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Published on: July 27, 2022
Physical activity and play in kindergarten age children
Margherita Caroli1, Ewa Malecka-Tendera, Susi Epifani
1Nutrition Unit, Department of Prevention, Azienda Sanitaria Locale Brindisi, Brindisi, Italy. mcaroli@libero.it
Insights
Childhood obesity is influenced by physical activity levels across European countries. Danish children are most active, while Italian children are least active, highlighting the impact of infrastructure and cultural factors on activity and overweight rates.
Area of Science:
- Pediatrics
- Public Health
- Childhood Obesity Research
Background:
- Childhood obesity is a growing global concern.
- Understanding factors influencing physical activity in early childhood is crucial for prevention.
- Cross-cultural comparisons can reveal important environmental and social determinants.
Purpose of the Study:
- To assess and compare physical activity habits among preschool children in Denmark, Italy, and Poland.
- To identify factors promoting or preventing obesity development in early age within the PERISCOPE project.
- To analyze the relationship between physical activity, country-specific infrastructure, and childhood overweight rates.
Main Methods:
- A study involving 1094 preschool children across kindergartens in Denmark, Italy, and Poland.
- Parental questionnaires assessed children's and parents' physical activity habits and attitudes.
- Overweight and obesity were determined using Cole's Body Mass Index (BMI) cut-off points.
- Statistical analyses included the chi-squared test and test of proportion.
Main Results:
- Italy had the highest overweight rate (21.2%), followed by Poland (17.1%) and Denmark (14.6%).
- Polish children exhibited the highest rates of walking to/from kindergarten, while Danish children were the most active overall, engaging in sports and outdoor play more frequently.
- Italian children showed the lowest engagement in outdoor play and sports, with only 50.1% playing outside and 18.2% practicing sports.
Conclusions:
- Significant variations in physical activity levels and overweight prevalence exist among preschool children in Denmark, Italy, and Poland.
- Environmental factors, such as safe walking routes and playground access, alongside cultural and social family characteristics, significantly influence children's physical activity and contribute to overweight development.
- Targeted interventions addressing infrastructure and cultural norms are needed to promote physical activity and combat childhood obesity in diverse European settings.
Abstract:
PERISCOPE project assesses factors promoting or preventing obesity development in early age. A specific aim is to assess preschool children's physical activity habits in three different European countries. PERISCOPE has been implemented in 1094 children attending kindergartens in Denmark, Italy and Poland. The parents' and children's physical activity habits and attitudes assessed by a questionnaire filled by the parents. Overweight and obesity assessed by Cole's BMI cut-off points. Statistical analysis performed by χ(2) test and the test of proportion. Denmark shows the lowest rate (14.6 %) of overweight, followed by Poland (17.1%), while Italy shows the highest (21.2 %) (p < 0.0001). The Polish families show the highest rate of walking from home to kindergarten and back, followed by the Italians and, lastly, the Danish ones (p < 0.001). Almost all the Danish and Polish children, but only the 50.1 % of the Italians play outside (p < 0.001). During the weekdays, 34.9 % of Polish children, 22.2 % of Italians and 19.8 % of the Danish play outside more than one hour a day (p < 0.0001). During the weekend, 91.1 % of Polish children, 86.7 % of Danish children, but only 54.4 % of Italians play outside more than one hour (p < 0.0001). 53.5 % of Danish children, 31.9 % of Polish children, and 18.2 % of Italian ones practice sport (p < 0.0001). Danish children are the most active, the Polish are in the middle and the Italians are the least active. The difference in infrastructures (safety of walking streets, access to playgrounds/parks, etc.) can play an important role, in addition to cultural and social family characteristics, to the development of overweight.
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