The Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) cohort study: rationale and design

Abstract Background Prevalence estimates internationally suggest that many preschool-aged children (3–5 years) are insufficiently physically active and engage in high levels of screen-based entertainment. Early childhood is the developmental period for which we know the least about the effects of ph...

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Main Authors: Dylan P. Cliff, Jade McNeill, Stewart Vella, Steven J Howard, Megan A. Kelly, Douglas J. Angus, Ian M. Wright, Rute Santos, Marijka Batterham, Edward Melhuish, Anthony D. Okely, Marc de Rosnay
Format: Article
Language:English
Published: BMC 2017-04-01
Series:BMC Pediatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12887-017-0846-4
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author Dylan P. Cliff
Jade McNeill
Stewart Vella
Steven J Howard
Megan A. Kelly
Douglas J. Angus
Ian M. Wright
Rute Santos
Marijka Batterham
Edward Melhuish
Anthony D. Okely
Marc de Rosnay
author_facet Dylan P. Cliff
Jade McNeill
Stewart Vella
Steven J Howard
Megan A. Kelly
Douglas J. Angus
Ian M. Wright
Rute Santos
Marijka Batterham
Edward Melhuish
Anthony D. Okely
Marc de Rosnay
author_sort Dylan P. Cliff
collection DOAJ
description Abstract Background Prevalence estimates internationally suggest that many preschool-aged children (3–5 years) are insufficiently physically active and engage in high levels of screen-based entertainment. Early childhood is the developmental period for which we know the least about the effects of physical activity on development and health. Likewise, rapid technological advancements in mobile electronic media have made screen-based forms of entertainment for young children ubiquitous, and research demonstrating the impacts on cognition, psychosocial well-being, and health has lagged behind the rate of adoption of these technologies. The purpose of the Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) study is to investigate if physical activity and screen-based entertainment are independently associated with cognitive and psychosocial development, and health outcomes in young children, and if so, how much and which types of these behaviours might be most influential. Methods The PATH-ABC study is a prospective cohort, aiming to recruit 430 3–5 year-old children. Children are recruited through and complete initial assessments at their Early Childhood Education and Care (ECEC) centre, and then 12-months later at their centre or school. Direct assessments are made of children’s habitual physical activity using accelerometry, cognitive (executive function) and language development (expressive vocabulary), psychosocial development (emotional understanding, Theory of Mind, empathy, and heart rate variability), adiposity (body mass index and waist circumference), and cardiovascular health (blood pressure and retinal micro- vasculature). Educators report on children’s psychological strengths and difficulties and self-regulation. Parents report on children’s habitual use of electronic media and other child, parent and household characteristics. Discussion The PATH-ABC study aims to provide evidence to enhance understanding of how much and which types of physical activity and screen-based media influence development and health in preschool-aged children. This information would benefit parents, educators, health professionals and governments seeking to develop strategies and policies to give young children the best start in life by promoting healthy levels of physical activity and electronic media use.
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spelling doaj.art-f01489774ee24c0898b7f78aa78e9e222022-12-22T01:28:25ZengBMCBMC Pediatrics1471-24312017-04-011711910.1186/s12887-017-0846-4The Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) cohort study: rationale and designDylan P. Cliff0Jade McNeill1Stewart Vella2Steven J Howard3Megan A. Kelly4Douglas J. Angus5Ian M. Wright6Rute Santos7Marijka Batterham8Edward Melhuish9Anthony D. Okely10Marc de Rosnay11Early Start Research Institute, School of Education, Faculty of Social Sciences, University of WollongongEarly Start Research Institute, School of Education, Faculty of Social Sciences, University of WollongongEarly Start Research Institute, School of Psychology, Faculty of Social Sciences, University of WollongongEarly Start Research Institute, School of Education, Faculty of Social Sciences, University of WollongongIllawarra Health and Medical Research Institute, University of WollongongSchool of Psychology University of New South WalesIllawarra Health and Medical Research Institute, University of WollongongEarly Start Research Institute, School of Education, Faculty of Social Sciences, University of WollongongStatistical Consulting Centre, School of Mathematics and Applied Statistics, Faculty of Engineering and Information Sciences, University of WollongongEarly Start Research Institute, School of Psychology, Faculty of Social Sciences, University of WollongongEarly Start Research Institute, School of Education, Faculty of Social Sciences, University of WollongongEarly Start Research Institute, School of Education, Faculty of Social Sciences, University of WollongongAbstract Background Prevalence estimates internationally suggest that many preschool-aged children (3–5 years) are insufficiently physically active and engage in high levels of screen-based entertainment. Early childhood is the developmental period for which we know the least about the effects of physical activity on development and health. Likewise, rapid technological advancements in mobile electronic media have made screen-based forms of entertainment for young children ubiquitous, and research demonstrating the impacts on cognition, psychosocial well-being, and health has lagged behind the rate of adoption of these technologies. The purpose of the Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) study is to investigate if physical activity and screen-based entertainment are independently associated with cognitive and psychosocial development, and health outcomes in young children, and if so, how much and which types of these behaviours might be most influential. Methods The PATH-ABC study is a prospective cohort, aiming to recruit 430 3–5 year-old children. Children are recruited through and complete initial assessments at their Early Childhood Education and Care (ECEC) centre, and then 12-months later at their centre or school. Direct assessments are made of children’s habitual physical activity using accelerometry, cognitive (executive function) and language development (expressive vocabulary), psychosocial development (emotional understanding, Theory of Mind, empathy, and heart rate variability), adiposity (body mass index and waist circumference), and cardiovascular health (blood pressure and retinal micro- vasculature). Educators report on children’s psychological strengths and difficulties and self-regulation. Parents report on children’s habitual use of electronic media and other child, parent and household characteristics. Discussion The PATH-ABC study aims to provide evidence to enhance understanding of how much and which types of physical activity and screen-based media influence development and health in preschool-aged children. This information would benefit parents, educators, health professionals and governments seeking to develop strategies and policies to give young children the best start in life by promoting healthy levels of physical activity and electronic media use.http://link.springer.com/article/10.1186/s12887-017-0846-4Early childhoodPhysical activityActive playScreen timeElectronic mediaExecutive function
spellingShingle Dylan P. Cliff
Jade McNeill
Stewart Vella
Steven J Howard
Megan A. Kelly
Douglas J. Angus
Ian M. Wright
Rute Santos
Marijka Batterham
Edward Melhuish
Anthony D. Okely
Marc de Rosnay
The Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) cohort study: rationale and design
BMC Pediatrics
Early childhood
Physical activity
Active play
Screen time
Electronic media
Executive function
title The Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) cohort study: rationale and design
title_full The Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) cohort study: rationale and design
title_fullStr The Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) cohort study: rationale and design
title_full_unstemmed The Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) cohort study: rationale and design
title_short The Preschool Activity, Technology, Health, Adiposity, Behaviour and Cognition (PATH-ABC) cohort study: rationale and design
title_sort preschool activity technology health adiposity behaviour and cognition path abc cohort study rationale and design
topic Early childhood
Physical activity
Active play
Screen time
Electronic media
Executive function
url http://link.springer.com/article/10.1186/s12887-017-0846-4
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