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Associations Between the Child Care Environment and Children s In-Care by Zhiguang Zhang, Nicholas Kuzik et al

Abstract Background: Child care centers are important for children’s behaviors. Aims: To examine the cross-sectional associations between child care environmental characteristics and physical activity and sedentary time in children. Methods: Participants were 124 toddlers and 118 preschoolers from 19 centers in Alberta and Ontario, Canada, in the supporting Healthy physical AcTive CHildcare setting (HATCH) study. In-care physical activity and sedentary time were assessed using Actigraph accelerometers. Child care environments, including structure (e.g., resources) and process (e.g., activities) quality, were measured using three instruments: (1) the Environment and Policy Assessment and Observation and (2) the Children’s Physical Environments Rating Scale, and (iii) the Movement Environment Rating Scale. Mixed models were performed to examine the associations between environmental characteristics and children’s sedentary time, light physical activity, and moderate-to-vigorous

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