Evidence map›Paper›PMID 33053791›Full record

ArticleInternational journal of environmental research and public health2020

Can Childcare Work Be Designed to Promote High Intensity Physical Activity for Improved Fitness and Health? A Proof of Concept Study of the Goldilocks Principle.

Anders Fritz Lerche, Maja Vilhelmsen, Kathrine Greby Schmidt, Rasmus Kildedal, Natja Launbo, Pernille Kold Munch, Mark Lidegaard, Sandra Schade Jacobsen, Charlotte Lund Rasmussen, Svend Erik Mathiassen and 2 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Perspectives of Australian healthcare professionals towards gamification in practice.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025
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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

12 authors.

Anders Fritz LercheThe National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.
Maja VilhelmsenThe National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.
Kathrine Greby SchmidtThe National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.
Rasmus KildedalThe National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.ORCID 0000-0002-4396-5668
Natja LaunboThe National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.
Pernille Kold MunchThe National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.
Mark LidegaardNovo Nordisk Health & Safety, Novo Nordisk A/S, 2880 Bagsværd, Denmark.
Sandra Schade JacobsenThe National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.
Charlotte Lund RasmussenThe National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.
Svend Erik MathiassenCentre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gävle, 801 76 Gävle, Sweden.
Leon StrakerSchool of Physiotherapy and Exercise Science, Curtin University, Perth, WA 6102, Australia.
Andreas HoltermannThe National Research Centre for the Working Environment, 2100 Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Childcare workers are reported to have high variation in physical activity during work hours, but also to sit for about half of the workday and have almost no high intensity physical activity (HIPA). No study has investigated if their work can be re-designed to introduce HIPA, thus promoting fitness and health according to the Goldilocks principle. This study investigated the feasibility of designing pedagogical games ('Goldilocks-games') intended to lead to more HIPA. Heart rate was measured in nineteen childcare workers during Goldilocks-games, and compared to measurements during a regular workday. Worker perceptions of feasibility, and researcher observations of contextual factors were also collected. The Goldilocks-games (33 min) elicited significantly more HIPA (18/33 min) compared to the most active period of equal length on a regular workday (0.5/33 min). Seventy-four-percent of the childcare workers reported that it was feasible to integrate the Goldilocks-games pedagogically, and seventy-two-percent could see themselves using them. Thus, we found it possible to re-design a work task in childcare according to the Goldilocks principle so that it leads to substantial time with HIPA. The sustainability of Goldilocks-games in childcare, and their effectiveness in improving fitness and health among childcare workers, needs to be tested in further studies.

Indexed as

Child CareHealth PromotionPhysical FitnessSedentary BehaviorChildExerciseHumansProof of Concept Studychildcare workershealth promotionphysical activitysedentary behaviorwork environmentworkplace

Identifiers

PMID33053791
PMCPMC7600739

What OpenQuestion holds

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LicenceCC BY
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.