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[(per)-282.3(day.)-284.3(The)-285.8(characteristics)-284.8(of)-284.4(the)-287.8(two)-280.6(samples)-286.6(are)-283.6(shown)]TJ T* [(in)-300.2(Table)-297.6(1.)]TJ .9519 -1.0915 TD [(Total)-251.5(PA)-245.7(was)-250.3(14.5)-246.9(and)-244.6(15.2)-164.1(min/hr)-246.9(in)-248.5(the)-246.4(CHAMPS)-244.2(and)]TJ -.9519 -1.0915 TD [(SHAPES)-453.3(samples,)-450.5(respectively.)-451.9(Results)-453.8(were)-450.2(similar)-454.6(in)]TJ /F11 1 Tf 8.9663 0 0 8.9663 35.3763 737.4045 Tm (2)Tj 52.4296 0 TD [(PATE)-334.2(ET)-331.8(AL.)]TJ ET endstream endobj 46 0 obj <>stream /GS1 gs BT /F5 1 Tf 10.959 0 0 10.959 35.3763 217.1905 Tm 0 0 0 rg 0 Tc 0 Tw [(both)-226.2(samples,)-233.2(in)-227.8(that)-229.2(males)-230.1(accumulated)-229.7(more)-230.7(time)-227.6(in)-232.9(total)]TJ 0 -1.0915 TD [(PA)-411.3(than)-413.7(females)-417.5(\()]TJ /F7 1 Tf 7.858 0 TD (p)Tj /F6 1 Tf .6673 0 TD (<)Tj /F5 1 Tf .7139 0 TD [(0.01;)-415.9(Table)-411.4(2\).)-412.1(The)-415.2(prevalence)-415.5(of)]TJ -9.2393 -1.0915 TD [(meeting)-213.5(the)-215.3(new)-218(PA)-214.7(guideline)-210.2(was)-219.2(41.6%)-210.5(and)-213.6(50.2%)-215.7(in)-212.2(the)]TJ T* [(CHAMPS)-539(and)-534.3(SHAPES)-541.2(samples,)-538.4(respectively.)-539.8(Results)]TJ 0 -1.0864 TD [(were)-424.3(similar)-428.7(in)-424.4(the)-422.3(two)-425.4(samples,)-424.6(with)-429(more)-422.1(males)-426.7(than)]TJ 0 -1.0915 TD [(females)-350.2(meeting)-348(the)-344.7(guideline)-349.9(\()]TJ /F7 1 Tf 13.2123 0 TD (p)Tj /F6 1 Tf .6673 0 TD (<)Tj /F5 1 Tf .7191 0 TD [(0.05;)-343.5(Table)-349.3(3\).)-350(In)-346.5(the)]TJ -14.5987 -1.0915 TD [(CHAMPS)-632.2(sample,)-633.7(more)-634.2(overweight)-635.2(children)-632.3(\(58.3%\))]TJ T* [(met)-456.8(the)-458.5(guideline)-458.5(than)-455.1(normal)-458.5(weight)-454.5(children)-456.4(\(37.9%;)]TJ /F7 1 Tf T* (p)Tj /F6 1 Tf .6673 0 TD (=)Tj /F5 1 Tf .7139 0 TD [(0.01\).)-414(A)-409.8(similar)-413.2(trend)-411.8(was)-410.6(observed)-412.8(in)-414(the)-411.9(SHAPES)]TJ -1.3812 -1.0915 TD 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[(Nonetheless,)-461.6(young)-453.9(children)-461.6(have)-459.8(not)-462.4(been)-459.8(included)-460.1(in)]TJ T* [(public)-491.5(health)-497.9(surveillance)-489.8(systems)-493.5(designed)-495.8(to)-491.6(monitor)]TJ 0 -1.0864 TD [(physical)-238.9(activity)-236(in)-238.1(the)-236(United)-237.3(States.)-238.5(Further,)-239(the)-236(Physical)]TJ 0 -1.0915 TD [(Activity)-327.1(Guidelines)-331.4(for)-329.1(Americans)-327.3(recommend)-328.6(PA)-328.5(levels)]TJ T* [(for)-396.3(children,)-392.7(but)-389.9(they)-393(apply)-394.8(only)-391.8(to)-393.3(children)-394.3(ages)-393.8(6)-395(and)]TJ T* (above.)Tj 7.8457 0 0 6.9732 339.307 248.7117 Tm (20)Tj 10.959 0 0 10.959 353.9338 244.5731 Tm [(Recently,)-619.6(however,)-619.5(an)-625.7(apparent)-616.3(international)]TJ -3.9782 -1.0915 TD [(consensus)-260.3(has)-261.4(been)-263.2(achieved)-264.4(with)-263.4(regard)-259.4(to)-264(PA)-261.3(guidelines)]TJ T* [(for)-448(3-)-444.8(to)-445(5-year-olds.)]TJ 7.8457 0 0 6.9732 408.1322 224.7873 Tm (3,68)Tj 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[(samples)-509.1(of)-506.9(American)-510.5(children.)-506.5(Using)-507.8(accelerometry)-506.5(to)]TJ T* [(assess)-271.6(PA)-271.6(levels)-271.5(objectively,)-266.8(we)-273.2(found)-269.1(that)-270.6(approximately)]TJ T* [(one)-327.4(half)-332.4(of)-325.8(children)-332.3(in)-326.1(two)-332.3(independent)-327.2(samples)-328(met)-327.5(this)]TJ T* (guideline.)Tj .9519 -1.0864 TD [(Few)-476.4(studies)-469.8(have)-470.2(examined)-473.6(the)-468.8(prevalence)-472.5(of)-470.6(young)]TJ -.9519 -1.0915 TD [(children)-228.8(meeting)-229.1(the)-225.7(new)-228.4(PA)-230.2(guideline,)-229.2(and)-229.1(comparison)-225.1(of)]TJ T* [(prevalence)-384.5(estimates)-382.9(is)-384.2(difcult)-384.2(owing)-382.5(to)-383(very)-382.4(divergent)]TJ T* [(methods)-361.8(for)-360.1(\(1\))-360.1(operationally)-356.3(dening)-361.9(the)-360.2(new)-362.9(guideline)]TJ T* [(and)-327.4(\(2\))-323.9(summarizing)-325.2(accelerometry)-325.5(data)-327(\()]TJ /F7 1 Tf 17.1749 0 TD (e)Tj /F5 1 Tf .4501 0 TD (.)Tj /F7 1 Tf 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[(an)21(d)-358.7(s)12.5(om)18.7(e)12.5(t)12(im)17(e)12.5(s)-359.9(u)13.7(n)0(e)21(x)0(p)17.1(e)12.5(ct)19.3(ed)21(,)-355.3()0(n)17.4(d)13.7(in)20.5(gs)-346.2(m)10.2(a)0(y)-346.3(b)0(e)-346.3(e)0(x)21(p)0(l)20.5(a)0(i)19.3(n)0(e)21(d)-358.7(b)13.7(y)]TJ T* [(de)21(ve)21(lo)20.5(pm)18.7(e)12.5(n)0(t)20.5(a)0(l)-358.4(p)0(h)22.3(e)0(n)21(o)0(m)18.7(e)12.5(na)-361.8(t)12(h)0(a)21(t)-370.8(c)12.5(o)0(n)22.3(f)0(o)20.8(u)0(n)17.1(d)-363.9(in)20.5(t)12(e)0(r)19.5(p)0(r)20.8(e)0(t)19.3(a)0(t)19.3(i)0(o)20.5(n)-369.1(o)13.7(f)]TJ T* [(t)12(h)0(e)-315.3(o)13.7(bs)21.1(er)19.5(ve)21(d)-322.5(r)0(e)19.5(l)0(a)19.3(t)0(i)18.8(o)13.7(ns)15.9(h)13.7(i)0(p)20.5(s)0(.)-311.7(F)0(o)22.5(r)-324(ex)21(am)17.5(p)13.7(l)0(e)19.3(,)-324.2(o)13.7(n)0(e)-315.3(h)13.7(yp)22.3(ot)20.5(he)21(si)19.3(s)-323.7(i)12(s)]TJ T* [(t)12(h)0(a)21(t)-334.6(ea)19.7(rl)19.1(i)12(e)0(r)-327.1(d)13.7(ev)21(el)19.3(op)22.3(in)20.5(g)-332.9(c)0(h)21(i)0(l)18.8(d)0(r)20.8(e)0(n)-325.6(m)15.4(ay)-325.6(t)12(e)0(n)21(d)-332.9(to)-326.1(b)13.7(e)-334.1(bo)22.3(th)-320.9(m)10.2(o)0(r)20.8(e)]TJ T* [(ph)22.3(ys)21.1(ic)19.3(al)19.3(l)12(y)-415.6(a)12.5(c)0(t)19.3(i)0(v)20.5(e)-416.9(a)12.5(n)0(d)-401.9(h)0(e)21(a)0(v)21(i)0(e)19.3(r)0(.)]TJ 7.8457 0 0 6.9732 443.7353 535.6345 Tm -.0159 Tc (29)Tj 10.959 0 0 10.959 455.981 531.4959 Tm 0 Tc [(In)-403.4(an)21(y)-415.7(c)12.5(as)19.8(e,)-404.9(l)12(o)0(n)22.3(g)0(i)20.5(t)0(u)20.5(d)0(i)20.5(n)0(a)21(l)]TJ -13.2899 -1.0915 TD -.0204 Tc [(s)-7.9(t)-20.4(ud)-20.4(ie)-20.4(s)-228.2(w)-20.4(it)-20.4(h)-227.5(e)-20.4(xc)-20.4(el)-20.4(le)-20.4(nt)-236(m)-10.2(e)-20.4(as)-20.4(ur)-20.4(es)-240.7(o)-6.7(f)-240.9(d)-6.7(e)-20.4(ve)-20.4(lo)-20.4(pm)-10.2(e)-20.4(n).6(t)-20.4(a)-1.1(l)-241.2(s)-7.9(t)-8.4(a)-20.4(tu)-20.4(s)-226.9(a)-20.4(nd)]TJ T* 0 Tc [(bo)22.3(dy)-314(c)12.5(o)0(m)18.7(p)13.7(os)21.1(it)18.8(i)12(o)0(n)-314(w)0(i)21.3(l)12(l)-324.3(b)0(e)-310.1(n)0(e)15.8(e)12.5(de)21(d)-322.5(t)0(o)-310.5(f)0(u)20.8(l)0(l)18.8(y)-322.5(el)19.3(u)13.7(c)0(i)19.3(d)0(a)15.8(t)12(e)-323.8(t)12(he)-310.1(re)19.5(-)]TJ 0 -1.0864 TD [(l)12(a)0(t)19.3(i)0(o)20.5(n)0(s)21.1(h)0(i)20.5(p)-255.3(be)21(tw)21.3(ee)19.7(n)-255.3(P)0(A)-245.8(a)12.5(nd)-246.7(we)21.7(ig)20.5(ht)-243.3(st)19.3(at)19.3(us)-242.8(in)-243.3(yo)17.1(u)13.7(n)0(g)-246.7(c)12.5(hi)20.5(l)12(d)0(r)20.8(e)0(n)15.8(.)]TJ 0 -1.0915 TD [(On)23(e)-468.7(s)12.5(uc)21(h)-467.4(l)12(on)22.3(gi)20.5(tu)20.5(di)20.5(na)21(l)-469.1(s)12.5(t)12(u)0(d)17.1(y)-462.2(m)10.2(e)0(a)19.7(s)0(u)21.1(r)0(e)19.5(d)-467.4(P)14(A)-466.7(wi)21.3(t)12(h)-467.4(a)12.5(c)0(c)14.6(e)12.5(l)12(e)0(r)19.5(-)]TJ T* [(om)23.9(et)19.3(er)19.5(s)-437.5(a)0(n)15.8(d)-436.3(a)12.5(d)0(i)20.5(p)0(o)17.1(s)12.5(i)12(t)0(y)-429.5(w)0(i)21.3(t)0(h)-429.5(d)0(u)22.3(a)0(l)19.3(-)12.3(en)15.8(e)12.5(r)0(g)20.8(y)-436.3(X-)16.4(r)12.3(a)0(y)-429.1(a)12.5(bs)21.1(or)15.6(p)13.7(t)12(io)20.5(-)]TJ T* [(m)10.2(e)12.5(tr)19.1(y)-244.9(i)0(n)-238.1(c)0(h)21(i)12(ld)20.5(re)19.5(n)-250.1(a)12.5(ge)21(s)-246.1(5)0(,)-238.1(8)13.7(,)-246.6(a)0(n)15.8(d)-244.9(1)13.7(1)-250.1(y)13.7(e)0(a)19.7(r)0(s)19.6(.)]TJ 7.8457 0 0 6.9732 487.8991 463.918 Tm [(30)24.5(,3)27.4(1)]TJ 10.959 0 0 10.959 507.855 459.7794 Tm [(Ch)22.7(il)18.8(dr)20.8(en)-237.7(wi)21.3(t)12(h)]TJ -18.0233 -1.0915 TD [(t)12(h)0(e)-211.8(h)0(i)20.5(g)0(h)22.3(e)0(s)19.8(t)-226(l)12(e)0(v)21(e)0(l)19.3(s)-220.3(of)-212(PA)-209.5(at)-213.5(5)-224.2(y)13.7(ea)19.7(rs)-213.2(of)-212(a)12.5(g)0(e)-211.8(h)0(a)21(d)-224.2(l)12(o)0(w)17.8(e)12.5(r)-220.5(f)0(a)19.5(t)-226(m)15.4(a)0(s)19.8(s)]TJ T* [(at)-265.3(ag)21(es)-269.9(8)-276(a)12.5(nd)-267.4(11)-267.4(t)12(h)0(a)21(n)-276(th)20.5(e)-277.2(c)0(h)21(i)0(l)18.8(d)0(r)20.8(e)0(n)-268.7(w)14.4(it)18.8(h)-276(t)12(he)-268.7(l)12(o)0(w)17.8(e)12.5(st)-270.4(l)12(e)12.5(ve)15.8(l)12(s)-277.2(o)13.7(f)]TJ T* [(PA)-276.8(at)-280.8(5)-291.5(y)0(e)21(a)0(r)19.5(s)-287.5(of)-279.2(ag)15.8(e)12.5(.)]TJ 7.8457 0 0 6.9732 402.633 428.0881 Tm [(30)24.5(,3)27.4(1)]TJ 10.959 0 0 10.959 320.7684 411.9306 Tm [(Th)17.3(e)-582.5(i)12(nc)21(re)19.5(as)19.8(ed)-573.9(pr)20.8(ev)21(al)19.3(en)21(ce)-575.2(of)-574.1(o)13.7(v)0(e)15.8(r)12.3(we)21.7(ig)20.5(ht)-574.4(a)12.5(n)0(d)-572.7(o)0(b)17.1(e)12.5(si)19.3(t)12(y)]TJ -.9519 -1.0864 TD [(am)22.6(on)17.1(g)-332.9(y)13.7(ou)17.1(n)13.7(g)-332.9(ch)21(il)18.8(dr)20.8(en)-325.6(ha)21(s)-334.1(p)0(r)20.8(o)0(m)18.7(p)13.7(te)19.3(d)-332.9(n)0(u)17.1(m)15.4(er)19.5(ou)17.1(s)-334.1(a)12.5(ut)20.5(ho)22.3(ri)19.1(t)12(i)0(e)19.3(s)]TJ 0 -1.0915 TD [(an)21(d)-270.8(e)0(x)15.8(p)13.7(er)19.5(t)-272.5(p)0(a)21(n)0(e)15.8(l)12(s)-272(t)0(o)-264(r)12.3(ec)19.7(om)18.7(m)10.2(e)12.5(nd)-262.3(sp)21.1(ec)19.7(i)20.8(c)-277.2(a)12.5(ct)19.3(io)20.5(ns)21.1(,)-272.5(i)0(n)20.5(c)0(l)19.3(u)0(d)22.3(i)0(n)20.5(g)]TJ T* -.013 Tc [(in)-13(c)8(r)-13(e)6.5(a)-13(s)6.8(i)-13(n)7.5(g)-247.6(PA)-13(.)]TJ 7.8457 0 0 6.9732 373.3227 380.2393 Tm 0 Tc [(2,)27.4(32)24.5(,3)27.4(3)]TJ 10.959 0 0 10.959 398.7778 376.1007 Tm [(R)14.2(e)0(c)14.6(e)12.5(nt)20.5(l)12(y)0(,)-222.6(t)12(he)-222.1(Ta)21.2(sk)-222.1(F)14(o)0(r)20.8(c)0(e)-223.4(o)0(n)-220.9(C)0(h)22.7(i)0(l)18.8(d)13.7(ho)17.1(o)13.7(d)]TJ -8.0701 -1.0915 TD [(Ob)23(es)19.8(it)18.8(y,)]TJ 7.8457 0 0 6.9732 346.2802 368.277 Tm -.0159 Tc (34)Tj 10.959 0 0 10.959 357.6188 364.1385 Tm 0 Tc [(Le)21.2(t)19.1(s)-328.9(M)10.7(ov)22.3(e)-329(C)0(h)17.5(i)12(l)12(d)-332.9(C)14.2(a)0(r)19.5(e)0(,)]TJ 7.8457 0 0 6.9732 462.6707 368.277 Tm -.0159 Tc (35)Tj 10.959 0 0 10.959 474.0093 364.1385 Tm 0 Tc [(th)20.5(e)-329(I)0(O)16.4(M)10.7(,)]TJ 7.8457 0 0 6.9732 514.3747 368.277 Tm (3)Tj 10.959 0 0 10.959 521.9148 364.1385 Tm [(C)14.2(a)0(r)19.5(i)0(n)20.5(g)-327.7(fo)20.8(r)]TJ -19.3063 -1.0915 TD -.012 Tc [(O)-12(u)11(r)-211.8(C)-12(h)5.5(ild)-12(r)8.8(e)-12(n)9(,)]TJ 7.8457 0 0 6.9732 369.4676 356.3148 Tm 0 Tc (5)Tj 10.959 0 0 10.959 375.5338 352.1763 Tm [(He)16.5(a)12.5(d)-198.4(St)20.8(ar)19.5(t)19.1(s)-199.6(I)-194.7(Am)-192.6(M)10.7(o)13.7(vi)20.5(ng)22.3(,)-200.1(I)-199.8(Am)-187.5(L)13.9(e)0(a)14.6(r)12.3(ni)20.5(n)13.7(g)0(,)]TJ 7.8457 0 0 6.9732 559.6156 356.3148 Tm (36)Tj 10.959 0 0 10.959 310.3369 340.2141 Tm [(an)21(d)-286.3(t)12(he)-273.9(US)-276.8(Na)21.7(t)12(i)0(o)20.5(n)0(a)15.8(l)-282.9(Ph)22.5(ys)21.1(ic)19.3(al)-275.6(Ac)21.7(ti)18.8(vi)20.5(ty)-274.3(Pl)20.8(an)]TJ 7.8457 0 0 6.9732 499.5211 344.3526 Tm (19)Tj 10.959 0 0 10.959 510.4062 340.2141 Tm [(h)13.7(a)0(v)15.8(e)-282.4(fo)20.8(cu)21(se)19.8(d)]TJ -18.2561 -1.0915 TD 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[(ca)19.7(r)12.3(e)-370.4(s)12.5(e)0(t)19.3(t)0(i)18.8(n)0(g)-355.4(h)0(a)21(s)-370.3(b)13.7(e)0(e)14.5(n)-363.9(id)20.5(en)21(ti)18.8(e)21.3(d)-369.1(a)12.5(s)-370.3(a)-365.2(pr)20.8(om)18.7(i)12(s)0(i)19.3(n)0(g)-355.4(s)0(e)19.8(t)0(t)18.8(i)12(ng)-355.4(fo)20.8(r)]TJ T* -.0129 Tc [(in)-12.9(c)8.1(r)-12.9(e)6.6(a)-12.9(s)6.9(i)-12.9(n)7.6(g)-356.1(yo)-12.9(u)4.2(n).8(g)-351(c)-12.9(hild)-12.9(r)7.9(e)-12.9(n)8.1()-12.9(s)-345.1(P)-12.9(A)5.2(.)]TJ 7.8457 0 0 6.9732 451.8424 284.5984 Tm -.0159 Tc (38)Tj 10.959 0 0 10.959 463.2944 280.4597 Tm 0 Tc [(Th)22.5(e)-344.5(c)12.5(hi)20.5(ld)-331.2(c)12.5(a)0(r)19.5(e)-344.5(e)12.5(n)0(v)22.3(i)0(r)19.1(o)0(n)22.3(-)]TJ -13.9572 -1.0915 TD [(m)10.2(e)12.5(nt)-238.1(i)12(n)-250.1(t)12(h)13.7(e)-251.4(U)14.4(ni)20.5(te)19.3(d)-244.9(S)0(t)15.6(a)12.5(t)12(e)0(s)-238.9(i)12(s)-246.1(i)0(n)20.5()0(u)17.4(e)12.5(nc)21(ed)-237.7(by)-236.4(r)12.3(e)0(g)21(u)0(l)20.5(a)0(t)19.3(i)0(o)20.5(n)0(s)-237.6(a)12.5(t)-246.7(t)0(h)20.5(e)]TJ T* 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