Physical activity-related and weather-related practices of child care centers from 2 states.
Physical activity-related and weather-related practices of child care centers from 2 states.
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DOI：
10.1123/jpah.2013-0266
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发表时间：
2015-02
影响因子：
3.1
通讯作者：
Benjamin Neelon SE
中科院分区：
文献类型：
--
作者：
Ball SC;Gillman MW;Mayhew M;Namenek Brouwer RJ;Benjamin Neelon SE
幼儿的体力活动(PA)受其育儿环境的影响。这项研究评估了马萨诸塞州(MA)和罗德岛州(RI)中心的PA实践，将它们与最佳实践建议进行了比较，并评估了各州和中心利润状况之间的差异。我们还评估了与天气有关的做法。60%的MA和54%的国际扶轮董事回复了一份调查，总共有254份。建议1)日常户外活动，2)提供室外活动场所，3)限制固定的游戏结构，4)各种便携式游戏设备，5)提供室内活动场所。我们采用多变量线性回归模型来检验州、利润状况、PA和天气相关做法之间的调整后的关联。MA和RI在满足PA建议方面没有差异(β=0.03；0.15，0.21；P=0.72)，但MA中心在与天气相关的实践上得分更高(β=0.47；0.16，0.79；P=0.004)。营利性中心的PA得分低于非营利性中心(β=−0.20；95%CI：−0.38，−0.02；P=0.03)，但他们在天气方面没有差异(β=0.12；−0.19，0.44；P=0.44)。更多的MA中心允许孩子们在小雨或小雪中外出。营利性中心拥有更多的设备--既有固定的，也有便携式的。这项研究的结果可能有助于提供干预措施，以增加儿童的PA。
Young children’s physical activity (PA) is influenced by their child care environment. This study assessed PA practices in centers from Massachusetts (MA) and Rhode Island (RI), compared them to best practice recommendations, and assessed differences between states and center profit status. We also assessed weather-related practices. Sixty percent of MA and 54% of RI directors returned a survey, for a total of 254. Recommendations were 1) daily outdoor play, 2) providing outdoor play area, 3) limiting fixed play structures, 4) variety of portable play equipment, and 5) providing indoor play area. We fit multivariable linear regression models to examine adjusted associations between state, profit status, PA, and weather-related practices. MA did not differ from RI in meeting PA recommendations (β = 0.03; 0.15, 0.21; P = .72), but MA centers scored higher on weather-related practices (β = 0.47; 0.16, 0.79; P = .004). For-profit centers had lower PA scores compared with nonprofits (β = −0.20; 95% CI: −0.38, −0.02; P = .03), but they did not differ for weather (β = 0.12; −0.19, 0.44; P = .44). More MA centers allowed children outside in light rain or snow. For-profit centers had more equipment—both fixed and portable. Results from this study may help inform interventions to increase PA in children.