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Association between childcare educators' practices and preschoolers' physical activity and dietary intake: a cross-sectional analysis.
BMJ Open. 2017 05 30; 7(5):e013657.BO

Abstract

INTRODUCTION

Childcare educators may be role models for healthy eating and physical activity (PA) behaviours among young children. This study aimed to identify which childcare educators' practices are associated with preschoolers' dietary intake and PA levels.

METHODS

This cross-sectional analysis included 723 preschoolers from 50 randomly selected childcare centres in two Canadian provinces. All data were collected in the fall of 2013 and 2014 and analysed in the fall of 2015. PA was assessed using Actical accelerometers during childcare hours for 5 consecutive days. Children's dietary intake was measured at lunch on 2 consecutive days using weighed plate waste and digital photography. Childcare educators' nutrition practices (modelling, nutrition education, satiety recognition, verbal encouragement and not using food as rewards) and PA practices (informal and formal PA promotion) were assessed by direct observation over the course of 2 days, using the Nutrition and Physical Activity Self-Assessment for Child Care tool. Associations between educators' practices and preschoolers' PA and dietary intake were examined using multilevel linear regressions.

RESULTS

Overall, modelling of healthy eating was positively associated with children's intake of sugar (β=0.141, 95% CI 0.03 to 0.27), while calorie (β=-0.456, 95% CI -1.46 to -0.02) and fibre intake (β=-0.066, 95% CI -0.12 to -0.01) were negatively associated with providing nutrition education. Not using food as rewards was also negatively associated with fat intake (β=-0.144, 95% CI -0.52 to -0.002). None of the educators' PA practices were associated with children's participation in PA.

CONCLUSIONS

Modelling healthy eating, providing nutrition education and not using food as rewards are associated with children's dietary intake at lunch in childcare centres, highlighting the role that educators play in shaping preschoolers' eating behaviours. Although PA practices were not associated with children's PA levels, there is a need to reduce sedentary time in childcare centres.

Authors+Show Affiliations

Faculty of Medecine and Health Sciences, Université de Sherbrooke, Moncton, New Brunswick, Canada.Department of Family Medicine, Université de Sherbrooke, Moncton, New Brunswick, Canada.Department Community Health Sciences, Université de Sherbrooke, Moncton, New Brunswick, Canada.School of Public Health, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.College of Kinesiology, University of Saskatchewan, Saskatoon, Saskatchewan, 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, Moncton, New Brunswick, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28559455

Citation

Ward, Stéphanie, et al. "Association Between Childcare Educators' Practices and Preschoolers' Physical Activity and Dietary Intake: a Cross-sectional Analysis." BMJ Open, vol. 7, no. 5, 2017, pp. e013657.
Ward S, Blanger M, Donovan D, et al. Association between childcare educators' practices and preschoolers' physical activity and dietary intake: a cross-sectional analysis. BMJ Open. 2017;7(5):e013657.
Ward, S., Blanger, M., Donovan, D., Vatanparast, H., Muhajarine, N., Engler-Stringer, R., Leis, A., Humbert, M. L., & Carrier, N. (2017). Association between childcare educators' practices and preschoolers' physical activity and dietary intake: a cross-sectional analysis. BMJ Open, 7(5), e013657. https://doi.org/10.1136/bmjopen-2016-013657
Ward S, et al. Association Between Childcare Educators' Practices and Preschoolers' Physical Activity and Dietary Intake: a Cross-sectional Analysis. BMJ Open. 2017 05 30;7(5):e013657. PubMed PMID: 28559455.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between childcare educators' practices and preschoolers' physical activity and dietary intake: a cross-sectional analysis. AU - Ward,Stéphanie, AU - Blanger,Mathieu, AU - Donovan,Denise, AU - Vatanparast,Hassan, AU - Muhajarine,Nazeem, AU - Engler-Stringer,Rachel, AU - Leis,Anne, AU - Humbert,M Louise, AU - Carrier,Natalie, Y1 - 2017/05/30/ PY - 2017/6/1/entrez PY - 2017/6/1/pubmed PY - 2018/3/21/medline KW - childcare center KW - childcare educator KW - dietary intake KW - physical activity KW - preschool children SP - e013657 EP - e013657 JF - BMJ open JO - BMJ Open VL - 7 IS - 5 N2 - INTRODUCTION: Childcare educators may be role models for healthy eating and physical activity (PA) behaviours among young children. This study aimed to identify which childcare educators' practices are associated with preschoolers' dietary intake and PA levels. METHODS: This cross-sectional analysis included 723 preschoolers from 50 randomly selected childcare centres in two Canadian provinces. All data were collected in the fall of 2013 and 2014 and analysed in the fall of 2015. PA was assessed using Actical accelerometers during childcare hours for 5 consecutive days. Children's dietary intake was measured at lunch on 2 consecutive days using weighed plate waste and digital photography. Childcare educators' nutrition practices (modelling, nutrition education, satiety recognition, verbal encouragement and not using food as rewards) and PA practices (informal and formal PA promotion) were assessed by direct observation over the course of 2 days, using the Nutrition and Physical Activity Self-Assessment for Child Care tool. Associations between educators' practices and preschoolers' PA and dietary intake were examined using multilevel linear regressions. RESULTS: Overall, modelling of healthy eating was positively associated with children's intake of sugar (β=0.141, 95% CI 0.03 to 0.27), while calorie (β=-0.456, 95% CI -1.46 to -0.02) and fibre intake (β=-0.066, 95% CI -0.12 to -0.01) were negatively associated with providing nutrition education. Not using food as rewards was also negatively associated with fat intake (β=-0.144, 95% CI -0.52 to -0.002). None of the educators' PA practices were associated with children's participation in PA. CONCLUSIONS: Modelling healthy eating, providing nutrition education and not using food as rewards are associated with children's dietary intake at lunch in childcare centres, highlighting the role that educators play in shaping preschoolers' eating behaviours. Although PA practices were not associated with children's PA levels, there is a need to reduce sedentary time in childcare centres. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/28559455/Association_between_childcare_educators'_practices_and_preschoolers'_physical_activity_and_dietary_intake:_a_cross_sectional_analysis_ L2 - https://bmjopen.bmj.com/lookup/pmidlookup?view=long&pmid=28559455 DB - PRIME DP - Unbound Medicine ER -