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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.