Prevalence of Compliance with a New Physical Activity Guideline for Preschool-Age Children

Pate, Russell R.; O’Neill, Jennifer; Brown, William H.; Pfeiffer, Karin A.; Dowda, Marsha; Addy, Cheryl L.

doi:10.1089/chi.2014.0143

Cited by 151 publications

(124 citation statements)

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“…In fact, both boys and girls achieved a mean of greater than 90 minutes of MVPA/day; however, boys had a mean average of 13 minutes more in MVPA/day than girls ( p <0.001). Cross-sectional studies using older samples of children 12,43-45 found that boys engaged in significantly greater amounts of accelerometry-assessed PA than girls. The present study's finding highlights the opportunity at this developmental period to enhance PA and reduce sedentary behaviors among all children before PA levels begin to decline as they reach adolescence, particularly among girls given this decline begins in early adolescence.…”

Section: Discussionmentioning

confidence: 97%

“…9-11 A recent report shows that less than half of preschoolers obtain the recommended ≥3 hours/day of total PA (light, moderate, and vigorous), with at least 1 of these hours in MVPA, recommended by leading international organizations. 12,13 Some studies indicate that Latino and African American youth are at lower odds of meeting daily PA recommendations 14,15 and higher odds of being overweight/obese. 16 For example, nationally representative U.S. data of children aged 6–11 years show that Mexican Americans engage in less MVPA.…”

Section: Introductionmentioning

confidence: 99%

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Parent’s Physical Activity Associated With Preschooler Activity in Underserved Populations

Barkin

Lamichhane

Banda

et al. 2017

American Journal of Preventive Medicine

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Introduction In the U.S., children from low-income families are more likely to be obese. The impact of parent modeling of physical activity (PA) and sedentary behaviors in low-income American ethnic minorities is unclear, and studies examining objective measures of preschooler and parent PA are sparse. Methods This cross-sectional study examined 1,003 parent–child pairs who were of low income, largely Latino and African American, and living in one of two geographically disparate metropolitan areas in the U.S. Parents and children wore GT3X/GT3X+ accelerometers for an average of >12 hours/day (7:00am–9:00pm) for 1 week (September 2012 to May 2014). Analysis occurred in 2015–2016. Results About 75% of children were Latino and >10% were African American. Mean child age was 3.9 years. The majority of children (60%) were normal weight (BMI ≥50th and <85th percentiles), with more than a third were overweight/obese. Children's total PA was 6.03 hours/day, with 1.5 hours spent in moderate to vigorous PA (MVPA). Covariate-adjusted models showed a monotonic, positive association between parent and child minutes of sedentary behavior (β=0.10, 95% CI=0.06, 0.15) and light PA (β=0.06; 95% CI=0.03, 0.09). Child and parent MVPA were positively associated up to 40 minutes/day of parent MVPA, but an inverse association was observed when parental MVPA was beyond 40 minutes/day (p=0.002). Conclusions Increasing parental PA and reducing sedentary behavior correlate with increased PA-related behaviors in children. However, more work is needed to understand the impact of high levels of parental MVPA on the MVPA levels of their children.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Parent’s Physical Activity Associated With Preschooler Activity in Underserved Populations

Barkin

Lamichhane

Banda

et al. 2017

American Journal of Preventive Medicine

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“…2 Authorities in several countries, including the U.S., 3–7 have developed physical activity guidelines for young children, and studies have shown that many children aged 3–5 years in the U.S. and elsewhere fail to meet those guidelines. 8–11 …”

Section: Introductionmentioning

confidence: 99%

An Intervention to Increase Physical Activity in Children

Pate

Brown

Pfeiffer

et al. 2016

American Journal of Preventive Medicine

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Introduction A majority of preschool-aged children spend a significant portion of every weekday in a preschool or child care setting, where they typically participate in limited physical activity. This study determined if an ecologic physical activity intervention in preschools increases children’s moderate-to-vigorous intensity physical activity (MVPA). Design RCT, with preschool as the unit of randomization and analysis. Child physical activity was measured by accelerometry. Mixed model analysis of covariance with preschool as a random variable was used to test the effects of the intervention on physical activity in the total group and in sex-specific subgroups. Data were collected in 2008–2010 and analyzed in 2012–2014. Setting/participants Children in 4-year-old classrooms in 16 preschools, pair matched and assigned to intervention or control groups. Intervention The intervention focused on increasing children’s physical activity by changing instructional practices. Researchers trained preschool teachers to engage children in physical activity during: (1) structured, teacher-led physical activity opportunities in the classroom; (2) structured and unstructured physical activity opportunities at recess; and (3) physical activity integrated into pre-academic lessons. Research staff encouraged teachers to adapt the intervention to their classrooms. Main outcome measures Minutes/hour of MVPA during the preschool day. Results In an analytic sample of 379 children (188 intervention, 191 control), those in the intervention schools engaged in significantly more MVPA than children in control schools (7.4 and 6.6 minutes/hour, respectively). This difference remained significant after adjusting for parent education and length of the school day (half versus full day), In the sex-specific analyses, the difference was significant for girls (6.8 vs 6.1 minutes/hour of MVPA, respectively) but not for boys (7.9 vs 7.2 minutes/hour, respectively). Conclusions A flexible ecologic physical activity intervention that trains teachers to provide children with opportunities to be active throughout the school day increased MVPA in preschool children.

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“…The National Academy of Medicine in the United States has recommended that preschool-aged children should accumulate 15 min of physical activity every hour they are in care [21]. Evidence evaluating compliance with this recommendation during care hours is lacking [22]. …”

Section: Introductionmentioning

confidence: 99%

Preschool and childcare center characteristics associated with children’s physical activity during care hours: an observational study

Hinkley

Salmon

Crawford

et al. 2016

Int J Behav Nutr Phys Act

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BackgroundPreschools 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.MethodsData 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.ResultsBoys 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.ConclusionsThis 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 materialThe 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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Prevalence of Compliance with a New Physical Activity Guideline for Preschool-Age Children

Abstract: Approximately one half of children in two independent samples met the guideline for PA in young children. Policies and practices designed to increase PA among preschool children are needed, given that most children are not meeting this PA guideline.

Cited by 151 publications

References 31 publications

Parent’s Physical Activity Associated With Preschooler Activity in Underserved Populations

Parent’s Physical Activity Associated With Preschooler Activity in Underserved Populations

An Intervention to Increase Physical Activity in Children

Preschool and childcare center characteristics associated with children’s physical activity during care hours: an observational study

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