ArticleAmerican journal of preventive medicine2016
Child Care Center Characteristics Associated With Preschoolers' Physical Activity.
Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Home- and Community-Based Interventions for Physical Activity and Early Child Development: A Systematic Review of Effective Strategies.International journal of environmental research and public health · 2022Pooled it
- Environmental and practice factors associated with children's device-measured physical activity and sedentary time in early childhood education and care centres: a systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Measuring Early Childhood Educators' Physical Activity and Sedentary Behavior-Related Self-Efficacy: A Systematic Review of Tools.Health education & behavior : the official publication of the Society for Public Health Education · 2021Pooled it
- Physical activity and sedentary time of youth in structured settings: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2020Pooled it
- Physical activity and sedentary time among preschoolers in centre-based childcare: a systematic review.The international journal of behavioral nutrition and physical activity · 2018Pooled it
- Results from the PROmoting Early Childhood Outside cluster randomized trial evaluating an outdoor play intervention in early childhood education centres.Scientific reports · 2025Trial
- Cluster-randomised trial of the impact of an obesity prevention intervention on childcare centre nutrition and physical activity environment over 2 years.Public health nutrition · 2022Trial
- Evaluation of the Web-Based OutsidePlay-ECE Intervention to Influence Early Childhood Educators' Attitudes and Supportive Behaviors Toward Outdoor Play: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Implementation Adherence and Perspectives of the Childcare PhysicaL ActivitY (PLAY) Policy: A Process Evaluation.Health education & behavior : the official publication of the Society for Public Health Education · 2022Trial
- Impact of the Childcare Physical Activity (PLAY) Policy on Young Children's Physical Activity and Sedentary Time: A Pilot Clustered Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- The Impact of Shorter, More Frequent Outdoor Play Periods on Preschoolers' Physical Activity during Childcare: A Cluster Randomized Controlled Trial.International journal of environmental research and public health · 2019Trial
- Fundamental Motor Skills and Physical Activity: Short-Term but Not Sustained Associations Between Improved Locomotor Skills and Preschoolers' Physical Activity Following a Motor Skill Intervention.Pediatric exercise science · 2026Article
- A systematic review and meta-analyses of the relationships between active outdoor play and 24-hour movement behaviors.Journal of sport and health science · 2025Review
- Exploring physical activity in the nursery setting in England. A qualitative study with staff and children.Public health in practice (Oxford, England) · 2025Article
- Exploring if Playground Quality Predicts Head Start Preschoolers' School Day Physical Activity.International journal of early childhood = Revue internationale de l'enfance prescolaire = Revista internacional de la infancia pre-escolar · 2025Article
- Article
- The indoors microbiome and human health.Nature reviews. Microbiology · 2024Review
- Dietary intake and quality during transition periods of drop-off and pickup from child-care centers.Children's health care : journal of the Association for the Care of Children's Health · 2024Article
- Early Childhood Educators' Knowledge, Self-Efficacy and Risk Tolerance for Outdoor Risky Play Following a Professional Risk Re-Framing Workshop.Children (Basel, Switzerland) · 2023Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
introductionDespite children spending long hours in child care centers, it is unknown what center characteristics are associated with children's moderate to vigorous physical activity (MVPA) at the center and over the 24-hour day.
methodsMixed model ANOVA evaluated associations between 23 center characteristics (e.g., policies, facilities, practices, and staff training) and time in MVPA, measured with accelerometers, at the child care center and over the 24-hour day among 388 preschoolers from 30 randomly selected child care centers in Cincinnati, Ohio. Data collection occurred from November 2009 through January 2011; data analyses occurred in 2012-2014.
resultsNinety percent of centers reported scheduling two or more outdoor sessions daily, yet only 40% of children had two or more outdoor sessions; 32% had no time outdoors. Eighty-three percent of centers reported scheduling ≥60 minutes outdoors; 28% of children experienced this during observation. Children spent a mean (SE) of 2.0 (0.06) minutes/hour in MVPA. Children with ≥60 minutes outdoor time had 0.6 minutes/hour more MVPA in child care (p=0.001), and 0.5 minutes/hour over the 24-hour day (p=0.001) than those who did not. Presence of an indoor play space, large outdoor playground, portable or fixed play equipment, staff PA training, weather and clothing policies, and TV/computer use were not related to children's MVPA.
conclusionsOutdoor time occurred less frequently than scheduled. Children with ≥60 minutes of outdoor time at the center were more active than children without. Centers may increase preschoolers' PA by adhering to the scheduled ≥60 minutes of outdoor time daily.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.