Summertime Play – Staying Safe and Cool | Health Trend in Early Childhood – June 2025

Trend

  • Young children are spending less time outdoors exploring the natural world and engaging in active play.

Explanation

Educators, health and mental health professionals, and other child advocates agree that this trend has significant adverse effects on young children’s health and development.

Here are several reasons why young children are not experiencing enough outdoor play*

  • Increased use of TV, computer games, DVDs, smartphones & tablets with digital media
  • Adult fears about crime and safety
  • Child care arrangements with limited free time
  • More time spent indoors in structured activities
  • Loss of natural habitats

*Clements, “Status of Outdoor Play,” 68; Hastie and Howard, “Prescription for Healthy Kids”; Thigpen, “Outdoor Play: Combating Sedentary Lifestyles,” 19–20.

Impact

Our children are missing out on all the wonderful benefits of outdoor play.  There is strong evidence that going outdoors improves children’s health and well-being in specific ways, such as:

  • Children are more likely to engage in the kinds of vigorous, physical play that strengthens their hearts, lungs, and muscles because they tend to play harder and for longer periods outside.1
  • Spending time outdoors strengthens young children’s immune systems. They experience fewer illness-related absences from childcare when given daily opportunities to play outside.2
  • Spending time outdoors positively affects young children’s sleeping patterns. Natural sunlight helps regulate and balance sleep–wake cycles.3
  • Children who are diagnosed with attention-deficit/hyperactive disorder (ADHD) and who play regularly in outdoor environments with lots of green (e.g., open, grassy fields; trees) have milder ADHD symptoms than those who play indoors or in prefabricated environments such as playgrounds with stationary equipment.4
  • Time spent outdoors provides children with protection against life stressors and helps them develop a general sense of peace and well-being.5

1Thigpen, “Outdoor Play: Combating Sedentary Lifestyles,” 19.

2Sennerstam, “Absence Due to Illness,” 88.

3Dewar, “Newborn Sleep Patters: A Survival Guide for the Science-Minded Parent”

4University of Illinois at Urbana–Champaign, “‘Green time’ Linked to Milder Symptoms.”

5White, “Young Children’s Relationship with Nature.”

Action

Stay Safe and Cool During Outdoor Play:

Integrating more outdoor play time during our summertime routines requires planning ahead for the heat.  Temperatures are rising, but heat-induced illness is preventable. Using cooling strategies and shade elements will protect both children and adults while outdoors.   

Particularly, children need even more protection from heat, because:

  • Children do not adapt to extremes of temperature as effectively as adults during heat stress.
  • Children produce more metabolic heat for their body weight than adults when walking or running.
  • Children have a lower sweating capacity and cannot dissipate body heat by evaporation as effectively as adults. (See CFOC reference)

Environmental conditions and surroundings, such as paved concrete or asphalt play surfaces, can be 50–90°F hotter than shaded surfaces during a sunny day. Adapting outdoor play areas to create more green spaces, such as adding trees, gardens, grassy areas and shade elements, can reduce hot temperatures to keep everyone safe.  (May 2025, Better Kid Care): Keeping Your Cool: Heat Awareness and Solutions — News — Better Kid Care)

Safe cooling strategies to counteract heat stress include but are not limited to:

Credible Resources

References

Clements, Rhonda. “An Investigation of the Status of Outdoor Play.” Contemporary Issues in Early Childhood 5, No. 1 (2004): 68–80.

Dewar, Gwen. “Newborn Sleep Patterns: A Survival Guide for the Science-Minded Parent.” Parenting Science (2008–2017).

Albert Einstein College of Medicine. “Millions of U.S. Children Low in Vitamin D.” Einstein (Aug. 3, 2009).

Ginsburg, Kenneth. “No Child Left Inside: Reconnecting Kids with the Outdoors.” Testimony of Kenneth Ginsburg, MD, MS Ed, FAAP, on behalf of The American Academy of Pediatrics to the Natural Resources Subcommittee on National Parks, Forests and Public Lands and Subcommittee on Fisheries, Wildlife and Oceans, May 24, 2006.

Hastie, Kyla; Shani Howard. “A Prescription for Healthy Kids: Nature & Play.” AthensParent.com (March/April 2007).

Keeler, Rusty. Natural Playscapes: Creating Outdoor Play Environments for the Soul. Redmond, WA: Exchange Press, 2008.

Louv, Richard. Excerpt from Last Child in the Woods: Introduction. Chapel Hill, NC: Algonquin, 2008.

Sennerstam, Roland B. “Absence Due to Illness Among Toddlers in Day-Care Centres in Relation to Child Group Structure.” Public Health 111, No. 2 (2007): 85–88.

Thigpen, Betsy. “Outdoor Play: Combating Sedentary Lifestyles.” Zero to Three 28, No. 1 (2007): 19–23.

University of Illinois at Urbana-Champaign. “For Kids with ADHD, Regular Green Time Is Linked to Milder Symptoms.” ScienceDaily (Sept. 15, 2011).

White, Randy. “Young Childrens Relationship with Nature: Its Importance to Children’s Development & the Earth’s Future.” White Hutchinson Leisure & Learning Group, 2004.

Health Trends in Early Childhood

Summertime Play - Staying Safe and Cool | June 2025

About Child Trends in Early Childhood

Welcome to Health Trends in Early Childhood, the monthly release from The Pennsylvania Key, focused on trending health issues related to children birth to age five and their families and caregivers.

Each month, find information about a recent health trend, learn why it is important, discover the impact it has on children, their families and caregivers, and the community, as well as actions we all can take to ensure the health and well-being of children in our communities. Also, find reliable resources to learn more about the issue.

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Disclaimer: This is the most updated information at release time. The information in Health Trends is not a Pennsylvania regulatory requirement for early childhood providers. Pennsylvania early childhood providers with regulatory requirements should contact their Cert rep or the Bureau of Certification.