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Published on: December 31, 2017
A Customized Intervention Program Aiming to Improve Healthy Eating and Physical Activity Among Preschool Children:
Atieh Mehdizadeh1, Mohsen Nematy1, Majid Khadem-Rezaiyan1
1School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.
Insights
This study introduces the Iran Healthy Start (IHS) program, a childhood obesity prevention initiative focusing on physical activity and healthy eating for preschoolers. The program aims to improve lifestyle behaviors and combat malnutrition in early years children.
Area of Science:
- Public Health
- Pediatric Nutrition
- Health Promotion
Background:
- Childhood obesity is a critical factor in preventing noncommunicable diseases.
- Ecological and population health models inform global childhood obesity prevention programs.
- The double burden of malnutrition (over- and undernutrition) is a significant concern in developing countries.
Purpose of the Study:
- To introduce the design and evaluation plan of the Iran Healthy Start (IHS) program, an adaptation of the Canadian Healthy Start initiative.
- To focus on improving physical activity and healthy eating behaviors among preschool children in Iran.
- To address the double burden of malnutrition in early childhood.
Main Methods:
- A pilot randomized controlled trial design will be used for evaluation.
- Intervention components include customized web-based resources, an educator implementation guide, training, monitoring, and parent engagement.
- Outcomes measured include anthropometry, physical activity, nutritional status, dietary intake, and quality of life.
Main Results:
- The intervention was completed by March 2018, with analysis currently underway.
- The project is funded by Mashhad University of Medical Sciences.
- Initial results are expected for publication in December 2018.
Conclusions:
- Health promotion programs targeting both overnutrition and undernutrition are essential for young children.
- The IHS program has the potential to be a comprehensive approach to improving lifestyle behaviors.
- Successful implementation could lead to healthier future lifestyles for children in a nutrition transition setting.
Background:
Prevention of childhood obesity is a key approach to the primary prevention of noncommunicable diseases. Several models, based on the population health approach and aligned with ecological models, are used to design childhood obesity prevention programs around the world.
Objective:
This study aims to introduce the design and evaluation plan of "Iran Healthy Start (IHS)/Aghazi Salem, Koodake Irani"-the customized Iranian version of Canadian Healthy Start/Départ Santé health promotion program-which is now being developed in Mashhad University of Medical Sciences (Mashhad, Iran) and focuses on improving physical activity and healthy eating among preschool children.
Methods:
We will evaluate the intervention using a pilot randomized controlled design. The components of intervention include customized Decoda Web-based resources for children, an implementation guide for educators and managers, training and monitoring, communication and knowledge exchange, building partnership, and parent engagement. Outcomes include changes in anthropometry, physical activity level, nutritional risk status and dietary intake, and quality of life.
Results:
The project is funded by Mashhad University of Medical Sciences. The intervention was completed by the end of March 2018, and the analysis is currently under way. The first results of the IHS intervention program are expected to be submitted for publication in December 2018.
Conclusions:
The double burden of malnutrition in early years children is a major health concern in developing countries. This justifies the need for health promotion programs that are specifically designed to target both overnutrition and undernutrition prevention. If the efficacy approved, the IHS could potentially be a comprehensive health promotion program for young children whose lifestyle behaviors can be improved toward a healthy future life in a nutrition transition setting.
Trial Registration:
International Clinical Trials Registry Platform IRCT2016041927475N1; https://en.irct.ir/trial/22497.
International Registered Report Identifier (Irrid):
RR1-10.2196/11329.
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