Related Experiment Video
Updated: Apr 27, 2026

Quantified Assessment of Infant's Gross Motor Abilities Using a Multisensor Wearable
Published on: May 17, 2024
Effects of health promotion projects in preschools on body mass index and motor abilities
1Institute of Movement and Neurosciences German Sport University Cologne, Cologne, Germany - dshs-koeln.de.
Insights
Childhood obesity and motor deficits are rising. Kindergarten interventions showed varied BMI changes and inconsistent motor skill improvements, indicating a need for broader environmental involvement in prevention.
Area of Science:
- Pediatric Health
- Preventive Medicine
- Child Development
Background:
- Rising prevalence of childhood obesity and motor deficits in industrialized nations necessitates early intervention.
- Effective preventive strategies are crucial to mitigate long-term health consequences.
Purpose of the Study:
- To evaluate the effectiveness of three kindergarten-based, low-threshold interventions: "Kindergarten Mobile (KiMo)", "Ball and Pear (BP)", and "Nursery Fit (NF)".
- To assess the impact of these interventions on anthropometric data and motor abilities in preschool-aged children.
Main Methods:
- A study involving 1510 children (mean age 4.7 years) allocated to KiMo, BP, NF-P, NF-NP, and control groups (CG).
- Interventions included parent/educator information sessions and, for some groups, weekly activity lessons.
- Anthropometric data and motor skills were measured at baseline and after a 6-month follow-up.
Main Results:
- A significant decrease in Body Mass Index (BMI) was observed in the KiMo, NF-P, and NF-NP groups compared to the CG (P<0.001).
- The BP group showed a non-significant increase in BMI compared to the CG (P=0.998).
- Motor abilities demonstrated inconsistent results across all intervention groups.
Conclusions:
- Current evidence does not support definitive recommendations for optimal preschool health promotion procedures.
- Comprehensive involvement of the child's social environment, including parents, educators, and pediatricians, is essential for preventing overweight and motor deficits.
Aim:
The prevalence of obesity and motor deficits in children is on the rise in western industrialized countries. Due to the negative health related consequences, effective early preventive measures are of urgent need. In the present study the effects of the kindergarten-based low-threshold interventions "Kindergarten Mobile (KiMo)", "Ball and Pear (BP)" and "Nursery Fit (NF)" were determined.
Methods:
One thousand five hundred ten children (53.4% male) participated in the study (age: 4.7 ± 0.9 years, height: 108.3 ± 7.9cm, weight: 19.1 ± 3.6 kg, BMI: 16.1±1.6kg/m²). The children were divided in the groups KiMo (N.=690), BP (N.=74), NF-P (N.=95), NF-NP (N.=289) and CG (N.=362). Anthropometric data and motor abilities were assessed at T1 (baseline) and T2 (follow-up after 6 months). The interventions included an information session for parents/educators, where key guidelines for a healthy lifestyle were communicated and individual fitness passes were handed over (KiMo, NF-P, NF-NP), respectively an instructed activity lesson once per week (BP, NF-P).
Results:
The results showed a decrease of the BMI in the groups KiMo (-0.1 ± 0.6 kg/m²), NF-P (-0.1 ± 0.7 kg/m²) and NF-NP (-0.2 ± 0.6 kg/m²; each P<0.001 in comparison to the CG) and an increase in the group BP (0.1 ± 0.5 kg/m²; P=0.998 in comparison to the CG). Inconsistent results were shown in all groups regarding motor abilities.
Conclusion:
To date, no evidence-based recommendations concerning the optimal procedure for health promotion at pre-school age can be concluded. It seems assured, that the entire social environment of children has to be involved in the prevention of overweight and motor deficits, including parents, educators and pediatricians.
Related Concept Videos
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Environmental Influences on Intelligence

