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Adverse effects and costs were assessed. Finch et al's 2014 systematic review was updated. Electronic databases were searched 10 September 2014 to 27 October 2022. Included studies were randomized controlled trials of ECEC interventions targeting physical activity among children aged 0\u20136\u00a0years. The methodological quality of studies was assessed using Cochrane's Risk of Bias tool v2. Standardized mean differences (SMD) were calculated for each outcome with meta\u2010analysis undertaken; otherwise, findings were described narratively. Fifty\u2010three studies were included. ECEC\u2010based interventions were found to significantly improve child physical activity (SMD 0.193, 95% confidence interval [CI] 0.09 to 0.3; p\u2009&lt;\u20090.001) and FMS (SMD 0.544, 95% CI 0.1 to 0.98; p\u2009=\u20090.015), compared to control. Small positive, but non\u2010significant, effects were found for weight\u2010based anthropometrics, cognitive functioning, and social\u2013emotional wellbeing. Few studies reported adverse effects (n\u2009=\u200910), and no studies reported formal economic analyses. While ECEC\u2010based interventions can significantly improve child physical activity and FMS, further evidence of their impact on cognitive functioning, social\u2013emotional wellbeing, and the cost\u2010effectiveness of such interventions is required to inform policy and practice.<\/jats:p>","DOI":"10.1111\/obr.13852","type":"journal-article","created":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T00:55:31Z","timestamp":1731027331000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["The impact of early childhood education and care\u2010based interventions on child physical activity, anthropometrics, fundamental movement skills, cognitive functioning, and social\u2013emotional wellbeing: A systematic review and 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