Evidence map›Paper›PMID 42100994›Full record

ArticleChild: care, health and development2026

Environmental Factors Associated With Preschoolers' Outdoor Play and Napping in Childcare Settings: The SUNRISE International Study.

Claudia I Maddren, Gursimran Dhamrait, Ankhmaa Byambaa, Tawonga W Mwase-Vuma, Sanne L C Veldman, Elina Engberg, Narayan Subedi, Michael Chia, Asmaa El Hamdouchi, José Francisco López-Gil and 18 more

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In one paragraph

Article in Child: care, health and development, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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4 · The record

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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

28 authors.

Claudia I MaddrenEarly Start, School of Social Sciences, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.ORCID https://orcid.org/0000-0001-7505-9662
Gursimran DhamraitEarly Start, School of Social Sciences, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.ORCID https://orcid.org/0000-0002-5191-211X
Ankhmaa ByambaaEarly Start, School of Social Sciences, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.ORCID https://orcid.org/0000-0003-2504-0239
Tawonga W Mwase-VumaCentre for Social Research, University of Malawi, Zomba, Malawi.ORCID https://orcid.org/0000-0002-0189-1488
Sanne L C VeldmanMulier Institute, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0003-4876-1637
Elina EngbergFolkhalsan Research Center, Helsinki, Finland.ORCID https://orcid.org/0000-0002-8713-5607
Narayan SubediNepal Development Society, Kathmandu, Nepal.ORCID https://orcid.org/0000-0002-8752-2244
Michael ChiaPhysical Education & Sports Science, National Institute of Education, Nanyang Technological University, Singapore.ORCID https://orcid.org/0000-0002-1289-0552
Asmaa El HamdouchiUnite de Nutrition et Alimentation, CNESTEN, Kenitra, Morocco.ORCID https://orcid.org/0000-0001-5640-9137
José Francisco López-GilSchool of Medicine, Universidad Espiritu Santo, Samborondon, Ecuador.ORCID https://orcid.org/0000-0002-7412-7624
Fotini VenetsanouSchool of Physical Education and Sport Science, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0003-3633-4398
Ijang Bih Ngyah-EtchutambeUniversity of Buea, Buea, Southwest Region, Cameroon.ORCID https://orcid.org/0000-0003-0925-0877
Clarice Maria de Lucena MartinsFaculty of Sports, University of Porto, Porto, Portugal.ORCID https://orcid.org/0000-0002-4947-9329
Chalchisa AbdetaEarly Start, School of Education, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.ORCID https://orcid.org/0000-0001-6402-9732
Najmeh Hamzavi ZarghaniDepartment of Health Education and Health Promotion, Faculty of Medical Science, Tarbiat Modares University, Tehran, Iran.ORCID https://orcid.org/0000-0001-7733-2984
Himangi LubreeVadu Rural Health Program, King Edward Memorial Hospital, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-7473-2859
Kuston SultoniFaculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, Jawa Barat, Indonesia.ORCID https://orcid.org/0000-0002-5458-6997
Pragya SinghSchool of Public Health and Primary Care, College of Medicine, Nursing and Health Sciences, Fiji National University, Suva, Fiji Islands.ORCID https://orcid.org/0000-0002-6903-7800
Edin UžičaninFaculty of Physical Education and Sport, University of Tuzla, Tuzla, Bosnia and Herzegovina.ORCID https://orcid.org/0000-0001-8423-9665
Marites M TiongcoSchool of Economics, De la Salle University, Manila, Philippines.ORCID https://orcid.org/0000-0002-0746-2879
Mohamed-Souhaiel ChellySport Performance, Health & Society, Higher Institute of Sport and Physical Education of Ksar Said, University of Manouba, Manouba, Tunisia.ORCID https://orcid.org/0000-0002-0713-1308
Ali TurabPrecision Health Consultants (PHC Global), Karachi, Pakistan.ORCID https://orcid.org/0000-0001-5432-5474
Oluwayomi Abolade AokoHuman Kinetics and Health Education, University of Lagos, Akoka, Nigeria.ORCID https://orcid.org/0000-0002-4518-0426
Anna KontsevayaNational Medical Research Center for Therapy and Preventive Medicine, Moscow, Russia.ORCID https://orcid.org/0000-0003-2062-1536
Jhonatan Gonzalez SantamariaFundacion Universitaria del Area Andina, Pereira, Risaralda, Colombia.ORCID https://orcid.org/0000-0001-9723-5612
Juel JaraniASSA Association, Tirana, Albania.ORCID https://orcid.org/0000-0003-4160-3476
Mounir GhoghoCollege of Computing, University Mohammed VI Polytechnic, Ben Guerir, Rocade Rabat-Sale, Morocco.ORCID https://orcid.org/0000-0002-0055-7867
Anthony D OkelyEarly Start, School of Social Sciences, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.ORCID https://orcid.org/0000-0002-1626-8170

Funding

2021 ISBNPA Pioneers Scholarship Program2022 University Postgraduate Award scholarship, University of Wollongong, AustraliaAmsterdam Public Health Behaviours and Chronic Diseases Project GrantDe la Salle University, Manila, PhilippinesFolkhälsan, FinlandInternational Society for the Study of Behavioural Development (ISSD) Funding ProgramKEM Hospital Research Centre, Pune, IndiaMinistry of Education and Culture, FinlandMinistry of Education, Singapore, ERFP Tier 1 OER 04/19 TWPNHMRC Investigator Grant GNT1175858Precision Health Consultant Internal Funding SchemeUniversitas Pendidikan Indonesia Research Grant 293/UN40-D/PT/2019WHO European Office for the Prevention and Control of Noncommunicable DiseasesWorld Cancer Research Fund International and Cancer Australia
6 · The paper itself

Abstract

backgroundEarly childhood and education centres (ECECs) are key settings in the promotion of healthy levels of outdoor play and napping among young children.

aimThis study aimed to examine the associations between environmental factors and preschoolers' outdoor play and napping in ECECs across an international sample.

methodsData from 187 ECECs in 27 countries (22 low- and middle-income countries) that participated in the third pilot phase (January 2021-April 2025) of the SUNRISE International Study were analysed. The director of each ECEC completed a questionnaire which asked if children participating in the SUNRISE Study were unable to participate in outdoor play and nap time due to a range of environmental barriers.

resultsForty-six percent (n = 86) of ECECs reported at least one environmental factor that prevented preschoolers' outdoor play, and 20% (n = 37) reported at least one factor that disrupted naptime. Hot and cold temperatures, rain and other factors were observed as barriers to outdoor play across regions and country income levels. Indoor noise, extreme temperatures, brightness and lack of space were reported as disrupting preschoolers' naptime across regions and country income levels. For rural ECECs, hot temperatures and lack of space were barriers for outdoor play and napping, respectively.

conclusionsContext-specific strategies are required to create climate-resilient outdoor play spaces and more restful napping environments to optimise early childhood development within ECECs.

Indexed as

Child Day Care CentersPlay and PlaythingsSleepChild, PreschoolFemaleHumansMaleSurveys and Questionnairesclimate changeepidemiologypublic healthyoung children

Identifiers

PMID42100994
PMCPMC13154721

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LicenceCC BY
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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.