (-0.23, 0.32)
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-0.01 (-0.31, 0.28)
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-0.08 (-0.36, 0.20)
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-0.06 (-0.36, 0.23)
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At 3.5 years of age
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298
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56 (18.8)
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0.03 (-0.23, 0.29)
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0.13 (-0.15, 0.41)
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-0.23 (-0.51, 0.06)
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-0.06 (-0.34, 0.22)
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At 5 years of age
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370
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77 (20.8)
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-0.12 (-0.36, 0.12)
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-0.17 (-0.42, 0.08)
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0.17 (-0.08, 0.42)
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0.11 (-0.14, 0.35)
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At 2 or more time points
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380
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48 (12.6)
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-0.15 (-0.44, 0.14)
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-0.07 (-0.37, 0.24)
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0.00 (-0.30, 0.29)
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0.15 (-0.15, 0.45)
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All three guidelines: ≥ 180 min/day LMVPA, no screen time or no more than 60 min, and 11 – 14 h or 10 – 13 h including napsh
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At 1 year of age
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297
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60 (20.2)
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-0.07 (-0.34, 0.20)
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-0.08 (-0.37, 0.21)
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0.17 (-0.09, 0.44)
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0.08 (-0.20, 0.37)
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At 2 years of age
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218
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33 (15.1)
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0.05 (-0.31, 0.41)
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0.08 (-0.30, 0.46)
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0.02 (-0.34, 0.37)
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0.01 (-0.37, 0.40)
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At 5 years of age
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365
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134 (36.7)
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-0.05 (-0.26, 0.16)
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-0.02 (-0.24, 0.20)
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0.12 (-0.10, 0.34)
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0.07 (-0.15, 0.28)
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- aMean difference (95% CI) estimated using regression models adjusted for randomised group, sex, maternal education, household deprivation, primiparous, and BMI z-score at 5 years of age, in units of standard deviations
- bProportions who met the first physical activity guideline at 2, 3.5, and 5 years of age were too high to allow estimation of mean differences (94.1, 97.1, and 98.4%, respectively)
- cSecond physical activity guideline applies only to children aged 3 – 5 years
- dNo screen time (1 – 2 years) or 60 min maximum screen time (3 – 5 years). Not measured at 3.5 years
- eNot being restrained in a car seat or stroller for > 60 min at a time, on at least 3 days a week (1 – 2 years). The proportion who met this guideline at 2 years of age was too high to allow estimation of mean differences (96.8%). Not measured at 3.5 years
- f11 – 14 h (1 – 2 years) or 10 – 13 h (3 – 5 years). The proportion who met this guideline at 2 and 3.5 years of age and at 2 or more time points was too high to allow estimation of mean differences (92.9, 95.6, and 92.6% respectively)
- gHaving a consistent sleep time or consistent wake time defined as within-person standard deviation of < 30 min
- hThe proportion who met this guideline at two or more time points was too low to allow estimation of mean differences (9.7%)
- Bold figures denote P < 0.05