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Published on: July 27, 2022
Factors associated with physical activity in children attending family child care homes
Katherine B Gunter1, Kelly R Rice, Dianne S Ward
1College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA. Kathy.gunter@oregonstate.edu
Insights
Family child care homes (FCCHs) with more outdoor active play, varied equipment, and engaging staff promote higher physical activity (PA) in children. These findings can inform policies to boost children's activity levels.
Area of Science:
- Child Development
- Public Health
- Pediatrics
Background:
- Family child care homes (FCCHs) are crucial settings for early childhood development.
- Promoting physical activity (PA) in young children is essential for their long-term health.
- Understanding factors within FCCHs that influence PA is vital for targeted interventions.
Purpose of the Study:
- To examine the association between family child care home practices and characteristics with objectively measured physical activity (PA) in children.
- To identify specific FCCH environmental and programmatic factors that support higher levels of children's PA.
Main Methods:
- Practices and characteristics of 45 FCCHs were assessed using the Nutrition and Physical Activity Self-Assessment for Child Care Instrument.
- 136 children aged 2–5 years wore accelerometers for one week to measure PA objectively.
- PA was quantified into light, moderate, and vigorous intensity levels per hour.
Main Results:
- Higher PA levels (min/h) were associated with sufficient outdoor active play, use of portable play equipment, diverse fixed play equipment, and adequate indoor play space.
- Engaging in active play with children and receiving activity-related training also correlated with increased PA.
- Specific associations were statistically significant (p<0.05).
Conclusions:
- This study provides the first evidence linking specific FCCH practices and characteristics to children's PA.
- Findings highlight the importance of the FCCH environment and staff engagement in promoting children's physical activity.
- Recommendations for program and policy development to enhance PA in FCCH settings are suggested.
Objective:
To determine the relationship between family child care home (FCCH) practices and characteristics, and objectively measured physical activity (PA) among children attending FCCHs.
Methods:
FCCH practices and characteristics were assessed in 45 FCCHs in Oregon (USA) in 2010-2011 using the Nutrition and Physical Activity Self-Assessment for Child Care Instrument. Within the 45 FCCHs, 136 children between ages 2 and 5 years wore an accelerometer during child care attendance over a one-week period. Time spent in light, moderate, and vigorous PA per hour was calculated using intensity-related cut-points (Pate et al., 2006).
Results:
FCCH characteristics and practices associated with higher levels of PA (min/h; p<0.05) included provision of sufficient outdoor active play [32.2 (1.0) vs. 28.6 (1.3)], active play using portable play equipment [31.7 (1.0) vs. 29.3 (1.4)], the presence of a variety of fixed play equipment [32.2 (1.0) vs. 28.9 (1.3)], and suitable indoor play space [32.2 (1.0) vs. 28.6 (1.3)], engaging in active play with children [32.1 (1.1) vs. 29.6 (1.2)], and receiving activity-related training [33.1 (1.2) vs. 30.3 (1.1)].
Conclusions:
This is the first study to identify practices and characteristics of FCCHs that influence children's PA. These data should be considered when developing programs and policies to promote PA in FCCHs.
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