Abstract
Young children spend a high proportion of their time at childcare sitting. Reducing sitting time or breaking up prolonged periods of sitting may be positively associated with health outcomes among children. The purpose of this study was to identify childcare educators’ perceptions of what environmental and policy modifications could be made within early childhood education and care (ECEC) settings to reduce sitting time among children during childcare. Eighty-seven educators from 11 ECEC centres participated in 11 focus groups between September 2013 and November 2013. Each focus group was audio-recorded and transcribed verbatim. A semi-structured schedule was developed to investigate the educators’ perceptions of the influences on children’s sitting time at childcare. A problem–solution tree was developed to determine potential solutions for reducing total and prolonged sitting time in young children at childcare. Most educators were unaware of the high levels of sitting time among young children. Educators identified that childcare practices, the physical environment and the weather were factors that influenced children’s sitting time. Potential solutions to reduce sitting time were to break-up prolonged sitting time by using movement breaks, standing desks, movement transitions between activities, relocating key facilities around the space to promote movement, and integrating movement during learning activities. Also, educators suggested that posters could be used to increase awareness among educators about the benefits of reducing sitting time. Educators identified key practices that could be modified to reduce young children’s sitting time in childcare. These potential solutions should be evaluated to understand their effectiveness.
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References
Australian Bureau of Statistics (2011). Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA) 2033.055.001. Canberra: Australian Bureau of Statistics.
Blair, C., & Razza, R. P. (2007). Relating effortful control, executive function, and false belief understanding to emerging math and literacy ability in kindergarten. Child Development, 78, 647–663.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.
Brown, W. H., Pfeiffer, K. A., Mciver, K. L., Dowda, M., Addy, C. L., & Pate, R. R. (2009). Social and environmental factors associated with preschoolers‚ nonsedentary physical activity. Child Development, 80, 45–58.
Cliff, D. P., Hesketh, K. D., Vella, S. A., Hinkley, T., Tsiros, M. D., Ridgers, N. D., Carver, A., Veitch, J., Parrish, A. M., Hardy, L. L., Plotnikoff, R. C., Okely, A. D., Salmon, J., & Lubans, D. R. (2016). Objectively measured sedentary behaviour and health and development in children and adolescents: Systematic review and meta-analysis. Obesity Reviews, 17(4), 330–344.
Cliff, D. P., Jones, R. A., Burrows, T. L., Morgan, P. J., Collins, C. E., Baur, L. A., & Okely, A. D. (2014). Volumes and bouts of sedentary behavior and physical activity: Associations with cardiometabolic health in obese children. Obesity, 22, E112–E118.
Colley, R. C., Garriguet, D., Adamo, K. B., Carson, V., Janssen, I., Timmons, B. W., & Tremblay, M. S. (2013). Physical activity and sedentary behavior during the early years in Canada: A cross-sectional study. International Journal of Behavioral Nutrition and Physical Activity, 10, 54.
De Decker, E., De Craemer, M., De Bourdeaudhuij, I., Wijndaele, K., Duvinage, K., Androutsos, O., Iotova, V., Lateva, M., Alvira, J. M. F., & Zych, K. (2013). Influencing factors of sedentary behavior in European preschool settings: An exploration through focus groups with teachers. Journal of School Health, 83, 654–661.
Diamond, A., & Lee, K. (2011). Interventions shown to aid executive function development in children 4 to 12 years old. Science, 333, 959–964.
Ellis, Y. G., Cliff, D. P., Janssen, X., Jones, R. A., Reilly, J. J., & Okely, A. D. (2016). Sedentary time, physical activity and compliance with IOM recommendations in young children at childcare. Preventive Medicine Reports. doi:10.1016/j.pmedr.2016.12.009.
Hinckson, E. A., Aminian, S., Ikeda, E., Stewart, T., Oliver, M., Duncan, S., & Schofield, G. (2013). Acceptability of standing workstations in elementary schools: A pilot study. Preventive Medicine, 56, 82–85.
Institute of Medicine. (2011) Early Childhood Obesity Prevention Policies From Institute Of Medicine. Retrieved Feb 2, 2015, from http://iom.edu/Reports/2011/Early-Childhood-Obesity-Prevention-Policies/Recommendations.aspx. .
Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. B. (2001). Community-based participatory research: Policy recommendations for promoting a partnership approach in health research. Education for Health, 14, 182–197.
Janz, K. F., Burns, T. L., & Levy, S. M. (2005). Tracking of activity and sedentary behaviors in childhood: The Iowa Bone Development Study. American Journal of Preventive Medicine, 29, 171–178.
Katz, D. L., Cushman, D., Reynolds, J., Njike, V., Treu, J. A., Katz, C., Walker, J. & Smith, E. (2010) Peer reviewed: Putting physical activity where it fits in the school day: Preliminary results of the ABC (Activity Bursts in the Classroom) for fitness program. Preventing Chronic Disease, 7.
Määttä, S., Ray, C., Roos, G., & Roos, E. (2016). Applying a socioecological model to understand preschool children’s sedentary behaviors from the viewpoints of parents and preschool personnel. Early Childhood Education Journal, 44, 491–502.
Mitchell, J., Pate, R., Beets, M., & Nader, P. (2013). Time spent in sedentary behavior and changes in childhood BMI: A longitudinal study from ages 9 to 15 years. International Journal of Obesity, 37, 54–60.
OECD—Organization for Economic Cooperation and Development, F. D. (2014) PF3.2: Enrolment in Childcare and Pre-Schools. Directorate of Employment, Labour and Social Affairs.
O’Connor, J. P., & Temple, V. A. (2005). Constraints and facilitators for physical activity in family day care. Australian Journal of Early Childhood, 30(4), 1–10.
Reilly, J. J. (2010). Low levels of objectively measured physical activity in preschoolers in child care. Medicine and Science in Sports and Exercise, 42, 502–507.
Robinson, T. N., & Sirard, J. R. (2005). Preventing childhood obesity: A solution-oriented research paradigm. American Journal of Preventive Medicine, 28, 194–201.
Salmon, J., Tremblay, M. S., Marshall, S. J., & Hume, C. (2011). Health risks, correlates, and interventions to reduce sedentary behavior in young people. American Journal of Preventive Medicine, 41, 197–206.
Saunders, T. J., Tremblay, M. S., Mathieu, M.-È., Henderson, M., O’loughlin, J., Tremblay, A., Chaput, J.-P. & Group, Q. C. R. (2013) Associations of sedentary behavior, sedentary bouts and breaks in sedentary time with cardiometabolic risk in children with a family history of obesity. PLoS ONE 8, 11, e79143.
Sedentary Behaviour Research Network (2012). Standardized use of the terms “sedentary” and “sedentary behaviours”. Application of Physiology, Nutrition, and Metabolism: Clinical And Experimental, 37, 540–542.
Snowdon, W., Schultz, J., & Swinburn, B. (2008). Problem and solution trees: A practical approach for identifying potential interventions to improve population nutrition. Health Promotion International, 23, 345–353.
Sparkes, A. C., & Smith, B. (2014). Qualitative research methods in sport, exercise and health: From product to process. London: Routledge.
Tonge, K. L., Jones, R. A., & Okely, A. D. (2016). Correlates of children’s objectively measured physical activity and sedentary behavior in early childhood education and care services: A systematic review. Preventive Medicine, 89, 129–139.
Ward, D. S., Vaughn, A., Mcwilliams, C., & Hales, D. (2010). Interventions for increasing physical activity at child care. Medicine and Science in Sports and Exercise, 42, 526–534.
Welsh, J. A., Nix, R. L., Blair, C., Bierman, K. L., & Nelson, K. E. (2010). The development of cognitive skills and gains in academic school readiness for children from low-income families. Journal of Educational Psychology, 102(1), 43.
Who (2016) Commission’s final report calls for high-level action to address major health challenge In: Commission on Ending Childhood Obesity, Geneva.
Acknowledgements
We thank the participating educators from the childcare centres located in the Illawarra region and Tamara Raso (project manager). We would furthermore like to thank Christian Swann for his advice on managing and analysing the data.
Funding
This research was supported by a faculty grant by the University of Wollongong. Cliff was funded by an Australian Research Council (ARC) Discovery Early Career Researcher Award (DE140101588). The funders of the study had no role in the design and conduct of the study: collection, management, analysis, or interpretation of the data: preparation, review, or approval of the manuscript: and decision to submit for publication.
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Ellis, Y.G., Cliff, D.P. & Okely, A.D. Childcare Educators’ Perceptions of and Solutions to Reducing Sitting Time in Young Children: A Qualitative Study. Early Childhood Educ J 46, 377–385 (2018). https://doi.org/10.1007/s10643-017-0867-5
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DOI: https://doi.org/10.1007/s10643-017-0867-5