Effect of a Child Care Center-Based Obesity Prevention Program on Body Mass Index and Nutrition Practices Among Preschool-Aged Children

Ruby A Natale, Gabriela Lopez-Mitnik, Susan B. Uhlhorn, Lila Asfour, Sarah Messiah

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

This study examined the effect of an early childhood obesity prevention program on changes in Body Mass Index (BMI) z-score and nutrition practices. Eight child care centers were randomly assigned to an intervention or attention control arm. Participants were a multiethnic sample of children aged 2 to 5 years old (N = 307). Intervention centers received healthy menu changes and family-based education focused on increased physical activity and fresh produce intake, decreased intake of simple carbohydrate snacks, and decreased screen time. Control centers received an attention control program. Height, weight, and nutrition data were collected at baseline and at 3, 6, and 12 months. Analysis examined height, weight, and BMI z-score change by intervention condition (at baseline and at 3, 6, and 12 months). Pearson correlation analysis examined relationships among BMI z-scores and home activities and nutrition patterns in the intervention group. Child BMI z-score was significantly negatively correlated with the number of home activities completed at 6-month post intervention among intervention participants. Similarly, intervention children consumed less junk food, ate more fresh fruits and vegetables, drank less juice, and drank more 1% milk compared to children at control sites at 6 months post baseline. Ninety-seven percent of those children who were normal weight at baseline were still normal weight 12 months later. Findings support child care centers as a promising setting to implement childhood obesity prevention programs in this age group.

Original languageEnglish
Pages (from-to)695-705
Number of pages11
JournalHealth Promotion Practice
Volume15
Issue number5
DOIs
StatePublished - Jan 1 2014

Fingerprint

Preschool Children
Child Care
Body Mass Index
Obesity
Weights and Measures
Pediatric Obesity
Snacks
Vegetables
Fruit
Milk
Age Groups
Carbohydrates
Exercise
Education
Food

Keywords

  • child care setting
  • childhood obesity
  • early childhood
  • obesity prevention
  • overweight
  • preschool age

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing (miscellaneous)

Cite this

Effect of a Child Care Center-Based Obesity Prevention Program on Body Mass Index and Nutrition Practices Among Preschool-Aged Children. / Natale, Ruby A; Lopez-Mitnik, Gabriela; Uhlhorn, Susan B.; Asfour, Lila; Messiah, Sarah.

In: Health Promotion Practice, Vol. 15, No. 5, 01.01.2014, p. 695-705.

Research output: Contribution to journalArticle

@article{04c067d6328f43519ababef10e852223,
title = "Effect of a Child Care Center-Based Obesity Prevention Program on Body Mass Index and Nutrition Practices Among Preschool-Aged Children",
abstract = "This study examined the effect of an early childhood obesity prevention program on changes in Body Mass Index (BMI) z-score and nutrition practices. Eight child care centers were randomly assigned to an intervention or attention control arm. Participants were a multiethnic sample of children aged 2 to 5 years old (N = 307). Intervention centers received healthy menu changes and family-based education focused on increased physical activity and fresh produce intake, decreased intake of simple carbohydrate snacks, and decreased screen time. Control centers received an attention control program. Height, weight, and nutrition data were collected at baseline and at 3, 6, and 12 months. Analysis examined height, weight, and BMI z-score change by intervention condition (at baseline and at 3, 6, and 12 months). Pearson correlation analysis examined relationships among BMI z-scores and home activities and nutrition patterns in the intervention group. Child BMI z-score was significantly negatively correlated with the number of home activities completed at 6-month post intervention among intervention participants. Similarly, intervention children consumed less junk food, ate more fresh fruits and vegetables, drank less juice, and drank more 1{\%} milk compared to children at control sites at 6 months post baseline. Ninety-seven percent of those children who were normal weight at baseline were still normal weight 12 months later. Findings support child care centers as a promising setting to implement childhood obesity prevention programs in this age group.",
keywords = "child care setting, childhood obesity, early childhood, obesity prevention, overweight, preschool age",
author = "Natale, {Ruby A} and Gabriela Lopez-Mitnik and Uhlhorn, {Susan B.} and Lila Asfour and Sarah Messiah",
year = "2014",
month = "1",
day = "1",
doi = "10.1177/1524839914523429",
language = "English",
volume = "15",
pages = "695--705",
journal = "Health Promotion Practice",
issn = "1524-8399",
publisher = "SAGE Publications Inc.",
number = "5",

}

TY - JOUR

T1 - Effect of a Child Care Center-Based Obesity Prevention Program on Body Mass Index and Nutrition Practices Among Preschool-Aged Children

AU - Natale, Ruby A

AU - Lopez-Mitnik, Gabriela

AU - Uhlhorn, Susan B.

AU - Asfour, Lila

AU - Messiah, Sarah

PY - 2014/1/1

Y1 - 2014/1/1

N2 - This study examined the effect of an early childhood obesity prevention program on changes in Body Mass Index (BMI) z-score and nutrition practices. Eight child care centers were randomly assigned to an intervention or attention control arm. Participants were a multiethnic sample of children aged 2 to 5 years old (N = 307). Intervention centers received healthy menu changes and family-based education focused on increased physical activity and fresh produce intake, decreased intake of simple carbohydrate snacks, and decreased screen time. Control centers received an attention control program. Height, weight, and nutrition data were collected at baseline and at 3, 6, and 12 months. Analysis examined height, weight, and BMI z-score change by intervention condition (at baseline and at 3, 6, and 12 months). Pearson correlation analysis examined relationships among BMI z-scores and home activities and nutrition patterns in the intervention group. Child BMI z-score was significantly negatively correlated with the number of home activities completed at 6-month post intervention among intervention participants. Similarly, intervention children consumed less junk food, ate more fresh fruits and vegetables, drank less juice, and drank more 1% milk compared to children at control sites at 6 months post baseline. Ninety-seven percent of those children who were normal weight at baseline were still normal weight 12 months later. Findings support child care centers as a promising setting to implement childhood obesity prevention programs in this age group.

AB - This study examined the effect of an early childhood obesity prevention program on changes in Body Mass Index (BMI) z-score and nutrition practices. Eight child care centers were randomly assigned to an intervention or attention control arm. Participants were a multiethnic sample of children aged 2 to 5 years old (N = 307). Intervention centers received healthy menu changes and family-based education focused on increased physical activity and fresh produce intake, decreased intake of simple carbohydrate snacks, and decreased screen time. Control centers received an attention control program. Height, weight, and nutrition data were collected at baseline and at 3, 6, and 12 months. Analysis examined height, weight, and BMI z-score change by intervention condition (at baseline and at 3, 6, and 12 months). Pearson correlation analysis examined relationships among BMI z-scores and home activities and nutrition patterns in the intervention group. Child BMI z-score was significantly negatively correlated with the number of home activities completed at 6-month post intervention among intervention participants. Similarly, intervention children consumed less junk food, ate more fresh fruits and vegetables, drank less juice, and drank more 1% milk compared to children at control sites at 6 months post baseline. Ninety-seven percent of those children who were normal weight at baseline were still normal weight 12 months later. Findings support child care centers as a promising setting to implement childhood obesity prevention programs in this age group.

KW - child care setting

KW - childhood obesity

KW - early childhood

KW - obesity prevention

KW - overweight

KW - preschool age

UR - http://www.scopus.com/inward/record.url?scp=84905967721&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84905967721&partnerID=8YFLogxK

U2 - 10.1177/1524839914523429

DO - 10.1177/1524839914523429

M3 - Article

C2 - 24662896

AN - SCOPUS:84905967721

VL - 15

SP - 695

EP - 705

JO - Health Promotion Practice

JF - Health Promotion Practice

SN - 1524-8399

IS - 5

ER -