Primary prevention of overweight in preschool children, the BeeBOFT study (breastfeeding, breakfast daily, outside playing, few sweet drinks, less TV viewing): design of a cluster randomized controlled trial

Abstract

BackgroundTwo overweight prevention interventions were developed to be offered by preventive Youth Health Care (YHC) in addition to the currently applied overweight prevention protocol to parents of 0-3 year old children. The two interventions aim to support parents of preschool children to realize healthy child nutrition and activity behaviors of their young child. The aim of this study is to assess the effects of the two overweight prevention interventions with regard to child health behaviors and child Body Mass Index.Methods/DesignA cluster randomized controlled trial was conducted among parents and their preschool children who attend one of 51 participating YHC teams. The teams were randomly allocated to one of the two intervention groups, or to the control group (care as usual).The ‘BBOFT+’ intervention focuses on effective child rearing by parents from birth onwards by enlarging parental skills concerning healthy behavioural life-style habits. Parents who are allocated to the ‘E-health4Uth Healthy toddler’ intervention group, at the child age of circa 18 and 24 months old, are invited to complete an online E-health module providing tailored health education regarding healthy child nutrition and activity behaviors. The E-health messages are discussed and reinforced during the subsequent regularly scheduled visits by YHC professionals, and were repeated after 4 weeks.The primary outcome measures at child age 3 years are: overweight inducing/reducing behaviors, (for ‘BBOFT+’ only) healthy sleep, Body Mass Index and prevalence of overweight and obesity. Secondary outcome measures are attitudes and other cognitive characteristics of the parents regarding the overweight-related behaviors of their child, parenting styles and practices, and health-related quality of life of the children.DiscussionWe hypothesize that the use of the additional interventions will result in a healthier lifestyle of preschool children and an improved BMI and less development of overweight and obesity compared to usual care.Trial registrationNederlands Trial Register NTR1831.

Sleep-Disordered Breathing, Sleep Duration, and Childhood Overweight: A Longitudinal Cohort Study

“…(19)In fact, increasing young children’s sleep is considered amongst the most promising strategies for reducing childhood obesity. (20-22) Mechanisms are similar to those for SDB, (1-4) but also include effects upon biological (circadian) and social (household) rhythms. (2, 3) In recent years, short sleep duration has eclipsed SDB as a putative risk factor in the literature on childhood obesity.…”

Patterns of dietary habits in relation to obesity in Iranian adults

“…Positive association between consumption of sugar-sweetened beverages (SSBs) and overweight/obesity has frequently been addressed in earlier literature [24,25], but few studies have considered all types of beverages, including water intake. Some prior investigations have reported that only sugar-sweetened beverages, out of all drinks, were linked to the risk of obesity [24].…”

Intervenções educativas na promoção da alimentação saudável em escolares

“…12 The themes were categorized from the content analysis 13 in: Food practices healthy; Prevention of overweight and obesity; Food and nutrition security. It is described among the 17 articles in the final sample, 15 were written in the English language; [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] one in Spanish 23 and one, in Portuguese. 26 As regards the year of publication, three were published in 2017; 20 three in 2016; 16,19,23 two, in 2015, 17,24 three, in the year 2013; 18,21,25 four, in 2012 22, and two, in 2011.…”