Related Experiment Video
Updated: Apr 30, 2026

Physical Activity Measurement in Children Accepting Table Tennis Training
Published on: July 27, 2022
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.
Background:
Young children's physical activity (PA) is influenced by their child care environment. This study assessed PA practices in centers from Massachusetts (MA) and Rhode Island (RI), compared them to best practice recommendations, and assessed differences between states and center profit status. We also assessed weather-related practices.
Methods:
Sixty percent of MA and 54% of RI directors returned a survey, for a total of 254. Recommendations were 1) daily outdoor play, 2) providing outdoor play area, 3) limiting fixed play structures, 4) variety of portable play equipment, and 5) providing indoor play area. We fit multivariable linear regression models to examine adjusted associations between state, profit status, PA, and weather-related practices.
Results:
MA did not differ from RI in meeting PA recommendations (β = 0.03; 0.15, 0.21; P = .72), but MA centers scored higher on weather-related practices (β = 0.47; 0.16, 0.79; P = .004). For-profit centers had lower PA scores compared with nonprofits (β = -0.20; 95% CI: -0.38, -0.02; P = .03), but they did not differ for weather (β = 0.12; -0.19, 0.44; P = .44).
Conclusions:
More MA centers allowed children outside in light rain or snow. For-profit centers had more equipment—both fixed and portable. Results from this study may help inform interventions to increase PA in children.
More Related Videos
14:05Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
06:00Four Temporary Waterslide Designs Adapted to Different Slope Conditions to Encourage Child Socialization in Playgrounds
Published on: December 9, 2022
Related Concept Videos
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Data Collection III
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
Naturalistic Observations
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Masonry in Cold and Hot Weather Conditions
Other key practices include keeping masonry units...