During the pre-COVID period, a clear trend of improvement in all health metrics was evident as more guidelines were met, with the most pronounced improvement occurring when moving from two to three guidelines.
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Adherence to the Singapore Integrated 24 h Activity Guidelines for Pre-Primary School Children Before, During and After the COVID-19 Lockdown in Singapore.
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In China, significant weight and height changes were observed among pre-primary children during school closures, indicating a worrying trend towards obesity [ 45 ].