Reducing obesity in early childhood: results from Romp &amp; Chomp, an Australian community-wide intervention program

Silva‐Sanigorski, Andrea M. de; Bell, Andrew; Kremer, Peter; Nichols, Melanie; Crellin, Maree; Smith, Michael; Sharp, Sharon; Groot, Florentine de; Carpenter, Lauren; Boak, Rachel; Robertson, Narelle; Swinburn, Boyd

doi:10.3945/ajcn.2009.28826

Cited by 245 publications

(346 citation statements)

References 43 publications

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“…There is now some evidence (Sanigorski et al 2008b;de Silva-Sanigorski et al 2010b;Taylor et al 2008) in support of community-wide approaches in reducing the prevalence of childhood obesity, but it is not yet known whether the community development approach taken in South Australia, with resources shared across metropolitan and regional/rural sites operating in two different health services, was sufficient to embed sustainable changes within local systems (e.g. education, care).…”

Section: Sustainabilitymentioning

confidence: 99%

Improving weight status in childhood: results from the eat well be active community programs

Pettman

Magarey

Mastersson

et al. 2013

Int J Public Health

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Section: Sustainabilitymentioning

confidence: 99%

Improving weight status in childhood: results from the eat well be active community programs

Pettman

Magarey

Mastersson

et al. 2013

Int J Public Health

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“…The sixty-five-item questionnaire for the survey was adapted from the Director's Child Care Nutrition and Physical Activity Assessment Survey (16) and the Nutrition and Physical Activity Self-Assessment for Child Care tool (17) , both of which have been validated using direct observation, document review and structured interviews administered alongside the self-report questionnaire. Previous New Zealand surveys of child-care nutrition environments (12) were used to ensure appropriate response categories and the questionnaires from several other similar studies -one of which has been subsequently validated (18) -also informed item wording and response categories (19,20) . Representatives from the ECE and health promotion sectors, and several public health researchers including Māori and Pasifika cultural advisors were consulted during the development of the survey objectives, design and questionnaire.…”

Section: Methodsmentioning

confidence: 99%

Child-care nutrition environments: results from a survey of policy and practice in New Zealand early childhood education services

Gerritsen

Wall

Morton

2015

Public Health Nutr.

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Objective: To describe nutrition environments in formal child care for 3-and 4-year-olds. Design: Cross-sectional online survey of nutrition-related child-care policy and practice. Written nutrition policies were analysed using the Wellness Child Care Assessment Tool. Setting: Licensed child-care services in the Auckland, Counties Manukau and Waikato regions of New Zealand. Subjects: Eight hundred and forty-seven services (private and community day care, kindergartens and playcentres). Results: Managers/head teachers of 257 child-care services completed the survey. Of services, 82·4 % had a written food, nutrition or wellness policy. Most policies did not refer to the national Food and Nutrition Guidelines and lacked directives for staff regarding recommended behaviours to promote healthy eating. Food was provided daily to children in 56·4 % of child-care services, including 33·5 % that provided lunch and at least two other meals/snacks every day. Teachers talked to children about food, and cooked with children, at least weekly in 60 % of childcare services. Nearly all services had an edible garden (89·5 %). Foods/beverages were sold for fundraising in the past 12 months by 37·2 % of services. The most commonly reported barrier to promoting nutrition was a lack of support from families (20·6 %). Conclusions: Although the majority of child-care services had a written nutrition policy, these were not comprehensive and contained weak statements that could be difficult to action. Foods served at celebrations and for fundraising were largely high in sugar, salt and/or saturated fat. Most services promoted some healthy eating behaviours but other widespread practices encouraged children to overeat or form unhealthy food preferences. KeywordsChild care Pre-school Kindergarten Day care Nutrition environment Nutrition behaviours Obesity preventionAs in many developed countries in the world, New Zealand has experienced a rapid rise in the prevalence of children who are overweight or obese (1) and now has one of the highest childhood obesity rates in the world (2) . Even pre-schoolers are affected by this public health crisis; weight and height measurements taken from 4-year-olds every year from 2009 to 2012 have revealed that one in three are overweight or obese, with no improvements seen over time. Māori and Pasifika children and those living in deprived neighbourhoods had an even greater prevalence of excess weight (3) . A recent Lancet series on obesity emphasised that there is a 'reciprocal … interaction between the environment and the individual' whereby 'environmental factors affect personal preferences and demands for unhealthy foods, which, as part of a vicious cycle, encourage environments to continue promoting unhealthy foods' (4) . This elucidates the importance of creating healthy environments for young children who are still forming food preferences, eating behaviours and physical activity patterns, in order to break the 'vicious cycle' of demand for nutrient-poor and energy-dense foods and a sedentar...

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“…Some questions, for example those on food choice, were modified from other relevant validated questionnaires (10,20,21) . The draft questionnaire was piloted with parents (n 14) to ensure that it was clear, unambiguous and could be completed within 15 min.…”

Section: Questionnairesmentioning

confidence: 99%

“…One major national intervention is Mini-MEND, a healthy lifestyle programme for families with overweight children aged 2-4 years (8) , but early evaluations did not include dietary assessments (9) . In the USA and Australia, recent pre-school nutrition interventions have been more rigorously designed and evaluated, showing significant dietary improvements (10)(11)(12) . These complex interventions involved parent education programmes and community capacity building and were developed through consultation with stakeholders including parents.…”

mentioning

confidence: 99%

Developing a nutrition intervention in children's centres: exploring views of parents in rural/urban settings in the UK

Ohly

Hayter

Pettinger

et al. 2012

Public Health Nutr.

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Objective: The present study explored parents' requirements for healthy eating support prior to the development of a tailored intervention. Design: A cross-sectional study of parents attending children's centres. Setting: Children's centres in Cornwall (rural south-west England) and Islington (urban London borough). Subjects: A total of 261 parents (94?2 % female) of pre-school children (aged 2-5 years) completed a questionnaire on factors influencing food choice, and preferences for and views on healthy eating support. Results: Parents reported that health, taste, freshness and quality were the most important factors influencing their food choices for their pre-school children. The importance of individual factors varied according to level of educational attainment. Over a third (38 %) of parents said they wanted more advice on healthy eating for children. Less educated parents showed the greatest interest in learning more about several aspects: what a 'healthy diet' means, how to prepare and cook healthy food, how to understand food labels, budgeting for food, examples of healthy food and snacks for children, appropriate portion sizes for children and ways to encourage children to eat well. Conclusions: There was demand for healthy eating support among parents of pre-school children, especially those who are less educated, in one rural and one urban area of England.

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Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program

Abstract: A community-wide multisetting, multistrategy intervention in early-childhood settings can reduce childhood obesity and improve young children's diets. This trial was registered with the Australian Clinical Trials Registry at anzctr.org.au as ACTRN12607000374460.

Cited by 245 publications

References 43 publications

Improving weight status in childhood: results from the eat well be active community programs

Improving weight status in childhood: results from the eat well be active community programs

Child-care nutrition environments: results from a survey of policy and practice in New Zealand early childhood education services

Developing a nutrition intervention in children's centres: exploring views of parents in rural/urban settings in the UK

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