Carsley S, Liang L Y, Chen Y, Parkin P, Maguire J, Birken C S
Pediatric Outcomes Research Team (PORT), Division of Pediatric Medicine, The Hospital for Sick Children, Child Health Evaluative Sciences, Peter Gilgan Centre for Research and Learning, Toronto, ON, Canada M5G 0A4.
Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada M5T 3M6.
J Public Health (Oxf). 2017 Mar 1;39(1):145-152. doi: 10.1093/pubmed/fdw006.
Outdoor free play is important for healthy growth and development in early childhood. Recent studies suggest that the majority of time spent in daycare is sedentary. The objective of this study was to determine whether there was an association between daycare attendance and parent-reported outdoor free play.
Healthy children aged 1-5 years recruited to The Applied Research Group for Kids! (TARGet Kids!), a primary care research network, were included. Parents reported daycare use, outdoor free play and potential confounding variables. Multivariable linear regression was used to determine the association between daycare attendance and outdoor free play, adjusted for age, sex, maternal ethnicity, maternal education, neighborhood income and season.
There were 2810 children included in this study. Children aged 1 to <3 years (n = 1388) and ≥3 to 5 years (n = 1284) who attended daycare had 14.70 min less (95% CI -20.52, -8.87; P < 0.01) and 9.44 min less (95% CI -13.67, -5.20; P < 0.01) per day of outdoor free play compared with children who did not attend daycare, respectively.
Children who spend more time in daycare have less parent-reported outdoor free play. Parents may be relying on daycare to provide opportunity for outdoor free play and interventions to promote increased active play opportunities outside of daycare are needed.
户外自由玩耍对幼儿的健康成长和发育至关重要。最近的研究表明，在日托机构度过的大部分时间都是久坐不动的。本研究的目的是确定日托出勤与家长报告的户外自由玩耍之间是否存在关联。
纳入了招募至儿童应用研究小组（TARGet Kids!）的1-5岁健康儿童，该小组是一个初级保健研究网络。家长报告了日托使用情况、户外自由玩耍情况以及潜在的混杂变量。采用多变量线性回归来确定日托出勤与户外自由玩耍之间的关联，并对年龄、性别、母亲种族、母亲教育程度、邻里收入和季节进行了调整。
本研究共纳入2810名儿童。与未参加日托的儿童相比，参加日托的1至<3岁儿童（n = 1388）和≥3至5岁儿童（n = 1284）每天的户外自由玩耍时间分别少14.70分钟（95% CI -20.52，-8.87；P < 0.01）和9.44分钟（95% CI -13.67，-5.20；P < 0.01）。
在日托机构花费更多时间的儿童，家长报告的户外自由玩耍时间较少。家长可能依赖日托机构提供户外自由玩耍的机会，因此需要采取干预措施来增加日托之外的积极玩耍机会。
