Existing policies, regulation, legislation and ongoing health promotion activities related to physical activity and nutrition in pre‐primary education settings: an overview

Nethe, A.; Dorgelo, Annemiek; Kugelberg, Susanna; Assche, Joke Van; Buijs, G.J.; Yngve, Agneta; Henauw, Stefaan De; Boskou, George; Μanios, Yannis

doi:10.1111/j.1467-789x.2011.00963.x

Cited by 14 publications

(12 citation statements)

References 11 publications

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“…The IDEFICS intervention attempted to implement a standardized theory-based and evidence-based programme in eight European countries focusing on six key messages at the community, school, family and child levels. The external validity of the IDEFICS intervention was an important issue throughout the developmental process, acknowledging the importance of local and cultural adaptations to match the programme with national and local policies and cultural perspectives (3,19,26). Country differences were detected in the present results.…”

Section: Discussionmentioning

confidence: 59%

Implementation of the IDEFICS intervention across European countries: perceptions of parents and relationship with BMI

et al. 2015

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SummaryObjectives: The primary aim of the present study was to obtain insight into parents' perception of the IDEFICS intervention at the school or preschool/kindergarten and community levels and whether they received specific materials related to the intervention. The secondary aim was to analyse whether parents who reported higher levels of exposure to the IDEFICS intervention had children with more favourable changes in body mass index (BMI) z-scores between baseline and after 2 years of intervention.Methods: Process evaluation of the IDEFICS intervention investigated the implementation of the 2-year intervention in the intervention communities. Intervention group parents (n = 4,180) in seven countries (Belgium, Cyprus, Estonia, Germany, Italy, Spain and Sweden) answered questions about their exposure to the IDEFICS study. To analyse the relationship between exposure and BMI z-score, a composite score was calculated for exposure at the setting and at the community levels.Results: The frequency of parental exposure to the IDEFICS messages not only through the community but also through the (pre)school/kindergarten was lower than what was intended and planned. The dose received by the parents was considerably higher through the (pre)school/kindergarten settings than that through the community in all countries. Efforts by the settings or communities related to fruit and vegetable consumption (range 69% to 97%), physical activity promotion (range 67% to 91%) and drinking water (range 49% to 93%) were more visible and also realized more parental involvement than those related to TV viewing, sleep duration and spending time with the family (below 50%). Results showed no relation of parental exposure at the setting or the community level on more favourable changes in children's BMI z-scores for the total sample. Countryspecific analyses for parental exposure at the setting level showed an expected positive effect in German girls and an unexpected negative effect in Italian boys. Conclusion:Parental exposure and involvement in the IDEFICS intervention in all countries was much less than aimed for, which might be due to the diverse focus (six key messages) and high intensity and duration of the intervention. It may also be that the human resources invested in the implementation and maintenance of intervention activities by the study centres, the caretakers and the community stakeholders were not sufficient. Higher levels of parental exposure were not related to more favourable changes in BMI z-scores.

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Section: Discussionmentioning

confidence: 59%

Implementation of the IDEFICS intervention across European countries: perceptions of parents and relationship with BMI

et al. 2015

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“…In particular, cultural differences between countries presented special challenges during the development of the intervention material. The conditions in the six participating countries differed for example with regard to country‐specific age ranges for children attending kindergartens, the national kindergarten curricula and kindergarten characteristics such as class sizes, equipment for PA, implementation by personnel of the physical education sessions and daily routines. The ToyBox‐intervention attempted to accommodate these varied policies and practices into one intervention, for example, by designing the PA component to be independent of age.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, behavioural models and educational strategies to promote healthy EBRBs were reviewed . Existing policies, regulation, legislation and ongoing health promotion activities in kindergarten settings in the six intervention countries were also analysed . Based on the preceding findings, the ToyBox‐intervention focused on the four EBRBs that were found to be associated with early childhood overweight and obesity: (i) healthy snacking; (ii) drinking behaviour; (iii) PA and (iv) sedentary behaviour.…”

Section: Methodsmentioning

confidence: 99%

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Developing the intervention material to increase physical activity levels of European preschool children: the ToyBox‐study

et al. 2014

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SummaryEarly childhood is an important period for adopting positive health-related behaviours. More than 95% of European preschool children attend kindergartens, making these settings ideal for the implementation of health promotion interventions. The ToyBox-intervention addressed preschool children, their parents/caregivers and teachers. The aim of the intervention was to improve four energy balance-related behaviours (i.e. healthy snacking, water consumption, physical activity and sedentary behaviour) by implementing a kindergartenbased, family-involved intervention in six European countries (Belgium, Bulgaria, Germany, Greece, Poland and Spain). The intervention material was developed following the intervention mapping protocol, taking into account local and cultural differences among the intervention countries. The present paper focuses on the development of the physical activity component of the intervention. Parental involvement was addressed by providing parents/ caregivers with two newsletters, two tip cards and a poster. Teachers received a handbook with guidance on environmental changes in the classroom, 26 physical education sessions and suggestions for fun, interactive classroom activities aiming at total class participation to increase preschoolers' physical activity levels. The ToyBox-intervention material was distributed according to a standard time frame. Teachers received their material prior to the start of the intervention and parents/caregivers received their material during the intervention when each energy balance-related behaviour was implemented.Keywords: Intervention, kindergarten, obesity prevention, physical activity. obesity reviews (2014) obesity reviews

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“…Step 1 included four phases (phases 1–4) (Fig. ) and was previously presented in the first Supplement Issue of the ToyBox‐study, which was published in Obesity Reviews . The outcomes of step 1 guided the following steps (steps 2 and 3) in developing, implementing and evaluating the ToyBox‐intervention, i.e.…”

Section: Forewordmentioning

confidence: 99%

Methodological procedures followed in a kindergarten‐based, family‐involved intervention implemented in six European countries to prevent obesity in early childhood: the ToyBox‐study

Μanios

2014

Obesity Reviews

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ForewordMethodological procedures followed in a kindergarten-based, family-involved intervention implemented in six European countries to prevent obesity in early childhood: the ToyBox-study Y. Manios on behalf of the ToyBox-study group ForewordThe ToyBox-study (full title: 'Multifactorial evidence based approach using behavioural models in understanding and promoting fun, healthy food, play and policy for the prevention of obesity in early childhood' http:// www.toybox-study.eu) is a European Union-funded study (2010)(2011)(2012)(2013)(2014) aiming to develop, implement and evaluate

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Existing policies, regulation, legislation and ongoing health promotion activities related to physical activity and nutrition in pre‐primary education settings: an overview

Cited by 14 publications

References 11 publications

Implementation of the IDEFICS intervention across European countries: perceptions of parents and relationship with BMI

Implementation of the IDEFICS intervention across European countries: perceptions of parents and relationship with BMI

Developing the intervention material to increase physical activity levels of European preschool children: the ToyBox‐study

Methodological procedures followed in a kindergarten‐based, family‐involved intervention implemented in six European countries to prevent obesity in early childhood: the ToyBox‐study

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