Preschool staff and parents’ perceptions of preschool children’s physical activity and fundamental movement skills from an area of high deprivation: a qualitative study

This study investigated preschool staff and parents’ perceptions of preschool children’s physical activity (PA) and fundamental movement skills (FMS), in relation to the environment, facilities, play and barriers to PA. Following institutional ethics approval, semi-structured focus groups were conducted in four preschools, with the inclusion of parents and staff of 2–4-year-old children from North Warwickshire, England. The focus groups consisted of between four and five participants and included both parents and staff. However, focus groups were homogeneous in terms of gender, socio-economic background and predominately homogeneous in ethnic background. Thematic analysis was used to identify key themes and subthemes. Emergent themes included: spacious outdoor environment, the use of climbing frames and outdoor equipment for promoting PA and developing FMS, who was responsible for PA; time, cost, health and safety concerns as barriers to PA and staff training. Findings suggest that preschools provide good opportunities for PA and FMS, especially for preschool children from low socio-economic backgrounds, allowing them access to outdoor exercise and equipment. However, results from the focus groups highlighted a need for more staff training and greater parental involvement in relation to PA and FMS opportunities, to further improve preschool children’s PA levels and develop their FMS. To increase PA and FMS in preschool children, interventions are required which continue with the current levels of PA in preschools, whilst including greater parental involvement and staff training for increasing PA levels and developing FMS.N/

Accelerometer based physical activity levels, fundamental movement skills and weight status in British preschool children from a deprived area

Preschool children are recommended to participate in a minimum of 180-min physical activity (PA) per day to enhance their development and overall health. Low PA and increased obesity are thought to be linked to low mastery of fundamental movement skills (FMS) in preschool children. This study sought to investigate whether FMS influences PA levels and weight status in preschool children, in an area of low socioeconomic status. Secondary aims of this study were to determine whether gender or day of the week affected the primary outcomes. One hundred eighty-five preschool children aged 3–4 years old, participated in the study. FMS proficiency was determined using the Test of Gross Motor Development-2. PA was determined using triaxial accelerometry over a 4-day period. None of the samples met the recommended 180 min of PA. There were no significant differences in PA or weight status between preschool children with high, medium or low FMS mastery (P < 0.05). There were also no significant correlations between overall FMS and moderate to vigorous PA during the week or weekend days. Conclusion: Girls scored significantly greater at the hop, leap, and skip (locomotor skills) and the boys significantly higher at the kick (object control) (P < 0.05). There were no significant differences in PA or weight status between preschool children with high, medium, or low FMS mastery, possibly because FMS mastery had not developed to a high enough level to affect PA and FMS are considered independent of physical fitness and physical features, such as weight and height.N/

The 24-h Movement Compositions in Weekday, Weekend Day or Four-Day Periods Differentially Associate with Fundamental Movement Skills

The aim of this study was to investigate the relationship between weekday, weekend day and four-day physical activity (PA) behaviours and fundamental movement skills (FMS) in British preschool children from a low socio-economic status background using compositional data analysis (CoDA). One hundred and eighty-five preschool children aged 3–4 years provided objectively assessed PA and sedentary behaviour (SB) data (GENEActiv accelerometer) and FMS (TGMD-2). The association of 24-h movement behaviours with FMS was explored using CoDA and isotemporal substitution (R Core Team, 3.6.1). When data were considered compositionally (SB, light PA (LPA), moderate and vigorous PA (MVPA)) and adjusted for age, BMI and sex, the weekday-derived composition predicted total motor competence (r2 = 0.07), locomotor (r2 = 0.08) and object control skills (r2 = 0.09); the weekend day-derived composition predicted total motor competence (r2 = 0.03) and object control skills (r2 = 0.03), the 4-day-derived composition predicted total motor competence (r2 = 0.07), locomotor (r2 = 0.07) and object control skills (r2 = 0.06) (all p < 0.05). Reallocation of 5 min of LPA at the expense of any behaviour was associated with significant improvements in total motor competence, locomotor and object control skills; for weekend-derived behaviours, MVPA was preferential. Considering movement behaviours over different time periods is required to better understand the effect of the 24-h movement composition on FMS in preschool children

Accelerometer-based physical activity levels differ between week and weekend ways in British preschool children

Participation in physical activity (PA) is fundamental to children’s future health. Studies examining the temporal pattern of PA between weekdays and weekends in British preschool children are lacking. Therefore, the aim of this study was to compare PA levels between week and weekend days for UK preschool children, using objective measurements. One hundred and eighty-five preschool children (99 boys, 86 girls, aged 4–5 years), from central England wore a triaxial accelerometer (GENEActiv) for 4 days to determine PA. The time (min) and percentage (%) of time spent in light, moderate and vigorous PA (MVPA) was determined using specific cut-points for counts per minute related to 3–5 year olds. Of the sample, none of the children met the UK recommended 180 min or more of PA per day. A significant difference (P < 0.05) was observed between the amount of time that preschool children spent in sedentary behaviours on weekdays (91.9%) compared to weekend days (96.9%). During weekdays and weekend days, 6.3% and 2.0% of time was spent in MVPA, respectively. Therefore, a substantial proportion of British preschool children’s day is spent in sedentary behaviours, with less MVPA accrued during the weekend. Regular engagement during the weekdays provides opportunities to accrue PA, which may not be present on weekend days.N/

Preschool and parental influences on physical activity and fundamental movement skills in preschool children from low socio-economic backgrounds: A qualitative study.

PA levels of children attending different preschools have been reported as varying greatly, with the characteristics of the preschool influencing a child’s PA level (Pate, Pfeiffer, Trost, Ziegler and Dowda, [2004], Pediatrics 114, 1258-1263). Parents and teachers have been known to overestimate the PA levels that children complete and this may place a decreased importance on encouraging and supporting PA in preschool children (Tucker, [2008], Early Childhood Research Quarterly, 23, 547-558). Settings with greater space and opportunities for outdoor play and PA are required, as a lack of space is a major cause of being overweight for 10-40% of children in developed countries (Blair, Wood and Sallis, [1994], Preventive Medicine, 23, 558-559). Mastery of Fundamental Movement Skills (FMS) is a prerequisite to functioning on a daily basis (Venetsanou and Kambas, [2011], Physical Education and Sport, 9, 81-90); they provide the building blocks for future motor skills and PA. Failure to achieve mastery in these skills could prevent preschool children from participating in PA. Therefore, the aim of this study was to investigate nursery staff and parents’ perceptions of preschool children’s PA, in relation to the environment, facilities, play and barriers to PA. With institutional ethics approval, focus groups were conducted in 4 preschools, with the inclusion of parents and staff of 3-5 year old children (n = 17, parents = 10, staff = 7) from North Warwickshire, England. Thematic analysis (Braun and Clarke, [2006], Qualitative Research in Psychology, 3, 77-101) was used to identify key themes and subthemes from the transcripts. Emergent themes included: outside exercise, outdoor equipment, the responsibility of PA, lack of exercise, modern lifestyles, time, cost, health and safety concerns of staff and staff training. Differences were apparent between preschools when discussing measurement of PA and FMS, PA at home, space in the settings and staff training. The findings suggest that preschools provide good opportunities for PA and FMS, especially for pre-schoolers from low socio-economic backgrounds. However, results also highlighted a need for more extensive training of staff in relation to PA and FMS opportunities. To increase PA and FMS in pre-schoolers, interventions are required which continue with the current levels of PA in preschools, combined with parental involvement to deliver PA; through encouraging indoor and outdoor activities and participating in less sedentary activities in the home environment. Interventions also need to provide staff training to support settings to deliver PA and FMS to preschool children.N/

Cross validation of Actigraph derived accelerometer cut-points for assessment of sedentary behaviour and physical activity in children aged 8-11 years

To cross-validate previously calibrated Actigraph cut points in children. Twenty eight children (50%boys) aged between 8 and 11 years of age (9.4 ± 1.4 years) performed a series of 5 minute bouts of activity reflective of different levels of PA from sedentary behaviour (SB) to moderate to vigorous physical activity (MVPA); V˙ O2 was assessed using breath by breath indirect calorimetry and activity was assessed using Actigraph accelerometers worn on the hip and non-dominant wrist. The V˙ O2 values were then converted into age-specific METs (measured METs) and coded as SB, light PA and MVPA. Accelerometer data was analysed using previously calibrated cut-points at different epochs i.e. 5, 15 30 and 60 seconds. Receiver Operating Characteristic (ROC) curve analysis indicated that there was excellent discrimination of SB using the Evenson et al (15sec), Romanzini (15sec), Treuth et al (30sec), Freedson et al (60sec), Treuth et al (60sec) and Troiano et al (60sec) cut points. ROC analysis indicated poor discrimination for LPA irrespective of the cut-points used. Good discrimination of MVPA was evident for all existing cut-points using a 60sec epoch. There is considerable variation in the performance of existing cut-points for assessment of SB, LPA and MPA in children.N/

Calibration and Cross-Validation of Accelerometery for Estimating Movement Skills in Children Aged 8-12 Years

This study sought to calibrate triaxial accelerometery, worn on both wrists, waist and both ankles, during children’s physical activity (PA), with particular attention to object control motor skills performed at a fast and slow cadence, and to cross-validate the accelerometer cut-points derived from the calibration using an independent dataset. Twenty boys (10.1 ±1.5 years) undertook seven, five-minute bouts of activity lying supine, standing, running (4.5kmph−1) instep passing a football (fast and slow cadence), dribbling a football (fast and slow cadence), whilst wearing five GENEActiv accelerometers on their non-dominant and dominant wrists and ankles and waist. VO2 was assessed concurrently using indirect calorimetry. ROC curve analysis was used to generate cut-points representing sedentary, light and moderate PA. The cut-points were then cross-validated using independent data from 30 children (9.4 ± 1.4 years), who had undertaken similar activities whilst wearing accelerometers and being assessed for VO2. GENEActiv monitors were able to discriminate sedentary activity to an excellent level irrespective of wear location. For moderate PA, discrimination of activity was considered good for monitors placed on the dominant wrist, waist, non-dominant and dominant ankles but fair for the non-dominant wrist. Applying the cut-points to the cross-validation sample indicated that cut-points validated in the calibration were able to successfully discriminate sedentary behaviour and moderate PA to an excellent standard and light PA to a fair standard. Cut-points derived from this calibration demonstrate an excellent ability to discriminate children’s sedentary behaviour and moderate intensity PA comprising motor skill activity.N/

Multi-component physical activity interventions in the UK must consider determinants of activity to increase effectiveness

Interventions to increase physical activity in children have adopted broad approaches and achieved varying success. There is a need to adopt approaches underpinned with a theoretical basis. Accordingly, the aim here was to implement and evaluate a 12-week intervention designed using the concepts of the COM-B model to determine the effect this has on physical activity levels. One hundred and forty-seven school-age children (mean age 8.9 ± 1.3 years) took part in a 12-week program delivered in a school setting. Topics included physical activity, healthy eating, sleep quality and reducing screen time/sedentary activities when not in school. A sample of participants wore a wrist-worn accelerometer for seven days pre-and post-intervention (N = 11). The physical activity frequency was unchanged (2.9 ± 1.0 AU) when compared with post-intervention values (3.1 ± 0.8 AU, mean increase 6.8 ± 3.7%, p > 0.05). Changes were observed in the daily consumption of fruit and vegetables (pre-intervention 44.6% vs. post-intervention 60.2%, p p > 0.05). There is a need to adopt a broader approach that incorporates a theoretical basis and considers the complex ways by which physical activity behaviours are influenced

Fundamental movement skills and accelerometer-measured physical activity levels during early childhood: a systematic review

Early childhood is a key period for children to begin developing and practicing fundamental movement skills (FMS), while aiming to perform sufficient physical activity (PA). This study reviews the current evidence for the levels of achievement in FMS and PA measured using accelerometers among 4–5-year-old children and examines differences by gender. This review was conducted using the PRISMA framework. Keyword searches were conducted in Pubmed, Medline, Google Scholar and SPORTDiscus. Inclusion criteria included age: 4–5 years old; FMS measurement: Test of Gross Motor Development 2 and 3; PA measurement: objective methods; balance measurement: static single limb; study design: cross-sectional observational/descriptive, randomised control trials, intervention studies; language: English. Twenty-eight articles from twenty-one countries met the inclusion criteria and were split into either FMS and PA articles (n = 10) or balance articles (n = 18). Three articles showed children achieving 60 min of moderate to vigorous PA per day, two articles demonstrated significant differences between girls’ and boys’ performance of locomotor skills and five reported locomotor skills to be more proficient than object control skills at this age for both genders. Balance was measured in time (n = 12), points score (n = 3) or biomechanical variables (n = 3), displaying heterogeneity of not only measurement but also outcomes within these data, with static single limb balance held between 6.67 to 87.6 s within the articles. Four articles reported girls to have better balance than boys. There is little conclusive evidence of the current levels for FMS, PA and balance achievement in young children 4–5 years of age. The academic literature consistently reports low levels of FMS competence and mixed evidence for PA levels. Inconsistencies lie in balance measurement methodology, with broad-ranging outcomes of both low and high achievement at 4–5 years old. Further research is required to focus on increasing practice opportunities for children to improve their FMS, increase PA levels and establish sufficient balance ability. Consistent and comparable outcomes during early childhood through more homogenous methodologies are warranted.N/

Educators Perspectives on the Value of Physical Education, Physical Activity and Fundamental Movement Skills for Early Years Foundation Stage Children in England.

There is a lack of information available for physical education (PE) provision in the early years foundation stage (EYFS), prompting concern about what is currently delivered in schools and the values behind the approaches taken. Using semi-structured interviews, this study investigated educators’ perspectives on the value of PE and physical activity (PA) for EYFS children across England in relation to opportunities for, barriers to, and benefits of PA and PE. This study collected important stakeholder views and can help shape the impact and implementation of fundamental movement skills (FMS) and PA interventions at the EYFS.N/