Effect of a governmentally-led physical activity program on motor skills in young children attending child care centers: a cluster randomized controlled trial.

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Serval ID
serval:BIB_AB70B335B7BF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effect of a governmentally-led physical activity program on motor skills in young children attending child care centers: a cluster randomized controlled trial.
Journal
International Journal of Behavioral Nutrition and Physical Activity
Author(s)
Bonvin A., Barral J., Kakebeeke T.H., Kriemler S., Longchamp A., Schindler C., Marques-Vidal P., Puder J.J.
ISSN
1479-5868 (Electronic)
ISSN-L
1479-5868
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
10
Number
1
Pages
90
Language
english
Notes
Publication types: JOURNAL ARTICLE
Abstract
OBJECTIVE: To assess the effect of a governmentally-led center based child care physical activity program (Youp'la Bouge) on child motor skills.Patients and methods: We conducted a single blinded cluster randomized controlled trial in 58 Swiss child care centers. Centers were randomly selected and 1:1 assigned to a control or intervention group. The intervention lasted from September 2009 to June 2010 and included training of the educators, adaptation of the child care built environment, parental involvement and daily physical activity. Motor skill was the primary outcome and body mass index (BMI), physical activity and quality of life secondary outcomes. The intervention implementation was also assessed.
RESULTS: At baseline, 648 children present on the motor test day were included (age 3.3 +/- 0.6, BMI 16.3 +/- 1.3 kg/m2, 13.2% overweight, 49% girls) and 313 received the intervention. Relative to children in the control group (n = 201), children in the intervention group (n = 187) showed no significant increase in motor skills (delta of mean change (95% confidence interval: -0.2 (-0.8 to 0.3), p = 0.43) or in any of the secondary outcomes. Not all child care centers implemented all the intervention components. Within the intervention group, several predictors were positively associated with trial outcomes: 1) free-access to a movement space and parental information session for motor skills 2) highly motivated and trained educators for BMI 3) free-access to a movement space and purchase of mobile equipment for physical activity (all p < 0.05).
CONCLUSION: This "real-life" physical activity program in child care centers confirms the complexity of implementing an intervention outside a study setting and identified potentially relevant predictors that could improve future programs.Trial registration: Trial registration number: clinical trials.gov NCT00967460 http://clinicaltrials.gov/ct2/show/NCT00967460.
Pubmed
Web of science
Open Access
Yes
Create date
22/08/2013 16:28
Last modification date
20/08/2019 15:15
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