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Ensayo controlado aleatorizado2023Acceso abierto

Effect of Applying Best Practices for Physical Activity and Screen Time to Family Childcare Homes

Jiang Q, Risica PM, Tovar A, Stowers KC, Schwartz MB, Lombardi C, Alhassan S, Gans KM

Preventing chronic disease · 6 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Institutes of Health
Gobierno
National Heart, Lung, and Blood Institute
Gobierno
NHLBI NIH HHS
Subvenciones
National Heart, Lung, and Blood Institute (R01HL123016); National Institutes of Health (R01HL123016)

Según 3 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2023-07-10 · Prev Chronic Dis · vol. 20 · pág. E60
Editorial
Centers for Disease Control and Prevention
Citado
7 citas · más que el 75% de estudios similares · 1.0× el promedio de su campo
Referencias
37 trabajos
Acceso
Acceso abierto (publicación gratuita) · PUBLIC-DOMAIN
Áreas de investigación
Physical Activity and Health · Obesity, Physical Activity, Diet · Children's Physical and Motor Development
Palabras clave
early childhood physical activity, screen time, sedentary behavior, moderate-to-vigorous physical activity, outdoor play, young children, childcare policy
MeSH
humans, exercise, child, preschool, child care, female, male, accelerometry, child health, screen time, sedentary behavior

8 autores

  • Qianxia Jiang🇺🇸 · autor de correspondenciaChildren's Mercy Hospital
  • Patricia Markham Risica🇺🇸Brown University
  • Alison Tovar🇺🇸Brown University
  • Kristen Cooksey Stowers🇺🇸University of Connecticut
  • Marlene B. Schwartz🇺🇸University of Connecticut
  • Caitlin McPherran Lombardi🇺🇸University of Connecticut
  • Sofiya Alhassan🇺🇸University of Massachusetts Amherst
  • Kim M. Gans🇺🇸University of Connecticut; Brown University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Introduction

Early childcare has been identified as an influential setting for children's physical activity. Our objective was to determine whether children aged 2 to 5 years had more accelerometer-measured minutes of physical activity when caregivers in their family childcare home (FCCH) adhered to best practices for physical activity and screen time.

Methods

We analyzed baseline 2-day observation data collected by using the Environment and Policy Assessment and Observation measure from a cluster-randomized trial. Multilevel linear regression models assessed the association between caregivers' meeting best practices for physical activity and screen time and children's time spent sedentary or in moderate-to-vigorous physical activity (MVPA).

Results

All FCCH caregivers (N = 120) in our study were female, and 67.5% were Hispanic. Participating children (N = 349) were 52.1% female and 57.4% Hispanic. A higher score among caregivers for physical activity best practices was associated with more MVPA (B = 0.79; 95% CI, 0.02 to 1.56; P = .04) for children and less sedentary time (B = -2.07; 95% CI, -3.94 to -0.19; P = .04). A higher caregiver score for screen time best practices was associated with less sedentary time (B = -2.07; 95% CI, -3.94 to -0.19; P = .04) and more MVPA time (B = 0.65; 95% CI, 0.03 to .27; P = .04). Children in homes where caregivers offered them 60 minutes or more of outdoor play and participated in outdoor physical activity had more MVPA and less sedentary time. We found no association between various screen-time best practices and children's sedentary time.

Discussion

Children with caregivers who used more best practices for physical activity and screen time had higher activity levels and spent less time sedentary. These findings could help policy makers and people caring for young children modify existing policies and develop programs to help early childhood caregivers implement best practices to promote children's physical activity.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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