Effects of a low threshold health promotion intervention on the BMI in pre-school children under consideration of parental participation

Klein, Daniel; Toia, Daniela De; Weber, Sarah; Wessely, Nicolas; Koch, Benjamin; Dordel, Sigrid; Sreeram, Narayanswami; Tokarski, Walter; Strüder, Heiko K.; Gräf, Christine

doi:10.1016/j.eclnm.2010.03.002

Cited by 12 publications

(14 citation statements)

References 37 publications

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“…; Klein et al . ). With only 2% of parents agreeing with the idea that physical activity takes away time from learning opportunities, there may be greater than previously expected parental support for strategies to increase active playtime.…”

Section: Discussionmentioning

confidence: 97%

“…Strategies that involve more provider-led physical activity or encourage childcare provider involvement in children's physical activity may have the secondary benefit of improving the health and weight status of childcare providers of whom the majority was overweight or obese. Engagement with families is another promising strategy to improve children's health and learning (Henderson et al 2002;Klein et al 2010). With only 2% of parents agreeing with the idea that physical activity takes away time from learning opportunities, there may be greater than previously expected parental support for strategies to increase active playtime.…”

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confidence: 99%

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A comparison of parent and childcare provider's attitudes and perceptions about preschoolers' physical activity and outdoor time

Tandon

Saelens

Copeland

2016

Child

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Background Young children depend on adult caregivers to provide opportunities for physical activity. Research has focused on barriers and facilitators to children’s physical activity while in child care, but parental influences remain largely unknown. This study examines parent’s attitudes about preschoolers’ physical activity and outdoor time, compares them to those of child-care providers, and determines the association between parental attitudes and preschoolers’ measured activity. Methods Parents and child-care providers from 30 child-care centers were surveyed regarding attitudes towards preschoolers’ physical activity and outdoor time. Children’s moderate-to-vigorous physical activity (MVPA) was determined using 24 hour accelerometry. Parent and child-care providers’ responses were compared. Mixed-effects linear regression examined MVPA and sedentary time as outcomes with parental attitudes as predictors, family demographics as covariates, and center as a random effect. Results 388 parents and 151 child-care providers participated. On average, children were 4.3 (0.7) years old. Parents and child-care providers both considered daily physical activity important for preschoolers, but providers rated the importance of daily outdoor time higher on a 10-point scale (8.9 vs 7.6, p<.001). More parents than providers believed that children would get sick by playing outside in the cold (25% vs 11%, p<0.05). Parents were more comfortable with their child playing outside at child care compared to outside at home (8.9 vs 6.9, p<.001). Lower income parents felt less comfortable than higher income parents with their child playing outside either near home or at child care. Neither home nor total child activity levels were associated with most parental attitudes queried. Conclusions While parents and child-care providers value daily physical activity for children, some parents expressed discomfort about their young children engaging in outdoor play, especially around home and in cold weather. These findings highlight the importance of child-care based interventions to promote preschoolers’ physical activity and outdoor play.

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Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

A comparison of parent and childcare provider's attitudes and perceptions about preschoolers' physical activity and outdoor time

Tandon

Saelens

Copeland

2016

Child

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“…Allerdings konnte in unserem Kindergartenprojekt (Kindergarten mobil) [34] über die Vergabe von Fitnesspässen (auf Elternabenden), die die Ergebnisse motorischer Tests enthielten, ein deutlich höheres Interesse der Eltern an der Thematik erreicht werden. Bei der Besprechung der Testergebnisse wurden sozusagen "nebenbei" die wichtigsten Kernbotschaften für eine gesunde Lebensfüh-rung vermittelt (.…”

Section: äNderungen Mw (Sw) Adipositas üBerge-wichtunclassified

Das CHILT-I-Projekt (Children’s Health InterventionaL Trial)

Gräf

Dordel

2011

Bundesgesundheitsbl.

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Child and juvenile obesity is increasing worldwide; therefore, effective preventive strategies are warranted. The stepwise project CHILT (Children's Health Interventional Trial) was initiated in 2000 and combines in its multicomponent school-based arm CHILT I health education and physical activity for primary school children to prevent physical inactivity and overweight. The effect on obesity and physical performance was studied in 12 primary schools (intervention schools, IS) compared with 5 control schools (CS). Anthropometric data were recorded. Physical performance was measured by a coordination test for children (the "Körperkoordinationstest für Kinder", KTK) and the 6-minute run. Anthropometric and motoric data of 436 children in IS (55.0% of the population) and 179 children in CS (62.8%) were available at baseline and at follow-up. No difference in the incidence of overweight was found between the IS and CS after 4 years of intervention. Remission of overweight was higher in IS (23.2% versus 19.2%), but not significant. The increase in BMI was significantly lower in IS, in which the program was regularly performed. There was an improvement in selected items of the KTK in IS. In particular, endurance performance tended to be higher at final examination. School-based preventive intervention seems to have a positive influence on physical motor skills and the remission of overweight. To optimize the effects, a consistent and quality assured implementation and the integration of the children's whole environment are warranted.

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“…The targeted transfer of knowledge to parents and caregivers alongside the optimization of nutritional behavior and physical activity showed the most positive effects on the weight status of children in this age group [17]. …”

Section: Behavior-based Preventionmentioning

confidence: 99%

Current Guidelines for Obesity Prevention in Childhood and Adolescence

et al. 2018

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Objective: Current guidelines for prevention of obesity in childhood and adolescence are discussed. Methods: A literature search was performed in Medline via PubMed, and appropriate studies were analyzed. Results: Programs to prevent childhood obesity have so far remained mainly school-based and effects have been limited. Analyses by age group show that prevention programs have the best results in younger children (<12 years). Evidence-based recommendations for pre-school- and early school-aged children indicate the need for interventions that address parents and teachers alike. During adolescence, school-based interventions proved most effective when adolescents were addressed directly. To date, obesity prevention programs have mainly focused on behavior-oriented prevention. Recommendations for community- or environment-based prevention have been suggested by the German Alliance of Noncommunicable Diseases and include a minimum of 1 h of physical activity at school, promotion of healthy food choices by taxing unhealthy foods, mandatory standards for meals at kindergartens and schools as well as a ban on unhealthy food advertisement aimed at children. Conclusion: Behavior-oriented prevention programs showed only limited long-term effects. Certain groups at risk for the development of obesity are not reached effectively by current programs. Although universally valid conclusions cannot be drawn given the heterogeneity of available studies, clearly combining behavior-based programs with community-based prevention to counteract an ‘obesogenic environment' is crucial for sustainable success of future obesity prevention programs.

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Effects of a low threshold health promotion intervention on the BMI in pre-school children under consideration of parental participation

Cited by 12 publications

References 37 publications

A comparison of parent and childcare provider's attitudes and perceptions about preschoolers' physical activity and outdoor time

A comparison of parent and childcare provider's attitudes and perceptions about preschoolers' physical activity and outdoor time

Das CHILT-I-Projekt (Children’s Health InterventionaL Trial)

Current Guidelines for Obesity Prevention in Childhood and Adolescence

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