Association between childcare educators’ practices and preschoolers’ physical activity and dietary intake: a cross-sectional analysis

Ward, Stéphanie; Blanger, Mathieu; Donovan, Denise; Vatanparast, Hassan; Muhajarine, Nazeem; Engler‐Stringer, Rachel; Leis, Anne; Humbert, M. Louise; Carrier, Natalie

doi:10.1136/bmjopen-2016-013657

Cited by 33 publications

(44 citation statements)

References 54 publications

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“…Reported changes were usually simple to implement, low cost and at the centre level. Educators' modelling behaviours, skill development and increased self-efficacy are recognized in the literature as key strategies to effect change [49,50] and our previously reported findings certainly concur with these. While implementation fidelity of the intervention was high, process evaluation results also showed that more ECC used the physical activity resource than the healthy eating resource.…”

Section: Discussionsupporting

confidence: 87%

Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial

et al. 2020

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Background: Since young children spend approximately 30 h per week in early childcare centres (ECC), this setting is ideal to foster healthy behaviours. This study aimed to assess the effectiveness of the Healthy Start-Départ Santé (HSDS) randomized controlled trial in increasing physical activity (PA) levels and improving healthy eating and fundamental movement skills in preschoolers attending ECC. Methods: Sixty-one ECC were randomly selected and allocated to either the usual practice (n = 30; n = 433 children) or intervention group (n = 31; n = 464 children). The HSDS intervention group was provided a 3-h on-site training for childcare educators which aimed to increase their knowledge and self-efficacy in promoting healthy eating, PA and development of fundamental movement skills in preschoolers. PA was measured during childcare hours for five consecutive days using the Actical accelerometer. Preschoolers' fundamental movement skills were assessed using the standard TGMD-II protocol and POMP scores. Food intake was evaluated using digital photography-assisted weighted plate waste at lunch, over two consecutive days. All data were collected prior to the HSDS intervention and again 9 months later. Mixed-effect models were used to analyse the effectiveness of the HSDS intervention on all outcome measures. Results: Total number of children who provided valid data at baseline and endpoint for PA, food intake and fundamental movement skills were 259, 670 and 492, respectively. Children in the HSDS intervention group had, on average, a 3.33 greater point increase in their locomotor motor skills scores than children in the control group (β = 3.33, p = 0.009). No significant differences in effects were observed for object control, PA and food intake. However, results demonstrated a marginal increase in portions of fruits and vegetables served in the intervention group compared to control group (β = 0.06, p = 0.05).

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Section: Discussionsupporting

confidence: 87%

Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial

et al. 2020

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“…Reported changes were usually simple to implement, low cost and at the centre level. Educators' modelling behaviours, skill development and increased self-efficacy are recognized in the literature as key strategies to effect change (46,47) and our previously reported findings certainly concur with these. While implementation fidelity of the intervention was high, process evaluation results also showed that more ECC used the physical activity resource than the healthy eating resource.…”

Section: Discussionsupporting

confidence: 87%

Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: A randomized controlled trial

Leis

Ward

Vatanparast

et al. 2019

Preprint

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Background Since young children spend approximately 30 hours per week in early childcare centres (ECC), this setting is ideal to foster healthy behaviors. This study aimed to assess the effectiveness of the Healthy Start-Départ Santé (HSDS) randomized controlled trial in increasing physical activity (PA) levels and improving healthy eating and fundamental movement skills in preschoolers attending ECC. Methods Sixty-one ECC were randomly selected and allocated to either the usual practice (n=30; n=433 children) or intervention group (n=31; n=464 children). The HSDS intervention group was provided a 3-hour on-site training for childcare educators which aimed to increase their knowledge and self-efficacy in promoting healthy eating, PA and development of fundamental movement skills in preschoolers. PA was measured during childcare hours for five consecutive days using the Actical accelerometer. Preschoolers’ fundamental movement skills were assessed using the standard TGMD-II protocol and POMP scores. Food intake was evaluated using digital photography-assisted weighted plate waste at lunch, over two consecutive days. All data were collected prior to the HSDS intervention and again 9 months later. Mixed-effect models were used to analyse the effectiveness of the HSDS intervention on all outcome measures. Results Total number of children who provided valid data at baseline and endpoint for PA, food intake and fundamental movement skills were 259, 670 and 492, respectively. Children in the HSDS intervention group had, on average, a 3.33 greater point increase in their locomotor motor skills scores than children in the control group (β=3.33, p=0.009). No significant differences in effects were observed for object control, PA and food intake. However, results demonstrated a marginal increase in portions of fruits and vegetables served in the intervention group compared to control group (β=0.06, p=0.05). Conclusion Locomotor skills showed a significant improvement in the intervention group compared to the control one. Although modest beneficial effects of HSDS were found, most outcome indicators progressed in a direction favouring the HSDS intervention compared to the usual practice group.

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“…There is a need for further research and to monitor children's nutritional behaviour, promoting the nutritional education of children and their parents as well as the preschool staff, assuming that eating habits are shaped from the earliest possible age, bearing in mind that a varied and balanced diet is an important element in raising health potential and prevention of chronic diseases [19,26,27,28,29,31,43,47].…”

Section: 7% Energy)mentioning

confidence: 99%

Selected determinants of eating behaviours among preschool children from the Kraków environment

Gacek

2019

Rocz Panstw Zakl Hig

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Background. One of the factors determining the nutritional behaviour of children and adolescents is family socio-economic status. Objective. The aim of the study was to assess the nutritional behaviour of preschool children from the Kraków environment depending on the sex of the child and the mother’s level of education. Material and methods. The study was carried out among a group of mothers of 480 (240 girls and 240 boys) 4-6-yearolds, using the author’s questionnaire on dietary behaviours. Children of mothers with higher education accounted for 63.5%, and those with primary, vocational and secondary education constituted 36.5% of the group. Statistical analysis was carried out using the PQStat package 1.6.6.246 version, applying Pearson’s Chi-squared test (p<0.05). Results. The girls consumed a significantly greater amount of: vegetables (p<0.01), fruit (p<0.05), wholemeal bread (p<0.001) as well as milk and dairy products (p<0.001), and boys: meat and cold-cuts from poultry (p<0.001) and sweets (p<0.05). Children of mothers with higher education more frequently consumed: vegetables (p<0.001), fruit (p<0.001), wholemeal bread (p<0.001), fish (p<0.01) and eggs (p=0.01), and children of mothers with secondary and vocational education: milk and dairy products (p<0.05), meat and cold-cuts from poultry (p<0.001) and sweets (p=0.001), salted snacks (p<0.001) and sweetened fizzy beverages (p<0.05). Conclusions. Diversity in some dietary choices of preschool children from the Kraków environment has been demonstrated, depending on the sex of children and the mother’s level of education. Furthermore, it is indicated that girls and the children of mother’s with higher education are characterised by a more favourable diet.

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Association between childcare educators’ practices and preschoolers’ physical activity and dietary intake: a cross-sectional analysis

Cited by 33 publications

References 54 publications

Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial

Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial

Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: A randomized controlled trial

Selected determinants of eating behaviours among preschool children from the Kraków environment

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