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He Z, Kang SJ. Physical activity level correlates with obesity-related factors, but not with fundamental movement skills in preschool children: a cross-sectional study. J Exerc Rehabil 2024; 20:58-64. [PMID: 38737465 PMCID: PMC11079552 DOI: 10.12965/jer.2448082.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 03/02/2024] [Accepted: 03/05/2024] [Indexed: 05/14/2024] Open
Abstract
This study aimed to examine the differences in physical activity (PA) level, fundamental movement skill (FMS), and obesity-related factors in preschoolers. A cross-sectional study was conducted in 426 preschool children aged 3-5 years. Participants were assigned to the low PA group (LPAG), moderate PA group (MPAG), and high PA group (HPAG) according to the total score obtained in the PA questionnaire for young children. FMS and obesity-related factors were also analyzed. PA was compared by age and sex, and FMS and obesity-related factors were compared between groups. Significant differences were found according to sex. Boys were more active than girls in the 3-4 years age group, but no significant differences were observed at the age of 5 years. LPAG showed lower FMS than MPAG and HPAG, although this was not statistically significant. However, body mass index (BMI), BMI z-score, body fat, and muscle mass showed significant differences in terms of PA levels. Consideration of age and sex is crucial in promoting PA among preschoolers. Additionally, better obesity-related factors are associated with higher PA levels, and FMS may be a useful tool in evaluating health and fitness.
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Affiliation(s)
- Zheyu He
- Department of Physical Education and Military Education, Zhejiang University of Water Resources and Electric Power, Hangzhou,
China
- Department of Physical Education, Graduate School, Sangmyung University, Seoul,
Korea
| | - Suh-Jung Kang
- Sports and Healthcare Major, College of Culture and Arts, Sangmyung University, Seoul,
Korea
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Tugault-Lafleur CN, Naylor PJ, Carson V, Faulkner G, Lau EY, Wolfenden L, Mâsse LC. Factors associated with physical activity policy and practice implementation in British Columbia's childcare settings: a longitudinal study. BMC Public Health 2023; 23:1651. [PMID: 37644564 PMCID: PMC10463809 DOI: 10.1186/s12889-023-16502-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 08/10/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND In 2016-17, the government of British Columbia (BC) enacted a mandatory policy outlining Active Play Standards (AP Standards) alongside a capacity building initiative (Appetite to Play) focused on implementing policies and practices to support physical activity in childcare centres. We aimed to identify factors at the provider and organizational levels as well as attributes of the Standards hypothesized to influence implementation (i.e., changes in policies and practices). METHODS We conducted surveys before (2016-2017) and after (2018-2019) enforcement of the AP Standards among 146 group childcare centres across BC. The 2018-19 surveys measured theoretically based constructs associated with implementation of policies and practices (9 childcare- and 8 provider- level characteristics as well as 4 attributes of the licensing standards). Characteristics that were associated in simple regression models were entered in multivariable regression models to identify factors associated with policy and practice changes related to fundamental movement skills (FMS), screen time, total amount of active play (AP) and total amount of outdoor AP from baseline to follow-up. RESULTS In multivariable analyses, higher staff capacity (OR = 2.1, 95% 1.2, 3.7) and perceived flexibility of the standards (OR: 3.3, 95% 1.5, 7.1) were associated with higher odds of a policy change related to FMS. Higher staff commitment to the AP standards was associated with a higher odds of policy changes related to screen time (OR = 1.6, 95% CI: 1.1, 2.4) and amount of AP (OR: 1.5, 95% 1.0, 2.3). Higher institutionalization of PA policies was associated with a higher odds of policy changes related to the amount of AP (OR: 5.4, 95% CI: 1.5, 20). Higher self-efficacy was associated with a higher odds of policy changes related to outdoor AP (OR = 2.9, 95% 1.1, 7.8). Appetite to Play training was a positively associated with practice changes related to FMS (β = 0.5, 95% CI: 0.1, 0.9). CONCLUSIONS A hierarchy of theoretically defined factors influenced childcare providers' implementation of the AP Standards in BC. Future research should test the feasibility of modifying these factors to improve the implementation of PA policy and practice interventions in this setting.
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Affiliation(s)
- Claire N Tugault-Lafleur
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, 25 University Private, Ottawa, ON, K1N 6N5, Canada
| | - Patti-Jean Naylor
- School of Exercise Science, Physical and Health Education, Faculty of Education, University of Victoria, Victoria, BC, V8W 3P1, Canada
| | - Valerie Carson
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, 8840-114 St., Edmonton, AB, T6G 2H9, Canada
| | - Guy Faulkner
- School of Kinesiology, University of British Columbia, 210-6081 University Blvd, Vancouver, BC, V6T 1Z1, Canada
| | - Erica Y Lau
- Department of Emergency Medicine, Faculty of Medicine, University of British Columbia, 828 West 10th Avenue, Vancouver, BC, V5Z 1M9, Canada
| | - Luke Wolfenden
- School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia
| | - Louise C Mâsse
- School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada.
- BC Children's Hospital Research Institute, Oak Street, Vancouver, BC, F508-4490, Canada.
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Carson V, Zhang Z, Kuzik N, Adamo KB, Predy M, Crozier M, Hunter S, Ogden N, Goldfield GS, Okely AD. The impact of new government childcare accreditation standards on children's in-care physical activity and sedentary time. BMC Public Health 2022; 22:616. [PMID: 35351049 PMCID: PMC8966317 DOI: 10.1186/s12889-022-12888-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 03/01/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND A new physical activity and sedentary behaviour accreditation standard criterion for childcare settings was introduced by the provincial government in Alberta, Canada. The primary objective of this study was to examine if changes for in-care physical activity and sedentary time (ST) differed between centres in and around Edmonton, Alberta after implementing the new accreditation standards and non-accredited control centres in and around Ottawa, Ontario. Secondary objectives were to examine whether baseline age group (toddler, preschooler) or the childcare environment moderated any group differences in change of the primary outcomes. Furthermore, accreditation and control group differences in change of children's body mass index (BMI) Z-scores or cognitive development as well as educators' perceptions of the primary outcomes were explored. METHODS Participants were 252 toddlers (19-35 months) and preschoolers (36-60 months) in childcare centres from Alberta (n = 11) and Ontario (n = 8) in the supporting Healthy physical AcTive CHildcare setting (HATCH) study. In-care ST, light-intensity physical activity (LPA), and moderate- to vigorous-intensity physical activity (MVPA) were accelerometer-derived before and 6 months after the implementation of the new standards. At both time points, cognitive development (working memory, expressive vocabulary), heights, and weights were measured, and BMI Z-scores were calculated. Additionally, the childcare environment was observed using the Environment and Policy Assessment and Observation (EPAO) and Movement Environment Rating Scale (MOVERS) tools. Demographic characteristics were parent-reported and weather variables were derived from Environment Canada data. Mixed models were conducted. RESULTS In adjusted models (n = 241), change in children's in-care ST (B = -0.07, 95%CI: - 1.43,1.29), LPA (B = 0.08, 95%CI: - 0.89,1.05), and log-transformed MVPA (B = 0.01, 95%CI: - 0.09,0.11) were not significantly different between accreditation and control groups. Age group and the childcare environment were not moderators. Significant increases in BMI Z-score (B = 0.19, 95%CI: 0.03,0.35) and high working memory (OR = 3.24, 95%CI: 1.32,7.97) were observed in the accreditation group and significant increases in expressive vocabulary (B = 3.18, 95%CI: 0.05,6.30) were observed in the control group. CONCLUSIONS The new accreditation criterion may not significantly change physical activity or ST in childcare settings and therefore may not explain findings for BMI Z-scores and cognitive development. Additional training and resources may be needed.
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Affiliation(s)
- Valerie Carson
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada.
| | - Zhiguang Zhang
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada
| | - Nicholas Kuzik
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada
| | - Kristi B Adamo
- Faculty of Health Science, University of Ottawa, Ottawa, ON, Canada
| | - Madison Predy
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada
| | - Mitchell Crozier
- Faculty of Health Science, University of Ottawa, Ottawa, ON, Canada
| | - Stephen Hunter
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada
| | - Nancy Ogden
- Faculty of Arts, Mount Royal University, Calgary, AB, Canada
| | - Gary S Goldfield
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - Anthony D Okely
- Early Start and Illawarra Health and Medical Research Institute, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia
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Kippe KO, Fossdal TS, Lagestad PA. An Exploration of Child-Staff Interactions That Promote Physical Activity in Pre-School. Front Public Health 2021; 9:607012. [PMID: 34408999 PMCID: PMC8365466 DOI: 10.3389/fpubh.2021.607012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 06/22/2021] [Indexed: 11/30/2022] Open
Abstract
A previous study identified a significant association between the average physical activity levels of pre-school staff and children during pre-school hours but did not determine if this association was initiated by pre-school staff or children. The present study aimed to explore the interactions between children and staff to better understand the conditions of such a relationship. Observations using the Environment and Policy Assessment and Observation (EPAO) protocol were carried out in three pre-schools, and a focus-group interview and semiformal interviews were conducted with five pre-school staff in one of the three pre-schools to examine the research question. Both the observations and the interview data revealed that physical activity by pre-school staff initiated physical activity among the children. The findings pointing to the importance of pre-school staff as organizers of the physical activity of children and the willingness of staff to join a physical activity initiated by the children also appear to be important. The findings also indicate that most of the physical activity took place outdoors. The study highlights the importance of pre-school staff as major contributors to the physical activity of pre-school children.
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Saunders RP, Schenkelberg MA, Moyer C, Howie EK, Brown WH, Pate RR. The translation of an evidence-based preschool physical activity intervention from in-person to online delivery of professional development to preschool teachers. Transl Behav Med 2020; 9:1186-1196. [PMID: 31116392 DOI: 10.1093/tbm/ibz076] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
Study of Health and Activity in Preschool Environments (SHAPES) aimed to increase preschoolers' physical activity by engaging preschool teachers in professional development designed to modify instructional practices. SHAPES originated as a randomized controlled trial, tested in 16 preschools and disseminated to 4 control schools, and was shown to be effective in increasing preschool children's physical activity (Phase I, 2008-2012). This article describes the steps taken to translate an evidence-based physical activity intervention, SHAPES, from in-person delivery to online delivery of professional development to preschool teachers. In Phase II (2013-2016), professional development delivery was modified from an in-person to an online program for preschool teachers. Teacher implementation completeness and fidelity were examined in 10 pilot preschools and then replicated in 30 preschools. Large-scale dissemination of SHAPES began in Phase III (2017-2019), reaching 818 teachers from 228 unique centers after 2 years. The final SHAPES program consisted of six online modules, an accompanying guidebook, over 90 activities, self-assessment techniques, a video library, and an electronic community forum. The SHAPES core elements, defined in Phase I, were retained throughout all three phases. The Phase II change to online delivery was characterized by high levels of implementation completeness and fidelity. Results of Phase III statewide dissemination revealed comparable implementation completeness and fidelity. An intervention shown to be effective in a randomized controlled trial can be translated into an online professional development program and disseminated on a large scale in a timely manner.
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Affiliation(s)
- Ruth P Saunders
- Department of Health Promotion, Education, and Behavior, Public Health Research Center, University of South Carolina, Suite, Columbia, SC, USA
| | - Michaela A Schenkelberg
- Department of Health Promotion, University of Nebraska Medical Center, Maurer Center for Public Health, Nebraska Medical Center, Omaha, NE, USA.,Department of Exercise Science, Public Health Research Center, University of South Carolina, Columbia, SC, USA
| | - Christina Moyer
- Department of Exercise Science, Public Health Research Center, University of South Carolina, Columbia, SC, USA
| | - Erin K Howie
- Department of Health, Human Performance, and Recreation, University of Arkansas, Fayetteville, AR, USA
| | - William H Brown
- Educational Studies, Wardlaw College, University of South Carolina, Columbia, USA
| | - Russell R Pate
- Department of Exercise Science, Public Health Research Center, University of South Carolina, Columbia, SC, USA
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Chen B, Waters CN, Compier T, Uijtdewilligen L, Petrunoff NA, Lim YW, van Dam R, Müller-Riemenschneider F. Understanding physical activity and sedentary behaviour among preschool-aged children in Singapore: a mixed-methods approach. BMJ Open 2020; 10:e030606. [PMID: 32265237 PMCID: PMC7245386 DOI: 10.1136/bmjopen-2019-030606] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVES This study investigated physical activity (PA) and sedentary behaviour (SB) among preschool-aged children in Singapore and potential correlates at multiple levels of the socioecological model from in-school and out-of-school settings. DESIGN A cross-sectional study using a mixed-methods approach. PARTICIPANTS Parent-child dyads from six preschools in Singapore. METHODS PA and SB of children (n=72) were quantified using wrist-worn accelerometers for seven consecutive days. Three focus group discussions (FGDs) among 12 teachers explored diverse influences on children's activities, and System for Observing Play and Leisure Activity in Youth (SOPLAY) assessed PA environment and children's activity levels at preschools. Seventy-three parents completed questionnaires on home and neighbourhood factors influencing children's PA and SB. Descriptive analyses of quantitative data and thematic analysis of FGDs were performed. RESULTS Based on accelerometry, children (4.4±1.1 years) spent a median of 7.8 (IQR 6.4-9.0) hours/day in SB, and 0.5 (0.3-0.8) hours/day in moderate-to-vigorous physical activity (MVPA). MVPA was similar throughout the week, and SB was slightly higher on non-school days. In preschools, SOPLAY showed more children engaging in MVPA outdoors (34.0%) than indoors (7.7%), and absence of portable active play equipment. FGDs revealed issues that could restrict active time at preschool, including academic requirements of the central curriculum and its local implementation. The teachers had varying knowledge about PA guidelines and perceived that the children were sufficiently active. In out-of-school settings, parents reported that their children rarely used outdoor facilities for active play and spent little time in active travel. Few children (23.5%) participated in extracurricular sports, but most (94.5%) reported watching screens for 1.5 (0.5-3.0) hours/day. CONCLUSION MVPA was low and SB was high in preschool-aged children in an urban Asian setting. We identified diverse in-school and out-of-school correlates of PA and SB that should be taken into account in health promotion strategies.
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Affiliation(s)
- Bozhi Chen
- Saw Swee Hock School of Public Health, National University Singapore, Singapore
| | | | - Thomas Compier
- VUmc School of Medical Sciences, VU University Medical Center, Amsterdam, The Netherlands
| | - Leonie Uijtdewilligen
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | | | - Yee Wei Lim
- Yong Loo Lin School of Medicine, National University Singapore, Singapore
| | - Rob van Dam
- Saw Swee Hock School of Public Health, National University Singapore, Singapore
- T H Chan School of Public Health, Harvard University, Boston, Massachusetts, USA
| | - Falk Müller-Riemenschneider
- Saw Swee Hock School of Public Health, National University Singapore, Singapore
- Institute of Social Medicine Epidemiology and Health Economics, Charite University Hospital Berlin, Berlin, Germany
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The Influence of the Early Childhood Education and Care Environment on Young Children's Physical Activity: Development and Reliability of the PLAYCE Study Environmental Audit and Educator Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072497. [PMID: 32268499 PMCID: PMC7177316 DOI: 10.3390/ijerph17072497] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Revised: 04/02/2020] [Accepted: 04/02/2020] [Indexed: 11/17/2022]
Abstract
(1) Background: Participation in physical activity is crucial for the healthy growth and development of young children. More robust measurement of environmental influences on children’s physical activity in early childhood education and care (ECEC) settings may help resolve inconsistencies in the literature. This study evaluated the reliability of an environmental audit and educator practice survey for assessing ECEC physical, policy, and social environments related to young children’s physical activity. (2) Methods: A convenience sample of 20 ECEC centres participated in this PLAYCE (Play Spaces and Environments for Children’s Physical Activity) sub-study. Trained auditors conducted audits and educators completed surveys, two weeks apart. Test-retest reliability of the survey (n = 32), inter-rater (n = 20 pairs) and intra-rater reliability (n = 38) of the audit was assessed using intra-class correlation coefficients (ICCs), Kappa statistics and percent agreement. (3) Results: Intra-rater and inter-rater reliability ICCs for outdoor equipment, spaces and features were good to excellent (ICC = 0.70–0.94), while ratings for indoor equipment, media and spaces varied from fair to excellent (ICC = 0.46–0.78). The majority of items were rated by Kappa as moderate or above for intra-rater, inter-rater and survey test-retest reliability. (4) Conclusions: The PLAYCE Study instruments provide reliable measures of ECEC physical activity environments which can help to better understand influences on young children’s physical activity.
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Fossdal TS, Kippe K, Handegård BH, Lagestad P. "Oh oobe doo, I wanna be like you" associations between physical activity of preschool staff and preschool children. PLoS One 2018; 13:e0208001. [PMID: 30496229 PMCID: PMC6264855 DOI: 10.1371/journal.pone.0208001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 11/09/2018] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE Physical activity contributes to prevent serious diseases and ailments, and previous research indicates that lifestyle habits are likely to track from early childhood to adulthood. 90% of Norwegian children aged 1-5 are enrolled in preschools, and preschool staff can play an important role in children's activity levels. This study's aim was to identify whether any associations exist between preschool staff's characteristics (initiative, participation, attitudes, and activity levels) and children's activity in preschool. METHOD 289 children aged 4-6 and 72 preschool staff from 13 randomly selected preschools in a region of Nord-Troendelag, Norway, were enrolled in the study. All participants wore an Actigraph accelerometer for seven consecutive days. Questionnaires were also utilized to identify correlates between preschool staff's attitudes and initiative in relation to children's physical activity, in addition to their participation in children's physical activity. A multilevel analysis, the linear mixed model (LMM), was used to elucidate associations between preschool staff and children's activity levels. RESULTS A significant association was found between preschool staff's average activity levels during preschool hours and children's corresponding activity levels during preschool hours (t = 2.57; p = 0.021; f2 = 0.013). There were, however, no significant associations identified between the attitudes (t = -0.44; p = 0.67), initiative (t = -0.14; p = 0.89), and participation (t = 0.66; p = 0.52) variables among preschool staff and children's activity levels during preschool hours. CONCLUSION The study demonstrated that a significant association exists between preschool staff's aggregated activity levels and 4-6-year-olds' individual activity levels. However, an observational study is requisite in order to determine whether the association is based on preschool staff's impact on children's physical activity or if it is the children that affect the preschool staff's activity levels, or a combination thereof.
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Affiliation(s)
| | - Karin Kippe
- Faculty of Education and Arts, Nord University, Levanger, Norway
| | - Bjørn Helge Handegård
- Centre for Child and Adolescent Mental Health, UIT The Arctic University of Norway, Tromsø, Norway
| | - Pål Lagestad
- Faculty of Education and Arts, Nord University, Levanger, Norway
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Wick K, Faude O, Manes S, Zahner L, Donath L. I Can Stand Learning: A Controlled Pilot Intervention Study on the Effects of Increased Standing Time on Cognitive Function in Primary School Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15020356. [PMID: 29462986 PMCID: PMC5858425 DOI: 10.3390/ijerph15020356] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2017] [Revised: 02/05/2018] [Accepted: 02/12/2018] [Indexed: 12/17/2022]
Abstract
Sedentarism is considered an independent cardiovascular risk factor. Thus, the present study investigated the effects of employing standing desks in classrooms on cognitive function. The intervention class (IG; n = 19) was supplied with standing desks and balance pads for 11 weeks. The control class (CG; n = 19) received lessons as usual. Standing time was assessed objectively (accelerometers) and subjectively (self-report sheets, external classroom observers). The impact of standing on the digit span task and Eriksen flanker task was analysed. The standing time of the IG was higher during the school day in comparison to the CG (lesson: p = 0.004; break: p = 0.003). The intra-class correlation coefficient between self-reports and external observation was high (ICC = 0.94). The IG improved slightly on the Digit Span Task compared to CG. Employing standing desks for at least 1 h per school day serves as a feasible and effective opportunity to improve cognitive function.
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Affiliation(s)
- Katharina Wick
- Institute of Psychosocial Medicine and Psychotherapy, University Hospital, Friedrich-Schiller-University Jena, Jena 07743, Germany.
| | - Oliver Faude
- Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland.
| | - Susanne Manes
- Institute of Psychosocial Medicine and Psychotherapy, University Hospital, Friedrich-Schiller-University Jena, Jena 07743, Germany.
| | - Lukas Zahner
- Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland.
| | - Lars Donath
- Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland.
- Institute of Exercise Training and Computer Science in Sport, German Sport University Cologne, Köln 50933, Germany.
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Accelerometer-Measured Patterns of Shared Physical Activity Among Mother-Young Child Dyads. J Phys Act Health 2017; 14:808-814. [PMID: 28556667 DOI: 10.1123/jpah.2017-0028] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Many mothers and young children are not meeting physical activity guidelines. Parent-child coparticipation in physical activity (ie, shared physical activity) provides opportunities for social modeling and might be associated with child physical activity. There is very little information about shared physical activity using objective measures. METHODS Participants (N = 17 mother-young child dyads) completed a demographic survey and height/weight measurements, and wore a Bluetooth® accelerometer for 1 week. Accelerometers were initialized using the proximity function to yield both individual and proximity [a minute-by-minute log of whether the 2 accelerometers were in- or out-of-range (∼50 m or less)] data. Shared physical activity was calculated in MATLAB by overlaying individual and proximity accelerometer data. RESULTS Mother-child dyads spent approximately 2 hours per day in shared time that was mostly shared sedentary activities. Less than 1% of shared minutes per day were spent in shared moderate to vigorous physical activity. CONCLUSIONS Mothers and young children spent a small portion of their day in shared activities. Most mother-child shared time was spent in sedentary or light activities rather than moderate to vigorous physical activity. This method for objectively measuring shared physical activity provides novel information about the context in which physical activity occurs and could be used to understand patterns of physical activity among other dyads.
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Vazou S, Mantis C, Luze G, Krogh JS. Self-perceptions and social-emotional classroom engagement following structured physical activity among preschoolers: A feasibility study. JOURNAL OF SPORT AND HEALTH SCIENCE 2017; 6:241-247. [PMID: 30356608 PMCID: PMC6189013 DOI: 10.1016/j.jshs.2016.01.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2015] [Revised: 07/23/2015] [Accepted: 09/27/2015] [Indexed: 05/24/2023]
Abstract
BACKGROUND The well-rounded development of the child, including physical, cognitive, emotional, and social health, may be the most efficient route to well-being and academic success. The primary goal was to investigate the feasibility of implementing a 12-week structured program of physical activity (PA) incorporating cognitive, social, and emotional elements in preschool. Additionally, this study, using a within-subject design, examined the acute effects of a PA session on classroom engagement and changes on perceived competence and peer acceptance from the first to the last week of the program. METHODS Twenty-seven preschoolers (mean age = 4.2 years) completed the Pictorial Scale of Perceived Competence and Social Acceptance for Young Children before and after a twice-weekly PA program. Unobtrusive classroom observations were conducted for verbal, social, and affective engagement during the first and last week of the program, both following a structured PA session (experimental day) and on a day without PA (control day). Treatment fidelity was monitored to ensure that the intervention was delivered as designed. RESULTS The children exhibited longer periods of verbal and social engagement during classroom periods that followed PA sessions than on non-PA days. Children also expressed more positive affect following PA sessions during the last week of the PA program. Despite high baseline scores, perceptions of general competence increased meaningfully (η 2 = 0.15, p = 0.05), driven by increase in perceptions of cognitive competence (η 2 = 0.15, p = 0.06). CONCLUSION This study demonstrates the feasibility of providing structured PA program to preschoolers. Moreover, these initial findings suggest that purposely designed, structured PA may help advance the social-emotional engagement and perceived competence of preschool children.
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Affiliation(s)
- Spyridoula Vazou
- Department of Kinesiology, Iowa State University, Ames, IA 50011, USA
| | | | - Gayle Luze
- Department of Human Development and Family Studies, Iowa State University, Ames, IA 50011, USA
| | - Jacqueline S. Krogh
- Department of Human Development and Family Studies, Iowa State University, Ames, IA 50011, USA
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12
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O'Neill JR, Dowda M, Benjamin Neelon SE, Neelon B, Pate RR. Effects of a New State Policy on Physical Activity Practices in Child Care Centers in South Carolina. Am J Public Health 2016; 107:144-146. [PMID: 27854537 DOI: 10.2105/ajph.2016.303521] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We sought to determine the extent to which child care centers in South Carolina improved physical activity practices after a new policy took effect. METHODS In 2012, South Carolina adopted new mandatory physical activity standards within its child care quality enhancement program. This quasi-experimental study used North Carolina, a state not making policy changes, as the comparison. Participants were 34 child care centers in South Carolina and 30 centers in North Carolina. Researchers used the Environment and Policy Assessment and Observation (EPAO) tool to conduct center observations before and after policy implementation and then conducted repeated-measures linear regression with interaction between state and time for the Physical Activity Environment Total Score and the 8 subscale scores. RESULTS Compared with centers in North Carolina, EPAO subscale scores in South Carolina centers increased significantly for the Fixed Play Environment (P < .001) and Physical Activity Training and Education (P = .015). The state-by-time interaction of Physical Activity Environment Total Score approached statistical significance (P = .06). CONCLUSIONS Adoption of new physical activity standards in South Carolina child care centers was associated with improvements in practices aimed at increasing children's physical activity.
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Affiliation(s)
- Jennifer R O'Neill
- Jennifer R. O'Neill, Marsha Dowda, and Russell R. Pate are with the Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia. Sara E. Benjamin Neelon is with the Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, MD. Brian Neelon is with the Department of Public Health Sciences, Medical University of South Carolina, Charleston
| | - Marsha Dowda
- Jennifer R. O'Neill, Marsha Dowda, and Russell R. Pate are with the Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia. Sara E. Benjamin Neelon is with the Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, MD. Brian Neelon is with the Department of Public Health Sciences, Medical University of South Carolina, Charleston
| | - Sara E Benjamin Neelon
- Jennifer R. O'Neill, Marsha Dowda, and Russell R. Pate are with the Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia. Sara E. Benjamin Neelon is with the Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, MD. Brian Neelon is with the Department of Public Health Sciences, Medical University of South Carolina, Charleston
| | - Brian Neelon
- Jennifer R. O'Neill, Marsha Dowda, and Russell R. Pate are with the Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia. Sara E. Benjamin Neelon is with the Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, MD. Brian Neelon is with the Department of Public Health Sciences, Medical University of South Carolina, Charleston
| | - Russell R Pate
- Jennifer R. O'Neill, Marsha Dowda, and Russell R. Pate are with the Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia. Sara E. Benjamin Neelon is with the Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, MD. Brian Neelon is with the Department of Public Health Sciences, Medical University of South Carolina, Charleston
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Hinkley T, Salmon J, Crawford D, Okely AD, Hesketh KD. Preschool and childcare center characteristics associated with children's physical activity during care hours: an observational study. Int J Behav Nutr Phys Act 2016; 13:117. [PMID: 27836004 PMCID: PMC5105310 DOI: 10.1186/s12966-016-0444-0] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Accepted: 11/04/2016] [Indexed: 11/13/2022] Open
Abstract
Background Preschools and childcare settings offer opportunities to promote adequate levels of physical activity. Research is needed to identify the key features of these settings to optimize young children’s activity. The aims of this study were to determine if differences existed in preschool children’s physical activity during care hours compared with outside care hours and to examine a comprehensive range of potential center-based correlates of physical activity for preschool boys and girls. Methods Data are from the Healthy Active Preschool and Primary Years study: 71 childcare centers, 65 preschools and 1002 preschool children. Percent of time in total (light- to vigorous-intensity) physical activity was measured using Actigraph GT1M accelerometers. Center physical environment characteristics, policies and practices were assessed by trained research staff using comprehensive audit tools. Data were collected in 2008/9 and were analyzed separately for boys and girls in Stata using multilevel mixed effects models. Results Boys and girls were less active during care than outside care hours (51.1 % vs. 52.4 %, p = 0.01; 48.0 % vs. 51.5 %, p < 0.0001, respectively). In the final adjusted models, number of outdoor spaces with natural ground coverings was associated with boys’ physical activity (coeff = 0.477, 95 % CI 0.089, 0.867) and the amount of time girls spent indoors before going outdoors was inversely associated with their physical activity (coeff = −0.035, 95 % CI −0.065, −0.004). The models explained 12 and 10 % of boys’ and girls’ physical activity during care hours, respectively. Conclusions This study identified that children are significantly less active during than outside care hours. Few center-based correlates of preschool children’s physical activity were identified. Future research should explore other aspects of centers, such as what children actually do while they are outside, and broader potential influences on children’s behaviours including social, cultural and policy contexts within which centers operate. Electronic supplementary material The online version of this article (doi:10.1186/s12966-016-0444-0) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Trina Hinkley
- Deakin University, Institute for Physical Activity and Nutrition, 75 Pigdons Rd, Waurn Ponds, VIC, 3216, Australia.
| | - Jo Salmon
- Deakin University, Institute for Physical Activity and Nutrition, 75 Pigdons Rd, Waurn Ponds, VIC, 3216, Australia
| | - David Crawford
- Deakin University, Institute for Physical Activity and Nutrition, 75 Pigdons Rd, Waurn Ponds, VIC, 3216, Australia
| | - Anthony D Okely
- University of Wollongong, School of Education, Northfield Ave, Wollongong, NSW, 2522, Australia
| | - Kylie D Hesketh
- Deakin University, Institute for Physical Activity and Nutrition, 75 Pigdons Rd, Waurn Ponds, VIC, 3216, Australia
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Sigmundová D, Sigmund E, Badura P, Vokáčová J, Trhlíková L, Bucksch J. Weekday-weekend patterns of physical activity and screen time in parents and their pre-schoolers. BMC Public Health 2016; 16:898. [PMID: 27576897 PMCID: PMC5004262 DOI: 10.1186/s12889-016-3586-8] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2016] [Accepted: 08/25/2016] [Indexed: 11/18/2022] Open
Abstract
Background This study focuses on the comparison of weekday/weekend parent-child behavioural patterns (step count (SC) and screen time (ST)) and answers the question of whether achieving the recommendations for daily SC (10,000) in parents also helps their preschool children achieve the recommended daily SC (11,500). Methods The participants (278 parents aged 30–45 and their 194 children aged 4–7) were randomly recruited from 10 Czech public kindergartens. The participants recorded SC (pedometer Yamax Digiwalker SW-200) and ST duration (proxy-report) for seven consecutive days (≥8 h/day) during September–October 2014 and April–May 2015. Differences between weekdays/weekends SC or ST were tested using a paired t-test. The odds of achieving the recommended daily SC for children were estimated using general logistic regression separately for weekdays and weekends. Results Only the mothers were found to have a significantly lower SC at weekends than on weekdays. All of the participants showed significantly more ST at weekends than on weekdays (daughters: 78.6 vs. 45.7 min/day, p < 0.001; sons: 78.8 vs. 55.8 min/day; mothers: 93.0 vs. 68.3 min/day; and fathers: 116.6 vs. 87.5 min/day). Daughters and sons were significantly more likely to achieve daily SC recommendation if a) the SC on weekdays during the daily routine in kindergarten exceeded the median of kindergarten SC or b) at weekends if their mother (OR: 9.67, 95 % CI: 3.57–26.23) exceeded 10,000 steps a day. Conclusions Especially at weekends, preschoolers have higher odds of meeting the recommended 11,500 steps per day when their mother reaches 10,000 steps per day and this is independent of the amount of parents’ ST. Moreover, physical activity in kindergarten helps preschool children meet the 11,500 recommended steps per day on weekdays. Therefore, interventions to promote physical activity in preschoolers should focus on kindergartens and encourage involvement of their families.
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Affiliation(s)
- Dagmar Sigmundová
- Faculty of Physical Culture, Palacký University, Tr. Miru 117, 77111, Olomouc, Czech Republic.
| | - Erik Sigmund
- Faculty of Physical Culture, Palacký University, Tr. Miru 117, 77111, Olomouc, Czech Republic
| | - Petr Badura
- Faculty of Physical Culture, Palacký University, Tr. Miru 117, 77111, Olomouc, Czech Republic
| | - Jana Vokáčová
- Faculty of Physical Culture, Palacký University, Tr. Miru 117, 77111, Olomouc, Czech Republic
| | - Lucie Trhlíková
- Faculty of Physical Culture, Palacký University, Tr. Miru 117, 77111, Olomouc, Czech Republic
| | - Jens Bucksch
- Department of Prevention and Health Promotion, Bielefeld University, School of Public Health, PO Box 100131, D-33501, Bielefeld, Germany
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15
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Hnatiuk JA, Hesketh KR, van Sluijs EMF. Correlates of home and neighbourhood-based physical activity in UK 3-4-year-old children. Eur J Public Health 2016; 26:947-953. [PMID: 27175002 PMCID: PMC5172487 DOI: 10.1093/eurpub/ckw067] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: Identifying context-specific correlates of home- and neighbourhood-based physical activity in preschool-aged children may help improve intervention program development for these settings. Methods: A total of 153 3–4-year-old children were recruited through preschool settings in Cambridgeshire (January–July 2013). Children wore Actiheart accelerometers for ≤7 days to assess their sedentary time (ST), light-(LPA) and moderate- to vigorous-intensity physical activity (MVPA). A parent-completed questionnaire assessed correlates across the ecological model and the child’s preschool attendance during the measurement week. Only accelerometer data for times when children were at home were used. Multilevel models (Level 1: days; Level 2: child) examined associations between maternal-reported exposure variables and each outcome (children’s home- and neighbourhood-based ST, LPA and MVPA) (main analysis). Further analyses included the subsample of children with complete paternal correlates data (father analysis). Results: In the main analyses, children with older siblings engaged in less ST. Children whose mothers reported being ‘moderately inactive’ or ‘active’ (vs. inactive) engaged in less LPA, while children whose mothers worked >35 h week−1 engaged in less MVPA. More equipment at home was associated with lower LPA but greater MVPA. In the father analysis, father’s television viewing before 6 pm was associated with greater ST and less MVPA in children; the negative association between mother’s activity and children’s LPA was retained. Conclusion: Family demographics and parental behaviours appear to have the strongest association with children’s home- and neighbourhood-based ST, LPA and MVPA. This study further highlights the importance of examining both maternal and paternal behaviours.
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Affiliation(s)
- Jill A Hnatiuk
- School of Science and Health, Western Sydney University, Locked Bag 1797, Penrith, NSW, Australia;
| | | | - Esther M F van Sluijs
- MRC Epidemiology Unit and Centre for Diet and Activity Research (CEDAR), Cambridge, UK
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Tucker P, Burke SM, Gaston A, Irwin JD, Johnson AM, Timmons BW, Vanderloo LM, Driediger M. Supporting Physical Activity in the Childcare Environment (SPACE): rationale and study protocol for a cluster randomized controlled trial. BMC Public Health 2016; 16:112. [PMID: 26842502 PMCID: PMC4739086 DOI: 10.1186/s12889-016-2775-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Accepted: 01/22/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Young children are prone to low levels of physical activity in childcare. Researchers have identified that preschoolers tend to be more active outdoors than indoors, with higher activity levels occurring during the first 10 minutes of outdoor playtime. Additionally, interventions incorporating either staff training or the inclusion of play equipment have been effective at increasing children's activity in this setting. As such, the overarching objective of the Supporting Physical Activity in the Childcare Environment (SPACE) intervention is to improve the physical activity levels of preschoolers during childcare hours, utilizing a combination of the above components. The purpose of this manuscript is to provide a detailed account of the protocol, innovative methods, and evaluation plans used in the implementation of the SPACE study; in an effort to support the development of further research in this field. METHODS/DESIGN The SPACE study, a cluster randomized controlled trial, involves 22 childcare centres randomly allocated to either the experimental (n = 11) or the control (n = 11) group. Childcare centres receiving the intervention will adopt an 8-week physical activity intervention with the following components: 1. shorter, more frequent bouts of outdoor playtime (4 × 30 min periods rather than 2 × 60 min periods); 2. new portable play equipment (e.g., obstacle course, balls); and, 3. staff training (1 × 4 hr workshop). Actical accelerometers will be used to assess total physical activity with measurements taken at baseline (i.e., week 0), immediately post-intervention (i.e., week 8), and at 6- and 12-month follow-up. As secondary objectives, we aim to evaluate the effectiveness of the intervention on preschoolers': a) sedentary time; b) standardized body mass index scores (percentiles); c) health-related quality of life; and childcare providers' physical activity-related knowledge and self-efficacy to implement physical activity. DISCUSSION The SPACE study aims to increase the low levels of physical activity observed within childcare centres. The findings of this work may be useful to policy makers and childcare providers to consider modifications to the current childcare curriculum and associated outdoor play time. TRIAL REGISTRATION ISRCTN70604107 (October 8, 2014).
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Affiliation(s)
- Patricia Tucker
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, 1201 Western Road, Elborn College, Room 2547, London, ON, N6G 1H1, Canada.
| | - Shauna M Burke
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
| | - Anca Gaston
- School of Kinesiology, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
| | - Jennifer D Irwin
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
| | - Andrew M Johnson
- School of Health Studies, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
| | - Brian W Timmons
- Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
| | - Leigh M Vanderloo
- Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
| | - Molly Driediger
- School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, 1201 Western Road, Elborn College, Room 2547, London, ON, N6G 1H1, Canada.
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Donath L, Faude O, Hagmann S, Roth R, Zahner L. Fundamental movement skills in preschoolers: a randomized controlled trial targeting object control proficiency. Child Care Health Dev 2015; 41:1179-87. [PMID: 25727741 DOI: 10.1111/cch.12232] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/10/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND Adequately developed fundamental movement skills, particularly object control dimensions, are considered essential to learn more complex movement patterns and to increase the likelihood to successfully participate in organized and non-organized sports during later years. Thus, the present randomized controlled trial aimed at improving object control dimensions at an early state in a kindergarten setting. METHODS Catching, throwing, kicking, rolling and stationary dribbling were assessed via gross motor development 2 (TGMD-2) testing in 41 normally developed preschoolers. On a cluster-randomized basis [strata: age, sex and body mass index (BMI)], three kindergartens were randomly assigned to an intervention group (n = 22, INT, age: 4.6 ± 1.0 years; BMI: 16.2 ± 1.1 kg/m(2) ) and three to a control group (n = 19, CON: age: 4.5 ± 1.2 years; BMI: 16.8 ± 1.2 kg/m(2) ). Twelve structured training sessions were given within 6 weeks (12 sessions). The total training volume was 330 min. RESULTS Moderate time × group interaction were observed for the total sum score (Δ+22%, P = 0.05) and dribbling (Δ+41%, P = 0.002). Adjusting for baseline differences analyses of covariance did not affect these results. Interestingly, likely to most likely practically worthwhile effects were detected for the total sum score, catching and dribbling. CONCLUSION Object control dimensions such as dribbling and catching that apparently rely on rhythmical movement patterns and anticipatory eye-hand coordination seem to benefit from short-term object control training. These skills are considered important for successful team-sport participation and appropriate sportive motor development.
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Affiliation(s)
- L Donath
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - O Faude
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - S Hagmann
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - R Roth
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - L Zahner
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
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Prevalence and influences of preschoolers' sedentary behaviors in early learning centers: a cross-sectional study. BMC Pediatr 2015; 15:128. [PMID: 26383623 PMCID: PMC4574464 DOI: 10.1186/s12887-015-0441-5] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2014] [Accepted: 09/02/2015] [Indexed: 12/18/2022] Open
Abstract
Background Recent research has highlighted the need for increased evidence regarding the sedentary activity levels of preschoolers. Given the large proportion of time this population spends in various early learning facilities, the exploration of sedentary behaviors within this particular environment should be a priority. The purpose of the study was two-fold: (1) to compare sedentary time of preschoolers in three different early learning environments (i.e., full-day kindergarten [FDK], center-, and home-based childcare); and (2) to assess which characteristics (i.e., staff behaviors, sedentary environment, fixed play environment, portable play environment, sedentary opportunities) of these early learning environments influence preschoolers’ sedentary time. Methods Data collection occurred between September 2011 and June 2012. Preschoolers’ sedentary time was measured using Actical™ accelerometers at a 15 s epoch. The Environment and Policy Assessment and Observation (EPAO) tool was used to assess the sedentary environment of participating early learning classrooms, and those subscales (n = 5) that were evidence-informed as potentially influencing sedentary time in early learning centers were explored in the current study. A linear mixed model ANCOVA was carried out to determine the differences in sedentary time based on type of early learning environment while direct entry regression analyses were performed to describe the relationships between sedentary time and the five sedentary-specific EPAO subscale. Results Preschoolers (n = 218) from 28 early learning programs (i.e., 8 FDK, 9 centre-, and 8 home-based childcare facilities) participated. Accelerometry data revealed that preschoolers attending centre-based childcare engaged in the highest rate of sedentary time (41.62 mins/hr, SD = 3.78) compared to preschoolers in home-based childcare (40.72 mins/hr, SD = 6.34) and FDK (39.68 mins/hr, SD = 3.43). The models for FDK, center-based childcare, and home-based childcare, comprised each of the five EPAO subscales accounted for 10.5 %, 5.9 %, and 40.78 % of the variability in sedentary time, respectively. Only the models for FDK and home-based childcare were found to be statistically significant (p < .05). Conclusions This is the first exploration of differences in sedentary time among preschoolers in different early learning arrangements. Findings highlight the substantial portion of the day preschoolers spend in sedentary pursuits, and subsequently, the ongoing need to reduce preschoolers’ sedentary time in early learning programs, particularly among those attending centre-based childcare facilities.
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Gualteros JA, Torres JA, Umbarila-Espinosa LM, Rodríguez-Valero FJ, Ramírez-Vélez R. A lower cardiorespiratory fitness is associated to an unhealthy status among children and adolescents from Bogotá, Colombia. ACTA ACUST UNITED AC 2015; 62:437-46. [PMID: 26302665 DOI: 10.1016/j.endonu.2015.05.011] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2015] [Revised: 05/20/2015] [Accepted: 05/22/2015] [Indexed: 11/27/2022]
Abstract
OBJECTIVE Several studies have shown that low cardiorespiratory fitness (CRF) is a significant independent risk factor for future cardiometabolic disease in adult life. The aim of this study was to examine the relationship between CRF and health status in children and adolescents in Bogotá, Colombia. METHODS A cross-sectional study was conducted in 921 children and adolescents aged 9-17 years living in the metropolitan area of the District of Bogotá, Colombia (2,480m asl). CRF was assessed with the 20m shuttle run test (Course-Navette) according to ALPHA-FITNESS and FITNESSGRAM standards. Blood pressure, waist circumference, hip circumference, body composition (body fat percentage, fat body mass, and fat-free mass by bioimpedance), skin fold calipers, body mass index, and sexual maturity (Tanner) were used as indicators of physical health. RESULTS After adjusting for sex, age, and sexual maturity, significant inverse relationships were seen between CRF and body mass index (r=-0.107), body fat percentage (r=-0.197), fat body mass (r=-0.159), skin fold (r=-0.246), and waist circumference (r=-0.169); P<.001. Schoolchildren with low CRF levels showed OR 6.06 (95% CI 3.98-9.24) increase in body fat by bioimpedance; OR 4.04 (95% CI 1.83-9.11) risk of overweight/obese by body mass index and OR 2.47 (95% CI 1.14-5.37) abdominal obesity due to increased waist circumference. CONCLUSION Approximately two thirds of participants had a CRF level suggesting future cardiovascular disease. Early identification of children and adolescents with low CRF levels will allow for implementing interventions to prevent cardiometabolic disease in adulthood.
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Affiliation(s)
- Julián Alberto Gualteros
- Facultad de Salud, Programa de Maestría en Ciencias y Tecnologías del Deporte y la Actividad Física, Universidad Manuela Beltrán, Bogotá, D. C., Colombia
| | - Jorge Andrés Torres
- Facultad de Salud, Programa de Maestría en Ciencias y Tecnologías del Deporte y la Actividad Física, Universidad Manuela Beltrán, Bogotá, D. C., Colombia
| | - Luz Marina Umbarila-Espinosa
- Facultad de Salud, Programa de Maestría en Ciencias y Tecnologías del Deporte y la Actividad Física, Universidad Manuela Beltrán, Bogotá, D. C., Colombia
| | - Francisco Javier Rodríguez-Valero
- Facultad de Salud, Programa de Maestría en Ciencias y Tecnologías del Deporte y la Actividad Física, Universidad Manuela Beltrán, Bogotá, D. C., Colombia
| | - Robinson Ramírez-Vélez
- Facultad de Salud, Programa de Maestría en Ciencias y Tecnologías del Deporte y la Actividad Física, Universidad Manuela Beltrán, Bogotá, D. C., Colombia; Grupo de Ejercicio Físico y Deporte, Facultad de Salud, Universidad Manuela Beltrán, Bogotá, D. C., Colombia.
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Aadland E, Johannessen K. Agreement of objectively measured physical activity and sedentary time in preschool children. Prev Med Rep 2015; 2:635-9. [PMID: 26844129 PMCID: PMC4721440 DOI: 10.1016/j.pmedr.2015.07.009] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
OBJECTIVE To determine the intra-individual agreement for objectively measured physical activity (PA) and sedentary behavior (SED) over two subsequent weeks in preschool children. METHOD Ninety-one children aged 3 to 5 years (49% boys) from three preschools in Sogn og Fjordane, Norway, provided 14 consecutive days of accelerometer data (Actigraph GT3X +) during the autumn of 2014. Week-by-week reliability was assessed using intraclass correlation (ICC), Bland-Altman plots and 95% limits of agreement for different wear time criteria (≥ 6, 8 and 10 h/day and ≥ 3 and 5 days/week). RESULTS The week-by-week ICC was ≥ 0.75 for all variables across all wear criteria applied, except for absolute sedentary time (ICC 0.61-0.81). Using a ≥ 8 h/day and ≥ 3 days/week criterion (n = 78), limits of agreement were ± 209.5 cpm for overall PA, ± 68.6 min/day for SED, ± 43.8 min/day for light PA, ± 20.2 min/day for moderate-to-vigorous PA, and ± 55.9 min/day for light-to-vigorous PA, equaling 1.0-1.6 standard deviation units. CONCLUSION Considerable week-by-week variability was found for all variables. Researchers need to be aware of substantial intra-individual variability in accelerometer-measurements and take necessary actions according to the hypothesis under study, as noise in any measurement will preclude researchers' ability to arrive at valid conclusions in epidemiology.
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Affiliation(s)
- Eivind Aadland
- Faculty of Teacher Education and Sport, Sogn og Fjordane University College, Box 133, 6851 Sogndal, Norway
| | - Kjersti Johannessen
- Faculty of Teacher Education and Sport, Sogn og Fjordane University College, Box 133, 6851 Sogndal, Norway
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Kuzik N, Clark D, Ogden N, Harber V, Carson V. Physical activity and sedentary behaviour of toddlers and preschoolers in child care centres in Alberta, Canada. Canadian Journal of Public Health 2015; 106:e178-83. [PMID: 26285187 DOI: 10.17269/cjph.106.4794] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2014] [Revised: 04/30/2015] [Accepted: 02/12/2015] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To describe duration of physical activity and duration and bouts of sedentary behaviour during child care in a sample of toddlers and preschoolers (19-60 months) from Alberta, Canada, and to examine whether duration and bouts differed among sex, age and parental immigration status groups. METHODS One hundred and fourteen children aged 19-60 months from eight child care centres throughout Alberta participated. Data were collected at baseline of a study examining revised Alberta Child Care Accreditation Standards. Duration of physical activity (light (LPA), moderate-to-vigorous (MVPA)) and duration and bouts (1-4, 5-9, 10-14, and ≥15 minutes) of sedentary behaviour during child care were accelerometer-derived using 15-second epochs during October/November, 2013. Median [Interquartile ranges] and ANOVAs, accounting for the clustered nature of the data, were calculated. RESULTS Minutes/hour spent in sedentary behaviour, LPA and MVPA were 36.9 [32.9, 40.7], 18.4 [16.0, 20.9] and 4.2 [2.5, 5.6] respectively. Frequency/hour of sedentary bouts lasting 1-4, 5-9, 10-14 and ≥15 mins were 6.7 [6.1, 7.6], 0.9 [0.6, 1.1], 0.4 [0.2, 0.5] and 0.3 [0.2, 0.4] respectively. Preschoolers participated in less sedentary behaviour and more LPA and MVPA, and had fewer sedentary bouts lasting 10-14 and ≥15 mins compared to toddlers (p < 0.05). CONCLUSION This is the first Canadian study to report on the duration of physical activity and duration and bouts of sedentary behaviour among both toddlers and preschoolers attending child care centres. These findings suggest child care interventions are needed to increase MVPA and decrease total sedentary behaviour while continuing to promote short sedentary bouts.
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