Background
Young children depend on adult caregivers to provide opportunities for physical activity. Research has focused on barriers and facilitators to children’s physical activity while in child care, but parental influences remain largely unknown. This study examines parent’s attitudes about preschoolers’ physical activity and outdoor time, compares them to those of child-care providers, and determines the association between parental attitudes and preschoolers’ measured activity.
Methods
Parents and child-care providers from 30 child-care centers were surveyed regarding attitudes towards preschoolers’ physical activity and outdoor time. Children’s moderate-to-vigorous physical activity (MVPA) was determined using 24 hour accelerometry. Parent and child-care providers’ responses were compared. Mixed-effects linear regression examined MVPA and sedentary time as outcomes with parental attitudes as predictors, family demographics as covariates, and center as a random effect.
Results
388 parents and 151 child-care providers participated. On average, children were 4.3 (0.7) years old. Parents and child-care providers both considered daily physical activity important for preschoolers, but providers rated the importance of daily outdoor time higher on a 10-point scale (8.9 vs 7.6, p<.001). More parents than providers believed that children would get sick by playing outside in the cold (25% vs 11%, p<0.05). Parents were more comfortable with their child playing outside at child care compared to outside at home (8.9 vs 6.9, p<.001). Lower income parents felt less comfortable than higher income parents with their child playing outside either near home or at child care. Neither home nor total child activity levels were associated with most parental attitudes queried.
Conclusions
While parents and child-care providers value daily physical activity for children, some parents expressed discomfort about their young children engaging in outdoor play, especially around home and in cold weather. These findings highlight the importance of child-care based interventions to promote preschoolers’ physical activity and outdoor play.