Environmental factors associated with physical activity in childcare centers

International Journal of Behavioral Nutrition and Physical Activity

Marlene B Schwartz¹  Meghan L O’Connell¹  Gabrielle M Grode¹  Kathryn E Henderson¹ 

[1] Rudd Center for Food Policy and Obesity Yale University (at time of study), 309 Edwards Street, New Haven 06511, CT, USA

关键词: Environment;    Childcare;    Physical activity;   

Others  :  1145127
DOI  :  10.1186/s12966-015-0198-0

 received in 2014-06-20, accepted in 2015-03-02,  发布年份 2015

【 摘 要 】

Background

Child care centers influence physical activity levels among children, yet little is known about the specific aspects of the environment that support generous amounts of activity. The purpose of this study was to examine the practices, and environmental aspects of the child care center that are associated with children’s moderate and vigorous physical activity.

Methods

Thirty-five child care centers serving 389 3 to 5 year old children were assessed for: 1) environmental characteristics of the center; and 2) staff practices related to child physical activity. Children’s physical activity was measured using accelerometers over a single day in child care.

Results

Fourteen percent (an average of 9 minutes per waking hour) were spent in moderate to vigorous physical activity (MVPA). The strongest environmental predictors of MVPA were: time spent in outdoor play, suitability of indoor play space, and teacher encouragement of (but not participation in) indoor play.

Conclusions

In order to reach the U.S. recommended 120 minutes of physical activity per day, significant changes will need to occur in the child care setting, including increased time outdoors and more opportunities for indoor physical activity.

【 授权许可】

   
2015 Henderson et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Popkin BM, Duffey K, Gordon-Larsen P: Environmental influences on food choice, physical activity and energy balance. Physiol Behav 2005, 86:603-13.
• [2]Sallis JF, Prochaska JJ, Taylor WC: A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc 2000, 32:963-75.
• [3]Davison K, Lawson C: Do attributes in the physical environment influence children’s physical activity? A review of the literature. Int J Behav Nutr Phys Act 2006, 3:19. BioMed Central Full Text
• [4]Tucker P: The physical activity levels of preschool-aged children: a systematic review. Early Child Res Q 2008, 23:547-58.
• [5]Ferreira I, van der Horst K, Wendel-Vos W, Kremers S, van Lenthe FJ, Brug J: Environmental correlates of physical activity in youth - a review and update. Obes Rev 2007, 8:129-54.
• [6]Department of Health and Aging: National Physical Activity Guidelines for Australians. Physical activity recommendations for 0–5 year olds. 2010, Canberra, Australia. http://www.health.gov.au/internet/main/publishing.nsf/content/health-pubhlth-strateg-phys-act-guidelines#npa05
• [7]Canadian Society for Exercise Physiology: Canadian Physical Activity Guidelines, Canadian Sedentary Behaviour Guidelines. 2012.
• [8]Chief Medical Officers of England, Department of Health Physical Activity Health Improvement and Protection. Start Active, Stay Active – A report on physical activity for health from the four home countries’ Chief Medical Officers. London, England; 2011
• [9]Institute of Medicine: Early childhood obesity prevention policies. National academies, Washington, DC; 2011.
• [10]National Association for Sport and Physical Education: Active start: a statement of physical activity guidelines for children birth to five years. 2nd edition. 2009.
• [11]Data Resource Center for Child and Adolescent Health. Child and Adolescent Health Measurement Initiative: 2011–2012 National Survey of Children’s Health.[http://www.childhealthdata.org/browse/survey/results?q=2465&r=1]
• [12]U.S. Department of Education, National Center for Education Statistics. National Household Education Surveys Program: Number of children under 6 years old and not yet enrolled in kindergarten, percentage in center-based programs, average weekly hours in nonparental care, and percentage in various types of primary care arrangements, by selected child and family characteristics: 2005 [http://nces.ed.gov/programs/digest/d07/tables/dt07_042.asp]
• [13]Finn K, Johannsen N, Specker B: Factors associated with physical activity in preschool children. J Pediatr 2002, 140:81-5.
• [14]Boldemann C, Blennow M, Dal H, Martensson F, Raustorp A, Yuen K, et al.: Impact of preschool environment upon children’s physical activity and sun exposure. Prev Me 2006, 42:301-8.
• [15]Pate RR, McIver K, Dowda M, Brown WH, Addy C: Directly observed physical activity levels in preschool children. J Sch Health 2008, 78:438-44.
• [16]Pate RR, Pfeiffer KA, Trost SG, Ziegler P, Dowda M: Physical activity among children attending preschools. Pediatrics 2004, 114:1258-63.
• [17]Bower JK, Hales DP, Tate DF, Rubin DA, Benjamin SE, Ward DS: The childcare environment and children’s physical activity. Am J Prev Med 2008, 34:23-9.
• [18]Dowda M, Brown WH, McIver KL, Pfeiffer KA, O’Neill JR, Addy CL, et al.: Policies and characteristics of the preschool environment and physical activity of young children. Pediatrics 2009, 123:e261-6.
• [19]Henderson KE, Grode GM, Middleton AE, Kenney EL, Falbe J, Schwartz MB: Validity of a measure to assess the child-care nutrition and physical activity environment. J Am Diet Assoc 2011, 111:1306-13.
• [20]Freedson P, Pober D, Janz KF: Calibration of accelerometer output for children. Med Sci Sports Exerc 2005, 37(Suppl 11):523-30.
• [21]Brown WH, Pfeiffer KA, McIver KL, Dowda M, Almeida MJCA, Pate RR: Assessing preschool children’s physical activity: The observational system for recording physical activity in children-preschool version. Res Q Exerc Sport 2006, 77:167-76.
• [22]Kelly LA, Reilly JJ, Fairweather SC, Barrie S, Grant S, Paton JY: Comparison of two accelerometers for assessment of physical activity in preschool children. Pediatr Exerc Sci 2004, 16:324-33.
• [23]Pate RR, O’Neill JR, Mitchell J: Measurement of physical activity in preschool children. Med Sci Sports Exerc 2010, 42:508-12.
• [24]Edwardson CL, Gorely T: Epoch length and its effect on physical activity intensity. Med Sci Sports Exerc 2009, 42:928-34.
• [25]Vale S, Silva P, Santos R, Soares-Miranda L, Mota J: Compliance with physical activity guidelines in preschool children. J Sports Sci 2010, 28:603-8.
• [26]Evenson KR, Catellier DJ, Gill K, Ondrak KS, McMurray RG: Calibration of two objective measures of physical activity for children. J Sports Sci 2008, 26:1-9.
• [27]Pate RR, Almeida MJ, McIver KL, Pfeiffer KA, Dowda M: Validation and calibration of an accelerometer in preschool children. Obesity 2006, 14:2000-6.
• [28]Puyau MR, Adolph AL, Vohra FA, Butte NF: Validation and calibration of physical activity monitors in children. Obes Res 2002, 10:150-7.
• [29]Sirard J, Trost SG, Pfeiffer KA, Dowda M, Pate R: Calibration and evaluation of an objective measure of physical activity in preschool children. J Phys Act Health 2005, 3:345-57.
• [30]Centers for Disease Control and Prevention, Division of Nutrition Physical Activity and Obesity. Children’s BMI Tool for Schools[http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/tool_for_schools.html]
• [31]MeterPlus: [computer program]. Version 4. Santech Inc, San Diego, CA; 2009.
• [32]IBM SPSS Statistics for Windows: Version 22.0. [computer program]. IBM Corp, Armonk, NY; 2013.
• [33]U.S. Department of Health and Human Services. Physical activity guidelines for Americans: At a glance, fact sheet for professionals. [http://www.health.gov/paguidelines/factsheetprof.aspx]
• [34]Rich C, Griffiths LJ, Dezateux C: Seasonal variation in accelerometer-determined sedentary behaviour and physical activity in children: a review. Int J Behav Nutr Phys Act 2012, 9:49. BioMed Central Full Text
• [35]Hesketh KR, McMinn AM, Ekelund U, Sharp SJ, Collings PJ, Harvey NC, et al.: Objectively measured physical activity in four-year-old British children: a cross-sectional analysis of activity patterns segmented across the day. Int J Behav Nutr Phys Act 2014, 11:1. BioMed Central Full Text
• [36]O’Dwyer M, Fairclough SJ, Ridgers ND, Knowles ZR, Foweather L, Stratton G: Patterns of objectively measured moderate-to-vigorous physical activity in preschool children. J Phys Act Health 2014, 11:1233-8.
• [37]Cardon G, Van Cauwenberghe E, Labarque V, Haerens L, De Bourdeaudhuij I: The contribution of preschool playground factors in explaining children’s physical activity during recess. Int J Behav Nutr Phys Act 2008, 5:11. BioMed Central Full Text
• [38]Hinkley T, Crawford D, Salmon J, Okely AD, Hesketh K: Preschool children and physical activity - A review of correlates. Am J PrevMed 2008, 34:435-41.
• [39]Timmons BW, Naylor PJ, Pfeiffer KA: Physical activity for preschool children - How much and how? Appl Physiol Nutr Metab 2007, 32(Suppl 2):122-34.
• [40]Baranowski T, Thompson WO, Durant RH, Baranowski J, Puhl J: Observations on physical activity in physical locations-age, gender, ethnciicty and month effects. Res Q Exerc Sport 1993, 64:127-33.
• [41]Burdette HL, Whitaker RC, Daniels SR: Parental report of outdoor playtime as a measure of physical activity in preschool-aged children. Arch Pediatr Adolesc Med 2004, 158:353-7.
• [42]New York City Department of Health and Mental Hygiene, Board of Health. Notice of Adoption of Amendments to Article 47 of the New York City Health Code. New York City, 2006. http://www.nyc.gov/html/doh/downloads/pdf/public/notice-adoption-hc-art81-08.pdf
• [43]Benjamin SE, Cradock A, Walker EM, Slining M, Gillman MW: Obesity prevention in childcare: a review of U.S. state regulations. BMC Public Health 2008, 8:188. BioMed Central Full Text
• [44]Alhassan S, Sirard JR, Robinson TN: The effects of increasing outdoor play time on physical activity in Latino preschool children. Int J Pediatr Obes 2007, 2:153-8.
• [45]Reilly JJ: Low levels of objectively measured physical activity in preschoolers in childcare. Med Sci Sports Exerc 2010, 42:502-7.
• [46]Copeland KA, Sherman SN, Kendeigh CA, Kalkwarf HJ, Saelens BE: Societal values and policies may curtail preschool children’s physical activity in childcare centers. Pediatrics 2012, 129:265-74.
• [47]Ruiz RM, Tracy D, Sommer EC, Barkin SL: A novel approach to characterize physical activity patterns in preschool-aged children. Obesity 2013, 21:2917-2203.
• [48]Copeland KA, Sherman SN, Kendeigh CA, Saelens BE, Kalkwarf HJ: Flip flops, dress clothes, and no coat: clothing barriers to children’s physical activity in child-care centers identified from a qualitative study. Int J Behav Nutr Phys Act 2009, 6:74. BioMed Central Full Text
• [49]Copeland KA, Sherman SN, Khoury JC, Foster KE, Saelens BE, Kalkwarf HJ: Wide variability in physical activity environments and weather-related outdoor play policies in childcare centers within a single county of Ohio. Arch Pediatr Adolesc Med 2011, 165:435-42.
• [50]Brown WH, Googe HS, McIver KL, Rathel JM: Effects of teacher-encouraged physical activity on preschool playgrounds. J Early Interv 2009, 31:126-45.
• [51]Baranowski T, Perry CL, Parcel GS: How individuals, environments, and health behavior interact: Social Cognitive Theory. In Health Behavior and Health Education. 3rd edition. Edited by Glanz K, Rimer BK, Lewis FM. Jossey-Bass, San Francisco, CA; 2002.
• [52]Ward DS, Vaughn A, McWilliams C, Hales D: Interventions for increasing physical activity at childcare. Med Sci Sports Exerc 2010, 42:526-34.
• [53]Nielsen G, Bugge A, Hermansen B, Svensson J, Andersen LB: School playground facilities as a determinant of children’s daily activity: a cross-sectional study of Danish primary school children. J Phys Act Health 2012, 9:104-14.
• [54]Trost SG, Ward DS, Senso M: Effects of childcare policy and environment on physical activity. Med Sci Sports Exerc 2010, 42:520-5.
• [55]Gubbels JS, Van Kann DH, Jansen MW. Play equipment, physical activity opportunities, and children's activity levels at childcare. J Environmental and Public Health 2012, 1–8.
• [56]Nicaise V, Kahan D, Reuben K, Sallis JF: Evaluation of a redesigned outdoor space on preschool children’s physical activity during recess. Pediatr Exerc Sci 2012, 24:507-18.
• [57]Beets MW, Bornstein D, Dowda M, Pate RR: Compliance with national guidelines for physical activity in U.S. preschoolers: measurement and interpretation. Pediatrics 2011, 127:658-64.
• [58]Bornstein DB, Beets MW, Byun W, McIver K: Accelerometer-derived physical activity levels of preschoolers: a meta-analysis. J Sci Med Sport 2011, 14:504-11.
• [59]Bornstein DB, Beets MW, Byun W, Welk G, Bottai M, Dowda M, et al.: Equating accelerometer estimates of moderate-to-vigorous physical activity: in search of the Rosetta Stone. J Sci Med Sport 2011, 14:404-10.
• [60]McWilliams C, Ball SC, Benjamin SE, Hales D, Vaughn A, Ward DS: Best-practice guidelines for physical activity at childcare. Pediatrics 2009, 124:1650-9.