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Health promotion intervention in low socioeconomic kindergarten children
Dan Nemet1, Dganit Geva, Alon Eliakim
1Child Health and Sports Center, Pediatric Department, Meir Medical Center, Kfar-Saba, Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel. dnemet@gmail.com
Insights
A school-based nutrition and physical activity intervention improved kindergarteners' knowledge, preferences, and fitness, and reduced overweight prevalence, though not body mass index changes.
Area of Science:
- Pediatric Nutrition
- Childhood Obesity Prevention
- School Health Programs
Background:
- Childhood obesity is a significant public health concern, particularly in low socioeconomic populations.
- Early intervention is crucial for establishing healthy habits.
- Kindergarten is a key setting for implementing health promotion strategies.
Purpose of the Study:
- To evaluate a school-based intervention's impact on nutrition and physical activity knowledge, preferences, anthropometrics, and fitness in low socioeconomic kindergarteners.
- To assess the intervention's effect on overweight and obesity rates.
Main Methods:
- A prospective, randomized controlled trial involving 725 children (ages 3.8-6.8 years).
- Intervention group received a year-long combined dietary-behavioral-physical activity program delivered by teachers.
- Control group received standard curriculum.
Main Results:
- The intervention group showed significant improvements in nutrition knowledge, physical activity knowledge, and fitness.
- A greater decrease in the percentage of overweight children was observed in the intervention group (-31.9%) compared to controls (-17.5%).
- No significant between-group differences in body mass index changes were found.
Conclusions:
- A kindergarten-level dietary and physical activity intervention effectively enhanced health knowledge, preferences, and fitness.
- The intervention contributed to a reduction in the prevalence of overweight children.
- This program shows potential for childhood obesity prevention and health promotion.
Objective:
To prospectively examine the effects of a randomized school-based intervention on nutrition and physical activity knowledge and preferences, anthropometric measures, and fitness in low socioeconomic kindergarten children.
Study Design:
A total of 376 children completed a school-year combined dietary-behavioral-physical activity intervention and were compared with 349 control subjects (age 3.8 to 6.8 years).
Results:
The prevalence of overweight and obesity among the kindergarten children was 27.7%. Even though the intervention was not associated with between group differences in body mass index changes, it was associated with significantly (P < .05) greater increase in nutrition knowledge and preferences, physical activity knowledge and preferences, and improvement in fitness. There was a greater (P < .05) decrease in the number of overweight children in the intervention group (-31.9%) compared with the controls (-17.5%).
Conclusions:
A kindergarten dietary-physical activity intervention applied by the kindergarten teachers, had no effect on body mass index changes between the groups, but improved nutrition and physical activity knowledge and preferences, improved fitness, and decreased the percent of overweight children. This intervention may play an important role in health promotion, prevention and treatment of childhood obesity.
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