A natural experiment of state-level physical activity and screen-time policy changes early childhood education (ECE) centers and child physical activity

Table 3 Association between ECE Center Changes and Change in Child Physical Activity at ECE center (n = 49 children)^a

	Maximum Score	SB minutes/hour			TPA minutes/hour			MVPA minutes/hour
	Maximum Score	Beta	SE	p-value	Beta	SE	p-value	Beta	SE	p-value
ECE Center Practice
Active Play (minutes)		−0.12	0.05	0.02*	0.12	0.05	0.02*	0.02	0.03	0.48
Television viewing (minutes)		0.21	0.28	0.46	−0.21	0.28	0.46	−0.08	0.10	0.39
Non-television screen-time (minutes)		0.25	0.10	0.02*	−0.25	0.10	0.02*	−0.10	0.04	0.06
Total Screen-time (minutes)		0.21	0.11	0.06	−0.21	0.11	0.06	−0.09	0.05	0.10
ECE Center Environment
Active Opportunities	20	−1.09	0.71	0.13	1.09	0.71	0.13	0.22	0.52	0.67
Sedentary Opportunities	20	0.60	0.92	0.52	−0.60	0.92	0.52	−0.28	0.32	0.37
Sedentary Opportunities-Revised	20	−1.21	0.64	0.06	1.21	0.64	0.06	0.54	0.22	0.02*
Sedentary Environment	20	0.86	0.73	0.38	−0.86	0.73	0.38	0.50	0.40	0.21
Portable Play Environment	20	−0.56	0.83	0.50	0.56	0.83	0.50	0.02	0.28	0.93
Fixed Play Environment	20	−0.45	1.01	0.65	0.45	1.01	0.65	− 0.07	0.35	0.83
ECE Center Staff Behavior
Staff Behaviors	20	0.08	0.96	0.93	−0.08	0.96	0.93	0.04	0.29	0.88
PA Training and Education	20	−0.01	0.81	0.98	0.01	0.81	0.98	−0.03	0.26	0.89
ECE Center Policy
PA Policy^b	20	N/A			N/A			N/A
Total EPAO Score	160	−0.21	0.24	0.72	0.21	0.24	0.72	0.03	0.08	0.67

SB Sedentary Behavior, TPA Total Physical Activity, MVPA Moderate-to-Vigorous Physical Activity, PA Physical Activity, EPAO Environmental Policy Assessment and Observation; ^aAssessed using mixed models account for baseline child sex, age, race, BMI percentile, and baseline score, and clustering within center. p < 0.05*; ^bPA Policy is noted “N/A” as there were no changes in score from baseline to follow-up, and no change to evaluate

ISSN: 1471-2458