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Preschool Environment and 24-h Behaviour Movement in Uruguayan Early Childhood: A Compositional Data Analysis.

TL;DR

Outdoor equipment availability, quantity, and accessibility was the only preschool environment domain significantly associated with 24-h movement behaviour composition in Uruguayan preschoolers, favouring increases in moderate-to-vigorous physical activity.

Key Findings

Outdoor equipment was the only preschool environmental domain significantly associated with the 24-h movement behaviour composition in preschoolers.

  • The outdoor equipment environmental predictor was significantly associated with the 24-h movement behaviours composition (F = 3.40, p = 0.020)
  • The association favoured an increase in moderate-to-vigorous physical activity (MVPA) (β = 0.10, p = 0.027)
  • Six environmental domains were audited: teacher role, teacher training and education for family, school policies, indoor equipment, outdoor equipment, and outdoor infrastructure
  • Multivariate linear regression models using isometric log-ratio (ilr) coordinates were used to assess associations between environment and movement behaviour composition

The study was conducted with 112 Uruguayan preschoolers using accelerometry to operationalize 24-h movement behaviour as a composition.

  • Sample consisted of 112 preschoolers with a mean age of 45.32 ± 6.40 months from Rivera, Uruguay
  • Movement behaviours were measured using ActiGraph wGT3X-BT accelerometers
  • Movement behaviour was operationalized as a 24-h composition using compositional data analysis (CoDA)
  • This represents a cross-sectional study design

Outdoor equipment availability was identified as a key factor in levelling the playing field for girls in moderate-to-vigorous physical activity.

  • The paper highlights outdoor equipment (availability, quantity, and accessibility for preschoolers) as a key factor in promoting movement behaviour
  • Outdoor equipment was described as specifically important for reducing sex-based disparities in MVPA
  • The finding is framed as relevant for promoting equity in physical activity among preschool-aged children

Evidence integrating 24-h movement behaviour in relation to the preschool environment is scarce, particularly in the Global South.

  • The authors note that the preschool environment is a critical determinant of children's movement behaviour
  • The study was situated in Rivera, Uruguay, representing an underrepresented Global South context
  • The integration of the full 24-h movement behaviour composition (rather than isolated behaviours) is identified as a gap in existing literature

What This Means

This research suggests that the physical equipment available outdoors at preschools plays an important role in how active young children are throughout their day. Researchers in Rivera, Uruguay, studied 112 children aged around 3–4 years old, measuring their movement over 24 hours using wrist-worn motion sensors. They also assessed the preschool environment across six areas, including what teachers do, school policies, and both indoor and outdoor spaces and equipment. Of all these factors, only outdoor equipment — its availability, quantity, and how easily children could access it — was meaningfully linked to children getting more moderate-to-vigorous physical activity (the kind that gets hearts beating faster). This research also suggests that having better outdoor equipment may help close the gap between boys and girls in terms of how much vigorous activity they get at preschool. Typically, boys tend to be more physically active than girls at this age, but access to outdoor equipment appeared to level that playing field. The study used a sophisticated statistical approach called compositional data analysis, which looks at how children's time is distributed across sleep, light activity, and more intense activity all together, rather than examining each behaviour in isolation. The findings are particularly meaningful because most research on preschool environments and physical activity comes from high-income countries, while this study was conducted in Uruguay, a South American country. This research suggests that investing in outdoor playground equipment at preschools — making it plentiful and accessible to all children — could be a practical, targetable way to help young children move more and reduce activity inequalities between boys and girls during these critical early years.

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Citation

Fernandez-Gimenez S, Martins C, Pintos-Toledo E, Souza-Marabotto F, Brazo-Sayavera J. (2026). Preschool Environment and 24-h Behaviour Movement in Uruguayan Early Childhood: A Compositional Data Analysis.. Child: care, health and development. https://doi.org/10.1111/cch.70341