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Childcare Correlates of Physical Activity, Sedentary Behavior, and Adiposity in Preschool Children: A Cross-Sectional Analysis of the SPLASHY Study

Type of publication Peer-reviewed
Publikationsform Original article (peer-reviewed)
Author Arhab Amar, Messerli-Bürgy Nadine, Kakebeeke Tanja H., Lanzi Stefano, Stülb Kerstin, Zysset Annina E., Leeger-Aschmann Claudia S., Schmutz Einat A., Meyer Andrea H., Munsch Simone, Kriemler Susi, Jenni Oskar G., Puder Jardena J.,
Project Children’s stress regulation capacity and mental health: the influence of parental factors and stress exposure
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Original article (peer-reviewed)

Journal Journal of Environmental and Public Health
Volume (Issue) 2018
Page(s) 1 - 12
Title of proceedings Journal of Environmental and Public Health
DOI 10.1155/2018/9157194

Open Access

URL http://doi.org/10.1155/2018/9157194
Type of Open Access Publisher (Gold Open Access)

Abstract

Background . The childcare (CC) environment can influence young children’s physical activity (PA), sedentary behavior (SB), and adiposity. The aim of the study was to identify a broad range of CC correlates of PA, SB, and adiposity in a large sample of preschoolers. Methods . 476 preschool children (mean age 3.9 yrs; 47% girls) participated in the Swiss Preschoolers’ Health Study (SPLASHY). PA and SB were measured by accelerometry. Outcome measures included total PA (TPA), moderate-to-vigorous PA (MVPA), SB, body mass index (BMI), and skinfold thickness (SF). PA measures consisted of both daily PA during CC attendance days and overall daily PA (CC and non-CC days). Results . We identified the following CC correlates for higher TPA and/or higher MVPA or lower SB during CC attendance days: older age, sex (boys), more frequent child-initiated interactions during CC, mixing different ages within a group, and the presence of a written PA policy in the CC (all p≤0.02 ). The CC correlates for overall TPA and/or MVPA or lower overall SB including both CC and non-CC days were the following: older age, sex (boys), more frequent child-initiated interactions during CC, mixing different ages within a group, less parental PA involvement in the CC, and having a larger surface area in CC (all p≤0.046 ). Correlates for lower SF were sex (boys) and parental PA involvement in the CC (all p≤0.02 ), and, for lower BMI, only increased age ( p=0.001 ) was a correlate. Conclusions . More frequent child-initiated interactions and mixing different ages in CC, the presence of a written PA policy, and a larger CC surface are correlates of PA and SB during CC attendance days and/or of overall PA. Parental involvement in CC PA projects was a correlate for reduced body fat. These novel factors are mostly modifiable and can be tackled/addressed in future interventions.
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