Energy balance and physical activity in obese children attending day-care centres

F Vásquez1, G Salazar, M Andrade

  • 1Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago, Chile.

Insights

Obese preschoolers consume more energy than they expend, showing sedentary behavior at day-care centers. Improving nutrition and physical activity is crucial for these children.

Area of Science:

  • Pediatric Obesity Research
  • Childhood Nutrition and Physical Activity

Background:

  • Childhood obesity is a growing public health concern.
  • Preschool-aged children attending day-care centers are a key demographic for early intervention.

Purpose of the Study:

  • To evaluate the energy balance and physical activity patterns of obese preschool children in Santiago City, Chile.
  • To identify potential areas for intervention in day-care settings and at home.

Main Methods:

  • Cross-sectional study involving 24 obese preschool children (3-5 years old).
  • Total energy expenditure (TEE) measured using doubly labeled water.
  • Physical activity assessed with TRITRAC R3D motion sensors.
  • Energy intake evaluated through direct measurement and home dietary records.

Main Results:

  • Obese children exhibited a 5.4% higher energy intake than estimated requirements.
  • Daily energy intake was approximately 7716 kJ/day for boys and 7401 kJ/day for girls.
  • Children were more sedentary (62% minimal activity) at day-care centers compared to weekends at home (52%).
  • Light physical activity was higher on weekends, while moderate-to-vigorous activity remained low (3-5%).

Conclusions:

  • Reducing dietary energy at day-care centers can help balance energy needs during the week.
  • Obese preschoolers display sedentary behavior, though they are more active during weekend home time.
  • Interventions focusing on improving nutrition and increasing physical activity levels are recommended for educators and parents.
Abstract