Children's physical activity in family child care homes: Influence of quality status, environment and policy features, and child characteristics

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2024-05-27 DOI:10.1111/cch.13274

Kerry L. McIver, Daniel A. Zaltz, Brian Neelon, Agnes Bucko, Sara E. Benjamin-Neelon, Russell R. Pate

{"title":"Children's physical activity in family child care homes: Influence of quality status, environment and policy features, and child characteristics","authors":"Kerry L. McIver, Daniel A. Zaltz, Brian Neelon, Agnes Bucko, Sara E. Benjamin-Neelon, Russell R. Pate","doi":"10.1111/cch.13274","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>About half of preschool-age children are not meeting recommendations of 15 min/h of physical activity (PA), and nearly one out of seven children between the ages of 2–5 years are living with obesity. Furthermore, children attending family child care homes (FCCHs), compared with larger child care centers, engage in lower levels of PA and appear to be at a higher risk of obesity. Therefore, examining PA and multi-level factors that influence PA in children who attend FCCHs is essential.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The Childcare Home Eating and Exercise Study (CHEER) examined PA behaviors of 184 children enrolled in 56 FCCHs and FCCH quality status, environment and policy features, and child characteristics. PA was assessed by accelerometer, and FCCH environment and policy was assessed via structured observation. Multiple linear regression was used to model associations between school day total PA and FCCH quality status, environment and policy features, and child characteristics.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Child participants were on average 3.1 years old; participants were non-Hispanic Black (47.3%), Non-Hispanic White (42.9%), other race/ethnicity (7.1%), and Hispanic/Latin (2.7%). Children in FCCH settings participated in 11.2 min/h of total PA, which is below the recommended 15 min per hour. The PA environment and policy observation yielded a score of 11.8 out of a possible 30, which is not supportive of child PA. There were no associations between total child PA and FCCH quality status, environment and policy features, and child characteristics in these FCCH settings.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This study was unique in its examination of PA and a comprehensive set of factors that may influence PA at the individual, organizational, environmental, and policy levels in a diverse sample of children attending FCCHs in South Carolina. Additional research is needed to better understand how to increase children's physical activity while they are in the FCCH setting. This research should use multi-level frameworks and apply longitudinal study designs.</p>\n </section>\n </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"50 4","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.13274","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Care Health and Development","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cch.13274","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background

About half of preschool-age children are not meeting recommendations of 15 min/h of physical activity (PA), and nearly one out of seven children between the ages of 2–5 years are living with obesity. Furthermore, children attending family child care homes (FCCHs), compared with larger child care centers, engage in lower levels of PA and appear to be at a higher risk of obesity. Therefore, examining PA and multi-level factors that influence PA in children who attend FCCHs is essential.

Methods

The Childcare Home Eating and Exercise Study (CHEER) examined PA behaviors of 184 children enrolled in 56 FCCHs and FCCH quality status, environment and policy features, and child characteristics. PA was assessed by accelerometer, and FCCH environment and policy was assessed via structured observation. Multiple linear regression was used to model associations between school day total PA and FCCH quality status, environment and policy features, and child characteristics.

Results

Child participants were on average 3.1 years old; participants were non-Hispanic Black (47.3%), Non-Hispanic White (42.9%), other race/ethnicity (7.1%), and Hispanic/Latin (2.7%). Children in FCCH settings participated in 11.2 min/h of total PA, which is below the recommended 15 min per hour. The PA environment and policy observation yielded a score of 11.8 out of a possible 30, which is not supportive of child PA. There were no associations between total child PA and FCCH quality status, environment and policy features, and child characteristics in these FCCH settings.

Conclusions

This study was unique in its examination of PA and a comprehensive set of factors that may influence PA at the individual, organizational, environmental, and policy levels in a diverse sample of children attending FCCHs in South Carolina. Additional research is needed to better understand how to increase children's physical activity while they are in the FCCH setting. This research should use multi-level frameworks and apply longitudinal study designs.

查看原文本刊更多论文

家庭托儿所中儿童的体育活动：质量状况、环境和政策特征以及儿童特征的影响。

背景：约有一半的学龄前儿童没有达到每小时 15 分钟的体育活动（PA）建议量，每七名 2-5 岁的儿童中就有近一人患有肥胖症。此外，与规模较大的托儿所相比，在家庭托儿所（FCCHs）就读的儿童参与体育活动的水平较低，而且肥胖的风险似乎更高。因此，研究参加家庭托儿所的儿童的运动量和影响运动量的多层次因素至关重要：托儿所饮食与运动研究（CHEER）调查了 56 家托儿所中 184 名儿童的运动量行为以及托儿所的质量状况、环境和政策特征以及儿童特征。运动量通过加速度计进行评估，家庭保育院的环境和政策通过结构化观察进行评估。研究采用多元线性回归法建立了学日总运动量与幼儿保育院质量状况、环境和政策特征以及儿童特征之间的关系模型：参与调查的儿童平均年龄为 3.1 岁；参与者为非西班牙裔黑人（47.3%）、非西班牙裔白人（42.9%）、其他种族/族裔（7.1%）和西班牙裔/拉丁裔（2.7%）。在家庭保育和护理机构中，儿童的总 PA 时间为 11.2 分钟/小时，低于建议的 15 分钟/小时。PA 环境和政策观察结果为 11.8 分（满分 30 分），不支持儿童 PA。在这些幼托中心环境中，儿童总课间活动与幼托中心质量状况、环境和政策特征以及儿童特征之间没有关联：这项研究的独特之处在于，它对 PA 以及可能在个人、组织、环境和政策层面影响 PA 的一系列综合因素进行了研究，研究对象是南卡罗来纳州参加家庭保育和护理中心的不同儿童样本。我们需要开展更多的研究，以更好地了解如何增加儿童在家庭保育和护理中心环境中的体育活动。这项研究应采用多层次框架和纵向研究设计。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.