Current Obesity Reports

, Volume 4, Issue 4, pp 477–483 | Cite as

Beyond Physical Activity: The Importance of Play and Nature-Based Play Spaces for Children’s Health and Development

  • Susan HerringtonEmail author
  • Mariana Brussoni
Economy and Environment (I Janssen, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Economy and Environment


The reduction of child obesity continues to be a challenge worldwide. Research indicates that playing outdoors, particularly in natural play spaces, boosts children’s physical activity, potentially decreasing childhood obesity. We present evidence that natural play spaces also provide for more diverse forms of play for children of varying ages and competencies. This is crucial because play spaces designed expressly for physical activity may not increase physical activity among less active children. Moreover, when researchers only examine physical activity in play, they overlook the valuable contributions that play makes to other aspects of children’s health and development. To enhance research on children and their play environments, we introduce the theory of play affordances. To assist in the creation of more natural play spaces, we describe the Seven Cs, an evidence-based approach for designing children’s play spaces that promotes diverse play. We end with some preliminary insights from our current research using the Seven Cs to illustrate the connections between play, nature, and children’s healthy development.


Playground Environment Design Landscape architecture Obesity Natural 


Compliance with Ethics Guidelines

Conflict of Interest

Susan Herrington and Mariana Brussoni declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article contains information from the Risky Play Meets Nature Play study, which involved human subjects. Consent was given by the parents of children observed and with the Early Childhood Educators interviewed. The Children’s and Women’s Health Centre of British Columbia Research Ethics Board approved these procedures.


Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. 1.
    Spinka M, Newberry RC, Bekoff M. Mammalian play: training for the unexpected. Q Rev Biol. 2001;76:141–68.CrossRefPubMedGoogle Scholar
  2. 2.
    Pellegrini AD. The role of play in human development. New York: Oxford University Press; 2009.CrossRefGoogle Scholar
  3. 3.
    Sutton-Smith B. The ambiguity of play. Cambridge: Harvard University Press; 2001.Google Scholar
  4. 4.
    Pellis SM, Pellis VC, Bell HC. The function of play in the development of the social brain. Am J Play. 2010;2:278–96.Google Scholar
  5. 5.
    Burdette HL, Whitaker RC. Resurrecting free play in young children: looking beyond fitness and fatness to attention, affiliation, and affect. JAMA Pediatr Am Med Assoc. 2005;159:46–50.Google Scholar
  6. 6.
    Office of the United Nations High Commissioner for Human Rights. Convention on the Rights of the Child [Internet]. General Assembly Resolution 44/25 1989. Available from:
  7. 7.
    Strong WB, Malina RM, Blimkie CJR, et al. Evidence based physical activity for school-age youth. J Pediatr. 2005;146:732–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.PubMedCentralCrossRefPubMedGoogle Scholar
  9. 9.
    Dietz WH. The obesity epidemic in young children. BMJ. 2001;322.Google Scholar
  10. 10.
    Active Healthy Kids Canada. Is active play extinct? 2012 Active Healthy Kids Canada report card on physical activity for children and youth. Active Healthy Kids Canada. 2012.Google Scholar
  11. 11.
    Kneeshaw-Price S, Saelens BE, Sallis JF, et al. Children’s objective physical activity by location: why the neighborhood matters. Pediatr Exerc Sci. 2013;25:468–86.PubMedCentralPubMedGoogle Scholar
  12. 12.
    Schaefer L, Plotnikoff RC, Majumdar SR, et al. Outdoor time is associated with physical activity, sedentary time, and cardiorespiratory fitness in youth. J Pediatr. 2014.Google Scholar
  13. 13.
    Lachowycz K, Jones AP, Page AS, et al. What can global positioning systems tell us about the contribution of different types of urban greenspace to children’s physical activity? Health Place. 2012;18:586–94.PubMedCentralCrossRefPubMedGoogle Scholar
  14. 14.
    Wheeler BW, Cooper AR, Page AS, et al. Greenspace and children’s physical activity: a GPS/GIS analysis of the PEACH project. Prev Med (Baltim). 2010;51:148–52.CrossRefGoogle Scholar
  15. 15.
    Gray C, Gibbons R, Larouche R, et al. What is the relationship between outdoor time and physical activity, sedentary behaviour, and physical fitness in children? A systematic review. Int. J. Environ. Res. Public Health. 2015.Google Scholar
  16. 16.
    Tremblay MS, Warburton DER, Janssen I, et al. New Canadian physical activity guidelines. Appl Physiol Nutr Metab. 2011;36:36–46. 47–58.CrossRefPubMedGoogle Scholar
  17. 17.
    Sacheck JM, Nelson T, Ficker L, et al. Physical activity during soccer and its contribution to physical activity recommendations in normal weight and overweight children. Pediatr Exerc Sci. 2011;23:281–92.PubMedGoogle Scholar
  18. 18.
    Nettlefold L, McKay HA, Warburton DER, et al. The challenge of low physical activity during the school day: at recess, lunch and in physical education. Br J Sports Med. 2011;45:813–9.CrossRefPubMedGoogle Scholar
  19. 19.
    Alexander SA, Frohlich KL, Fusco C. “Active play may be lots of fun, but it”s certainly not frivolous’: the emergence of active play as a health practice in Canadian public health. Sociol Health Illn. 2014;36:1188–204.CrossRefPubMedGoogle Scholar
  20. 20.
    Frohlich KL, Alexander SAC, Fusco C. All work and no play? The nascent discourse on play in health research. Soc Theory Heal Nat Publ Group. 2012;11:1–18.CrossRefGoogle Scholar
  21. 21.
    Lester S, Russell W. Turning the world upside down: playing as the deliberate creation of uncertainty. Children. Multidiscip Digit Publ Inst. 2014;1:241–60.Google Scholar
  22. 22.
    Alexander SA, Fusco C, Frohlich KL. “You have to do 60 minutes of physical activity per day … I saw it on TV”: Children’s constructions of play in the context of Canadian public health discourse of playing for health. Sociol. Health Illn. 2015.Google Scholar
  23. 23.
    Council on Sports Medicine and Fitness and Council on School Health. Active healthy living: prevention of childhood obesity through increased physical activity. Pediatrics. 2006;117:1834–42.CrossRefGoogle Scholar
  24. 24.•
    Alexander SA, Frohlich KL, Fusco C. Problematizing “play-for-health” discourses through children’s photo-elicited narratives. Qual Health Res. 2014;24:1329–41. This research describes children's own ideas of play and play value.CrossRefPubMedGoogle Scholar
  25. 25.
    Glenn NM, Knight CJ, Holt NL, et al. Meanings of play among children. Childhood. 2013;20:185–99.CrossRefGoogle Scholar
  26. 26.
    Herrington S. The received view of play and the subculture of infants. Landsc J. 1997;16:149–60.Google Scholar
  27. 27.
    Samborski S. Biodiverse or barren school grounds: their effects on children. Child Youth Environ. 2010;20:67–115.Google Scholar
  28. 28.
    McLean RJS. Children’s use of nature in New Zealand playgrounds. Child Youth Environ. 2012;22:144–63.CrossRefGoogle Scholar
  29. 29.
    Drown KKC, Christensen KM. Dramatic play affordances of natural and manufactured outdoor settings for preschool-aged children. Child Youth Environ. 2014;24:53–77.Google Scholar
  30. 30.
    Gibson JJ. The ecological approach to visual perception. Boston: Houghton-Mifflin; 1979.Google Scholar
  31. 31.
    Woolley H, Lowe A. Exploring the relationship between design approach and play value of outdoor play spaces. Landsc Res Routledge. 2013;38:53–74.CrossRefGoogle Scholar
  32. 32.
    Refshauge AD, Stigsdotter UK, Lamm B, et al. Evidence-based playground design: lessons learned from theory to practice. Landsc Res Routledge. 2013;40:226–46.CrossRefGoogle Scholar
  33. 33.
    Woolley H. Watch this space! Designing for children’s play in public open spaces. Geogr Compass. 2008;2:495–512.CrossRefGoogle Scholar
  34. 34.
    Barbour AC. The impact of playground design on the play behaviors of children with differing levels of physical competence. Early Child Res Q. 1999;14:75–98.CrossRefGoogle Scholar
  35. 35.
    Herrington S, Lesmeister C, Nicholls J, et al. Seven C’s: An informational guide to young children's outdoor play spaces [Internet]. Vancouver: Consortium for Health, Intervention, Learning and Development (CHILD); 2007. Available from:
  36. 36.•
    Coombes E, van Sluijs E, Jones A. Is environmental setting associated with the intensity and duration of children’s physical activity? Findings from the SPEEDY GPS study. Health Place. 2013;20:62–5. This article discloses the connection between play interests of children and play duration.PubMedCentralCrossRefPubMedGoogle Scholar
  37. 37.•
    Luchs A, Fikus M. A comparative study of active play on differently designed playgrounds. J Adv Educ Outdoor Learn Routledge. 2013;13:206–22. This research address differntly designed play spaces and reveals how less active children do not benefit from physcial activity oriented playgrounds.CrossRefGoogle Scholar
  38. 38.
    Coe DP, Flynn JI, Wolff DL, et al. Children’s physical activity levels and utilization of a traditional versus natural playground. Child Youth Environ. 2014;24:1–15.Google Scholar
  39. 39.
    Dyment JE, Bell AC. Grounds for movement: green school grounds as sites for promoting physical activity. Health Educ Res. 2008;23:952–62.CrossRefPubMedGoogle Scholar
  40. 40.
    Brunelle S, Coghlan R, Herrington S, et al. Play worth remembering. Vancouver; 2014.Google Scholar
  41. 41.
    Herrington S, Lesmeister C. The design of landscapes at child-care centres: seven Cs. Landsc Res. 2006;31:63–82.CrossRefGoogle Scholar
  42. 42.
    Allen KE, Marotz LR. By the ages: Behavior and development of children pre-birth through eight. Belmont: Wadsworth; 2000.Google Scholar
  43. 43.
    Olds AR. Psychological and physiological harmony in child care center design. Child Environ Q. 1989;6:8–16.Google Scholar
  44. 44.
    Greenman JT. Caring spaces, learning places: Children’s environments that work. Redmond: Exchange Press; 2005.Google Scholar
  45. 45.
    Frost J, Klein BL. Children’s play and playgrounds. Boston: Allyn and Bacon; 1979.Google Scholar
  46. 46.
    Shaw LG. Designing playgrounds for able and disabled children. In: Weinstein CS, David TG, editors. Spaces Child. built Environ. child Dev. New York, NY: Plenum Press; 1987. p. 187–213.Google Scholar
  47. 47.
    Moore RC, Goltsman SM, Iacofano DS. Play for all guidelines: Planning, design, and management of outdoor play settings for all children. Berkeley: MIG Communications; 1992.Google Scholar
  48. 48.
    Lavrysen A, Bertrands E, Leyssen L, et al. Risky-play at school. Leuven: Facilitating risk percetpion and competence in young children; 2015.Google Scholar
  49. 49.
    Brussoni M, Olsen LL, Pike I, et al. Risky play and children’s safety: balancing priorities for optimal child development. Int J Environ Res Public Health. 2012;9:3134–8.PubMedCentralCrossRefPubMedGoogle Scholar
  50. 50.
    Brussoni M, Gibbons R, Gray C, et al. What is the relationship between risky outdoor play and health in children? A systematic review. Int. J. Environ. Res. Public Health. 2015.Google Scholar
  51. 51.
    Valentine G, McKendrick J. Children’s outdoor play: exploring parental concerns about children's safety and the changing nature of childhood. Geoforum. 1997;28:219–35.CrossRefGoogle Scholar
  52. 52.
    Malone K. The bubble-wrap generation: children growing up in walled gardens. Environ Educ Res. 2007;13:513–27.CrossRefGoogle Scholar
  53. 53.
    Karsten L. It all used to be better? Different generations on continuity and change in urban children’s daily use of space. Child Geogr. 2005;3:275–90.CrossRefGoogle Scholar
  54. 54.
    KaBoom! Pediatricians on the importance of play: Access to quality playspaces fosters healthy childhood development [Internet]. 2005 [cited 2015 Apr 22]. Available from:

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.University of British ColumbiaVancouverCanada
  2. 2.Child & Family Research InstituteUniversity of British ColumbiaVancouverCanada

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