Child Health and Evaluative Sciences, The Hospital for Sick Children, 686 Bay St, Toronto, ON, M5G 0A4, Canada.
School of Occupational Therapy, Faculty of Health Sciences, University of Western Ontario, 1201 Western Road, Elborn College, Room 2547, London, ON, N6G 1H1, Canada.
BMC Public Health. 2018 Apr 11;18(1):475. doi: 10.1186/s12889-018-5292-1.
Within the childcare sector, physical activity and sedentary behaviors are not legislated at a national level in Canada. Efforts have been undertaken to identify factors within childcare facilities which support and deter physical activity and sedentary behaviors. The purpose of this paper was to provide an amended review of the legislative landscape, at the provincial and territorial level, regarding physical activity and sedentary behaviors (via screen-viewing) in Canadian childcare centers.
Individual childcare acts and regulations for each province and territory were collected; documents were reviewed with a focus on sections devoted to child health, physical activity, screen time, play, and outdoor time. An extraction table was used to facilitate systematic data retrieval and comparisons across provinces and territories.
Of the 13 provinces and territories, 8 (62%) have updated their childcare regulations in the past 5 years. All provinces provide general recommendations to afford gross motor movement; but the majority give no specific requirements for how much or at what intensity. Only 3 provinces (Northwest Territories, Nunavut, and Nova Scotia) explicitly mentioned daily physical activity while all provinces' and territories' required daily outdoor play. Only 1 province (New Brunswick) made mention of screen-viewing.
The variability in childcare regulations results in different physical activity requirements across the country. By providing high-level targets for physical activity recommendations, by way of provincial/territorial legislation, staff would have a baseline from which to begin supporting more active behaviors among the children in their care. Future research is needed to support translating physical activity policies into improved activity levels among young children in childcare and the role of screen-viewing in these venues.
在加拿大儿童保育领域,国家层面并未对体育活动和久坐行为进行立法。目前,人们已经努力确定了儿童保育设施中支持和阻碍体育活动和久坐行为的因素。本文旨在对加拿大儿童保育中心中与身体活动和久坐行为(通过屏幕观看)相关的省级和地区级立法情况进行修订综述。
收集了每个省和地区的个别儿童保育法案和法规;重点审查了有关儿童健康、身体活动、屏幕时间、游戏和户外活动的章节。使用提取表来方便系统地检索和比较各省份和地区的数据。
在 13 个省和地区中,有 8 个(62%)在过去 5 年内更新了其儿童保育法规。所有省份都提供了一般性建议,以保障儿童大肌肉运动;但大多数都没有具体规定活动量或活动强度。只有 3 个省份(西北地区、努纳武特地区和新斯科舍省)明确提到了每天的身体活动,而所有省份和地区都要求每天进行户外游戏。只有 1 个省份(新不伦瑞克省)提到了屏幕观看。
儿童保育法规的差异导致了全国不同的身体活动要求。通过省级/地区立法提供身体活动建议的高级目标,工作人员将有一个基准,可以开始支持他们照顾的儿童更积极的行为。未来需要进一步研究,以支持将身体活动政策转化为改善儿童保育中幼儿的活动水平,以及屏幕观看在这些场所中的作用。