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Do children's health resources differ according to preschool physical activity programmes and parental behaviour? A
Elena Sterdt1, Natalie Pape2, Silke Kramer3
1Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover 30625, Germany. sterdt.elena@mh-hannover.de.
Insights
Preschools with systematic physical activity programs did not show higher child physical activity levels. However, parental behavior strongly influenced children's health resources, highlighting its importance in early childhood development.
Area of Science:
- Child Development
- Public Health
- Educational Psychology
Background:
- Preschool environments significantly influence children's lifestyle development.
- Understanding the impact of preschool conditions and family dynamics on children's health resources is crucial.
Purpose of the Study:
- To analyze how preschools with and without systematic physical activity programs affect children's physical activity, quality of life, and social behavior.
- To assess the influence of parental behavior on children's physical activity levels.
Main Methods:
- A cross-sectional mixed-methods approach combining quantitative analysis and qualitative ethnography.
- Data collected through parent questionnaires, child interviews, and focused ethnographic studies across 46 preschools.
- Contrast analysis between preschools with and without systematic physical activity programs.
Main Results:
- No significant difference in children's physical activity levels was found between preschools with and without systematic physical activity programs.
- Qualitative data revealed variations in the design and quality of physical activity promotion programs.
- Triangulated data strongly indicated a significant influence of parental behavior on children's health outcomes.
Conclusions:
- While systematic physical activity programs in preschools did not directly increase children's activity levels, program quality matters.
- Parental behavior is a key determinant of children's health resources, irrespective of preschool programs.
- A comprehensive approach integrating preschool initiatives and parental engagement is essential for promoting healthy lifestyles in early childhood.
Abstract:
Preschool can have positive effects on the development of a healthy lifestyle. The present study analysed to what extent different conditions, structures and behavioural models in preschool and family-children's central social microsystems-can lead to differences in children's health resources. Using a cross-sectional mixed methods approach, contrast analyses of "preschools with systematic physical activity programmes" versus "preschools without physical activity programmes" were conducted to assess the extent to which children's physical activity, quality of life and social behaviour differ between preschools with systematic and preschools without physical activity programmes. Differences in children's physical activity according to parental behaviour were likewise assessed. Data on child-related outcomes and parent-related factors were collected via parent questionnaires and child interviews. A qualitative focused ethnographic study was performed to obtain deeper insight into the quantitative survey data. Two hundred and twenty seven (227) children were interviewed at 21 preschools with systematic physical activity programmes, and 190 at 25 preschools without physical activity programmes. There was no significant difference in children's physical activity levels between the two preschool types (p = 0.709). However, the qualitative data showed differences in the design and quality of programmes to promote children's physical activity. Data triangulation revealed a strong influence of parental behaviour. The triangulation of methods provided comprehensive insight into the nature and extent of physical activity programmes in preschools and made it possible to capture the associations between systematic physical activity promotion and children's health resources in a differential manner.
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