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Parent Descriptions of the Active Play Behaviors of Their Twins and Triplets With Autism

Marie Abu Itham, Serene Kerpan, Robert Balogh, and Meghann Lloyd

Play is a child’s primary occupation throughout their developing years ( Case-Smith & Kuhaneck, 2008 ). Active play is one type of play where young children use gross motor or total body movements to expend energy in a way that is freely chosen, fun, and unstructured ( Truelove et al., 2017

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Sociodemographic and Environmental Determinants of Indoor Versus Outdoor Active Play Among Children Living in the Washington, DC Area

Robin C. Puett, Dina Huang, Jessica Montresor-Lopez, Rashawn Ray, and Jennifer D. Roberts

Regular active play in children reduces the risk of pediatric obesity and diabetes and improves symptoms of depression and stress 1 , 2 ; yet about 80% of children and adolescents living in the United States do not engage in the recommended level of moderate- to vigorous-intensity physical activity

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Prevalence and Correlates of Meeting Physical Activity Guidelines Among Colombian Children and Adolescents

Silvia A. González, Olga L. Sarmiento, Peter T. Katzmarzyk, Jean-Philippe Chaput, Diana M. Camargo-Lemos, and Mark S. Tremblay

Activity; MVPA, moderate- to vigorous-intensity PA; NIK, Neighborhood Impact on Kids survey; PA, physical activity; PE, physical education; WHO, World Health Organization; YRBSS, US Youth Risk Behavior Surveillance System. Considering the importance of active play for the health and development of younger

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Kids Active: Evaluation of an Educator-Led Active Play and Fundamental Movement Skill Intervention in the Irish Preschool Setting

Christina Duff, Johann Issartel, Wesley O’ Brien, and Sarahjane Belton

childhood most often takes the form of physically active play, or active play ( Truelove, Vanderloo, & Tucker, 2017 ). Active play has been defined in various ways, including play that is distinguished by the characteristics of a playful context combined with a dimension of physical vigor ( Pellegrini

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2018 Chilean Physical Activity Report Card for Children and Adolescents: Full Report and International Comparisons

Nicolas Aguilar-Farias, Sebastian Miranda-Marquez, Pia Martino-Fuentealba, Kabir P. Sadarangani, Damian Chandia-Poblete, Camila Mella-Garcia, Jaime Carcamo-Oyarzun, Carlos Cristi-Montero, Fernando Rodriguez-Rodriguez, Pedro Delgado-Floody, Astrid Von Oetinger, Teresa Balboa-Castillo, Sebastian Peña, Cristobal Cuadrado, Paula Bedregal, Carlos Celis-Morales, Antonio Garcia-Hermoso, and Andrea Cortínez-O’Ryan

design of previous RCs. 8 , 9 The 2018 Chilean RC included the following 10 core PA indicators that are common to the Global Matrix 3.0: overall PA, 10 organized sports participation, active play, active transportation, sedentary behavior, physical fitness, family and peers, school, community and the

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Defining and Measuring Active Play Among Young Children: A Systematic Review

Stephanie Truelove, Leigh M. Vanderloo, and Patricia Tucker


Many young children are not meeting the Canadian physical activity guidelines. In an effort to change this, the term active play has been used to promote increased physical activity levels. Among young children, physical activity is typically achieved in the form of active play behavior. The current study aimed to review and synthesize the literature to identify key concepts used to define and describe active play among young children. A secondary objective was to explore the various methods adopted for measuring active play.


A systematic review was conducted by searching seven online databases for English-language, original research or reports, and were eligible for inclusion if they defined or measured active play among young children (ie, 2 to 6 years).


Nine studies provided a definition or description of active play, six measured active play, and 13 included both outcomes. While variability in active play definitions did exist, common themes included: increased energy exerted, rough and tumble, gross motor movement, unstructured, freely chosen, and fun. Alternatively, many researchers described active play as physical activity (n = 13) and the majority of studies used a questionnaire (n = 16) to assess active play among young children.


Much variability in the types of active play, methods of assessing active play, and locations where active play can transpire were noted in this review. As such, an accepted and consistent definition is necessary, which we provide herein.

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Organized Sports and Unstructured Active Play as Physical Activity Sources in Children From Low-Income Chicago Households

Bradley M. Appelhans and Hong Li


This study tested associations of organized sports participation and unstructured active play with overall moderate and vigorous physical activity (MVPA) in low-income children and examined factors associated with participation frequency.


Research staff visited 88 low-income Chicago households with children ages 6–13 years. MVPA was assessed through 7-day accelerometry. Researchers documented the home availability of physical activity equipment. Caregivers reported on child participation in organized sports and unstructured active play, family support for physical activity, perceived neighborhood safety, and access to neighborhood physical activity venues.


Despite similar participation in organized sports and unstructured active play, boys accumulated more MVPA than girls. MVPA was predicted by an interaction between gender and unstructured active play. Boys accumulated 23–45 additional minutes of weekday MVPA and 53–62 additional minutes of weekend MVPA through unstructured active play, with no such associations in girls. Higher reported neighborhood safety and family support for physical activity were associated with engagement in unstructured active play for both genders, and with participation in organized sports for girls.


Physical activity interventions for low-income, urban children should emphasize unstructured active play, particularly in boys. Fostering family support for physical activity and safe play environments may be critical intervention components.

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Impact of Policies on Physical Activity and Screen Time Practices in 50 Child-Care Centers in North Carolina

Temitope Erinosho, Derek Hales, Amber Vaughn, Stephanie Mazzucca, and Dianne S. Ward


This study assessed physical activity and screen time policies in child-care centers and their associations with physical activity and screen time practices and preschool children’s (3–5 years old) physical activity.


Data were from 50 child-care centers in North Carolina. Center directors reported on the presence/absence of written policies. Trained research assistants observed physical activity and screen time practices in at least 1 preschool classroom across 3 to 4 days. Children (N = 544) wore accelerometers to provide an objective measure of physical activity.


Physical activity and screen time policies varied across centers. Observational data showed 82.7 min/d of active play opportunities were provided to children. Screen time provided did not exceed 30 min/d/child at 98% of centers. Accelerometer data showed children spent 38 min/d in moderate-to-vigorous physical activity and 206 min/d in sedentary activity. Policies about staff supervision of media use were negatively associated with screen time (P < .05). Contrary to expectation, policies about physical activity were associated with less time in physical activity.


Clear strategies are needed for translating physical activity policies to practice. Further research is needed to evaluate the quality of physical activity policies, their impact on practice, and ease of operationalization.

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Improving the Physical Activity and Outdoor Play Environment of Family Child Care Homes in Nebraska Through Go Nutrition and Physical Activity Self-Assessment for Child Care

Danae Dinkel, Dipti Dev, Yage Guo, Emily Hulse, Zainab Rida, Ami Sedani, and Brian Coyle

–related items. The physical activity portion of the training focused on describing the importance of providing active play opportunities, specific components of the environment that help to encourage activity (best practices), the role of child care staff in helping to develop active lifestyles, and identifying

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Global Matrix of Para Report Cards on Physical Activity of Children and Adolescents With Disabilities

Kwok Ng, Cindy Sit, Kelly Arbour-Nicitopoulos, Salomé Aubert, Heidi Stanish, Yeshayahu Hutzler, Diego Augusto Santos Silva, Mary-Grace Kang, José Francisco López-Gil, Eun-Young Lee, Piritta Asunta, Jurate Pozeriene, Piotr Kazimierz Urbański, Nicolas Aguilar-Farias, and John J. Reilly

grades. Currently, 10 PA indicators are graded: five representing behaviors (Overall PA, Organized Sport and PA, Active Play, Active Transport, and Sedentary Behavior); one focusing on Physical Fitness; and the remaining four concerned with sources of influence (Family & Peers, School, Community