A review of state regulations to promote infant physical activity in child care

International Journal of Behavioral Nutrition and Physical Activity

Kiyah J Duffey¹  Sara E Benjamin Neelon²  Meghan M Slining³ 

[1] Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA, USA;Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA;Department of Health Sciences, Furman University, 3300 Poinsett Highway, Greenville 29613, SC, USA

关键词: Physical activity;    Regulations;    Policy;    Obesity;    Infant;    Child care;   

Others  :  1136130
DOI  :  10.1186/s12966-014-0139-3

 received in 2014-06-30, accepted in 2014-10-31,  发布年份 2014

【 摘 要 】

Background

The purpose of this study was to review state regulations promoting increased physical activity and decreased sedentary behaviors in infants in child care and to assess consistency with recent Institute of Medicine (IOM) recommendations.

Methods

We compared existing state and territory licensing and administrative regulations to recent IOM recommendations to promote physical activity and decrease sedentary time in very young children attending out-of-home child care (both child care centers and family child care homes). Three independent reviewers searched two sources (a publicly available website and WestlawNext™) and compared regulations with five IOM recommendations: 1) providing daily opportunities for infants to move, 2) engaging with infants on the ground, 3) providing daily tummy time for infants less than six months of age, 4) using cribs, car seats and high chairs for their primary purpose, and 5) limiting the use of restrictive equipment for holding infants while they are awake. We used Pearson chi-square tests to assess associations between geographic region, year of last update, and number of state regulations consistent with the IOM recommendations.

Results

The mean (SD) number of regulations for states was 1.9 (1.3) for centers and 1.6 (1.2) for homes out of a possible 5.0. Two states had regulations for all five recommendations, Arizona for centers and Virginia for homes. Six states and territories had zero regulations for child care centers and seven states and territories had zero regulations for family child care homes. There were no significant associations between geographic region and number of regulations consistent with IOM recommendations.

Conclusions

Out-of-home child care settings are important targets for optimal early child health interventions. While most states had some regulations related to the promotion of physical activity among infants, few states had regulations for more than three of the five IOM recommendations. Enhancing state regulations in child care facilities could aid in early childhood obesity prevention efforts.

【 授权许可】

   
2014 Slining et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Ogden CL, Carroll MD, Kit BK, Flegal KM: Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 2014, 311:806-814. doi:810.1001/jama.2014.1732
• [2]Slining M, Adair LS, Goldman BD, Borja JB, Bentley M: Infant overweight is associated with delayed motor development. J Pediatr 2010, 157:20-25.e21. doi:10.1016/j.jpeds.2009.1012.1054. Epub 2010 Mar 1015
• [3]Benjamin Neelon SE, Oken E, Taveras EM, Rifas-Shiman SL, Gillman MW: Age of achievement of gross motor milestones in infancy and adiposity at age 3 years. Matern Child Health J 2012, 16:1015-1020. doi:1010.1007/s10995-10011-10828-10993
• [4]Mei Z, Grummer-Strawn LM, Scanlon KS: Does overweight in infancy persist through the preschool years? An analysis of CDC pediatric nutrition surveillance system data. Soz Praventivmed 2003, 48:161-167.
• [5]Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH: Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med 1992, 327:1350-1355.
• [6]Janssen I, Leblanc AG: Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act 2010, 7:40. doi:10.1186/1479-5868-1187-1140 BioMed Central Full Text
• [7]Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM, Rowland T, Trost S, Trudeau F: Evidence based physical activity for school-age youth. J Pediatr 2005, 146:732-737.
• [8]Wells JC, Ritz P: Physical activity at 9–12 months and fatness at 2 years of age. Am J Hum Biol 2001, 13:384-389.
• [9]Specker B, Binkley T: Randomized trial of physical activity and calcium supplementation on bone mineral content in 3- to 5-year-old children. J Bone Miner Res 2003, 18:885-892.
• [10]Jones RA, Riethmuller A, Hesketh K, Trezise J, Batterham M, Okely AD: Promoting fundamental movement skill development and physical activity in early childhood settings: a cluster randomized controlled trial. Pediatr Exerc Sci 2011, 23:600-615.
• [11]Jones RA, Hinkley T, Okely AD, Salmon J: Tracking physical activity and sedentary behavior in childhood: a systematic review. Am J Prev Med 2013, 44:651-658. doi:610.1016/j.amepre.2013.1003.1001
• [12]Early Childhood Obesity Prevention Policies. National Academy of Science, Washington, DC; 2011.
• [13][http://www.census.gov/prod/2013pubs/p70-135.pdf] webcite Who’s Minding the Kids? Child Care Arrangements: Spring 2011. []
• [14]Larson N, Ward DS, Neelon SB, Story M: What role can child-care settings play in obesity prevention? A review of the evidence and call for research efforts. J Am Diet Assoc 2011, 111:1343-1362. doi:1310.1016/j.jada.2011.1306.1007
• [15]Mersky RM, Dunn DJ: Fundamentals of Legal Research. 8th edition. Foundation Press, New York, NY; 2002.
• [16]Kaphingst KM, Story M: Child care as an untapped setting for obesity prevention: state child care licensing regulations related to nutrition, physical activity, and media use for preschool-aged children in the United States. Prev Chronic Dis 2009, 6:A11. Epub 2008 Dec 2015
• [17]Cradock AL, O’Donnell EM, Benjamin SE, Walker E, Slining M: A review of state regulations to promote physical activity and safety on playgrounds in child care centers and family child care homes. J Phys Act Health 2010, 7:S108-S119.
• [18]Benjamin SE, Cradock A, Walker EM, Slining M, Gillman MW: Obesity prevention in child care: a review of U.S. state regulations. BMC Public Health 2008, 8:188. doi:10.1186/1471-2458-1188-1188 BioMed Central Full Text
• [19]Li R, O’Connor L, Buckley D, Specker B: Relation of activity levels to body fat in infants 6 to 12 months of age. J Pediatr 1995, 126:353-357.
• [20]Wells JC, Stanley M, Laidlaw AS, Day JM, Davies PS: The relationship between components of infant energy expenditure and childhood body fatness. Int J Obes Relat Metab Disord 1996, 20:848-853.
• [21]Bushnell EW, Boudreau JP: Motor development and the mind: the potential role of motor abilities as a determinant of aspects of perceptual development. Child Dev 1993, 64:1005-1021.
• [22]Piek JP, Dawson L, Smith LM, Gasson N: The role of early fine and gross motor development on later motor and cognitive ability. Hum Mov Sci 2008, 27:668-681.
• [23]Miquelote AF, Santos DCC, Caçola PM, Montebelo MIDL, Gabbard C: Effect of the home environment on motor and cognitive behavior of infants. Infant Behav Dev 2012, 35:329-334.
• [24]Salls JS, Silverman LN, Gatty CM: The relationship of infant sleep and play positioning to motor milestone achievement. Am J Occup Ther 2002, 56:577-580.
• [25][https://www.healthykidshealthyfuture.org/home/startearly/thegoal.html] webcite Let’s Move! Child Care. []
• [26][http://www.health.gov/dietaryguidelines/2015.asp#GO5] webcite Questions and Answers on the 2015 Dietary Guidelines for Americans. []
• [27]Dietary Guidelines for Americans. 7th edition. U.S. Government Printing Office, Washington DC; 2010.
• [28]Benjamin SE, Rifas-Shiman SL, Taveras EM, Haines J, Finkelstein J, Kleinman K, Gillman MW: Early child care and adiposity at ages 1 and 3 years. Pediatrics 2009, 124:555-562. doi:510.1542/peds.2008-2857. Epub 2009 Jul 1527