Activity Levels Of Young Children Research Articles

A quasi-experimental investigation of young children's activity levels and movements in equipment-based and naturalized outdoor play environments

Playing outdoors is beneficial for children's development and learning. Investigating how children's play varies in different types of outdoor environments can offer valuable insight to better support their development. As part of a larger comprehensive study examining the impact of naturalizing outdoor play environments, this article focuses on investigating young children's physical activity levels and movements on equipment-based and a naturalized outdoor play environments at a licensed early childhood education and care setting. Through a quasi-experimental mixed method design, the present study used wrist- and hip-worn accelerometers as well as spatial behaviour mapping to investigate the level of physical activity and movement between the two types of outdoor play environments. Findings from the accelerometer data indicated a significant decrease in moderate-vigorous physical activity, and a significant increase in sedentary behaviour in the naturalized outdoor play environment. Spatial behaviour mapping revealed that this decrease in physical activity post-naturalization could be due to children engaging in longer periods of more clustered (i.e., multiple experiences in a similar area) play interactions and experiences on the naturalized outdoor play environment compared to the equipment-based environment. This research is valuable for considering how children's more holistic development could be supported on a naturalized outdoor play environment to inform pedagogical and policy decisions.

Accelerometer-Measured Physical Activity and Sedentary Time among Children in Japan before and during COVID-19: A Cross-Sectional and Longitudinal Analysis.

This study examined changes in physical activity (PA), sedentary behavior (SB), screen time, sleep, and executive function among Japanese preschoolers between COVID-19 pre-pandemic and pandemic periods, using cross-sectional and longitudinal data. Accelerometer data from 63 children aged 5-6 years were collected from three kindergartens in Tokyo, Japan, in late 2019 (pre-COVID-19). This was compared to the data of 49 children aged 5-6 years from the same kindergartens, collected in late 2020 (during COVID-19). Sixteen children in the pre-COVID-19 cohort also participated in the 2020 survey and provided data for the longitudinal analysis. The mean minutes of PA, SB, screen time, and sleep duration, as well as executive function, were compared between the pre- and during COVID-19 cohorts. After adjusting for school, sex, and accelerometer wear time, there were no significant differences in any of the measured outcomes between the two cohorts. However, the analysis of longitudinal data revealed significant increases in time spent in SB and on screens, and a decrease in light-intensity PA and sleep duration during the pandemic compared to the pre-pandemic period. Results suggest that, despite the COVID-19 pandemic, young children's activity levels and SB did not significantly differ from pre-pandemic levels. However, school-aged children's SB, light PA, and sleep time were affected, although this cannot be disentangled from the effects of the transition to school.

Does the Spatial Layout of a Playground Affect the Play Activities in Young Children? A Pilot Study.

BackgroundThe objective of this study was to describe, through measurement of physical activity and observation of free outdoor play, the relation between children’s free play and the spatial layout of the playground. To accomplish this, we altered the spatial layout of the same playground to see how the layout affects the play activity and the physical activity levels in the same children.MethodsParticipants were six young children (four girls and two boys; mean age = 5 years and 1 month, SD = 2.59 months). Participants’ physical activity level and the duration of different types of action that occurred in each area and their transitions were compared before and after the alteration of the play-equipment layout using the data from accelerometers and video recordings.ResultsA significant increase in physical activity occurred after the spatial layout alteration, which was related to action differences. Before the alteration, children tended to play in a similar manner for a given play area; however, after the alteration, pronounced interindividual variation in play activity across children was observed.ConclusionThe present pilot study found that in free play situations in the outdoor playground, the spatial layout of playground affects the pattern of play activity and the physical activity levels of young children.

Exploring the Feasibility and Effectiveness of a Childcare PhysicaL ActivitY (PLAY) Policy: Rationale and Protocol for a Pilot, Cluster-Randomized Controlled Trial.

Background: Young children are prone to low levels of physical activity in childcare. This environment, inclusive of equipment, policies, and staff, has been identified as influencing young children’s activity behaviours. To date, no study has examined the feasibility and effectiveness of such policies in Canadian childcare centres, while the provision of physical activity policies in other countries has shown some promise for improving the activity levels of young children. As such, the primary objective of the Childcare PhysicaL ActivitY (PLAY) Policy study is to examine the feasibility of an evidence-based, stakeholder-informed, written physical activity and sedentary time policy for centre-based childcare (i.e., at the institutional level). The secondary objectives are to examine the impact of policy implementation on the physical activity levels and sedentary time of young children, subsequent environmental changes in childcare centres, and childcare providers’ self-efficacy to implement a physical activity policy. This study will examine both policy implementation and individual (behavioural) outcomes. Methods/Design: The Childcare PLAY Policy study, a pilot, cluster-randomized controlled trial, involves the random allocation of childcare centres to either the experimental (n = 4) or control (n = 4) group. Childcare centres in the experimental group will adopt a written physical activity policy for eight weeks (at which time they will be asked to stop enforcing the policy). Physical activity levels and sedentary time in childcare will be assessed via ActiGraph™ accelerometers with measurements at baseline (i.e., week 0), mid-intervention (i.e., week 4), immediately post-intervention (i.e., week 9), and at six-month follow-up. Policy implementation and feasibility will be assessed using surveys and interviews with childcare staff. The Environment and Policy Assessment and Observation Self-Report tool will capture potential changes to the childcare setting. Finally, childcare providers’ self-efficacy will be captured via a study-specific questionnaire. A nested evaluation of the impact of policy implementation on young children’s physical activity levels will be completed. A linear mixed effects models will be used to assess intervention effects on the primary and secondary outcomes. Descriptive statistics and thematic analysis will be employed to assess the feasibility of policy implementation. Discussion: The Childcare PLAY Policy study aims to address the low levels of physical activity and high sedentary time observed in childcare centres by providing direction to childcare staff via a written set of evidence-informed standards to encourage young children’s activity and reduce sedentary time. The findings of this work will highlight specific aspects of the policy that worked and will inform modifications that may be needed to enhance scalability. Policy-based approaches to increasing physical activity affordances in childcare may inform future regulations and programming within this environment.

Parents' perception of stroller use in young children: a qualitative study.

BackgroundDespite their wide usage, it has recently been suggested that stroller use may reduce physical activity levels of young children. However, there have been no studies on stroller use as it relates to physical activity outcomes. The objectives of this study were to understand the context of stroller use for young children and parents’ perceptions of the relationship between stroller use and their children’s physical activity.MethodsParents of children 1 to 5 years of age were recruited through two sites of TARGet Kids!, a primary-care, practice-based research network in Toronto, Canada. Fourteen semi-structured interviews were conducted. Interviews were audio recorded and transcribed verbatim and two independent reviewers conducted thematic analysis. A number of strategies were employed to ensure the trustworthiness of the data.ResultsParents discussed reasons for stroller use (i.e., transportation; storage; leisure; supervision/confinement; parent physical activity; and sleep), factors that influence the decision to use a stroller (i.e., caregiver choice; convenience, timing, distance; family lifestyle; and child preference), and perceived impact of stroller use on physical activity (i.e., most parents did not recognize a connection between stroller use and physical activity).ConclusionThis study provides a context for researchers and policy makers to consider when developing stroller related physical activity guidelines for young children.

Associations between objectively assessed child and parental physical activity: a cross-sectional study of families with 5-6 year old children.

BackgroundA number of studies have suggested that there is a need to increase the physical activity levels of children. Parents are important influences on children’s behaviour. There is a lack of information about whether there are associations between the physical activity levels of young children and their parents. The current study examined the associations between the physical activity (PA) of parents and their children at age five to six years old, and determined whether any associations differed by child or parent gender or between week and weekend days.MethodsCross-sectional study, with 1267 Year 1 pupils (five to six years of age) and at least one parent from 57 primary schools. Children and parents wore an accelerometer for five days and mean minutes of moderate-to-vigorous intensity physical activity (MVPA) per day were derived. We used multivariable linear regression to investigate whether parental and child time spent in MVPA was associated with each other. Each model was adjusted for age, child gender, parent BMI and neighbourhood deprivation with subgroup analysis by child gender.Results80% of parents met PA guidelines, however 29% of boys and 47% of girls aged five to six years failed to meet them. Fully-adjusted analyses suggested weak positive associations of parent’s and children’s time spent in MVPA. Every 10 additional minutes of parental MVPA were associated with one additional minute of child MVPA. There was no evidence of a difference in associations for boys and girls or between mothers and fathers.Conclusions29% of boys and 47% of girls aged five to six years did not meet PA guidelines indicating that these children would benefit from new approaches that focus on increasing physical activity. There were weak associations between the MVPA of 5–6 year old children and their parents, demonstrating that the time that children are active with their parents is not a major source of physical activity. Clinicians and public health professionals should encourage parents to create opportunities for their children to be active.

Objectively measured physical activity levels of young children with congenital heart disease

Physical activity tends to be lower in school-age children with congenital heart disease than in healthy controls. To the best of our knowledge, objectively measured physical activity levels of preschool-age children with congenital heart disease have not been studied. A total of 10 children with either coarctation of the aorta (n=6; age 3.8±0.9) or tetralogy of Fallot (n=4, age 4.3±0.9) were recruited from the cardiology unit of McMaster Children's Hospital. Height (103.7±8.2 cm) and weight (17.3±2.7 kg) measurements were recorded, and physical activity was determined using accelerometry over 7 consecutive days. Patients were compared with age-, sex-, and season of data acquisition-matched controls. Parents completed a questionnaire regarding the child's physical activity and sedentary behaviours. Patients spent on average 219.4±39.9 minutes engaged in total physical activity per day at the following intensities: light, 147.5±22.3; moderate, 44.0±11.8; moderate-to-vigorous, 71.9±22.6; and vigorous, 27.9±11.7. No significant differences were observed between patients and controls for total physical activity (p=0.80) or any of the intensities (p=0.71, 0.46, 0.43, and 0.45, respectively). Only 40% of patients and controls met the new Canadian Physical Activity Guidelines for the Early Years of at least 180 minutes of physical activity at any intensity every day. Of the patients' parents, 90% believed that their child was as active, if not more active, than his/her siblings, and 80% of parents reported their child spending 1-3 hours in screen time activities daily. Children aged 3-5 years old with congenital heart disease have comparable physical activity levels to age-, sex-, and season-matched controls, and many do not meet Canadian Physical Activity Guidelines.

Formative Research to Develop the IDEFICS Physical Activity Intervention Component: Findings from Focus Groups with Children and Parents.

The current study aimed at describing influencing factors for physical activity among young children to determine the best approaches for developing the IDEFICS community based intervention. In 8 European sites a trained moderator conducted a minimum of 4 focus groups using standardized questioning guides. A total of 56 focus groups were conducted including 36 focus groups with parents and 20 focus groups with children, of which 74 were boys and 81 girls. Key findings were identified through independent reviews of focus group summary reports using content analysis methods. Findings were generally consistent across countries. The greatest emphasis was on environmental physical (eg, seasonal influences, availability of facilities and safety), institutional (eg, length of breaks at school), and social factors (eg, role modeling of parents). Most cited personal factors by parents were age, social economical status, and perceived barriers. Both children and parents mentioned the importance of children's preferences. To increase physical activity levels of young children the intervention should aim at creating an environment (physical, institutional, social) supportive of physical activity. On the other hand strategies should take into account personal factors like age and social economical status and should consider personal barriers too.

Body fatness and physical activity levels of young children

Background: The decline in physical activity levels of young children seems to be combined with a high prevalence of obesity and overweight and a reduction in the participation in organized sport. With the ever-increasing interest in exploring the relationship between physical activity and obesity amongst children, it is important to provide a more precise estimate of both physical activity and body fatness. A significant proportion of previous research on this topic has relied on self-report methods to assess physical activity and body mass index as a proxy for actual body fatness. There is a need to investigate the relationships between physical activity and fatness in children using objective methods.Aim: This study was conducted in order to explore the relationship between physical activity patterns and percentage body fat amongst a group of primary school children.Subjects and methods: Forty-seven primary school children (boys, n = 23; girls, n = 24) participated in this study. They were randomly selected from children in years 5 and 6 (9–11 year olds) of four schools drawn from the same catchment area in the city of Birmingham, UK. The frequency, intensity and duration of physical activity were determined using continuous heart rate monitoring from 8:30 am to 8:30 pm over three separate days (two weekdays and one weekend day). Percentage body fat was assessed using air displacement plethysmography.Results: Results indicated that 52% of children did not achieve a single 15-min bout of sustained moderate physical activity over the three days of monitoring. Independent t-tests revealed that girls were significantly fatter (t44 = −3.126, p = 0.003) than boys. There was no significant difference (t45 = 0.225, p > 0.05) between boys and girls in accumulated time spent with heart rates above the moderate physical activity threshold. Pearson's product moment correlation coefficients revealed no significant (r = −0.017, p > 0.05) relationship between per cent body fat and average daily time spent in moderate and vigorous activity.Conclusion: Despite the prediction to the contrary, there was no evidence of a significant relationship between percentage body fat of children and time spent in moderate and vigorous activity. Additionally, while there were no significant gender differences in physical activity patterns, children were more physically active during weekdays than weekends.

Physical Activity in Preschoolers

Accurate physical activity quantification in preschoolers is essential to establish physical activity prevalence, dose-response relationships between activity and health outcomes, and intervention effectiveness. To date, best practice approaches for physical activity measurement in preschool-aged children have been relatively understudied. This article provides a review of physical activity measurement tools for preschoolers, an overview of measurement of preschoolers' physical activity, and directions for further research. Electronic and manual literature searches were used to identify 49 studies that measured young children's physical activity, and 32 studies that assessed the validity and/or reliability of physical activity measures with preschool-aged children. While no prevalence data exist, measurement studies indicate that preschool children exhibit low levels of vigorous activity and high levels of inactivity, boys are more active than girls, and activity patterns tend to be sporadic and omnidirectional. As such, measures capable of capturing differing activity intensities in very short timeframes and over multiple planes are likely to have the most utility with this population. Accelerometers are well suited for this purpose, and a number of models have been used to objectively quantify preschoolers' physical activity. Only one model of pedometer has been investigated for validity with preschool-aged children, showing equivocal results. Direct observation of physical activity can provide detailed contextual information on preschoolers' physical activity, but is subjective and impractical for understanding daily physical activity. Proxy-report questionnaires are unlikely to be useful for determining actual physical activity levels of young children, and instead may be useful for identifying potential correlates of activity. Establishing validity is challenging due to the absence of a precise physical activity measure, or 'criterion', for young children. Both energy expenditure (EE) and direct observation have been considered criterion measures in the literature; however, EE is influenced by multiple variables, so its use as a physical activity 'criterion' is not ideal. Also, direct observation is inherently subjective, and coding protocols may result in failure to capture intermittent activity, thereby limiting its utility as a physical activity criterion. Accordingly, these issues must be taken into account where EE or direct observation are used to validate physical activity instruments. A combination of objective monitoring and direct observation may provide the best standard for the assessment of physical activity measurement tools. Ideally, the convergent validity of various physical activity tools should be investigated to determine the level of agreement between currently available measures. The correlational approaches commonly employed in the assessment of physical activity measures do not reveal this relationship, and can conceal potential bias of either measure.

VALIDATION OF A VIDEO QUESTIONNAIRE TO ASSESS PHYSICAL ACTIVITY IN YOUNG CHILDREN

250 The purpose of this study was to evaluate the validity of the Assessment of Young Children's Activity Using Video Technology (ACTIVITY) self-report instrument in quantifying previous-day physical activity. Forty-seven third-grade children (mean age 7.72 ± .45, 41% female) from one elementary school completed the ACTIVITY on one weekday. To evaluate concurrent validity, children wore an accelerometer and a heart rate monitor on the day prior to each recall. From the ACTIVITY each child attained a score (S1) using complete data from the questionnaire and a score (S2) using only those questions pertaining to specific time periods within the day. Mean Caltrac counts/minute (CNTSMIN), average activity heart rates (AVACTHR), and cumulative minutes at or above 50% of heart rate reserve (50%HRR) were calculated for the entire day (7:00 a.m. - 7:00 p.m.). Although analyses did not demonstrate a relationship between AVACTHR and the self-report scores, they did identify significant Pearson product-moment correlations between S1 and CNTSMIN (r=.31, p<.05), and between S2 and 50%HRR (r=.46, p <.01) and CNTSMIN (r=.34, p <.05). Regression analyses also indicated a significant relationship between S1 and CNTSMIN (R2=0.10, p<.05), and between S2 and CNTSMIN (R2=0.12, p<.05) and 50%HRR (R2=0.21, p<.001). One interesting finding from this research was that children's recall was more accurate when they were asked to recall behaviour from specific time periods. These data indicate that the ACTIVITY self-report instrument is a reasonably valid instrument for measuring general activity levels of young children.

Motor Proficiency in Children Reporting Low Levels of Participation in Physical Activity

This study examined the motor proficiency and physical activity levels of young children with low levels of perceived self-efficacy regarding their participation in physical activities. This group (n=48) was compared with 400 of their peers in Grades 4–8 attending the same schools and also with a group (n=44) who reported high levels of perceived self-efficacy. Although none of the students with poor self-efficacy had been identified by their schools as having a learning or behavioural disorder, these children were found to have characteristics which are typical of children with developmental coordination disorder (DCD). These findings suggest that an instrument which asks children about their confidence when participating in physical leisure activities, and their enjoyment of those same activities may have potential as a possible screening tool for DCD.

Physical activity levels of young children: a review of the evidence

Physical activity levels of young children: a review of the evidence

Influence of parents' physical activity levels on activity levels of young children

To determine the relationship between activity levels of parents and those of their young children, we monitored physical activity with a mechanical device, the Caltrac accelerometer, in one hundred 4- to 7-year-old children and in 99 of their mothers and 92 of their fathers. During 1 year in the Framingham Children's Study, data were obtained for an average of more than 10 hours per day for 8.6 +/- 1.8 days for the children, for 8.3 +/- 2.1 days for their mothers, and for 7.7 +/- 2.3 days for their fathers. Children of active mothers (average Caltrac accelerometer counts per hour greater than the median) were 2.0 times as likely to be active as children of inactive mothers (95% confidence interval = 0.9, 4.5); the relative odds ratio of being active for the children of active fathers was 3.5 (95% confidence interval = 1.5, 8.3). When both parents were active, the children were 5.8 times as likely to be active (95% confidence interval = 1.9, 17.4) as children of two inactive parents. Possible mechanisms for the relationship between parents' and child's activity levels include the parents' serving as role models, sharing of activities by family members, enhancement and support by active parents of their child's participation in physical activity, and genetically transmitted factors that predispose the child to increased levels of physical activity.