The Relationship with Meeting Physical Activity Guidelines in Preschool-Aged Children: A Systematic Review

Markel Rico-González1, Ursula Småland Goth2, Ricardo Martín-Moya3

  • 1Department of Didactics of Musical, Plastic and Corporal Expression, University of the Basque Country, UPV-EHU, 48940 Leioa, Spain.

Pediatric Reports
|August 27, 2025
PubMed

Insights

Preschool physical activity (PA) is crucial for development. Meeting PA guidelines is linked to better cognitive, emotional, and motor skills in young children, though adherence varies.

Area of Science:

  • Child Development
  • Public Health
  • Kinesiology

Background:

  • Physical activity (PA) is essential for preschooler development, impacting physiological, cognitive, and socio-emotional growth.
  • Disparities in meeting recommended PA guidelines are prevalent among preschoolers.
  • Technological devices are increasingly used to measure PA in early childhood.

Purpose of the Study:

  • To systematically review studies comparing preschoolers' objectively measured PA with established guidelines.
  • To identify factors associated with meeting PA guidelines in this age group.
  • To examine the developmental outcomes linked to adherence to PA guidelines.

Main Methods:

  • Systematic review utilizing the PICOS framework and searching four databases.
  • Inclusion of studies involving children aged 0-6 years with PA measured by technological devices.
  • Analysis of correlations between measured PA, adherence to guidelines, and reported outcomes.

Main Results:

  • Most studies indicated favorable outcomes for preschoolers meeting PA guidelines across cognitive, motor, and socio-emotional domains.
  • Meeting PA guidelines was associated with improved motor competence, emotional regulation, and cognitive skills (e.g., working memory, social understanding).
  • The association between meeting PA guidelines and body composition/BMI was inconsistent, highlighting broader developmental benefits.

Conclusions:

  • Adherence to PA guidelines in early childhood is strongly linked to enhanced cognitive development, emotional regulation, motor skills, and social behaviors.
  • Significant variations in PA adherence exist, influenced by a complex interplay of individual, familial, socioeconomic, and environmental factors.
  • Objective measurement of PA is crucial for understanding adherence and its developmental impact in preschoolers.