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Playground Design and Physical Activity

Published:December 14, 2022DOI:https://doi.org/10.1016/j.amepre.2022.10.012

      Introduction

      This study compares traditional post-and-platform playgrounds with innovatively designed playgrounds to assess the degree to which design influences use and physical activity. Innovative playgrounds are defined as having (1) a variety of surface types; (2) naturalized and planted areas designed for play; (3) open-ended structures that do not dictate play sequences; (4) loose, movable equipment; and (5) not comprised solely of traditional post-and-platform structures. This study also examines how neighborhood contextual factors contribute to playground use and physical activity.

      Methods

      The authors selected 30 traditional and 30 innovative playgrounds in 10 U.S. cities and used the System for Observing Play and Recreation in Communities to document the number and characteristics of users during 19 hourly observations over 1 week at each playground in the summer of 2021. Data were analyzed to identify the factors associated with the number of users and the amount of moderate-to-vigorous physical activity within each playground.

      Results

      Innovative playgrounds attracted 2.5 times more users and generated almost 3 times as much moderate-to-vigorous physical activity. After controlling for playground size, population density, neighborhood poverty, and destination location, innovative playgrounds still attracted 43% more visitors than traditional playgrounds. Whereas playgrounds in high-poverty neighborhoods saw less overall use, innovatively designed playgrounds mitigated the difference by 60% compared with traditional playgrounds.

      Conclusions

      Playground characteristics that attract more users and are associated with more moderate-to-vigorous physical activity, such as design, size, and the number of unique features, should be integrated into future playground designs and renovations, with innovative designs prioritized for low-income neighborhoods.
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      References

        • Cohen DA
        • Han B
        • Williamson S
        • et al.
        Playground features and physical activity in U.S. neighborhood parks.
        Prev Med. 2020; 131105945https://doi.org/10.1016/j.ypmed.2019.105945
        • Colabianchi N
        • Kinsella AE
        • Coulton CJ
        • Moore SM.
        Utilization and physical activity levels at renovated and unrenovated school playgrounds.
        Prev Med. 2009; 48: 140-143https://doi.org/10.1016/j.ypmed.2008.11.005
        • Talarowski M
        • Cohen DA
        • Williamson S
        • Han B.
        Innovative playgrounds: use, physical activity, and implications for health.
        Public Health. 2019; 174: 102-109https://doi.org/10.1016/j.puhe.2019.06.002
        • Escalante Y
        • García-Hermoso A
        • Backx K
        • Saavedra JM.
        Playground designs to increase physical activity levels during school recess: a systematic review.
        Health Educ Behav. 2014; 41: 138-144https://doi.org/10.1177/1090198113490725
        • Ridgers ND
        • Stratton G
        • Fairclough SJ
        • Twisk JW.
        Long-term effects of a playground markings and physical structures on children's recess physical activity levels.
        Prev Med. 2007; 44: 393-397https://doi.org/10.1016/j.ypmed.2007.01.009
        • Broekhuizen K
        • Scholten AM
        • de Vries SI.
        The value of (pre)school playgrounds for children's physical activity level: a systematic review.
        Int J Behav Nutr Phys Act. 2014; 11: 59https://doi.org/10.1186/1479-5868-11-59
        • Friel CP
        • Duran AT
        • Shechter A
        • Diaz KM
        U.S. children meeting physical activity, screen time, and sleep guidelines.
        Am J Prev Med. 2020; 59: 513-521https://doi.org/10.1016/j.amepre.2020.05.007
        • Lee IM
        • Shiroma EJ
        • Lobelo F
        • et al.
        Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy.
        Lancet. 2012; 380: 219-229https://doi.org/10.1016/S0140-6736(12)61031-9
        • Sallis R
        • Young DR
        • Tartof SY
        • et al.
        Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients.
        Br J Sports Med. 2021; 55: 1099-1105https://doi.org/10.1136/bjsports-2021-104080
        • McCarthy SM
        • Hughey SM
        • Kaczynski AT.
        Examining sociodemographic differences in playground availability and quality and associations with childhood obesity.
        Child Obes. 2017; 13: 324-331https://doi.org/10.1089/chi.2016.0239
        • Vaughan KB
        • Kaczynski AT
        • Wilhelm Stanis SA
        • Besenyi GM
        • Bergstrom R
        • Heinrich KM
        Exploring the distribution of park availability, features, and quality across Kansas City, Missouri by income and race/ethnicity: an environmental justice investigation.
        Ann Behav Med. 2013; 45: S28-S38https://doi.org/10.1007/s12160-012-9425-y
        • Smith M
        • Hosking J
        • Woodward A
        • et al.
        Systematic literature review of built environment effects on physical activity and active transport - an update and new findings on health equity.
        Int J Behav Nutr Phys Act. 2017; 14: 158https://doi.org/10.1186/s12966-017-0613-9
        • Bruton CM
        • Floyd MF.
        Disparities in built and natural features of urban parks: comparisons by neighborhood level race/ethnicity and income.
        J Urban Health. 2014; 91: 894-907https://doi.org/10.1007/s11524-014-9893-4
        • Aquillano S
        • Hawkins A.
        Design & Play: Imagination Needs Places to Thrive.
        Design Museum Foundation, Boston, MA2017
        • McKenzie TL
        • Cohen DA
        • Sehgal A
        • Williamson S
        • Golinelli D.
        System for Observing Play and Recreation in Communities (SOPARC): reliability and feasibility measures.
        J Phys Act Health. 2006; 3: S208-S222https://doi.org/10.1123/jpah.3.s1.s208
        • Arroyo-Johnson C
        • Woodward K
        • Milam L
        • et al.
        Still separate, still unequal: social determinants of playground safety and proximity disparities in St. Louis.
        J Urban Health. 2016; 93: 627-638https://doi.org/10.1007/s11524-016-0063-8
        • Floyd MF
        • Spengler JO
        • Maddock JE
        • Gobster PH
        • Suau LJ.
        Park-based physical activity in diverse communities of two U.S. cities. An observational study.
        Am J Prev Med. 2008; 34: 299-305https://doi.org/10.1016/j.amepre.2008.01.009
        • Cohen DA
        • Han B
        • Nagel CJ
        • et al.
        The First National study of neighborhood parks: implications for physical activity.
        Am J Prev Med. 2016; 51: 419-426https://doi.org/10.1016/j.amepre.2016.03.021
      1. Data tools. United States Census Bureau. https://www.census.gov/data.html. Updated November 16, 2022. Accessed December 5, 2022.

        • Bocarro JN
        • Floyd M
        • Moore R
        • et al.
        Adaptation of the System for Observing Physical Activity and Recreation in Communities (SOPARC) to assess age groupings of children.
        J Phys Act Health. 2009; 6: 699-707https://doi.org/10.1123/jpah.6.6.699
        • Evenson KR
        • Jones SA
        • Holliday KM
        • Cohen DA
        • McKenzie TL.
        Park characteristics, use, and physical activity: a review of studies using SOPARC (System for Observing Play and Recreation in Communities).
        Prev Med. 2016; 86: 153-166https://doi.org/10.1016/j.ypmed.2016.02.029
        • Cohen DA
        • Han B
        • Isacoff J
        • et al.
        Impact of park renovations on park use and park-based physical activity.
        J Phys Act Health. 2015; 12: 289-295https://doi.org/10.1123/jpah.2013-0165
        • Cohen DA
        • Marsh T
        • Williamson S
        • et al.
        The potential for pocket parks to increase physical activity.
        Am J Health Promot. 2014; 28 (suppl): S19-S26https://doi.org/10.4278/ajhp.130430-QUAN-213
        • Han B
        • Cohen D
        • McKenzie TL.
        Quantifying the contribution of neighborhood parks to physical activity.
        Prev Med. 2013; 57: 483-487https://doi.org/10.1016/j.ypmed.2013.06.021
        • Han B
        • Cohen DA
        • Derose KP
        • Li J
        • Williamson S.
        Violent crime and park use in low-income urban neighborhoods.
        Am J Prev Med. 2018; 54: 352-358https://doi.org/10.1016/j.amepre.2017.10.025
        • Han B
        • Cohen DA
        • Derose KP
        • Marsh T
        • Williamson S
        • Raaen L.
        How much neighborhood parks contribute to local residents’ physical activity in the City of Los Angeles: a meta-analysis.
        Prev Med. 2014; 69: S106-S110https://doi.org/10.1016/j.ypmed.2014.08.033
        • Kaczynski AT
        • Potwarka LR
        • Saelens BE.
        Association of park size, distance, and features with physical activity in neighborhood parks.
        Am J Public Health. 2008; 98: 1451-1456https://doi.org/10.2105/AJPH.2007.129064
        • Ewing-Nelson C.
        All of the jobs lost in December were women's jobs.
        National Women Law Center, Washington, DC2021 (Published JanuaryAccessed August 8, 2022)
      2. Fry R. Some gender disparities widened in the U.S. workforce during the pandemic. Pew Research Center. January 14, 2022.https://www.pewresearch.org/fact-tank/2022/01/14/some-gender-disparities-widened-in-the-u-s-workforce-during-the-pandemic/. Accessed August 8, 2022.