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How active can preschoolers be at home? Parents' and grandparents' perceptions of children's day-to-day activity, with implications for physical activity policy

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Parrish, Sabine, Lavis, Anna, Potter, Caroline M., Ulijaszek, Stanley, Nowicka, Paulina and Eli, Karin (2022) How active can preschoolers be at home? Parents' and grandparents' perceptions of children's day-to-day activity, with implications for physical activity policy. Social Science & Medicine, 292 . 114557. doi:10.1016/j.socscimed.2021.114557 (In Press)

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Official URL: http://dx.doi.org/10.1016/j.socscimed.2021.114557

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Abstract

Background:
The importance of physical activity in early childhood for establishing long-term health is well understood, yet with the exception of recent WHO guidelines, public health initiatives rarely focus on children below school age. Moreover, little is known about how domestic spaces and day-to-day caring activities influence preschool-age children's physical activity. To examine this, we explore caregivers' perceptions of young children's activities within and outside the home, and we consider how lived experiences of caregiving align (or not) with current physical activity policy.

Methods:
Semi-structured interviews with 49 parents and grandparents from 16 families were conducted in Oregon, USA; each family had a child aged 3–5 years. Questions focused on caregivers' perceptions of and involvement with children's body weights, activities, and food practices. The interviews were analysed using thematic analysis. Our analysis drew on a materialities framework, attending to relationships between children, caregivers, spaces in and around the home, and everyday activities.

Results:
Four themes were developed: appropriateness of outside versus inside spaces for physical activity; making accommodations for physical activity in the home; active spaces of care, referring to relationships among space, activity type, and caregiver attention; and mundane movement, or the low-intensity movement of everyday life. Together, the results highlight that children's day-to-day activities cut across a spectrum of movement, mediated by available spaces and caregiving affordances.

Conclusions:
Attending to the full spectrum of children's movements highlights how children's activities interlink with family routines, available indoor and outdoor spaces, and the intended uses of these spaces. These interplays between space, care, and physical activity enacted at the household level should inform an integrated, systems-level public health approach to increasing health and well-being for preschool-age children. Suggestions for improvement include coordinating policy development across multiple fields (e.g., housing design, urban planning) that structure the activities of children and their caregivers across ‘home’ and ‘outside’ spaces.

Item Type: Journal Article
Subjects: H Social Sciences > HQ The family. Marriage. Woman
R Medicine > RA Public aspects of medicine
R Medicine > RJ Pediatrics
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Preschool children , Preschool children -- Development, Preschool children -- Family relationships, Preschool children -- Health and hygiene , Exercise for children, Medical policy
Journal or Publication Title: Social Science & Medicine
Publisher: Elsevier
ISSN: 0277-9536
Official Date: January 2022
Dates:
DateEvent
January 2022Published
6 November 2021Available
5 November 2021Accepted
Volume: 292
Article Number: 114557
DOI: 10.1016/j.socscimed.2021.114557
Status: Peer Reviewed
Publication Status: In Press
Access rights to Published version: Restricted or Subscription Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDSweden-America Foundationhttp://dx.doi.org/10.13039/501100001727
UNSPECIFIEDOregon Social Learning Centerhttp://viaf.org/viaf/152799559
2011-03443 (Vinnmer)Marie Curiehttp://dx.doi.org/10.13039/501100000654
0007325Wellcome Trusthttp://dx.doi.org/10.13039/100010269

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