An educational intervention to promote healthy lifestyles in preschool children: a cluster-RCT

Iaia, Maurizio; Pasini, Marco; Burnazzi, A; Vitali, Patrizia; Allara, Elias; Farneti, Massimo

doi:10.1038/ijo.2016.239

Cited by 26 publications

(44 citation statements)

References 24 publications

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“…Eighteen studies were randomized controlled trials (RCTs) , four were quasi‐experimental studies and five were single‐group pre‐post studies (Table ). Twelve studies were conducted in the USA , 11 in Europe and 4 in Australia . Studies were conducted in the following primary settings: 11 in healthcare (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…Studies were conducted in the following primary settings: 11 in healthcare (e.g. primary care, dentist and community health centre) , 4 in preschool/daycare , 3 at home , 3 in community/recreation centres and 6 in other settings (e.g. research centres and web‐based/online) .…”

Section: Resultsmentioning

confidence: 99%

“…research centres and web‐based/online) . Five of these studies were also implemented in a secondary setting .…”

Section: Resultsmentioning

confidence: 99%

“…Eighteen studies implemented SSB reduction strategies that only targeted parents , two studies only targeted children , and seven studies targeted both children and parents . The majority of studies ( n = 16) aimed to reduce SSB consumption among toddlers and preschool‐aged children (aged 2–5 years) , while seven studies included only infants (aged 0–2 years) , and four studies included a combination of both age groups . Eleven studies specifically targeted children in low‐income families , four studies focused on racial/ethnic minorities (Hispanic and/or non‐Hispanic black) and four studies targeted participants in Special Supplemental Nutrition Assistance Program for Women, Infants and Children (WIC) .…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of strategies to reduce sugar‐sweetened beverage consumption among 0‐year to 5‐year olds

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…research centres and web‐based/online) . Five of these studies were also implemented in a secondary setting .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review of strategies to reduce sugar‐sweetened beverage consumption among 0‐year to 5‐year olds

et al. 2018

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“…Interventions in childcare settings have demonstrated a positive impact on nutrition [1] and weight status [2,3,4,5]. They might also be expected to have beneficial effects for dental caries because sugar intake is a shared risk factor [6,7,8], and reducing added sugar intake is a common message in such interventions.…”

Section: Introductionmentioning

confidence: 99%

Under 5 Energize: Tracking Progress of a Preschool Nutrition and Physical Activity Programme with Regional Measures of Body Size and Dental Health at Age of Four Years

et al. 2017

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To reduce weight gain and encourage healthy eating including reduced sugar intake, Under 5 Energize (U5E) was introduced to 121 early-childhood-centres in the Waikato region of New Zealand in July 2013. Using anonymized data collected from January 2013 to September 2016 through free physical assessments of all 4-year-olds provided by the NZ Ministry of Health, the prevalence of obesity and dental decay children measured in the Waikato region was examined. Data were divided into four periods representing pre-implementation and 3 years of gradual implementation. Obesity was defined according to International Obesity Task Force criteria. Of 18,774 Waikato children included in the analysis, 32% were indigenous Māori, and 32% attended an U5E centre. Pre-implementation prevalences of obesity (4%) and visible dental decay (11%) of children attending and not-attending U5E centres were not different. While obesity prevalence did not change significantly over time, prevalence of dental decay decreased among children at U5E (trend p = 0.003) but not non-U5E (trend p = 0.14) centres, such that prevalences were significantly different between children at U5E vs. non-U5E centres at Year 3 (p = 0.02). The U5E intervention is a small but arguably effective part of the wider system approach that is required to improve children’s future health.

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Interventions for preventing obesity in children

Brown

Moore

Hooper

et al. 2019

Cochrane Database of Systematic Reviews

1,186

659

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Background Obesity prevention is an international public health priority. The prevalence of obesity and overweight is increasing in child populations throughout the world, impacting on short and long-term health. Obesity prevention strategies for children can change behaviour but efficacy in terms of preventing obesity remains poorly understood. Objectives To assess the effectiveness of interventions designed to prevent obesity in childhood through diet, physical activity and/or lifestyle and social support. Search strategy MEDLINE, PsycINFO, EMBASE, CINAHL and CENTRAL were searched from 1990 to February 2005. Non-English language papers were included and experts contacted. Selection criteria Randomised controlled trials and controlled clinical trials with minimum duration twelve weeks. Data collection and analysis Two reviewers independently extracted data and assessed study quality. Main results Twenty-two studies were included; ten long-term (at least 12 months) and twelve short-term (12 weeks to 12 months). Nineteen were school/preschool-based interventions, one was a community-based intervention targeting low-income families, and two were familybased interventions targeting non-obese children of obese or overweight parents. Six of the ten long-term studies combined dietary education and physical activity interventions; five resulted in no difference in overweight status between groups and one resulted in improvements for girls receiving the intervention, but not boys. Two studies Interventions for preventing obesity in children (Review)

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An educational intervention to promote healthy lifestyles in preschool children: a cluster-RCT

Abstract: A multidimensional educational intervention, which consists of motivational interviews with parents and teacher-led learning experiences for children, improved preschool children's CHBS in the long term without influencing the outcomes of BMI z-score and BMI increase.

Cited by 26 publications

References 24 publications

A systematic review of strategies to reduce sugar‐sweetened beverage consumption among 0‐year to 5‐year olds

A systematic review of strategies to reduce sugar‐sweetened beverage consumption among 0‐year to 5‐year olds

Under 5 Energize: Tracking Progress of a Preschool Nutrition and Physical Activity Programme with Regional Measures of Body Size and Dental Health at Age of Four Years

Interventions for preventing obesity in children

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