Tooty Fruity Vegie: an obesity prevention intervention evaluation in Australian preschools

Zask, Avigdor; Adams, Jillian; Brooks, Lyndon O; Hughes, Denise

doi:10.1071/he12010

Cited by 87 publications

(147 citation statements)

References 23 publications

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“…We have good available evidence-based programs targetting FMS development that are efficacious, translatable and scalable for the early childhood sector to integrate. Examples include Tooty Fruity Vegie in Preschools, 21,22 found to have long-term beneficial outcomes 23,24 and translated successfully across NSW as Munch and Move 25 and also Jump Start, 26 currently being translated in childcare settings in Tasmania.…”

mentioning

confidence: 99%

Australian children lack the basic movement skills to be active and healthy

Barnett

Hardy

Lubans

et al. 2013

Health Prom J of Aust

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The authors make a case for urgent action to ensure all Australian children are provided with the opportunity to develop competence and confidence in fundamental movement skills (FMS), which will help them to be physically active, fit and to have a healthy body composition. It is suggested that cooperation and commitment between public health, education and early childhood sectors is required. The authors advocate that FMS development should be highlighted in all relevant policy documents, that children should be given opportunities to be taught FMS during the preschool years and that primary schools should provide a quality health and physical education programs.

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mentioning

confidence: 99%

Australian children lack the basic movement skills to be active and healthy

Barnett

Hardy

Lubans

et al. 2013

Health Prom J of Aust

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“…Children in intervention pre-schools significantly improved their movement skills, ate more fruit and vegetables and were less likely to have unhealthy food in their lunchboxes. They also displayed significant and welcome changes in waist circumference and BMI Z scores when compared with the control group (26,120) .…”

Section: Curriculum and Education-based Programmesmentioning

confidence: 88%

“…With this in mind, the need to ensure best practice in pre-school nutrition and physical activity is paramount. Although the American Dietetic Association notes that child-care regulations reflect a minimum standard and that actual practice should greatly exceed them (19) , it would appear that in many countries poor nutrition and physical practice have been documented; in the UK (20,21) , the USA (22)(23)(24)(25) , Australia (26) , Holland (27) and Ireland (28,29) .…”

mentioning

confidence: 99%

Healthy incentive scheme in the Irish full-day-care pre-school setting

Molloy

Kearney²,

Hayes³

et al. 2013

Proc. Nutr. Soc.

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A pre-school offering a full-day-care service provides for children aged 0-5 years for more than 4 h/d. Researchers have called for studies that will provide an understanding of nutrition and physical activity practices in this setting. Obesity prevention in pre-schools, through the development of healthy associations with food and health-related practices, has been advocated. While guidelines for the promotion of best nutrition and health-related practice in the early years' setting exist in a number of jurisdictions, associated regulations have been noted to be poor, with the environment of the child-care facility mainly evaluated for safety. Much cross-sectional research outlines poor nutrition and physical activity practice in this setting. However, there are few published environmental and policy-level interventions targeting the child-care provider with, to our knowledge, no evidence of such interventions in Ireland. The aim of the present paper is to review international guidelines and recommendations relating to health promotion best practice in the pre-school setting: service and resource provision; food service and food availability; and the role and involvement of parents in pre-schools. Intervention programmes and assessment tools available to measure such practice are outlined; and insight is provided into an intervention scheme, formulated from available best practice, that was introduced into the Irish full-daycare pre-school setting.

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“…In some contexts, such as in epidemiological studies or clinical settings, it may be more important to know the quality of the overall diet rather than the intake of single nutrients (15) . Studies on diet and chronic diseases have focused on the relationship between consumption of single nutrients and disease risk, and have identified several individual dietary components, such as total fat (16) , SFA (17) , PUFA (18,19) , refined carbohydrates and fibre (20)(21)(22) , and fruits, vegetables and berries (23) , to either protect against or lead to chronic diseases also in childhood. However, even though single nutrients have beneficial properties, it is the diet as a whole that has the most impact on health.…”

Section: Discussionmentioning

confidence: 99%

Development and evaluation of a stand-alone index for the assessment of small children’s diet quality

Röytiö

Jaakkola

Hoppu

et al. 2015

Public Health Nutr.

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Objective: To construct and evaluate an independent Children's Index of Diet Quality (CIDQ). Design: A food consumption questionnaire, which contained twenty-five multipleitem questions on eating and food intake, was formulated and evaluated against 7 d food records. Key questions that best reflected a healthy diet, defined in criteria set by the nutrient recommendations, were searched and validated by correlation and analyses of receiver-operating characteristic curves. Settings: A cohort of a young population of South-West Finland. Subjects: Participants (n 400) were 2-6-year-old children. Results: Fifteen questions were identified to best depict the children's diet quality in reference to the recommendations. These questions were scored, summarized and further constructed into a three-class index (good, moderate and poor dietary quality) where higher scores depicted better diet quality. The CIDQ cut-off score of 14 points for good dietary quality had a sensitivity of 0·59 and a specificity of 0·82 and the cut-off score of 10 points, for at least moderate dietary quality, had a sensitivity of 0·77 and a specificity of 0·69. Higher index scores were related to higher dietary intakes of several vitamins, lower dietary intakes of SFA and cholesterol, and further with lower serum cholesterol and higher serum vitamin C concentrations. Conclusions: The three-class food index was found to represent diet quality as defined in recommendations and evaluated against nutrient intakes from food diaries and biochemical markers. This self-standing index could provide an effective and low-burden method to obtain information about diet quality and guide future recommendations.

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Tooty Fruity Vegie: an obesity prevention intervention evaluation in Australian preschools

Abstract: The 10-month intervention in preschools produced significant changes in children's food intake, movement skills and indicators of weight status.

Cited by 87 publications

References 23 publications

Australian children lack the basic movement skills to be active and healthy

Australian children lack the basic movement skills to be active and healthy

Healthy incentive scheme in the Irish full-day-care pre-school setting

Development and evaluation of a stand-alone index for the assessment of small children’s diet quality

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