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[TigerKids. Successful health promotion in preschool settings]
A Strauss1, B Herbert, C Mitschek
1Dr. von Haunersches Kinderspital, Abt. Stoffwechsel- und Ernährungsmedizin, Lindwurmstrasse 4, Munich, Germany.
Insights
The TigerKids program significantly improved children's home fruit and vegetable intake and reduced sugary drink consumption. This low-cost daycare intervention shows promise for childhood obesity prevention.
Area of Science:
- Public Health
- Pediatrics
- Behavioral Science
Background:
- Childhood obesity is a significant public health concern requiring effective prevention strategies.
- Daycare settings offer a crucial environment for implementing early childhood interventions.
Purpose of the Study:
- To assess the effects of the TigerKids behavioral program on children's dietary habits and weight status.
- To evaluate the program's efficacy in a real-world daycare setting through a cluster randomized controlled trial.
Main Methods:
- A 2-year cluster randomized controlled trial involving 64 daycare settings and over 2600 children.
- Intervention group received the TigerKids program; control group did not.
- Parental questionnaires assessed fruit, vegetable, and high-caloric drink consumption at home.
Main Results:
- TigerKids significantly increased home consumption of fruits (66.6% vs. 55.7%) and vegetables (42.7% vs. 33.6%).
- The program significantly reduced high consumption of energy-dense beverages (47.7% vs. 60.4%).
- A trend towards lower prevalence of overweight (13.9% vs. 18.0%) and obesity (3.4% vs. 5.4%) was observed in the intervention group.
Conclusions:
- The TigerKids program effectively promotes healthier eating behaviors in children within a daycare setting.
- This low-cost intervention leads to significant positive behavioral changes in the home environment, contributing to childhood obesity prevention.
Abstract:
The high prevalence of childhood obesity necessitates broadly effective prevention measures. A behavioral program for children in daycare settings was developed, and its effects were assessed in a 2-year cluster randomized controlled trial. A total of 64 daycare settings were cluster randomized in a 2:1 ratio to intervention and control in order to assess the effects of the program. Samples of 1318 and 1340 children were assessed after 5.7±2.6 and 17.6±2.3 months. Main outcome measures were prevalence of high fruit and vegetable consumption and of low consumption of high caloric drinks at home assessed by parental questionnaires. TigerKids achieved a significantly higher prevalence of high home consumption of fruits (66.6 vs. 55.7%, p<0.0001) and vegetables (42.7 vs. 33.6%, p=0.001) as well as a lower frequency of high consumption of energy rich beverages (47.7 vs. 60.4%, p<0.0001). The TigerKids group tended to show a lower prevalence of overweight (13.9 vs. 18.0%, p=0.05) and obesity (3.4 vs. 5.4%, p=0.07) in the first year. TigerKids is a low cost program applied in daycare settings which achieves significant behavioral changes in the home environment.
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