The physical environment in family childcare homes and children's physical activity.
The physical environment in family childcare homes and children's physical activity.
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DOI：
10.1111/cch.12578
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Ward DS
中科院分区：
文献类型：
--
作者：
Neshteruk CD;Mazzucca S;Østbye T;Ward DS
家庭托儿所 (FCCH) 是美国第二大托儿服务提供者，但人们对这种环境如何影响儿童的身体活动（尤其是与身体环境相关的身体活动）知之甚少。因此，本研究的目的是确定 FCCH 物理环境的哪些方面促进或阻碍儿童的身体活动。作为健康 FCCH 研究的一部分，2013 年至 2014 年从 166 家 FCCH 提供者和 496 名学龄前儿童收集了数据。使用 Actigraph GT3X+ 加速度计测量儿童的中度至剧烈体力活动 (MVPA)。隔离儿童保育日的磨损数据并应用切点来计算儿童每小时 MVPA 的分钟数。计算了每小时儿童 MVPA 的 FCCH 水平估计值。在为期两天的观察中，使用针对 FCCH 修改的环境和政策评估和观察 (EPAO) 来评估室内和室外物理环境特征。使用一般线性模型来检验室内、便携式游乐设备和室外 FCCH 物理环境特征与儿童每小时 MVPA 之间的关系。只有室内游戏空间与儿童的 MVPA 显着相关（β=0.33；p=0.034），这表明当提供更多的室内活动空间时，儿童的身体活动更加活跃。便携式游乐设备或户外环境与儿童 MVPA 之间没有显着关联。室内空间是与儿童 MVPA 相关的唯一物理环境特征，这表明教导 FCCH 提供者如何最好地利用室内游戏空间进行积极游戏可能是促进儿童身体活动的一种方式。未来的研究应探讨 FCCH 的其他环境特征（例如提供者的做法和政策）对儿童身体活动的影响。
Family child care homes (FCCHs) are the second largest provider of child care in the United States, yet little is known about how this setting influences children’s physical activity, particularly related to the physical environment. Thus, the purpose of this study was to determine what aspects of the FCCH physical environment facilitate or hinder children’s physical activity. Data were collected from 166 FCCH providers and 496 preschool aged children in 2013–2014 as part of the Keys to Healthy FCCHs study. Children’s moderate to vigorous physical activity (MVPA) was measured using Actigraph GT3X+ accelerometers. Wear data from the child care day were isolated and cut-points were applied in order to calculate children’s minutes of MVPA per hour. FCCH-level estimates of child MVPA per hour were calculated. Indoor and outdoor physical environment characteristics were assessed during a two-day observation using the Environment and Policy Assessment and Observation (EPAO) modified for FCCHs. General linear models were used to examine the relationship between indoor, portable play equipment, and outdoor FCCH physical environment characteristics and children’s MVPA per hour. Only indoor play space was significantly associated with children’s MVPA (β=0.33; p=0.034), indicating that when provided with more indoor space for active play, children were more physically active. No significant associations were noted between portable play equipment or the outdoor environment and children’s MVPA. Indoor space was the only physical environment characteristic associated with children’s MVPA, suggesting that teaching FCCH providers how to best utilize their indoor play space for active play may be a way to promote children’s physical activity. Futures studies should explore the impact of other environmental characteristics of the FCCH (e.g., provider practices and policies) on children’s physical activity.
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对家庭托儿所中营养和体育活动环境的评估：环境以及政策评估和观察的修改和心理测试。
影响因子：
4.5
作者：
Vaughn AE;Mazzucca S;Burney R;Østbye T;Benjamin Neelon SE;Tovar A;Ward DS
通讯作者：
Ward DS
影响因子：
2.2
作者：
Ostbye, Truls;Mann, Courtney M.;Ward, Dianne S.
通讯作者：
Ward, Dianne S.
影响因子：
3.4
作者：
Evenson, Kelly R.;Catellier, Diane J.;McMurray, Robert G.
通讯作者：
McMurray, Robert G.
影响因子：
7
作者：
Reilly, John J.
通讯作者：
Reilly, John J.
影响因子：
8
作者：
Dowda, Marsha;Brown, William H;McIver, Kerry L;Pfeiffer, Karin A;O'Neill, Jennifer R;Addy, Cheryl L;Pate, Russell R
通讯作者：
Pate, Russell R