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Child Care Setting and Its Association With Policies and Practices That Promote Physical Activity and Physical
Insights
Family child care settings in Canada promote more active play and outdoor time for young children compared to group child care. However, group settings better support fundamental movement skills and breaking up sedentary time.
Area of Science:
- Child Development
- Public Health
- Pediatrics
Background:
- Physical activity (PA) is crucial for early child development.
- Child care settings are key environments for promoting PA in children.
- Differences in PA and sedentary behavior exist between family child care (FCC) and group child care (GCC) settings.
Purpose of the Study:
- To investigate variations in daily PA and sedentary behavior practices.
- To compare physical environments between FCC and GCC settings for children aged 3-5 years in Canada.
Main Methods:
- Surveys were completed by managers of GCC (n=581) and FCC (n=357) settings.
- Data assessed PA-promoting practices and environmental characteristics.
- Crosstabulation and chi-square tests examined differences between GCC and FCC.
Main Results:
- FCC settings were more likely to implement 120 minutes of active play, less than 30 minutes of screen time, and 60 minutes outdoors daily.
- GCC settings were more likely to implement fundamental movement skill activities, break up prolonged sitting, and provide outdoor space for large group running games.
Conclusions:
- Child care setting significantly influences daily PA, sedentary practices, and outdoor space availability.
- Interventions to enhance PA in child care require tailoring to specific settings and their unique facilitators.
Background:
Physical activity (PA) is critical to early child development, and child care is a key setting for promotion. The authors investigated differences in daily PA and sedentary behavior practices as well as physical environments between family child care (FCC) and group child care (GCC) settings for children aged 3-5 years in Canada.
Methods:
Group child care (n = 581) and FCC (n = 357) managers completed surveys assessing the implementation of PA promoting practices and description of their environments. Crosstabulation and chi-square tests of association were used to examine differences between GCC and FCC.
Results:
The prevalence of facilities implementing 120 minutes of active play (odds ratio [OR] 2.23; 95% confidence interval [CI], 1.58-3.15), <30 minutes on screens (OR 1.35; 95% CI, 1.02-1.80), and 60-minute outdoors daily (OR 1.99; 95% CI, 1.4-2.9) was more likely in FCC compared with GCC. However, implementation of fundamental movement skill activities (OR 1.40; 95% CI, 1.01-1.92), breaking up prolonged sitting (OR 1.86; 95% CI, 1.36-2.5), and outdoor space for large group running games (OR 1.74; 95% CI, 1.07-2.83) were more likely in GCC.
Conclusions:
Child care setting was associated with daily PA and sedentary practices and outdoor space for PA. Interventions to support PA in child care should be tailored to different settings and the facilitators explored.
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