Effect of a governmentally-led physical activity program on motor skills in young children attending child care centers:
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RESEARCH
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Effect of a governmentally-led physical activity program on motor skills in young children attending child care centers: a cluster randomized controlled trial Antoine Bonvin1*, Jérôme Barral1, Tanja H Kakebeeke2, Susi Kriemler3, Anouk Longchamp4, Christian Schindler5, Pedro Marques-Vidal6 and Jardena J Puder6
Abstract Objective: To assess the effect of a governmentally-led center based child care physical activity program (Youp’là 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: Clinical trials.gov NCT00967460 Keywords: Physical activity, Motor skills, Child care centers, Randomized controlled trial, Government
* Correspondence: [email protected] 1 Institute of Sport Sciences, University of Lausanne, Quartier Unil - Mouline, Bâtiment Geopolis, Lausanne 1015, Switzerland Full list of author information is available at the end of the article © 2013 Bonvin et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Bonvin et al. International Journal of Behavioral Nutrition and Physical Activity 2013, 10:90 http://www.ijbnpa.org/content/10/1/90
Background Participating in an adequate amount of physical activi
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