1
|
Määttä S, Konttinen H, de Oliveira Figueiredo RA, Haukkala A, Sajaniemi N, Erkkola M, Roos E. Individual-, home- and preschool-level correlates of preschool children's sedentary time. BMC Pediatr 2020; 20:58. [PMID: 32033601 PMCID: PMC7006386 DOI: 10.1186/s12887-020-1948-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2019] [Accepted: 01/29/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Prechoolers' significant portions of sedentary time (ST) is a public-health concern due to its high prevalence and negative health consequences. However, few studies have explored correlates of preschoolers' ST covering individual-, home- and preschool- factors within one study. The aim of this study was to identify the associations between multiple individual-, home- and preschool-level factors and preschoolers' ST. In addition, it was studied how much individual-, home- and preschool-level factors explained the variance in children's ST. METHODS A total of 864 children aged three to six, their parents and 66 preschools participated in the cross-sectional DAGIS study, which occurred between 2015 and 2016. The children wore an accelerometer for 1 week. Guardians, principals and early educators completed questionnaires covering the potential correlates of children's ST, for example, temperament, practices, self-efficacy and regulations. Multilevel regression analyses were conducted in multiple steps; calculation of marginal and conditional R2 values occurred in the final phase. RESULTS Of the 29 studied correlates, the following factors remained significant in the final models. Being a boy (p < 0.001) and having high levels of surgency temperament (p < 0.001) were associated with lower ST. Regarding the home setting, frequent co-visits in physical activity (PA) places (p = 0.014) were associated with lower ST. Higher parental perceived barriers related to children's outside PA (p = 0.032) was associated with higher ST. None of the preschool setting factors remained significant in the final model. Approximately 11% of the variance in children's ST was attributed to factors related to the individual level whereas 5% was attributed to home-level factors; and 2% to preschool-level factors. CONCLUSIONS This study identified a set of correlates of preschool children's ST. Interventions aimed at reducing children's ST should develop strategies targeting established correlates of preschoolers' ST covering individual-, home- and preschool-level factors. The preschool-level factors included in this study explained little the variance in children's ST. However, the included measures may not have captured the essential preschool-level factors that specifically influence children's ST. Therefore, more studies are needed regarding potential preschool-level factors.
Collapse
Affiliation(s)
- Suvi Määttä
- Folkhälsan Research Centre, Samfundet Folkhälsan, Topeliuksenkatu 20, 00250, Helsinki, Finland. .,Faculty of Social Sciences, University of Helsinki, P.O.box 66, FI-00014 University of Helsinki, Helsinki, Finland.
| | - Hanna Konttinen
- Faculty of Social Sciences, University of Helsinki, P.O.box 66, FI-00014 University of Helsinki, Helsinki, Finland.,Department of Food and Environmental Sciences, University of Helsinki, P.O. Box 66, FI-00014 University of Helsinki, Helsinki, Finland
| | | | - Ari Haukkala
- Faculty of Social Sciences, University of Helsinki, P.O.box 66, FI-00014 University of Helsinki, Helsinki, Finland
| | - Nina Sajaniemi
- Faculty of Educational Sciences, University of Helsinki, P.O.box 66, FI-00014 University of Helsinki, Helsinki, Finland
| | - Maijaliisa Erkkola
- Department of Food and Environmental Sciences, University of Helsinki, P.O. Box 66, FI-00014 University of Helsinki, Helsinki, Finland
| | - Eva Roos
- Folkhälsan Research Centre, Samfundet Folkhälsan, Topeliuksenkatu 20, 00250, Helsinki, Finland.,Department of Food and Environmental Sciences, University of Helsinki, P.O. Box 66, FI-00014 University of Helsinki, Helsinki, Finland.,Clinicum, Department of Public Health, University of Helsinki, P.O.box 66, FI-00014, Helsinki, Finland
| |
Collapse
|
2
|
Määttä S, Lehto R, Konttinen H, Ray C, Sajaniemi N, Erkkola M, Roos E. Preschool group practices and preschool children's sedentary time: a cross-sectional study in Finland. BMJ Open 2019; 9:e032210. [PMID: 31852703 PMCID: PMC6937063 DOI: 10.1136/bmjopen-2019-032210] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
OBJECTIVES Preschool is an important setting for regulating sedentary time (ST). The preschool day in Finland follows daily structures by having morning and afternoon slots for group-based activities that can encourage children for movement (eg, free play and outdoor time) or be still (eg, teacher-led sessions and sitting-based circles). This study aims to explore if the weekly routines in preschool and if more frequent visits in places encouraging physical activity (PA) are associated with children's ST during preschool hours. DESIGN Cross-sectional DAGIS (Increased Health and Wellbeing in Preschools) study in the years 2015 and 2016. SETTING In Finland. PARTICIPANTS 864 children (48% girls, 4.7 years) from 159 preschool groups in 66 preschools OUTCOME MEASURES: A total of 778 children wore required lengths of time (at least 240 min per preschool day, at least 2 days) the accelerometer during preschool hours. Each preschool group reported their weekly schedule during the week, and one early educator completed a questionnaire covering practices. The following five measures related to weekly structures were formed; times of outdoors (times per day), teacher-led sessions (times per day), free play (low, middle or high), organised PA lessons (no lessons at all/others) and mixed activities (no lessons at all/others), and the following five measures about the frequencies of visits in places encouraging PA; nature trips (times per week), play parks (times per week), neighbourhood sport facilities (no visits at all/others), visits to gym or other indoor facility (no visits at all/others) and field trips to neighbourhoods (times per week). Multilevel linear regression analyses were conducted to measure the associations. RESULTS Of all the tested associations, only more frequently conducted nature trips were associated with lower children's ST during preschool hours (β=-1.026; 95% CI -1.804 to -0.248). CONCLUSION Frequent nature trips in preschools may be important due to its association with lower preschool children's ST.
Collapse
Affiliation(s)
- Suvi Määttä
- Folkhälsan Research Center, Helsinki, Finland
- Faculty of Social Sciences, Helsinki University, Helsinki, Finland
| | | | - Hanna Konttinen
- Faculty of Social Sciences, Helsinki University, Helsinki, Finland
- Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland
| | - Carola Ray
- Folkhälsan Research Center, Helsinki, Finland
| | - Nina Sajaniemi
- Department of Education, University of Helsinki, Helsinki, Finland
| | - Maijaliisa Erkkola
- Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland
| | - Eva Roos
- Folkhälsan Research Center, Helsinki, Finland
- Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland
| |
Collapse
|