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A multilevel intervention to increase physical activity and improve healthy eating and physical literacy among young children (ages 3-5) attending early childcare centres: the Healthy Start-Départ Santé cluster randomised controlled trial study protocol.
BMC Public Health. 2016 Apr 12; 16:313.BP

Abstract

BACKGROUND

Childhood obesity is a growing concern for public health. Given a majority of children in many countries spend approximately 30 h per week in early childcare centers, this environment represents a promising setting for implementing strategies to foster healthy behaviours for preventing and controlling childhood obesity. Healthy Start-Départ Santé was designed to promote physical activity, physical literacy, and healthy eating among preschoolers. The objectives of this study are to assess the effectiveness of the Healthy Start-Départ Santé intervention in improving physical activity levels, physical literacy, and healthy eating among preschoolers attending early childcare centers.

METHODS/DESIGN

This study follows a cluster randomized controlled trial design in which the childcare centers are randomly assigned to receive the intervention or serve as usual care controls. The Healthy Start-Départ Santé intervention is comprised of interlinked components aiming to enable families and educators to integrate physical activity and healthy eating in the daily lives of young children by influencing factors at the intrapersonal, interpersonal, organizational, community, physical environment and policy levels. The intervention period, spanning 6-8 months, is preceded and followed by data collections. Participants are recruited from 61 childcare centers in two Canadian provinces, New Brunswick and Saskatchewan. Centers eligible for this study have to prepare and provide meals for lunch and have at least 20 children between the ages of 3 and 5. Centers are excluded if they have previously received a physical activity or nutrition promoting intervention. Eligible centers are stratified by province, geographical location (urban or rural) and language (English or French), then recruited and randomized using a one to one protocol for each stratum. Data collection is ongoing. The primary study outcomes are assessed using accelerometers (physical activity levels), the Test of Gross Motor Development-II (physical literacy), and digital photography-assisted weighted plate waste (food intake).

DISCUSSION

The multifaceted approach of Healthy Start-Départ Santé positions it well to improve the physical literacy and both dietary and physical activity behaviors of children attending early childcare centers. The results of this study will be of relevance given the overwhelming prevalence of overweight and obesity in children worldwide.

TRIAL REGISTRATION

NCT02375490 (ClinicalTrials.gov registry).

Authors+Show Affiliations

Department of family medicine, Université de Sherbrooke, 18 avenue Antonine-Maillet, Moncton, NB, E1A 3E9, Canada. Centre de formation médicale du Nouveau-Brunswick, 18 avenue Antonine-Maillet, Moncton, NB, E1A 3E9, Canada. Vitalité Health Network, 330 Université Avenue, Moncton, NB, E1C 2Z3, Canada.College of Kinesiology, University of Saskatchewan, 7 Campus Drive, Saskatoon, SK, S7N 5B2, Canada.College of Pharmacy and Nutrition /School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 0Z2, Canada.Department of family medicine, Université de Sherbrooke, 18 avenue Antonine-Maillet, Moncton, NB, E1A 3E9, Canada. Centre de formation médicale du Nouveau-Brunswick, 18 avenue Antonine-Maillet, Moncton, NB, E1A 3E9, Canada.Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan Health Sciences E Wing, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.College of Kinesiology, University of Saskatchewan, 7 Campus Drive, Saskatoon, SK, S7N 5B2, Canada.Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan Health Sciences E Wing, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.Centre de formation médicale du Nouveau-Brunswick, 18 avenue Antonine-Maillet, Moncton, NB, E1A 3E9, Canada.École des sciences des aliments, de nutrition et d'études familiales, Faculté des sciences de la santé et des services communautaires, Université de Moncton, 18 avenue Antonine-Maillet, Moncton, NB, E1A 3E9, Canada.Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan Health Sciences E Wing, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada. Anne.Leis@usask.ca.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27068684

Citation

Bélanger, Mathieu, et al. "A Multilevel Intervention to Increase Physical Activity and Improve Healthy Eating and Physical Literacy Among Young Children (ages 3-5) Attending Early Childcare Centres: the Healthy Start-Départ Santé Cluster Randomised Controlled Trial Study Protocol." BMC Public Health, vol. 16, 2016, p. 313.
Bélanger M, Humbert L, Vatanparast H, et al. A multilevel intervention to increase physical activity and improve healthy eating and physical literacy among young children (ages 3-5) attending early childcare centres: the Healthy Start-Départ Santé cluster randomised controlled trial study protocol. BMC Public Health. 2016;16:313.
Bélanger, M., Humbert, L., Vatanparast, H., Ward, S., Muhajarine, N., Chow, A. F., Engler-Stringer, R., Donovan, D., Carrier, N., & Leis, A. (2016). A multilevel intervention to increase physical activity and improve healthy eating and physical literacy among young children (ages 3-5) attending early childcare centres: the Healthy Start-Départ Santé cluster randomised controlled trial study protocol. BMC Public Health, 16, 313. https://doi.org/10.1186/s12889-016-2973-5
Bélanger M, et al. A Multilevel Intervention to Increase Physical Activity and Improve Healthy Eating and Physical Literacy Among Young Children (ages 3-5) Attending Early Childcare Centres: the Healthy Start-Départ Santé Cluster Randomised Controlled Trial Study Protocol. BMC Public Health. 2016 Apr 12;16:313. PubMed PMID: 27068684.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A multilevel intervention to increase physical activity and improve healthy eating and physical literacy among young children (ages 3-5) attending early childcare centres: the Healthy Start-Départ Santé cluster randomised controlled trial study protocol. AU - Bélanger,Mathieu, AU - Humbert,Louise, AU - Vatanparast,Hassan, AU - Ward,Stéphanie, AU - Muhajarine,Nazeem, AU - Chow,Amanda Froehlich, AU - Engler-Stringer,Rachel, AU - Donovan,Denise, AU - Carrier,Natalie, AU - Leis,Anne, Y1 - 2016/04/12/ PY - 2016/02/04/received PY - 2016/03/19/accepted PY - 2016/4/13/entrez PY - 2016/4/14/pubmed PY - 2016/12/15/medline KW - Childhood obesity KW - eating habits KW - food intake KW - physical activity KW - physical literacy KW - population health intervention KW - preschool SP - 313 EP - 313 JF - BMC public health JO - BMC Public Health VL - 16 N2 - BACKGROUND: Childhood obesity is a growing concern for public health. Given a majority of children in many countries spend approximately 30 h per week in early childcare centers, this environment represents a promising setting for implementing strategies to foster healthy behaviours for preventing and controlling childhood obesity. Healthy Start-Départ Santé was designed to promote physical activity, physical literacy, and healthy eating among preschoolers. The objectives of this study are to assess the effectiveness of the Healthy Start-Départ Santé intervention in improving physical activity levels, physical literacy, and healthy eating among preschoolers attending early childcare centers. METHODS/DESIGN: This study follows a cluster randomized controlled trial design in which the childcare centers are randomly assigned to receive the intervention or serve as usual care controls. The Healthy Start-Départ Santé intervention is comprised of interlinked components aiming to enable families and educators to integrate physical activity and healthy eating in the daily lives of young children by influencing factors at the intrapersonal, interpersonal, organizational, community, physical environment and policy levels. The intervention period, spanning 6-8 months, is preceded and followed by data collections. Participants are recruited from 61 childcare centers in two Canadian provinces, New Brunswick and Saskatchewan. Centers eligible for this study have to prepare and provide meals for lunch and have at least 20 children between the ages of 3 and 5. Centers are excluded if they have previously received a physical activity or nutrition promoting intervention. Eligible centers are stratified by province, geographical location (urban or rural) and language (English or French), then recruited and randomized using a one to one protocol for each stratum. Data collection is ongoing. The primary study outcomes are assessed using accelerometers (physical activity levels), the Test of Gross Motor Development-II (physical literacy), and digital photography-assisted weighted plate waste (food intake). DISCUSSION: The multifaceted approach of Healthy Start-Départ Santé positions it well to improve the physical literacy and both dietary and physical activity behaviors of children attending early childcare centers. The results of this study will be of relevance given the overwhelming prevalence of overweight and obesity in children worldwide. TRIAL REGISTRATION: NCT02375490 (ClinicalTrials.gov registry). SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/27068684/A_multilevel_intervention_to_increase_physical_activity_and_improve_healthy_eating_and_physical_literacy_among_young_children__ages_3_5__attending_early_childcare_centres:_the_Healthy_Start_Départ_Santé_cluster_randomised_controlled_trial_study_protocol_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-2973-5 DB - PRIME DP - Unbound Medicine ER -