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Short-Term Influence of Revised Provincial Accreditation Standards on Physical Activity, Sedentary Behavior, and Weight Status in Alberta, Canada Child Care Centers

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Abstract

In December, 2013, revised Alberta child care accreditation standards were released by the Alberta Government in Canada that included a new standard for physical activity and sedentary behavior in accredited child care settings. The main purpose of this study was to examine the effectiveness of the new accreditation standard in increasing physical activity and reducing sedentary behavior in a sample of children in Alberta, Canada attending child care. This pre-post design study is based on 86 children aged 19–60 months from across Alberta, Canada. Levels of physical activity [light (LPA) and moderate- to vigorous-intensity physical activity (MVPA)] and sedentary time during child care were accelerometer-derived at baseline (October/November, 2013) and follow-up after a new accreditation standard was implemented (May/June, 2014). Age- and sex-specific BMI z-scores at baseline and follow-up were also calculated. Changes in physical activity and sedentary behavior were moderated by age group (toddler: 19–35 months and preschoolers: 36–60 months). Over an average 6.5 month period, a small decrease in sedentary time (3.1 min/h, P < 0.05) and a moderate increase in MVPA (1.7 min/h, P < 0.05) were observed among toddlers along with a moderate decrease in BMI z-score (0.18 SD, P < 0.05). However, among preschoolers a small increase in sedentary time (1.9 min/h, P < 0.05) and a small decrease in LPA (1.9 min/h, P < 0.05) were observed. The new accreditation standard shows promise for toddlers. Future research with a control group that evaluates the process of implementing the new standard at each center is needed to confirm and expand on these findings of this study.

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Acknowledgments

The authors are grateful to all the children, parents, and child care centers who took part in the study. The authors would like to thank their partners Corine Ferguson from the Alberta Resource Centre for Quality Enhancement and Karen Baretta from the Alberta Association for the Accreditation of Early Learning and Care Services for their help with recruitment. The authors would also like to thank Alannah Turcott, Kristen Duke, Jayanie Soroka, Amanda Ledda, Morgan Wagner, Steven Ainsley, and Helena Lee for their help with data collection. This research was funded by the Alberta Center for Child, Family, and Community Research (ACCFCR). The sponsor had no role in the study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication.

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The authors declare that they have no conflict of interest.

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Correspondence to Valerie Carson.

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Carson, V., Clark, D., Ogden, N. et al. Short-Term Influence of Revised Provincial Accreditation Standards on Physical Activity, Sedentary Behavior, and Weight Status in Alberta, Canada Child Care Centers. Early Childhood Educ J 43, 459–465 (2015). https://doi.org/10.1007/s10643-015-0688-3

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