• Andrew J Woods, Jennifer Norman, Sarah T Ryan, Karen Wardle, Yasmine C Probst, Ruth K Crowe, Linda Patel, Megan L Hammersley, Susan Furber, Rebecca M Stanley, Lauren Taylor, and Anthony D Okely.
• School of Health and Society, Faculty of the Arts Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia; Early Start, Faculty of the Arts Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia. Electronic address: ajw989@uowmail.edu.au.
• Prev Med. 2024 Jan 1; 178: 107810107810.

ObjectiveIn Australia, less than one quarter of children aged 5-12 years meet national physical activity (PA) guidelines. Before school care operates as part of Out of School Hours Care (OSHC) services and provide opportunities for children to meet their daily PA recommendations. The aim of this study was to explore factors associated with children meeting 15 min of moderate-to-vigorous-intensity physical activity (MVPA) while attending before school care.MethodsA cross-sectional study was conducted in 25 services in New South Wales, Australia. Each service was visited twice between March and June 2021. Staff behaviours and PA type and context were captured using staff interviews and the validated System for Observing Staff Promotion of Physical Activity and Nutrition (SOSPAN) time sampling tool. Child PA data were collected using Actigraph accelerometers and associations between program practices and child MVPA analysed.ResultsPA data were analysed for 654 children who spent an average of 39.2% (±17.6) of their time sedentary; 45.4% (±11.4) in light PA; and 14.9% (±11.7) in MVPA. Only 17% of children (n = 112) reached ≥15 min MVPA, with boys more likely to achieve this. Children were more likely to meet this recommendation in services where staff promoted and engaged in PA; PA equipment was available; children were observed in child-led free play; and a written PA policy existed.ConclusionsBefore school care should be supported to improve physical activity promotion practices by offering staff professional development and guidance on PA policy development and implementation practices.Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.

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