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Background:It is important to understand the correlates of physical activity (PA) to influence policy and create environments that promote PA among preschool children. We compared preschoolers’ PA in Swedish and in US settings and objectively examined differences boys’ and girls’ indoor and outdoor PA regarding different intensity levels and sedentary behavior.Methods:Accelerometer determined PA in 50 children with mean age 52 months, (range 40–67) was recorded during preschool time for 5 consecutive weekdays at 4 sites. The children wore an Actigraph GTIM Monitor.Results:Raleigh preschool children, opposite to Malmö preschoolers spent significantly more time indoors than outdoors (P < .001). Significantly more moderate-to-vigorous intensity physical activity (MVPA) was observed outdoors (P < .001) in both settings. Malmö children accumulated significantly more counts/min indoors (P < .001). The percent of MVPA during outdoor time did not differ between children at Raleigh and Malmö.Conclusion:Physical activity counts/minutes was significantly higher outdoors vs. indoors in both Malmö and Raleigh. Malmö preschoolers spent 47% of attendance time outdoors compared with 18% for Raleigh preschoolers which could have influenced the difference in preschool activity between the 2 countries. Time spent in MVPA at preschool was very limited and predominantly adopted outdoors.

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BackgroundSchool children are confined to and exposed to outdoor environment that happens to be at their disposal during compulsory school time. The health-promoting potential of outdoor environment, and the use of it, is therefore important. We have studied the impact of school outdoor environment in terms of playground features, space, topography and vegetation upon the patterns of moderate to vigorous physical activity (MVPA) across ages and seasons in Swedish pupils at compulsory school.MethodsFour schools in the Middle and Southern parts of Sweden, with outdoor environments differing in playground features, space, topography and vegetation were analyzed during one school year. A sample of 196 children was drawn from eligible pupils in grades 2, 5 and 8, aged 7–14 years. PA was monitored with time-stamped Actigraph accelerometers GT3X+, measuring different intensity levels during outdoor time. Maps were used to mark places where the children stayed and what they did during outdoor time.ResultsMean MVPA during outdoor stay was 39 minutes for the entire school year, time in MVPA correlated positively with outdoor time, as did MVPA with used outdoor play area (p < 0.001). Outdoor MVPA declined with age, boys accumulated more MVPA than girls at all ages (p < 0.001). Ball play areas increased MVPA in 5th graders in September and May (p < 0.001). Overall, ball play areas increased 5th graders’ relative MVPA, and helped maintaining it with increasing age in boys but not in girls, whereas woodland stimulated and contributed to maintaining girls’ MVPA with increasing age. Outdoor temperature significantly impacted (p < 0.01) MVPA throughout all seasons.ConclusionWe conclude that school outdoor environment design and outdoor play time impact physical activity on a daily basis and may contribute to increasing girls’ physical activity and moderate the sharp decline in physical activity by age. The school outdoor environment may thus be a potential health promoter during school time.