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Increasing fruit and vegetable consumption among preschoolers: evaluation of color me healthy
1Blue Cross of Idaho Foundation for Health, Meridian, ID 83642, USA. kwitt@bcidaho.com
Insights
The Color Me Healthy (CMH) program significantly increased fruit and vegetable snack consumption in preschool children. This interactive curriculum showed lasting positive effects on healthful eating habits in childcare settings.
Area of Science:
- Pediatric Nutrition
- Public Health Interventions
- Early Childhood Education
Background:
- Childhood obesity is a growing concern, necessitating effective interventions.
- Preschool-aged children often have suboptimal fruit and vegetable intake.
- Childcare settings provide a crucial environment for establishing healthy eating habits.
Purpose of the Study:
- To evaluate the impact of the Color Me Healthy (CMH) program on fruit and vegetable consumption among preschool children.
- To determine if an interactive nutrition and physical activity program can improve dietary behaviors in young children.
Main Methods:
- An intervention study involving 263 preschool children across 17 childcare centers.
- Random assignment of centers to either the CMH curriculum group (165 children) or a control group (98 children).
- Data collection at baseline, 1 week, and 3 months post-intervention, analyzing fruit and vegetable snack consumption.
Main Results:
- Children in the CMH program showed a significant increase in fruit snack consumption (20.8%) and vegetable snack consumption (33.1%) at 3 months post-intervention.
- Hierarchical linear modeling confirmed that program participation was the sole significant predictor of increased fruit and vegetable intake.
- No significant changes were observed in the control group.
Conclusions:
- The Color Me Healthy (CMH) program is effective in increasing fruit and vegetable consumption among preschool children.
- CMH can be successfully implemented in childcare settings to foster long-term healthy eating habits.
- Findings support the use of CMH as a valuable tool for pediatric nutrition education.
Objective:
Determine whether Color Me Healthy (CMH), an interactive nutrition and physical activity program for preschool children, increases fruit and vegetable consumption.
Design:
Intervention study. Data were collected at baseline, 1 week post-intervention, and 3 months post-intervention.
Setting:
Child care centers.
Participants:
Preschool children (n = 263) in 17 child care centers.
Intervention:
Child care centers were randomly assigned to 1 of 2 conditions; children (n = 165) in 10 centers received the CMH curriculum, and children (n = 98) in 7 centers acted as comparisons and did not receive the curriculum.
Main Outcome Measures:
Process and outcome evaluation. Consumption of fruit and vegetable snacks.
Analysis:
Data were analyzed using repeated-measures analysis of variance and hierarchical linear modeling.
Results:
Children who received CMH significantly increased their consumption of fruit snacks by approximately 20.8% and vegetable snacks by approximately 33.1% between baseline assessment and the assessment conducted 3 months after the completion of the CMH program. Hierarchical linear modeling determined that group assignment (ie, CMH or control) was the only significant predictor of fruit and vegetable consumption.
Conclusions And Implications:
Findings suggest that CMH may be used in child care settings for developing healthful eating habits.
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