Impact of the intervention program "JolinchenKids - fit and healthy in daycare" on energy balance related-behaviors: results of a cluster controlled trial.
Body composition
Daycare
Health promotion
Motor skills
Nutrition
Physical activity
Preschoolers
Journal
BMC pediatrics
ISSN: 1471-2431
Titre abrégé: BMC Pediatr
Pays: England
ID NLM: 100967804
Informations de publication
Date de publication:
13 11 2019
13 11 2019
Historique:
received:
28
03
2019
accepted:
31
10
2019
entrez:
15
11
2019
pubmed:
15
11
2019
medline:
13
11
2020
Statut:
epublish
Résumé
The purpose of this study was to evaluate the multi-component health promotion program, JolinchenKids - fit and healthy in daycare, designed to promote physical activity (PA), healthy eating, and mental wellbeing among 3- to 6-year-old preschoolers. For this cluster controlled trial, 62 daycare facilities (DFs) from thirteen different federal states in Germany were recruited (31 intervention, 31 control DFs). Outcome measures were children's habitual PA, fruits and vegetable consumption, consumption of unsweetened beverages and snacks with parents as raters. Study nurses assessed children's body composition and motor skills. Data was collected at baseline and 12 months later. To track adherence to the implementation of intervention modules at individual DF groups, an implementation calendar was used from baseline to follow-up. Linear mixed models were used to investigate effects for survey, group and their interaction at the individual level while accounting for clustering. Samples of 831 (baseline) and 641 (follow-up) children aged 4.3 ± 0.8 and 5.2 ± 0.8 years were analysed. More than half of the intervention DFs chose the nutrition or PA module for the first year of implementation while an implementation level of > 50% was only achieved in less than a third. A significant intervention effect (survey × group interaction) was found for the standing long jump favouring children at intervention DFs (β = 3.08; 95% Confidence interval [CI]: (0.09; 6.07)). No significant intervention effects were found for time spent on PA, total screen time, dietary habits, and body composition, i.e. body-mass-index and percentage of body fat. Participation in JolinchenKids - fit and healthy in daycare led to improvements in some indicators for motor skills. However, other health outcomes and behaviours were not affected by program participation over the course of 1 year. German Clinical Trials Register DRKS00011065 (Date of registration 16-09-2016).
Sections du résumé
BACKGROUND
The purpose of this study was to evaluate the multi-component health promotion program, JolinchenKids - fit and healthy in daycare, designed to promote physical activity (PA), healthy eating, and mental wellbeing among 3- to 6-year-old preschoolers.
METHODS
For this cluster controlled trial, 62 daycare facilities (DFs) from thirteen different federal states in Germany were recruited (31 intervention, 31 control DFs). Outcome measures were children's habitual PA, fruits and vegetable consumption, consumption of unsweetened beverages and snacks with parents as raters. Study nurses assessed children's body composition and motor skills. Data was collected at baseline and 12 months later. To track adherence to the implementation of intervention modules at individual DF groups, an implementation calendar was used from baseline to follow-up. Linear mixed models were used to investigate effects for survey, group and their interaction at the individual level while accounting for clustering.
RESULTS
Samples of 831 (baseline) and 641 (follow-up) children aged 4.3 ± 0.8 and 5.2 ± 0.8 years were analysed. More than half of the intervention DFs chose the nutrition or PA module for the first year of implementation while an implementation level of > 50% was only achieved in less than a third. A significant intervention effect (survey × group interaction) was found for the standing long jump favouring children at intervention DFs (β = 3.08; 95% Confidence interval [CI]: (0.09; 6.07)). No significant intervention effects were found for time spent on PA, total screen time, dietary habits, and body composition, i.e. body-mass-index and percentage of body fat.
CONCLUSIONS
Participation in JolinchenKids - fit and healthy in daycare led to improvements in some indicators for motor skills. However, other health outcomes and behaviours were not affected by program participation over the course of 1 year.
TRIAL REGISTRATION
German Clinical Trials Register DRKS00011065 (Date of registration 16-09-2016).
Identifiants
pubmed: 31722702
doi: 10.1186/s12887-019-1817-8
pii: 10.1186/s12887-019-1817-8
pmc: PMC6852984
doi:
Banques de données
DRKS
['DRKS00011065']
Types de publication
Controlled Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
432Références
J Am Diet Assoc. 2004 May;104(5):769-70
pubmed: 15127062
Int J Nurs Stud. 2016 Jan;53:270-89
pubmed: 26582470
J Sci Med Sport. 2018 Jul;21(7):714-719
pubmed: 29150312
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2004 Mar;47(3):219-26
pubmed: 15205789
Pediatr Exerc Sci. 2015 Aug;27(3):314-33
pubmed: 25875697
Int J Behav Nutr Phys Act. 2014 Mar 14;11(1):38
pubmed: 24628972
Eur J Epidemiol. 2016 May;31(5):513-25
pubmed: 26297214
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2014 Jul;57(7):762-70
pubmed: 24950825
Nutr J. 2011 Dec 07;10:133
pubmed: 22152115
Br J Nutr. 2005 Jun;93(6):923-31
pubmed: 16022763
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2015 Sep;58(9):1005-14
pubmed: 26141246
Br J Sports Med. 2012 Jun;46(8):595-602
pubmed: 22144006
Obes Rev. 2012 Mar;13 Suppl 1:129-32
pubmed: 22309071
Int J Obes (Lond). 2014 Sep;38 Suppl 2:S99-107
pubmed: 25376223
J Sports Sci. 2017 Feb;35(4):377-384
pubmed: 27033346
J Appl Physiol (1985). 1993 Oct;75(4):1776-80
pubmed: 8282631
Cochrane Database Syst Rev. 2011 Dec 07;(12):CD001871
pubmed: 22161367
J Sci Med Sport. 2016 Jun;19(6):488-92
pubmed: 26232866
Arch Pediatr Adolesc Med. 2004 Apr;158(4):353-7
pubmed: 15066875
J Nutr. 2018 May 1;148(5):752-759
pubmed: 29982656
PLoS One. 2017 Aug 17;12(8):e0182845
pubmed: 28817625
Obes Rev. 2014 Jan;15(1):52-67
pubmed: 23941399
Am J Community Psychol. 2008 Jun;41(3-4):327-50
pubmed: 18322790
Pediatr Allergy Immunol Pulmonol. 2012 Jun;25(2):64-75
pubmed: 22768385
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2016 Nov;59(11):1423-1431
pubmed: 27709262
Acta Paediatr. 2006 Aug;95(8):904-8
pubmed: 16882560
Int J Behav Nutr Phys Act. 2014 Mar 05;11(1):30
pubmed: 24593840
N Engl J Med. 2011 Nov 17;365(20):1876-85
pubmed: 22087679
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007 May-Jun;50(5-6):590-9
pubmed: 17514443
Nutrients. 2017 May 10;9(5):null
pubmed: 28489048
PLoS One. 2013 Jul 24;8(7):e70684
pubmed: 23894679
Cochrane Database Syst Rev. 2018 Jan 25;1:CD008552
pubmed: 29365346
Am J Prev Med. 2017 Jul;53(1):102-112
pubmed: 28237633
J Obes. 2012;2012:281801
pubmed: 22778915
Child Care Health Dev. 2012 May;38(3):305-15
pubmed: 21880055
Int J Environ Res Public Health. 2018 Jun 28;15(7):
pubmed: 29958385
J Nutr. 2015 Apr;145(4):775-82
pubmed: 25833780
Obes Facts. 2017;10(5):420-431
pubmed: 28934745
Obes Res. 2004 Oct;12(10):1633-40
pubmed: 15536227
Int J Behav Nutr Phys Act. 2015 Nov 04;12:138
pubmed: 26537771
BMC Obes. 2016 Dec 13;3:55
pubmed: 27999679
Obes Rev. 2012 Apr;13(4):347-67
pubmed: 22171945
Pediatr Obes. 2012 Aug;7(4):284-94
pubmed: 22715120
BMC Public Health. 2017 Jul 11;18(1):6
pubmed: 28693454
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2014 Jul;57(7):840-8
pubmed: 24950833
Pediatrics. 2005 Jan;115(1):22-7
pubmed: 15629977