Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial
Abstract Background Since young children spend approximately 30 h per week in early childcare centres (ECC), this setting is ideal to foster healthy behaviours. This study aimed to assess the effectiveness of the Healthy Start-Départ Santé (HSDS) randomized controlled trial in increasing physical ac...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08621-9 |
| _version_ | 1811299547843919872 |
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| author | Anne Leis Stéphanie Ward Hassan Vatanparast M. Louise Humbert Amanda Froehlich Chow Nazeem Muhajarine Rachel Engler-Stringer Mathieu Bélanger |
| author_facet | Anne Leis Stéphanie Ward Hassan Vatanparast M. Louise Humbert Amanda Froehlich Chow Nazeem Muhajarine Rachel Engler-Stringer Mathieu Bélanger |
| author_sort | Anne Leis |
| collection | DOAJ |
| description | Abstract Background Since young children spend approximately 30 h per week in early childcare centres (ECC), this setting is ideal to foster healthy behaviours. This study aimed to assess the effectiveness of the Healthy Start-Départ Santé (HSDS) randomized controlled trial in increasing physical activity (PA) levels and improving healthy eating and fundamental movement skills in preschoolers attending ECC. Methods Sixty-one ECC were randomly selected and allocated to either the usual practice (n = 30; n = 433 children) or intervention group (n = 31; n = 464 children). The HSDS intervention group was provided a 3-h on-site training for childcare educators which aimed to increase their knowledge and self-efficacy in promoting healthy eating, PA and development of fundamental movement skills in preschoolers. PA was measured during childcare hours for five consecutive days using the Actical accelerometer. Preschoolers’ fundamental movement skills were assessed using the standard TGMD-II protocol and POMP scores. Food intake was evaluated using digital photography-assisted weighted plate waste at lunch, over two consecutive days. All data were collected prior to the HSDS intervention and again 9 months later. Mixed-effect models were used to analyse the effectiveness of the HSDS intervention on all outcome measures. Results Total number of children who provided valid data at baseline and endpoint for PA, food intake and fundamental movement skills were 259, 670 and 492, respectively. Children in the HSDS intervention group had, on average, a 3.33 greater point increase in their locomotor motor skills scores than children in the control group (β = 3.33, p = 0.009). No significant differences in effects were observed for object control, PA and food intake. However, results demonstrated a marginal increase in portions of fruits and vegetables served in the intervention group compared to control group (β = 0.06, p = 0.05). Conclusion Of the 12 outcome variables investigated in this study, 10 were not different between the study groups and two of them (locomotor skills and vegetables and fruits servings) showed a significant improvement. This suggests that HSDS is an effective intervention for the promotion of some healthy behaviours among preschoolers attending ECC. Trial registration Clinical Trials NCT02375490 . Registered on February 24, 2015; 77 retrospectively registered. |
| first_indexed | 2024-04-13T06:37:28Z |
| format | Article |
| id | doaj.art-5aee1ce79313423ba923a4f5305d36e9 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-13T06:37:28Z |
| publishDate | 2020-04-01 |
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| spelling | doaj.art-5aee1ce79313423ba923a4f5305d36e92022-12-22T02:57:52ZengBMCBMC Public Health1471-24582020-04-0120111210.1186/s12889-020-08621-9Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trialAnne Leis0Stéphanie Ward1Hassan Vatanparast2M. Louise Humbert3Amanda Froehlich Chow4Nazeem Muhajarine5Rachel Engler-Stringer6Mathieu Bélanger7Department of Community Health & Epidemiology, College of Medicine, University of SaskatchewanÉcole des sciences des aliments, de nutrition et d’études familiales, Faculté des sciences de la santé et des services communautaires, Université de MonctonCollege of Pharmacy and Nutrition/School of Public Health, University of SaskatchewanCollege of Kinesiology, University of SaskatchewanCollege of Kinesiology, University of SaskatchewanDepartment of Community Health & Epidemiology, College of Medicine, University of SaskatchewanDepartment of Community Health & Epidemiology, College of Medicine, University of SaskatchewanDepartment of family medicine, Université de SherbrookeAbstract Background Since young children spend approximately 30 h per week in early childcare centres (ECC), this setting is ideal to foster healthy behaviours. This study aimed to assess the effectiveness of the Healthy Start-Départ Santé (HSDS) randomized controlled trial in increasing physical activity (PA) levels and improving healthy eating and fundamental movement skills in preschoolers attending ECC. Methods Sixty-one ECC were randomly selected and allocated to either the usual practice (n = 30; n = 433 children) or intervention group (n = 31; n = 464 children). The HSDS intervention group was provided a 3-h on-site training for childcare educators which aimed to increase their knowledge and self-efficacy in promoting healthy eating, PA and development of fundamental movement skills in preschoolers. PA was measured during childcare hours for five consecutive days using the Actical accelerometer. Preschoolers’ fundamental movement skills were assessed using the standard TGMD-II protocol and POMP scores. Food intake was evaluated using digital photography-assisted weighted plate waste at lunch, over two consecutive days. All data were collected prior to the HSDS intervention and again 9 months later. Mixed-effect models were used to analyse the effectiveness of the HSDS intervention on all outcome measures. Results Total number of children who provided valid data at baseline and endpoint for PA, food intake and fundamental movement skills were 259, 670 and 492, respectively. Children in the HSDS intervention group had, on average, a 3.33 greater point increase in their locomotor motor skills scores than children in the control group (β = 3.33, p = 0.009). No significant differences in effects were observed for object control, PA and food intake. However, results demonstrated a marginal increase in portions of fruits and vegetables served in the intervention group compared to control group (β = 0.06, p = 0.05). Conclusion Of the 12 outcome variables investigated in this study, 10 were not different between the study groups and two of them (locomotor skills and vegetables and fruits servings) showed a significant improvement. This suggests that HSDS is an effective intervention for the promotion of some healthy behaviours among preschoolers attending ECC. Trial registration Clinical Trials NCT02375490 . Registered on February 24, 2015; 77 retrospectively registered.http://link.springer.com/article/10.1186/s12889-020-08621-9PreschoolPhysical activityEating behavioursFood intakeFundamental movement skillsPopulation health intervention |
| spellingShingle | Anne Leis Stéphanie Ward Hassan Vatanparast M. Louise Humbert Amanda Froehlich Chow Nazeem Muhajarine Rachel Engler-Stringer Mathieu Bélanger Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial BMC Public Health Preschool Physical activity Eating behaviours Food intake Fundamental movement skills Population health intervention |
| title | Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial |
| title_full | Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial |
| title_fullStr | Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial |
| title_full_unstemmed | Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial |
| title_short | Effectiveness of the Healthy Start-Départ Santé approach on physical activity, healthy eating and fundamental movement skills of preschoolers attending childcare centres: a randomized controlled trial |
| title_sort | effectiveness of the healthy start depart sante approach on physical activity healthy eating and fundamental movement skills of preschoolers attending childcare centres a randomized controlled trial |
| topic | Preschool Physical activity Eating behaviours Food intake Fundamental movement skills Population health intervention |
| url | http://link.springer.com/article/10.1186/s12889-020-08621-9 |
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