Child physical activity levels and associations with modifiable characteristics in centre‐based childcare

• Published in: Australian and New Zealand journal of public health Vol. 39; no. 3; pp. 232 - 236
• Main Authors: Bell, A. Colin, Finch, Meghan, Wolfenden, Luke, Fitzgerald, Michael, Morgan, Philip J., Jones, Jannah, Freund, Megan, Wiggers, John
• Format: Journal Article
• Language: English
• Published: Australia Elsevier B.V 01.06.2015; Blackwell Publishing Ltd; Elsevier Limited; Elsevier
• Subjects: Accelerometry; Adult; Australia; Child care; Child Day Care Centers; Child, Preschool; childcare; Children; Children & youth; Childrens health; Cross-Sectional Studies; Day care centers; Exercise; Female; Girls; Health Promotion - methods; Humans; Intervention; Interviews as Topic; Literature reviews; Male; Measuring instruments; Motor Activity; Obesity; observation; Outcome Assessment (Health Care); Pediatrics; pedometer; Physical activity; Physical education; Physical fitness; Play and Playthings; Preschool children; Preschool education; Public health; Sedentary Lifestyle; Sex differences; Social Environment; Statistics; Surveys and Questionnaires; Systematic review; Australia; Canberra Australian Capital Territory Australia; preschool children; pedometer; observation; childcare; physical activity
• ISSN: 1326-0200; 1753-6405
• DOI: 10.1111/1753-6405.12314

To describe children's physical activity levels during childcare and associations with modifiable characteristics. A cross‐sectional study of 328 preschool children (43% girls; age 3–5 years) and 145 staff from 20 long day care centres in the Hunter Region of NSW, Australia. Pedometers assessed child physical activity levels. Centre characteristics and staff attitudes and behaviours towards children's physical activity were assessed using surveys, interviews and observational audit. Results were analysed using descriptive statistics and linear regression. Over the measurement period, average step count of children was 15.8 (SD=6.8) steps/minute. Four‐year‐olds had the highest step counts (16.4, SD=7.1, p=0.03) with no differences by sex. Step counts were significantly higher in centres that had a written physical activity policy (+3.8 steps/minute, p=0.03) and where staff led structured physical activity (+3.7 steps/minute, p<0.001) and joined in active play (+2.9 steps/minute, p=0.06). Written physical activity policy, structured staff‐led physical activity and staff joining in active play were associated with higher levels of physical activity. Childcare physical activity interventions should consider including strategies to encourage written physical activity policies and support structured staff led physical activities.