Physical activity-related and weather-related practices of child care centers from 2 states

Sarah C Ball1, Matthew W Gillman, Meghan Mayhew

  • 1Dept of Community and Family Medicine, Duke University Medical Center, Durham NC.

Insights

Child care centers in Massachusetts and Rhode Island show similar physical activity (PA) practices. However, for-profit centers had lower PA scores, and Massachusetts centers excelled in weather-related practices.

Area of Science:

  • Pediatric Health
  • Child Care Research
  • Environmental Health

Background:

  • Childhood physical activity (PA) is significantly shaped by the child care setting.
  • This study examined PA practices in child care centers in Massachusetts (MA) and Rhode Island (RI).
  • Comparisons were made against established best practice recommendations, including an assessment of weather-related practices.

Purpose of the Study:

  • To assess physical activity (PA) practices in child care centers across Massachusetts and Rhode Island.
  • To compare these practices against recommended guidelines.
  • To investigate differences in PA and weather-related practices based on state and center profit status.

Main Methods:

  • A survey was administered to directors of child care centers in MA and RI, with a response rate of 60% and 54%, respectively (total N=254).
  • Key recommendations assessed included daily outdoor play, availability of play areas, equipment variety, and indoor play provisions.
  • Multivariable linear regression models were employed to analyze associations between state, profit status, PA, and weather-related practices.

Main Results:

  • No significant difference was found between MA and RI in meeting PA recommendations (P = .72).
  • Massachusetts centers demonstrated significantly higher scores for weather-related practices compared to Rhode Island centers (P = .004).
  • For-profit centers reported lower PA scores than nonprofit centers (P = .03), but no difference was observed in weather-related practices.

Conclusions:

  • Massachusetts centers were more likely to permit outdoor play during light rain or snow.
  • For-profit centers tended to possess a greater quantity of both fixed and portable play equipment.
  • Findings can inform targeted interventions aimed at enhancing physical activity levels in young children within child care environments.
Abstract

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