Abstract
Objectives Although infants increasingly spend time in community-based child care centers, little attention has been paid to their physical activity experiences while in group care. In particular, the use of devices to restrict infant mobility, such as bouncy seats, high chairs, cribs, and stationary activity centers, has received little attention in the physical activity literature. The current study examines the presence and use of these confinement devices in infant classrooms. Methods A secondary analysis of observational data in child care centers participating in Delaware’s Quality Rating and Improvement System was conducted. Quality assessment observations were coded for the use of confinement devices and the actual amount of time the confinement device was employed per child. The sample consisted of 38 infant classrooms serving a total of 162 infants in the statewide system. Results Findings suggest a high level of utilization of confinement devices in infant child care classrooms with each classroom averaging three pieces of equipment used during the observations and 22% of observed children being confined 30 min or longer during the observation period. Conclusions for Practice The reliance on confinement devices in group child care is a potential concern in the quest to prevent childhood obesity by ensuring adequate physical activity and mobility for infants in group care settings. More research is needed to understand the implications of the use of confinement devices on physical activity in group care settings.
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References
Ainsworth, M. D. S. (1979). Infant-mother attachment. American Psychologist, 34(10), 932–937.
Australian Government Department of Health. (2014). Australia’s Physical Activity and Sedentary Behaviour Guidelines. Retrieved Feb 10, 2016 from http://www.health.gov.au/internet/main/publishing.nsf/content/health-pubhlth-strateg-phys-act-guidelines#npa05.
Belsky, J., & Most, R. K. (1981). From exploration to play: A cross-sectional study of infant free play behavior. Developmental Psychology, 17(5), 630–639. https://doi.org/10.1037/0012-1649.17.5.630.
Birch, L. L., Parker, L., & Burns, A. (2011). Early childhood obesity prevention policies. Washington, DC: Institute of Medicine.
Campos, J. J., Anderson, D. I., Barbu-Roth, M. A., Hubbard, E. M., Hertenstein, M. J., & Witherington, D. (2000). Travel broadens the mind. Infancy, 1(2), 149–216.
Delaware Stars for Early Success. (2014). Early care & education center standards. Retrieved from http://www.delawarestars.udel.edu/wp-content/uploads/2013/11/ECE-Standard-7.1.20141.pdf.
Environmental Rating Scales Institute. (2013). Additional notes for clarification for the ITERS-R. Retrieved Feb 10, 2016 from http://www.ersi.info/PDF/NotesforClarification/ITERS-R%20Additional%20Notes%209-13.pdf.
Harms, T., Cryer, D., & Clifford, R. (2006). Infant/Toddler Environmental Rating Scale: Revised Edition. New York, NY: Teachers College Press.
Hesketh, K. R., van Sluijs, E. M., Blaine, R. E., Taveras, E. M., Gillman, M. W., & Neelon, S. E. B. (2015). Assessing care providers’ perceptions and beliefs about physical activity in infants and toddlers: baseline findings from the Baby NAP SACC study. BMC Public Health. https://doi.org/10.1186/s12889-015-1477-z.
Hobbs, B. (2011). The container baby lifestyle. Retrieved Feb 10, 2016 from http://nspt4kids.com/parenting/the-container-baby-lifestyle.
http://www.naralicensing.org/assets/docs/ChildCareLicensingStudies/2014CCStudy/center_licensing_trends_brief_2014.pdf. Accessed 3 Feb 2017.
Littlefield, T., Kelly, K., Reiff, J., & Pomatto, J. (2003). Car seats, infant carriers, and swings: Their role in deformational plagiocephaly. Journal of Prosthetics and Orthotics, 15(3), 102–106.
Lyytinen, P., Laakso, M.-L., Poikkeus, A.-M., & Rita, N. (1999). The development and predictive relations of play and language across the second year. Scandinavian Journal of Psychology, 40, 177–186.
Mamedova, S., & Redford, J. (2015). Early Childhood Program Participation, from the National Household Education Surveys Program of 2012. National Center for Education Statistics. Retrieved Feb 10, 2016 from http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2013029rev.
Mitchell, A. W. (2005). Stair steps to quality: A guide for states and communities developing quality rating systems for early care and education. Alexandria, VA: United.
National Center Early Childhood Quality Assurance. (2015). Trends in child care center licensing, regulations, and policies for 2014.
National Research Council and Institute of Medicine. (2000). From neurons to neighborhoods: The science of early childhood development. Committee on integrating the science of early childhood development. In P. Jack Shonkoff & D. A. Phillips (Eds.) Board on children, youth, and families, commission on behavioral and social sciences and education. Washington, DC: National Academy Press.
National Resource Center for Health and Safety in Child Care and Early Education. (2011). Caring for our children: National health and safety performance standards, 3rd edn. Retrieved Feb 10, 2016 from http://cfoc.nrckids.org.
Ogden, C., Carroll, M., Kit, B., & Flegal, K. (2014). Prevalence of childhood and adult obesity in the United States, 2011-2012. Journal of the American Medical Association, 311(8), 806–814.
Oudgenoeg-Paz, O., Leseman, P. P. M., & Volman, M. J. M. (2015). Exploration as a mediator of the relation between the attainment of motor milestones and the development of spatial cognition and spatial language. Developmental Psychology, 51(9), 1241–1253.
Oudgenoeg-Paz, O., Volman, M. J. M., & Leseman, P. P. M. (2016). First steps into language? Examing the specific longitudinal relations between walking, exploration and linguistic skills. Frontier in Psychology. https://doi.org/10.3389/fpsyg.2016.01458.
Prioreschi, A., & Michlesfield, L. K. (2016) A scoping review examining physical activity measurement and levels in the first 2 years of life. Child: Care, Health and Development, 42(6), 775–783.
Sijtsma, A., Sauer, P. J., Stolk, R. P., & Corpeleijn, E. (2013). Infant movement opportunities are related to early growth — GECKO Drenthe cohort. Early Human Development, 89(7), 457–461.
Slining, M. M., Neelon, S. E., & Duffey, K. J. (2014). A review of state regulations to promote infant physical activity in child care. International Journal of Behavioral Nutrition and Physical Activity. https://doi.org/10.1186/s12966-014-0139-3.
Smith, L. B., & Thelen, E. (2003). Development as a dynamic system. TRENDS in Cognitive Sciences, 7(8), 343–348.
State of Delaware Office of Child Care Licensing. (2015). Delacare: Regulations for early care and education and school-age centers. Wilmington, DE.
The Build Initiative & Child Trends. (2015). A Catalog and Comparison of Quality Rating and Improvement Systems (QRIS) [Data System]. Retrieved April 29, 2016 from http://qriscompendium.org/.
Thelen, E. (2000). Motor development as foundation and future of developmental psychology. International Journal of Behavioral Development, 24(4), 385–397.
Timmons, B. W., et al. (2012). Systematic review of physical activity and health in the early years (aged 0-4 years). Applied Physiology, Nutrition, and Metabolism, 37, 773–792.
Tremblay, M. S., Leblanc, A. G., Carson, V., Choquette, L., Gorber, S.C., Dillman, C., et al. (2012). Canadian physical activity guidelines for the early years (aged 0-4 years). Applied Physiology, Nutrition, and Metabolism. https://doi.org/10.1139/h2012-018.
United Kingdom Department of Health. (2011). Start active, stay active: A report on physical activity from the four home countries’ Chief Medical Officers. Retrieved Feb 10, 2016 from https://www.sportengland.org/media/388152/dh_128210.pdf.
United States Department of Health and Human Services. (2008). Children and adolescents - 2008 physical activity guidelines. Retrieved Feb 10, 2016 from http://health.gov/paguidelines/guidelines/children.aspx.
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Hallam, R.A., Bargreen, K., Fouts, H.N. et al. The Use of Infant Confinement Equipment in Community-Based Child Care Centers: An Analysis of Centers Participating in a Statewide Quality Rating and Improvement System. Matern Child Health J 22, 694–701 (2018). https://doi.org/10.1007/s10995-018-2438-9
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DOI: https://doi.org/10.1007/s10995-018-2438-9