Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services

Wolfenden, Luke; Barnes, Courtney; Jones, Jannah; Finch, Meghan; Wyse, Rebecca; Kingsland, Melanie; Tzelepis, Flora; Grady, Alice; Hodder, Rebecca K; Booth, Debbie; Yoong, Sze Lin

doi:10.1002/14651858.cd011779.pub3

Cited by 90 publications

(96 citation statements)

References 130 publications

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“…These include reaching children and families at greatest risk for developing obesity and related health-compromising conditions, implementing interventions that are easily integrated into existing structures, and providing children with fun and easy experiences that promote interest in, initiation, and maintenance of, healthy habits to last a lifetime. Previous research has reported that throughout the entire day, the place and time where the child is least physically active is in the ECEC [60,[81][82][83][84][85]; yet, there has been modest attention to promoting physical activity among younger children in this setting and the quality of the existing limited evidence is low [86]. ECEC classrooms and teachers face challenges with keeping children safe throughout the day; thus, many classroom strategies for maintaining order involve sedentary time, with the notable exception of unstructured play time out of doors.…”

Section: Discussionmentioning

confidence: 99%

Design and methodology of a cluster-randomized trial in early care and education centers to meet physical activity guidelines: Sustainability via Active Garden Education (SAGE)

Lee

Lorenzo

Szeszulski

et al. 2019

Contemporary Clinical Trials

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Design and methodology of a cluster-randomized trial in early Design and methodology of a cluster-randomized trial in early care and education centers to meet physical activity guidelines: care and education centers to meet physical activity guidelines: Michael, "Design and methodology of a cluster-randomized trial in early care and education centers to meet physical activity guidelines: Sustainability via Active Garden Education (SAGE)" (2018). Publications from USDA-ARS / UNL Faculty. 2161.Strategies are needed to help early care and education centers (ECEC) comply with policies to meet daily physical activity and fruit and vegetable guidelines for young children. This manuscript describes the design and methodology of Sustainability via Active Garden Education (SAGE), a 12-session cluster-randomized controlled crossover design trial using community-based participatory research (CBPR) to test a garden-based ECEC physical activity and fruit and vegetables promotion intervention for young children aged 3-5 years in 20 sites. The SAGE curriculum uses the plant lifecycle as a metaphor for human development. Children learn how to plant, water, weed, harvest, and do simple food preparation involving washing, cleaning, and sampling fruit and vegetables along with active learning songs, games, science experiments, mindful eating exercises, and interactive discussions to reinforce various healthy lifestyle topics. Parents will receive newsletters and text messages linked to the curriculum, describing local resources and events, and to remind them about activities and assessments. Children will be measured on physical activity, height, and weight and observed during meal and snack times to document dietary habits. Parents will complete measures about dietary habits outside of the ECEC, parenting practices, home physical activity resources, and home fruit and vegetable availability. SAGE fills an important void in the policy literature by employing a participatory strategy to produce a carefully crafted and engaging curriculum with the goal of meeting health policy guidelines and educational accreditation standards. If successful, SAGE may inform and inspire widespread dissemination and implementation to reduce health disparities and improve health equity.for behavioral interventions, because most young children (< 5 years) attend them [3]. Lack of physical activity and fruit and vegetable intake in early childhood contribute to obesity and numerous other healthcompromising conditions, which are high among ethnic minority populations, particularly Hispanics or Latinos (HL) [1,2,4]. Involving ECEC staff, parents and community members in the development and implementation of interventions allows researchers to tap into their deep knowledge of the community and children in their care, thus helping to create an intervention that has a high potential for success https://doi.

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Section: Discussionmentioning

confidence: 99%

Design and methodology of a cluster-randomized trial in early care and education centers to meet physical activity guidelines: Sustainability via Active Garden Education (SAGE)

Lee

Lorenzo

Szeszulski

et al. 2019

Contemporary Clinical Trials

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“…A closed-ended survey (see Appendix; available online at www.liebertpub.com/chi) was developed based on the updated CACFP meal pattern standards and prior child day care/early child care nutrition-related surveys, [8][9][10][24][25][26][27][28] input from nutrition and ECE experts, and following cognitive interviews (CIs) to test question wording and format 29,30 with center directors at eight CACFP child day care centers located in Illinois and Florida where two of the study authors reside. The University of Illinois at Chicago's Institutional Review Board approved a claim of exemption for the study (protocol #2017-0549).…”

Section: Survey Development and Administrationmentioning

confidence: 99%

Food Purchasing and Preparation at Child Day Care Centers Participating in the Child and Adult Care Food Program in the United States, 2017

2018

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“…Several Cochrane Reviews have highlighted the need for further research in this area. 13,[24][25][26] To fill the existing gap and to examine the emerging role of physical activity for cardiovascular health in early childhood, we conducted a cluster-randomized controlled trial in preschools in the City Hamburg, Germany. The aim of the present study was to assess the effectiveness of a physical activity intervention on hemodynamic and anthropometric variables as well as on physical activity levels and motor skill performance in 3-to 6-year-old children.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a physical activity intervention in preschoolers: A cluster‐randomized controlled trial

Ketelhut

Wendt

Müller

et al. 2019

Scandinavian Med Sci Sports

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Several activity interventions in preschool settings exist, but little attention has been paid to effects on hemodynamic factors. The study aimed to assess the effectiveness of an exercise program on health-related outcomes including blood pressure (BP) and markers of vascular function in preschoolers, with focus on socioeconomic background. This study is a cluster-randomized controlled trial, with preschool as unit of randomization and children as unit of analysis. Preschools with 3-to 6-year-old children, stratified by social area, were randomly allocated to: intervention (three clusters, n = 92) including 2 d·wk −1 /45 min (6 months) exercise lessons or control (two clusters, n = 43). In total, 135 children (4.8 ± 0.8 y) had minimum one outcome measurement at baseline and follow-up. Primary outcome: peripheral BP. Secondary outcomes: central BP, pulse wave velocity (PWV), BMI, waist circumference, physical activity measures, motor skills. Maternal education was used as an indicator of socioeconomic status. Mixed models were applied to evaluate differences in mean change. Group allocation had no effect on primary or secondary outcomes. However, the intervention was effective in reducing increases in peripheral systolic BP (−3.4 mm Hg; 95% CI: −6.6; −0.2; P = 0.037), central systolic BP (−3.8 mm Hg; −6.4; −1.1; P = 0.006), and PWV (−0.1 m/s; −0.2; −0.0; P = 0.045) among children whose mothers had the lowest educational level. We found no evidence for effectiveness of a 6-months preschool-based exercise program on hemodynamics, anthropometrics, activity, or motor skills, but lack of process evaluations and poor fidelity preclude interpretation of the causal relation. However, the results indicate that children from lower social backgrounds could benefit from early exercise-promoting interventions. K E Y W O R D Sarterial stiffness, blood pressure, children, intervention, physical activity, preschool, social background

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Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services

Abstract: Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services.

Cited by 90 publications

References 130 publications

Design and methodology of a cluster-randomized trial in early care and education centers to meet physical activity guidelines: Sustainability via Active Garden Education (SAGE)

Design and methodology of a cluster-randomized trial in early care and education centers to meet physical activity guidelines: Sustainability via Active Garden Education (SAGE)

Food Purchasing and Preparation at Child Day Care Centers Participating in the Child and Adult Care Food Program in the United States, 2017

Effectiveness of a physical activity intervention in preschoolers: A cluster‐randomized controlled trial

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