Evidence map›Paper›PMID 35836231›Full record

SynthesisThe international journal of behavioral nutrition and physical activity2022

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.

Anne Martin, Rachel Brophy, Joanne Clarke, Charlotte J S Hall, Russell Jago, Ruth Kipping, Tom Reid, Benjamin Rigby, Hilary Taylor, James White and 1 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The international journal of behavioral nutrition and physical activity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

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  16. The role of playgrounds in promoting children's health - a scoping review.The international journal of behavioral nutrition and physical activity · 2024
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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

11 authors.

Anne MartinMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, 99 Barkley Street, Glasgow, G3 7HR, UK. anne.martin@glasgow.ac.uk.ORCID 0000-0003-1614-6525
Rachel BrophyPopulation Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Joanne ClarkeInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Charlotte J S HallInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Russell JagoCentre for Exercise, Nutrition & Health Sciences, School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK.
Ruth KippingPopulation Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Tom ReidPopulation Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
Benjamin RigbyMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, 99 Barkley Street, Glasgow, G3 7HR, UK.
Hilary TaylorPopulation Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.
James WhiteDECIPHer, Centre for Trials Research, University of Cardiff, Heath Park, Cardiff, CF14 4YS, UK.
Sharon A SimpsonMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, 99 Barkley Street, Glasgow, G3 7HR, UK.

Funding

Chief Scientist Office SPHSU14Chief Scientist Office SPHSU16Medical Research Council MC_UU_12017/14UK Medical Research Council MC_UU_00022/1UK National Institute for Health Research 12/75/51
6 · The paper itself

Abstract

backgroundEarly childhood education and care (ECEC) settings offer a potentially cost-effective and sustainable solution for ensuring children have opportunities to meet physical activity (PA) and sedentary time (ST) guidelines. This paper systematically reviewed the association between childcare environment and practice and children's PA and ST.

methodsThree electronic databases were searched, and citation tracking of eligible studies performed between June-July 2020 (updated March 2022). Studies were eligible when (i) participants attended ECEC settings, (ii) they reported the association between use of outdoor space, including factors of time, availability, play, size and equipment, and children's device-measured PA and ST, and (iii) where applicable, they compared the exposure to use of indoor space. Risk of bias was assessed using the Critical Appraisal Skills Program (CASP) tools. A synthesis was performed using effect direct plots and charts to visualise effect sizes.

resultsOf 1617 reports screened, 29 studies met the inclusion criteria. Studies provided data on outdoor versus indoor time (n = 9; 960 children), outdoor versus indoor play (n = 3; 1104 children), outdoor play space (n = 19; 9596 children), outdoor space use external to ECEC (n = 2; 1148 children), and portable (n = 7; 2408 children) and fixed (n = 7; 2451 children) outdoor equipment. Time spent outdoors versus indoors was associated with increased moderate-to-vigorous PA (MVPA), light PA (LPA) and total PA, while the association with ST was inconclusive. The mean (standard deviation) levels of outdoor MVPA (4.0 ± 3.2 to 18.6 ± 5.6 min/h) and LPA (9.9 ± 2.6 to 30.8 ± 11.8 min/h) were low, and ST high (30.0 ± 6.5 to 46.1 ± 4.3 min/h). MVPA levels doubled when children played outdoors versus indoors. Outdoor play space, and outdoor portable equipment, were associated with increased MVPA. A dose-response relationship for outdoor play area size was observed, demonstrating increased MVPA with areas ≥505m

conclusionsECEC policies and practices should promote not only outdoor time but also the availability of resources such as portable play equipment and sufficient size of outdoor play areas that enable children to be physically active for sustained periods while outdoors. SYSTEMATIC REVIEW REGISTRATION: International prospective register of systematic reviews (PROSPERO) Registration Number: CRD42020189886.

Indexed as

AccelerometrySedentary BehaviorChildChild CareChild, PreschoolExerciseHumansAccelerometryCentre-based childcareEarly childhoodIndoorOutdoorPhysical activityPreschoolerSedentary behaviorToddler

Identifiers

PMID35836231
PMCPMC9284804

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.