Evidence map›Paper›PMID 29873093›Full record

Trial reportChild: care, health and development2018

The physical environment in family childcare homes and children's physical activity.

C D Neshteruk, S Mazzucca, T Østbye, D S Ward

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Child: care, health and development, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. 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 · 2020
    Pooled it
  3. Trial
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  7. Article
  8. Review
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  12. Article
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  17. Physical Activity and the Home Environment of Pre-School-Aged Children in Urban Bangladesh.International journal of environmental research and public health · 2021
    Article
  18. Article
  19. Article
  20. Associations between the Home Physical Environment and Children's Home-Based Physical Activity and Sitting.International journal of environmental research and public health · 2019
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

C D NeshterukDepartment of Nutrition, Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0002-0516-6873
S MazzuccaPrevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, MO, USA.
T ØstbyeDepartment of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA.
D S WardDepartment of Nutrition, Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

The Business of Childcare Homes & Child Health: Innovations for Nurturing GrowthR01HL108390 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI OSTBYE, TRULS, WARD, DIANNE STANTON · 2012 to 2016
$3.5M
NCCDPHP CDC HHS U48 DP001944NHLBI NIH HHS R01 HL108390
6 · The paper itself

Abstract

backgroundFamily childcare homes (FCCHs) are the second largest provider of childcare 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.

methodsData 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 childcare 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 2-day observation using the Environment and Policy Assessment and Observation 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.

resultsOnly indoor play space was significantly associated with children's MVPA (β = 0.33; p = .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.

conclusionsIndoor 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.

Indexed as

Child Day Care CentersHealth PromotionPlay and PlaythingsAccelerometryChild CareChild, PreschoolCluster AnalysisExerciseFemaleHumansMalechildcarefamily childcare homesphysical activity

Identifiers

PMID29873093
PMCPMC6105544

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.