Evidence map›Paper›PMID 35351049›Full record

ArticleBMC public health2022

The impact of new government childcare accreditation standards on children's in-care physical activity and sedentary time.

Valerie Carson, Zhiguang Zhang, Nicholas Kuzik, Kristi B Adamo, Madison Predy, Mitchell Crozier, Stephen Hunter, Nancy Ogden, Gary S Goldfield, Anthony D Okely

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% of its field
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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. Article
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

10 authors at 5 institutions in 2 countries.

Valerie CarsonFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada. vlcarson@ualberta.ca.
Zhiguang ZhangFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada.
Nicholas KuzikFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada.
Kristi B AdamoFaculty of Health Science, University of Ottawa, Ottawa, ON, Canada.
Madison PredyFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada.
Mitchell CrozierFaculty of Health Science, University of Ottawa, Ottawa, ON, Canada.
Stephen HunterFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada.
Nancy OgdenFaculty of Arts, Mount Royal University, Calgary, AB, Canada.
Gary S GoldfieldChildren's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
Anthony D OkelyEarly Start and Illawarra Health and Medical Research Institute, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.
University of Alberta · CAUniversity of Ottawa · CAChildren's Hospital of Eastern Ontario · CAIllawarra Health and Medical Research Institute · AUMount Royal University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA new physical activity and sedentary behaviour accreditation standard criterion for childcare settings was introduced by the provincial government in Alberta, Canada. The primary objective of this study was to examine if changes for in-care physical activity and sedentary time (ST) differed between centres in and around Edmonton, Alberta after implementing the new accreditation standards and non-accredited control centres in and around Ottawa, Ontario. Secondary objectives were to examine whether baseline age group (toddler, preschooler) or the childcare environment moderated any group differences in change of the primary outcomes. Furthermore, accreditation and control group differences in change of children's body mass index (BMI) Z-scores or cognitive development as well as educators' perceptions of the primary outcomes were explored.

methodsParticipants were 252 toddlers (19-35 months) and preschoolers (36-60 months) in childcare centres from Alberta (n = 11) and Ontario (n = 8) in the supporting Healthy physical AcTive CHildcare setting (HATCH) study. In-care ST, light-intensity physical activity (LPA), and moderate- to vigorous-intensity physical activity (MVPA) were accelerometer-derived before and 6 months after the implementation of the new standards. At both time points, cognitive development (working memory, expressive vocabulary), heights, and weights were measured, and BMI Z-scores were calculated. Additionally, the childcare environment was observed using the Environment and Policy Assessment and Observation (EPAO) and Movement Environment Rating Scale (MOVERS) tools. Demographic characteristics were parent-reported and weather variables were derived from Environment Canada data. Mixed models were conducted.

resultsIn adjusted models (n = 241), change in children's in-care ST (B = -0.07, 95%CI: - 1.43,1.29), LPA (B = 0.08, 95%CI: - 0.89,1.05), and log-transformed MVPA (B = 0.01, 95%CI: - 0.09,0.11) were not significantly different between accreditation and control groups. Age group and the childcare environment were not moderators. Significant increases in BMI Z-score (B = 0.19, 95%CI: 0.03,0.35) and high working memory (OR = 3.24, 95%CI: 1.32,7.97) were observed in the accreditation group and significant increases in expressive vocabulary (B = 3.18, 95%CI: 0.05,6.30) were observed in the control group.

conclusionsThe new accreditation criterion may not significantly change physical activity or ST in childcare settings and therefore may not explain findings for BMI Z-scores and cognitive development. Additional training and resources may be needed.

Indexed as

Child CareSedentary BehaviorAccreditationAlbertaChildChild Day Care CentersExerciseGovernmentHumansChildcareMovement behavioursPolicy

Identifiers

PMID35351049
PMCPMC8966317
OpenAlexW4220697106

What OpenQuestion holds

Textmetadata
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.