5. Conclusions
This RCT examining childcare center gardening in an under-resourced area of North Carolina suggests that gardening early in life may be one strategy to bolster PA and reduce sedentary time among young children. By placing greater emphasis on gardening-based education as a childcare best practice, state-level requirements and quality standards could bolster children’s health and wellness across a range of domains (e.g., activity, nutrition, science learning, social interaction) with the incorporation of just one activity.