期刊论文详细信息
International Journal of Behavioral Nutrition and Physical Activity
UK Preschool-aged children’s physical activity levels in childcare and at home: a cross-sectional exploration
Esther M. F. van Sluijs2  Simon J. Griffin1  Kathryn R. Hesketh3 
[1] Primary Care Unit, Cambridge Institute of Public Health, University of Cambridge School of Clinical Medicine, Cambridge CB2 0SR, UK;MRC Epidemiology Unit & Centre for Diet and Activity Research (CEDAR), University of Cambridge School of Clinical Medicine, Box 285 Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK;UCL Institute of Child Health, 30 Guilford Street, London WC1N1EH, UK
关键词: Home environment;    Childcare;    Preschool children;    Physical activity;   
Others  :  1231261
DOI  :  10.1186/s12966-015-0286-1
 received in 2015-05-08, accepted in 2015-09-17,  发布年份 2015
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【 摘 要 】

Background

Young children are thought to be inactive in childcare, but little is known about location-specific activity levels. This observational study sought to describe the in-care and out-of-care activity patterns of preschool-aged children and explore differences in physical activity level by childcare attendance.

Methods

Three to four-year-old children were recruited from 30 preschool and nursery ‘settings’ in Cambridgeshire, UK. Average minutes per hour (min/h) spent sedentary (SED), in light physical activity (LPA) and in moderate-to-vigorous PA (MVPA) were measured by accelerometry for up to 7 days (mean: 6.7 ± 1.1). Weekly childcare attendance patterns were reported by parents. The within-child association between childcare attendance and outcomes was assessed using two- and three-level hierarchical regression; sex by care (in/out) interactions were considered.

Results

Two hundred and two children (51 % female) had valid activity data for ≥2 days. Children, and particularly boys, were less sedentary and more active when in care compared to at home (SED: Boys: β (SE): −6.4 (0.5) min/h, Girls: −4.8 (0.5); LPA: Boys: 0.6 (0.4), Girls: 1.8 (0.4); MVPA: Boys: 5.7 (0.5); Girls: 3.0 (0.4)). Differences between in-care and at-home activity were largest in the (early) mornings and early evenings for boys; no compensation in at-home activity occurred later in the day. On days when children were in care part-time (1–5 h) or full-time (>5 h), they were significantly less sedentary and more active compared with non-care days.

Conclusions

Young children, and particularly boys, accumulate more MVPA in care compared to at home. Future research should identify factors accounting for this difference and consider targeting non-care time in intervention efforts to increase higher-intensity activity and decrease sedentary time in preschoolers.

【 授权许可】

   
2015 Hesketh et al.

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【 参考文献 】
  • [1]Timmons BW, Leblanc AG, Carson V, Connor Gorber S, Dillman C, Janssen I et al.. Systematic review of physical activity and health in the early years (aged 0–4 years). Appl Physiol Nutr Metab. 2012; 37:773-92.
  • [2]Tremblay MS, Leblanc AG, Carson V, Choquette L, Connor Gorber S, Dillman C et al.. Canadian physical activity guidelines for the early years (aged 0–4 years). Appl Physiol Nutr Metab. 2012; 37:345-56.
  • [3]Get up and grow: healthy eating and physical activity for early childhood. Australian Government, Canberra, ACT; 2010.
  • [4]Start active, stay active: a report on physical activity from the four home countries’ chief medical officers. London, UK. 2011.
  • [5]Early childhood obesity prevention policies. The National Academies Press, Washington, DC; 2011.
  • [6]Hinkley T, Salmon J, Okely AD, Crawford D, Hesketh K. Preschoolers’ physical activity, screen time, and compliance with recommendations. Med Sci Sport Exerc. 2012; 44:458-65.
  • [7]Colley RC, Garriguet D, Adamo KB, Carson V, Janssen I, Timmons BW et al.. Physical activity and sedentary behavior during the early years in Canada: a cross-sectional study. Int J Behav Nutr Phys Act. 2013; 10:54. BioMed Central Full Text
  • [8]Hesketh K, McMinn A, Ekelund U, Sharp S, Collings P, Harvey N 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
  • [9]Nader PR, Bradley RH, Houts RM, McRitchie SL, O’Brien M. Moderate-to-vigorous physical activity from ages 9 to 15 years. JAMA. 2008; 300:295-305.
  • [10]Lader D, Short S, Gershany J. The Time Use Survey 2005: how we spend our time. London, UK. 2006. (August)
  • [11]Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012; 380:247-57.
  • [12]Provision for children under 5 years of age in England: January 2013 https://www.gov.uk/government/publications/provision-for-children-under-5-years-of-age-in-england-january-2013, Accessed 29 Nov 2013.
  • [13]The provision of childcare services: a comparative review of 30 European countries. Luxembourg. 2009.
  • [14]Child care in Australia http://www.mychild.gov.au/resources/reports, Accessed 3 Feb 2014.
  • [15]Who’s minding the kids? Child care arrangements: Spring 2011 https://www.census.gov/prod/2013pubs/p70-135.pdf, Accessed 18 Sept 2013.
  • [16]Trost SG, Ward DS, Senso M. Effects of child care policy and environment on physical activity. Med Sci Sport Exerc. 2010; 42:520-5.
  • [17]Ward DS. Physical activity in young children: the role of child care. Med Sci Sport Exerc. 2010; 42:499-501.
  • [18]Tucker P. The physical activity levels of preschool-aged children: a systematic review. Early Child Res Q. 2008; 23:547-58.
  • [19]Reilly JJ. Low levels of objectively measured physical activity in preschoolers in child care. Med Sci Sport Exerc. 2010; 42:502-7.
  • [20]Hnatiuk JA, Salmon J, Hinkley T, Okely AD, Trost S. A review of preschool children’s physical activity and sedentary time using objective measures. Am J Prev Med. 2014; 47:487-97.
  • [21]Early years and childcare http://www.ofsted.gov.uk/early-years-and-childcare, Accessed 30 Dec 2013.
  • [22]Early childhood and schools: starting strong III–a quality toolbox for early childhood education and care http://www.oecd.org/edu/school/startingstrongiii-aqualitytoolboxforearlychildhoodeducationandcare.htm#4, Accessed 7 April 2014.
  • [23]Reznik M, Wylie-Rosett J, Kim M, Ozuah PO. Physical activity during school in urban minority kindergarten and first-grade students. Pediatrics. 2013; 131:e81-7.
  • [24]Groenholt Olesen L, Lund Kristensen P, Korsholm L, Froberg K. Physical activity in children attending preschools. Pediatrics. 2013; 132:e1310-8.
  • [25]Gubbels JS, Kremers SP, van Kann DH, Stafleu A, Candel MJ, Dagnelie PC et al.. Interaction between physical environment, social environment, and child characteristics in determining physical activity at child care. Heal Psychol. 2011; 30:84-90.
  • [26]Dolinsky DH, Brouwer RJ, Evenson KR, Siega-Riz AM, Ostbye T. Correlates of sedentary time and physical activity among preschool-aged children. Prev Chronic Dis. 2011; 8:A131.
  • [27]Taylor RW, Murdoch L, Carter P, Gerrard DF, Williams SM, Taylor BJ. Longitudinal study of physical activity and inactivity in preschoolers: the FLAME study. Med Sci Sport Exerc. 2009; 41:96-102.
  • [28]English indices of deprivation https://www.gov.uk/government/collections/english-indices-of-deprivation, Accessed 25 March 2014.
  • [29]Corder K. Physical activity measurement in young people. Volume PhD. University of Cambridge. 2007. (Validity of combined heart rate and movement sensing to assess physical activity energy expenditure during free-living in young people)
  • [30]Adolph AL, Puyau MR, Vohra FA, Nicklas TA, Zakeri IF, Butte NF. Validation of uniaxial and triaxial accelerometers for the assessment of physical activity in preschool children. J Phys Act Heal. 2012; 9:944-53.
  • [31]Cliff DP, Reilly JJ, Okely AD. Methodological considerations in using accelerometers to assess habitual physical activity in children aged 0–5 years. J Sci Med Sport. 2009; 12:557-67.
  • [32]Sirard JR, Trost SG, Pfeiffer KA, Dowda M, Pate RR. Calibration and evaluation of an objective measure of physical activity in preschool children. J Phys Act Heal. 2005; 3:345-57.
  • [33]McMinn AM, van Sluijs EM, Harvey NC, Cooper C, Inskip HM, Godfrey KM et al.. Validation of a maternal questionnaire on correlates of physical activity in preschool children. Int J Behav Nutr Phys Act. 2009; 6:81. BioMed Central Full Text
  • [34]Stata/SE 12 for Windows. 2012.
  • [35]Collings PJ, Brage S, Ridgway CL, Harvey NC, Godfrey KM, Inskip HM et al.. Physical activity intensity, sedentary time, and body composition in preschoolers. Am J Clin Nutr. 2013; 97:1020-8.
  • [36]Choi L, Liu Z, Matthews CE, Buchowski MS. Validation of accelerometer wear and nonwear time classification algorithm. Med Sci Sport Exerc. 2011; 43:357-64.
  • [37]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.
  • [38]Ridgway CL, Brage S, Sharp SJ, Corder K, Westgate KL, van Sluijs EM et al.. Does birth weight influence physical activity in youth? A combined analysis of four studies using objectively measured physical activity. PLoS One. 2011; 6:e16125.
  • [39]Corder K, Brage S, Wareham NJ, Ekelund U. Comparison of PAEE from combined and separate heart rate and movement models in children. Med Sci Sport Exerc. 2005; 37:1761-7.
  • [40]Pate RR, Almeida MJ, McIver KL, Pfeiffer KA, Dowda M. Validation and calibration of an accelerometer in preschool children. Obesity. 2006; 14:2000-6.
  • [41]Verbestel V, Van Cauwenberghe E, De Coen V, Maes L, De Bourdeaudhuij I, Cardon G. Within- and between-day variability of objectively measured physical activity in preschoolers. Pediatr Exerc Sci. 2011; 23:366-78.
  • [42]Cole TJ. The LMS method for constructing normalized growth standards. Eur J Clin Nutr. 1990; 44:45-60.
  • [43]Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000; 320:1-6.
  • [44]STATA 13/SE. 2013.
  • [45]Goldstein H. Multilevel statistical models. Wiley-Blackwell. 2010.
  • [46]Harvey NC, Cole ZA, Crozier SR, Kim M, Ntani G, Goodfellow L et al.. Physical activity, calcium intake and childhood bone mineral: a population-based cross-sectional study. Osteoporos Int. 2012; 23:121-30.
  • [47]LeBlanc AG, Spence JC, Carson V, Connor Gorber S, Dillman C, Janssen I et al.. Systematic review of sedentary behaviour and health indicators in the early years (aged 0–4 years). Appl Physiol Nutr Metab. 2012; 37:753-72.
  • [48]National child measurement programme–England, 2011–2012 http://www.hscic.gov.uk/article/2021/Website-Search?productid=10135&q=2011/12+ncmp&sort=Relevance&size=10&page=1&area=both, Accessed 18 May 2014.
  • [49]Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA. 2012; 307:483-90.
  • [50]Pagnini D, King L, Booth S, Wilkenfeld R, Booth M. The weight of opinion on childhood obesity: recognizing complexity and supporting collaborative action. Int J Pediatr Obes. 2009; 4:233-41.
  • [51]Goodway J, Smith D. Keeping all children healthy: challenges to leading an active lifestyle for preschool children qualifying for at-risk programs. Fam Community Health. 2005; 28:142-55.
  • [52]Hesketh KR, Goodfellow L, Ekelund U, McMinn AM, Godfrey KM, Inskip HM et al.. Activity levels in mothers and their preschool children. Pediatrics. 2014; 133:e973-80.
  • [53]Ruiz R, Gesell SB, Buchowski MS, Lambert W, Barkin SL. The relationship between hispanic parents and their preschool-aged children’s physical activity. Pediatrics. 2011; 127:888-95.
  • [54]Moore LL, Lombardi DA, White MJ, Campbell JL, Oliveria SA, Ellison RC. Influence of parents’ physical activity levels on activity levels of young children. J Pediatr. 1991; 118:215-9.
  • [55]Van Sluijs EMF, McMinn AM, Inskip HM, Ekelund U, Godfrey KM, Harvey NC et al.. Correlates of light and moderate-to-vigorous objectively measured physical activity in four-year-old children. PLoS One. 2013; 8:e74934.
  • [56]De Craemer M, De Decker E, De Bourdeaudhuij I, Deforche B, Vereecken C, Duvinage K et al.. Physical activity and beverage consumption in preschoolers: focus groups with parents and teachers. BMC Public Health. 2013; 13:278. BioMed Central Full Text
  • [57]Bellows-Riecken KH, Rhodes RE. A birth of inactivity? A review of physical activity and parenthood. Prev Med. 2008; 46:99-110.
  • [58]Wilkin TJ, Mallam KM, Metcalf BS, Jeffery AN, Voss LD. Variation in physical activity lies with the child, not his environment: evidence for an “activitystat” in young children (EarlyBird 16). Int J Obes. 2006; 30:1050-5.
  • [59]Pellegrini A, Smith P. Physical activity play: the nature and function of a neglected aspect of playing. Child Dev. 1998; 69:577-98.
  • [60]Fagot BI, Leve LD. Teacher ratings of externalizing behavior at school entry for boys and girls: similar early predictors and different correlates. J Child Psychol Psychiatry. 1998; 39:555-66.
  • [61]Barbu S, Cabanes G, Le Maner-Idrissi G. Boys and girls on the playground: sex differences in social development are not stable across early childhood. PLoS One. 2011; 6:e16407.
  • [62]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
  • [63]Hesketh KD, Hinkley T, Campbell KJ. Children’s physical activity and screen time: qualitative comparison of views of parents of infants and preschool children. Int J Behav Nutr Phys Act. 2012; 9:152. BioMed Central Full Text
  • [64]Golombok S, Rust J, Zervoulis K, Croudace T, Golding J, Hines M. Developmental trajectories of sex-typed behavior in boys and girls: a longitudinal general population study of children aged 2.5–8 years. Child Dev. 2008; 79:1583-93.
  • [65]Mattocks C, Hines M, Ness A, Leary S, Griffiths A, Tilling K et al.. Associations between sex-typed behaviour at age 31/2 and levels and patterns of physical activity at age 12: the Avon Longitudinal Study of Parents and Children. Arch Dis Child. 2010; 95:509-12.
  • [66]Hinkley T, Crawford D, Salmon J, Okely AD, Hesketh K. Preschool children and physical activity: a review of correlates. Am J Prev Med. 2008; 34:435-41.
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