Best-Practice Guidelines for Physical Activity at Child Care
Best-Practice Guidelines for Physical Activity at Child Care
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DOI：
10.1542/peds.2009-0952
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发表时间：
2009-12-01
期刊：
影响因子：
8
通讯作者：
Ward, Dianne S.
中科院分区：
文献类型：
--
作者：
McWilliams, Christina;Ball, Sarah C.;Ward, Dianne S.
研究表明，儿童保育中心是学龄前儿童身体活动水平的一个非常强的预测因素，使其成为帮助幼儿获得适合其健康和发展的身体活动的重要环境。然而，一些证据表明，有组织的儿童保育可能无法充分支持儿童的体育活动需求。虽然许多组织提供了运动技能发展和身体活动机会的建议，指导方针或标准，但没有一套指导方针直接针对儿童保育的整体身体活动环境。由于缺乏全面的建议，儿童保健营养和身体活动自我评估健康体重发展的最佳实践指南是在对现有指南，研究证据和专家评审进行广泛审查的基础上创建的。本文的目的是提出这些体力活动的最佳实践指南，并提供数据，这些指南相比，目前的做法在一个大样本（N = 96）的儿童保育中心在北卡罗来纳州。这些最佳实践指南包括对儿童保育环境的8个独特组成部分的建议，包括活动机会，固定游戏环境，便携式游戏环境，久坐机会，久坐环境，员工行为，员工培训/教育和体育活动政策。我们的研究结果表明，在参与这项研究的96个北卡罗来纳州儿童保育中心中，只有少数达到了最佳实践指南。建立全面的儿童保育身体活动指导方针可能会导致更高的活动水平和更健康的儿童，但需要更多的研究。儿科2009;124：1650-1659
Research has indicated that the child care center is a very strong predictor of preschool-aged children's physical activity levels, making this an important setting to help young children obtain physical activity that is appropriate for their health and development. However, some evidence suggests that organized child care may not adequately support children's physical activity needs. Although many organizations provide recommendations, guidelines, or standards for motor skill development and physical activity opportunities, no set of guidelines exist that directly target the overall physical activity environment at child care. Because of the lack of comprehensive recommendations, the Nutrition and Physical Activity Self-assessment for Child Care best-practice guidelines for healthy weight development were created on the basis of an extensive review of existing guidelines, research evidence, and expert review. The purpose of this article is to present these physical activity best-practice guidelines and provide data on how these guidelines compare to current practice in a large sample (N = 96) of child care centers in North Carolina. These best-practice guidelines include recommendations for 8 unique components of the child care environment, including active opportunities, fixed play environment, portable play environment, sedentary opportunities, sedentary environment, staff behavior, staff training/education, and physical activity policies. Our results showed that only a few of the best-practice guidelines were achieved by a majority of the 96 North Carolina child care centers that participated in this study. Establishing comprehensive guidelines for physical activity at child care could result in higher activity levels and healthier children, but more research is needed. Pediatrics 2009;124:1650-1659