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Table 3 Physical Activity Policies

From: Study protocol for a cluster randomized controlled trial to test “¡Míranos! Look at Us, We Are Healthy!” – an early childhood obesity prevention program

Policy Area: Active Play and Inactive Time
 Policy #1 Children will have at least of 90 min of structured and unstructured playtime each school day.
 Policy #2 Children will participate in outdoor active play two times or more each school day.
 Policy #3 Children will participate in morning outdoor play (structured activity 15 min and free play 15 min) each school day.
 Policy #4 Children will participate in active learning classroom activities during center time, transition, and breaks (30 min) each school day.
 Policy #5 Children will participate in afternoon outdoor play (structured activity 15 min and free play 15 min) each school day.
 Policy #6 Screen time for entertainment at the center will be limited to 30 min per week.
 Policy #7 Children’s sitting time will be < 15 min in any setting except nap and meal time.
Policy Area: Play Environment
 Policy #8 Each child will have a piece of play equipment during structured play.
 Policy #9 A variety of portable play equipment will be available for children to use at the same time during free play.
 Policy #10 Heat Start teachers and teaching aids will lead and participate in physical activity with children.
 Policy #11 Play area will be safe for children to play.
Policy Area: Supporting Physical Activity
 Policy #12 Head Start staff will encourage children to engage in active play without pressure.
 Policy #13 Head Start staff will not withhold playtime as punishment for children’s misbehaviors.
 Policy #14 All Head Start center staff will complete a mandatory, paid training on obesity prevention, physical activity and nutrition.