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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Physical activity and sedentary behavior legislation in Canadian childcare facilities: an update

Authors: Leigh M. Vanderloo, Patricia Tucker

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

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.

Methods

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.

Results

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.

Conclusions

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.
Literature
1.
Timmons BW, Naylor PJ, Pfeiffer KA. Physical activity for preschool children - how much and how? Can. Aust J Public Health. 2007;98:S122–34.
2.
Leblanc AG, Spence JC, Carson V, et al. Systematic review of sedentary behaviour and health indicators in the early years (aged 0-4 years). Appl Physiol Nutr Metab. 2012;37:753–72.CrossRefPubMed
3.
Tremblay MS, Chaput JP, Adamo KB, Aubert S, Barnes JD, Choquette L, et al. Canadian 24-hour movement guidelines for the early years (0-4 years): an integration of physical activity, sedentary behaviour, and sleep. BMC Public Health. 2017;17(Suppl 5):874.CrossRefPubMedPubMedCentral
4.
Garriguet D, Carson V, Colley RC, Janssen I, Timmons BW, Tremblay MS. Physical activity and sedentary behjaviour of Canadian children aged 3 to 5. Health reports [catalogue no. 82–003-X]. 2016.
5.
Vanderloo LM, Tucker P, Johnson AM, Van Zandvoort MM, Burke SM, Irwin JD. The iInfluence of Centre-based childcare on preschoolers' physical activity levels: a cross-sectional study. Int J Environ Res Public Health. 2014;11:1794–802.CrossRefPubMedPubMedCentral
6.
Hinkley T, Salmon J, Okely AD, Hesketh K, Crawford D. Correlates of preschool children's physical activity. Am J Prev Med. 2012;43:159–67.CrossRefPubMed
7.
8.
Ward DS, Benjamin SE, Ammerman AS, Ball SC, Neelon BH, Bangdiwala SI. Nutrition and physical activity in child care: results from an environmental intervention. Am J Prev Med. 2008;35:352–6.CrossRefPubMed
9.
Pate RR, Pfeiffer KA, Trost SG, Ziegler P, Dowda M. Physical activity among children attending preschools. Pediatrics. 2004;114:1258–63.CrossRefPubMed
10.
Finn K, Johannsen N, Specker B. Factors associated with physical activity in preschool children. J Pediatr. 2002;140:81–5.CrossRefPubMed
11.
Cleveland G, Forer B, Hyatt D, Japel C, Krashinsky M. New evidence about child care in Canada: use patterns, affordability and quality. Inst Res Public Policies. 2008;14:1–44.
12.
Sinha M. Spotlight on Canadians: results from the general social survey: child care in Canada. 2014.
13.
Bushnik T. Child Care in Canada. 1–00. 2006. Statistics Canada. Ottawa: Children and Youth Research Paper Series.
14.
Organisation for Economic Co-operation and Development. Education at a glance 2017: OECD indicators. Paris: Publishing; 2017.
15.
Goldfield GS, Harvey A, Grattan K, Adamo KB. Physical activity promotion in the preschool years: a critical period to intervene. Int J Environ Res Public Health. 2012;9:1326–42.CrossRefPubMedPubMedCentral
16.
Temple VA, Naylor PJ, Rhodes RE, Wharf Higgins J. Physical activity of children in family child care. Appl Physiol Nutr Metab. 2009;34(4):794–8.CrossRefPubMed
17.
Brown WH, Pfeiffer KA, McIver KL, Dowda M, Addy CL, Pate RR. Social and environmental factors associated with preschoolers' nonsedentary physical activity. Child Dev. 2009;80(1):45–58.CrossRefPubMedPubMedCentral
18.
Vanderloo LM. Screen-viewing among preschoolers in childcare: a systematic review. BMC Pediatr. 2014;14:205.
19.
Vanderloo LM, Tucker P, Johnson AM, Burke SM, Irwin JD. Environmental influences on preschoolers' physical activity levels in various early learning facilities. Res Q Exerc Sport. 2015;19:1–11.
20.
Dowda M, Brown WH, McIver KL, Pfeiffer KA, O'Neill JR, Addy CL, et al. Policies and characteristics of the preschool environment and physical activity of young children. Pediatrics. 2009;123(2):e261–6.CrossRefPubMedPubMedCentral
21.
Trost SG, Ward DS, Senso M. Effects of child care policy and environment on physical activity. Med Sci Sports Exerc. 2010;42:520–5.CrossRefPubMed
22.
Hinkley T, Salmon J, Crawford D, Okely AD, Hesketh KD. Preschool and childcare center characteristics associated with children's physical activity during care hours: an observational study. Int J Behav Nutr Phys Act. 2016;13:117.CrossRefPubMedPubMedCentral
23.
Gubbels J, Van Kann DHH, Jansen MWJ. Play equipment, physical activity opportunities, and children's activity levels at childcare. J Environmental Pub Health. 2012;2012:8.
24.
Vanderloo LM, Tucker P, Johnson AM, Holmes JD. Physical activity among preschoolers during indoor and outdoor childcare play periods. Appl Physiol Nutr Metab. 2013;38:1173–5.CrossRefPubMed
25.
Gray C, Gibbons R, Larouche R, Sandseter EBH, Bienenstock A, Brussoni M, et al. What is the relationship between outdoor time and physical activity, sedentary behaviour, and physical fitness in children? A systematic review. Int J Environ Res Public Health. 2015;12:6455–74.CrossRefPubMedPubMedCentral
26.
Truelove S, Vanderloo L, Tucker P. Defining and measuring active play among young children: a systematic review. J Phys Act Health. 2016;14(2):155–66.CrossRefPubMed
27.
Erinosho T, Hales D, Vaughn A, Mazzucca S, WARD DS. Impact of policies on physical activity and screen time practices in 50 child-care centers in North Carolina. J Phys Act Health. 2016;13:59–66.CrossRefPubMed
28.
Gerritsen S, Morton SMB, Wall CR. Physical activity and screen use policy and practices in childcare: results from a survey of early childhood education services in New Zealand. Aust N Z J Public Health. 2016;40:319–25.CrossRefPubMed
29.
O'Neill JR, Dowda M, Benjamin Neelon SE, Neelon B, Pate RR. Effects of a new state policy on physical activity practices in child care centers in South Carolina. Am J Public Health. 2017;107:144–6.CrossRefPubMed
30.
Wolfenden L, Neve M, Farrell L, et al. Physical activity policies and practices of childcare centres in Australia. J Paediatr Child Health. 2011;47:73–6.CrossRefPubMed
31.
Vanderloo LM, Tucker P, Ismail A, Van Zandvoort MM. Physical activity opportunities in Canadian childcare facilities: a provincial/territorial review of legislation. J Phys Act Health. 2012;9:461–72.CrossRefPubMed
32.
Alberta Government. Alberta child care accreditation standards. 2017.
33.
British Columbia Government. Director of licensing standard of practice - active play. 2017.
34.
Sedentary Behaviour Research Network. Standardized use of the terms "sedentary" and "sedentary behaviours". Appl Physiol Nutr Metab. 2012;37:540–2.CrossRef
35.
He M, Irwin JD, Sangster Bouck LM, Tucker P, Pollett GL. Preschoolers' screen viewing behaviors among preschoolers: Parents' perceptions. Am J Prev Med. 2005;29(2):120–5.CrossRefPubMedPubMedCentral
36.
De Decker E, De Craemer M, De Bourdeaudhuij I, Wijndaele K, Duvinage K, Koletzo B, et al. Influencing factors of screen time in preschool children: an exploration of parents' perceptions through focus groups in six european countries. Obes Rev. 2013;13:75–84.CrossRef
37.
Hinkley T, Salmon J, Okely AD, Crawford D, Hesketh K. Preschoolers' physical activity, screen time, and compliance with recommendations. Med Sci Sports Exerc. 2012;44:458–65.CrossRefPubMed
38.
Hoyos Cilero I, Jago R. Systematic review of correlates among screen-viewing among young children. Prev Med. 2010;51:3–10.CrossRef
39.
Canadian Paediatric Society, Digital Health Task Force. Screen time and young children: Promoting health and development in a digital world. Paediatrics & Child Health. 2017;22(8):461–68.
40.
Childcare Resource and Research Unit. Early childhood education and Care in Canada. 2008.
41.
Carson V, Clark D, Ogden N, Harber V, Kuzik N. Short-term influence of revised provincial accreditation standards on physical activity, sedentary behavior, and weight status in Alberta, Canada child care centers. Early Childhood Educ J. 2015;43(6):459–65.CrossRef
42.
Candian Society of Exercise Physiology. Canadian physical activity guidelines for the early years: 0–4 years. 2012.
43.
44.
Ministere de la Famille. Gazelle et Potiron : Quebec. 2017.
45.
Shea S, Basch CE, Gutin B, et al. The rate of increase in blood pressure in children 5 years of age is related to changes in aerobic fitness and body mass index. Pediatrics. 1994;94:465–70.PubMed
46.
Paik H, Comstock G. The effects of television violence on antisocial behaviour: a meta-analysis. Community Res. 1994;21:516–46.CrossRef
47.
Thompson DA, Christakis DA. The association between television viewing and irregular sleep schedules among children less than 3 years of age. Pediatrics. 2005;116:851–6.CrossRefPubMed
48.
Pate RR, Dowda M, Brown WH, Mitchell J, Addy C. Physical activity in preschool children with the transition to outdoors. J Phys Act Health. 2013;10:170–5.CrossRefPubMed
49.
McKenzie TL, Sallis JF, Elder JP, et al. Physical activity levels and prompts in young children at recess: a two-year study of a bi-ethnic sample. Res Q Exer Sport. 1997;68:195–202.CrossRef
50.
Greever CJ, Sirard J, Alhassan S. Objective analysis of preschoolers' physical activity patterns during free playtime. J Phys Act Health. 2015;12(9):1253–8.CrossRefPubMed
51.
Tucker P, Vanderloo LM, Burke SM, et al. Impact of the supporting physical activity in the childcare environment (SPACE) intervention on Preschoolers' physical activity levels and sedentary time: a cluster randomized controlled trial. Int J Environ Res Public Health. 2017;14:120.CrossRef
52.
Tucker P, Gilliland J. The effect of season and weather on physical activity: a systematic review. Pub Health. 2007;121:909–22.CrossRef
53.
Carson V, Spence JC, Cutumisu N, Boule N, Edwards J. Seasonal variation in physical activity among preschool children in a northern Canadian city. Res Q Exer Sport. 2010;81:392–9.CrossRef
54.
Benjamin SE, Cradock A, Walker EM, Slining M, Gillman MW. Obesity prevention in child care: a review of U.S. state regulations. BMC Public Health. 2008;8:188.CrossRefPubMedPubMedCentral
55.
Okely A, Ghersi D, Hesketh K, Santos R, Loughran SP, Cliff DP, et al. A collaborative approach to adopting/adapting guidelines - the Australian 24-hour movement guidelines for the early years (birth to 5 years): an integration of physical activity, sedentary behavior, and sleep. BMC Public Health. 2017;17(Suppl 5):869.CrossRefPubMedPubMedCentral
Metadata
Title
Physical activity and sedentary behavior legislation in Canadian childcare facilities: an update
Authors
Leigh M. Vanderloo
Patricia Tucker
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5292-1

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