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Healthy incentive scheme in the Irish full-day-care pre-school setting
Charlotte Johnston Molloy1, John Kearney2, Nóirín Hayes3
1Community Nutrition and Dietetic Service, Health Service Executive Dublin Mid-Leinster, Primary Care Unit, St. Loman's Hospital Campus, Mullingar, Co.Westmeath, Republic of Ireland.
Insights
This study reviews best practices for nutrition and physical activity in preschools to prevent childhood obesity. It highlights the need for better regulations and interventions in childcare settings, particularly in Ireland.
Area of Science:
- Early Childhood Education
- Public Health Nutrition
- Childhood Obesity Prevention
Background:
- Preschools serving children aged 0-5 years for over 4 hours daily require research into nutrition and physical activity practices.
- Obesity prevention in preschools is crucial, focusing on healthy food and lifestyle habits.
- Existing guidelines for early years' settings often lack robust regulations, with childcare environments primarily assessed for safety.
Purpose of the Study:
- To review international guidelines and recommendations for health promotion best practices in preschool settings.
- To examine service and resource provision, food service, food availability, and parental involvement.
- To outline intervention programs and assessment tools, and present an intervention scheme for Irish full-day-care preschools.
Main Methods:
- Systematic review of international guidelines and recommendations.
- Identification and description of intervention programs and assessment tools.
- Development of an intervention scheme based on best practices.
Main Results:
- Cross-sectional research indicates suboptimal nutrition and physical activity practices in preschool settings.
- Limited environmental and policy-level interventions targeting childcare providers have been documented globally.
- No evidence of such interventions was found in Ireland prior to this study.
Conclusions:
- There is a significant need for evidence-based interventions to improve nutrition and physical activity in preschools.
- Implementing comprehensive health promotion strategies, including parental involvement, is essential.
- The developed intervention scheme offers a model for enhancing health practices in Irish full-day-care preschools.
Abstract:
A pre-school offering a full-day-care service provides for children aged 0-5 years for more than 4 h/d. Researchers have called for studies that will provide an understanding of nutrition and physical activity practices in this setting. Obesity prevention in pre-schools, through the development of healthy associations with food and health-related practices, has been advocated. While guidelines for the promotion of best nutrition and health-related practice in the early years' setting exist in a number of jurisdictions, associated regulations have been noted to be poor, with the environment of the child-care facility mainly evaluated for safety. Much cross-sectional research outlines poor nutrition and physical activity practice in this setting. However, there are few published environmental and policy-level interventions targeting the child-care provider with, to our knowledge, no evidence of such interventions in Ireland. The aim of the present paper is to review international guidelines and recommendations relating to health promotion best practice in the pre-school setting: service and resource provision; food service and food availability; and the role and involvement of parents in pre-schools. Intervention programmes and assessment tools available to measure such practice are outlined; and insight is provided into an intervention scheme, formulated from available best practice, that was introduced into the Irish full-day-care pre-school setting.
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