Physical activity interventions were consistently ( > 60 % of studies ) associated with improved motor and cognitive development , and psychosocial and cardiometabolic health .
Across observational studies , physical activity was consistently associated with favourable motor development , fitness , and bone and skeletal health .
For intensity , light- and moderate-intensity physical activity were not consistently associated with any health indicators , whereas moderate- to vigorous-intensity , vigorous-intensity , and total physical activity were consistently favourably associated with multiple health indicators .
Across study design s , consistent favourable associations with health indicators were observed for a variety of types of physical activity , including active play , aerobic , dance , prone position ( infants ; ≤1 year ) , and structured/organized .
Apart from ≥30 min/day of the prone position for infants , the most favourable frequency and duration of physical activity was unclear .
However , more physical activity appeared better for health .
Conclusions Specific types of physical activity , total physical activity , and physical activity of at least moderate- to vigorous-intensity were consistently favourably associated with multiple health indicators .
Background Given the rapid development during the early years ( 0 - 4 years ) , an underst and ing of the health implication s of physical activity is needed .
The purpose of this systematic review was to examine the relationships between objective ly and subjectively measured physical activity and health indicators in the early years .
Effect of a governmentally-led physical activity program on motor skills in young children attending child care centers: a cluster randomized controlled trial
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 r and omized controlled trial in 58 Swiss child care centers . Centers were r and omly 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
Physical activity interventions were consistently ( > 60 % of studies ) associated with improved motor and cognitive development , and psychosocial and cardiometabolic health .
Across observational studies , physical activity was consistently associated with favourable motor development , fitness , and bone and skeletal health .
For intensity , light- and moderate-intensity physical activity were not consistently associated with any health indicators , whereas moderate- to vigorous-intensity , vigorous-intensity , and total physical activity were consistently favourably associated with multiple health indicators .
Across study design s , consistent favourable associations with health indicators were observed for a variety of types of physical activity , including active play , aerobic , dance , prone position ( infants ; ≤1 year ) , and structured/organized .
Apart from ≥30 min/day of the prone position for infants , the most favourable frequency and duration of physical activity was unclear .
However , more physical activity appeared better for health .
Conclusions Specific types of physical activity , total physical activity , and physical activity of at least moderate- to vigorous-intensity were consistently favourably associated with multiple health indicators .
Background Given the rapid development during the early years ( 0 - 4 years ) , an underst and ing of the health implication s of physical activity is needed .
The purpose of this systematic review was to examine the relationships between objective ly and subjectively measured physical activity and health indicators in the early years .