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早期学习中心学龄前儿童久坐行为的患病率及其影响:一项横断面研究。

Prevalence and influences of preschoolers' sedentary behaviors in early learning centers: a cross-sectional study.

作者信息

Tucker Patricia, Vanderloo Leigh M, Burke Shauna M, Irwin Jennifer D, Johnson Andrew M

机构信息

School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, London, Ontario, N6G 1H1, Canada.

Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Western Ontario, London, Ontario, N6G 1H1, Canada.

出版信息

BMC Pediatr. 2015 Sep 18;15:128. doi: 10.1186/s12887-015-0441-5.

Abstract

BACKGROUND

Recent research has highlighted the need for increased evidence regarding the sedentary activity levels of preschoolers. Given the large proportion of time this population spends in various early learning facilities, the exploration of sedentary behaviors within this particular environment should be a priority. The purpose of the study was two-fold: (1) to compare sedentary time of preschoolers in three different early learning environments (i.e., full-day kindergarten [FDK], center-, and home-based childcare); and (2) to assess which characteristics (i.e., staff behaviors, sedentary environment, fixed play environment, portable play environment, sedentary opportunities) of these early learning environments influence preschoolers' sedentary time.

METHODS

Data collection occurred between September 2011 and June 2012. Preschoolers' sedentary time was measured using Actical(™) accelerometers at a 15 s epoch. The Environment and Policy Assessment and Observation (EPAO) tool was used to assess the sedentary environment of participating early learning classrooms, and those subscales (n = 5) that were evidence-informed as potentially influencing sedentary time in early learning centers were explored in the current study. A linear mixed model ANCOVA was carried out to determine the differences in sedentary time based on type of early learning environment while direct entry regression analyses were performed to describe the relationships between sedentary time and the five sedentary-specific EPAO subscale.

RESULTS

Preschoolers (n = 218) from 28 early learning programs (i.e., 8 FDK, 9 centre-, and 8 home-based childcare facilities) participated. Accelerometry data revealed that preschoolers attending centre-based childcare engaged in the highest rate of sedentary time (41.62 mins/hr, SD = 3.78) compared to preschoolers in home-based childcare (40.72 mins/hr, SD = 6.34) and FDK (39.68 mins/hr, SD = 3.43). The models for FDK, center-based childcare, and home-based childcare, comprised each of the five EPAO subscales accounted for 10.5%, 5.9%, and 40.78% of the variability in sedentary time, respectively. Only the models for FDK and home-based childcare were found to be statistically significant (p < .05).

CONCLUSIONS

This is the first exploration of differences in sedentary time among preschoolers in different early learning arrangements. Findings highlight the substantial portion of the day preschoolers spend in sedentary pursuits, and subsequently, the ongoing need to reduce preschoolers' sedentary time in early learning programs, particularly among those attending centre-based childcare facilities.

摘要

背景

近期研究强调了增加有关学龄前儿童久坐活动水平证据的必要性。鉴于该群体在各种早期学习机构中度过大量时间,在这一特定环境中探究久坐行为应成为优先事项。本研究的目的有两个:(1)比较学龄前儿童在三种不同早期学习环境(即全日制幼儿园[FDK]、中心型和家庭型儿童保育机构)中的久坐时间;(2)评估这些早期学习环境的哪些特征(即工作人员行为、久坐环境、固定游戏环境、便携式游戏环境、久坐机会)会影响学龄前儿童的久坐时间。

方法

数据收集于2011年9月至2012年6月期间进行。使用Actical(™)加速度计以15秒的时间间隔测量学龄前儿童的久坐时间。环境与政策评估及观察(EPAO)工具用于评估参与研究的早期学习教室的久坐环境,本研究探讨了五个经证据支持可能影响早期学习中心久坐时间的子量表。进行线性混合模型协方差分析以确定基于早期学习环境类型的久坐时间差异,同时进行直接进入回归分析以描述久坐时间与五个特定于久坐的EPAO子量表之间的关系。

结果

来自28个早期学习项目(即8个FDK、9个中心型和8个家庭型儿童保育机构)的218名学龄前儿童参与了研究。加速度计数据显示,与家庭型儿童保育机构(40.72分钟/小时,标准差 = 6.34)和FDK(39.68分钟/小时,标准差 = 3.43)中的学龄前儿童相比,在中心型儿童保育机构的学龄前儿童久坐时间率最高(41.62分钟/小时,标准差 = 3.78)。由五个EPAO子量表组成的FDK、中心型儿童保育机构和家庭型儿童保育机构的模型分别解释了久坐时间变异性的10.5%、5.9%和40.78%。仅发现FDK和家庭型儿童保育机构的模型具有统计学意义(p < 0.05)。

结论

这是首次对不同早期学习安排下学龄前儿童久坐时间差异进行的探索。研究结果突出了学龄前儿童在一天中花费大量时间进行久坐活动,因此,持续需要减少早期学习项目中学龄前儿童的久坐时间,特别是在那些就读于中心型儿童保育机构的儿童中。

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