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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. 2020 Apr 19; 20(1):523.BP

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.

Authors+Show Affiliations

Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Health Sciences E Wing, 104, Clinic Place, Saskatoon, SK, S7N 5E5, Canada. anne.leis@usask.ca.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, Canada.College of Pharmacy and Nutrition/School of Public Health, University of Saskatchewan, Saskatoon, Saskatchewan, S7N 0Z2, Canada.College of Kinesiology, University of Saskatchewan, Saskatoon, Canada.College of Kinesiology, University of Saskatchewan, Saskatoon, Canada.Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Health Sciences E Wing, 104, Clinic Place, Saskatoon, SK, S7N 5E5, Canada.Department of Community Health & Epidemiology, College of Medicine, University of Saskatchewan, Health Sciences E Wing, 104, Clinic Place, Saskatoon, SK, S7N 5E5, Canada.Department of family medicine, Université de Sherbrooke, 18 avenue Antonine-Maillet Moncton, Moncton, New Brunswick, E1A 3E9, Canada. Centre de formation médicale du Nouveau-Brunswick, 18 avenue Antonine-Maillet Moncton, Moncton, New Brunswick, E1A 3E9, Canada. Vitalité Health Network, 330 Université Avenue Moncton, Moncton, New Brunswick, E1C 2Z3, Canada.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

32306943

Citation

Leis, Anne, et al. "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, vol. 20, no. 1, 2020, p. 523.
Leis A, Ward S, Vatanparast H, et al. 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. 2020;20(1):523.
Leis, A., Ward, S., Vatanparast, H., Humbert, M. L., Chow, A. F., Muhajarine, N., Engler-Stringer, R., & Bélanger, M. (2020). 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, 20(1), 523. https://doi.org/10.1186/s12889-020-08621-9
Leis A, et al. 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. 2020 Apr 19;20(1):523. PubMed PMID: 32306943.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Leis,Anne, AU - Ward,Stéphanie, AU - Vatanparast,Hassan, AU - Humbert,M Louise, AU - Chow,Amanda Froehlich, AU - Muhajarine,Nazeem, AU - Engler-Stringer,Rachel, AU - Bélanger,Mathieu, Y1 - 2020/04/19/ PY - 2019/07/05/received PY - 2020/03/30/accepted PY - 2020/4/21/entrez PY - 2020/4/21/pubmed PY - 2020/9/25/medline KW - Eating behaviours KW - Food intake KW - Fundamental movement skills KW - Physical activity KW - Population health intervention KW - Preschool SP - 523 EP - 523 JF - BMC public health JO - BMC Public Health VL - 20 IS - 1 N2 - 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. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/32306943/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_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08621-9 DB - PRIME DP - Unbound Medicine ER -