Cited by 202Physical Activity and HealthChildren's Physical and Motor DevelopmentObesity, Physical Activity, Diet

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A socio-ecological approach to physical activity interventions in childcare: a systematic review

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Mehtälä, Marjo Anette, Sääkslahti, Arja, Inkinen, Mari, Poskiparta, Marita Eija·2014·International Journal of Behavioral Nutrition and Physical Activity

DOI 10.1186/1479-5868-11-22PMC PMC3936868

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Abstract

The promotion of physical activity (PA) in young children requires effective interventions. This article reviews the evidence on PA interventions in childcare by applying a socio-ecological approach. A computer-based literature search for intervention studies aimed at increasing children's PA levels was run across four databases: SPORTDiscus, ISI Web of Science, PsycINFO and ERIC. The participants had to be in childcare, aged 2-6-year-old, and their pre- and post- intervention PA levels measured. Selection was restricted to peer-reviewed publications and to studies conducted in childcare settings. Twenty-three studies met the inclusion criteria and their methodological quality was assessed. Seven studies exhibited high methodological quality; twelve were rated as moderate and four low. The effectiveness of the interventions was determined according to the post-intervention behavioral changes reported in children's PA. Fourteen studies found increases in PA levels or reductions in sedentary time, although the changes were modest. The data remain too limited to allow firm conclusions to be drawn on the effectiveness of the components mediating PA interventions, although PA-specific in-service teacher training seems a potential strategy. The findings of this review indicate that children's PA remained low and did not approach the 180 min/day criteria. It may be that more intensive multilevel and multicomponent interventions based on a comprehensive model are needed.

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Figure 1 Socio-ecological model. Adapted from McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q 1988, 15:351–377.CC BY · PubMed Central

Figure 2 Flow diagram of article selection.CC BY · PubMed Central

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Authors: Mehtälä, M. A., Sääkslahti, A., Inkinen, M., & Poskiparta, M. E.
Affiliations: University of Jyväskylä (FI)
ORCID: Sääkslahti, Arja
Venue: International Journal of Behavioral Nutrition and Physical Activity
Publisher: Springer Science and Business Media LLC
Published: 2014
Volume: 11
Issue: 1
Pages: 22
ISSN: 1479-5868 (ISSN-L)
DOI: 10.1186/1479-5868-11-22
PMC: PMC3936868
OpenAlex: W2150485155
Cited by: 199
References: 72
Citations by year: 2026: 8 · 2025: 11 · 2024: 26 · 2023: 22 · 2022: 18 · 2021: 23 · 2020: 13 · 2019: 21 · 2018: 15 · 2017: 15 · 2016: 12 · 2015: 12 · 2014: 3
FWCI: 1.64
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Jyväskylä University Digital Archive (University of Jyväskylä) (submittedVersion, cc-by)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: physical activity interventions, child care, young children, socio-ecological model, sedentary behavior, teacher professional development, multilevel interventions, multicomponent intervention, intervention effectiveness, physical activity promotion
MeSH terms: Child, Child Behavior, Child, Preschool, Health Promotion, Humans, Motor Activity, Socioeconomic Factors, Health Behavior, Guidelines as Topic, Internet

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A socio-ecological approach to physical activity interventions in childcare: a systematic review

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