mproving nutrition habits and reducing sedentary time among preschool-aged children in Cuenca, Ecuador: a trial of a school-based intervention

Introduction In Ecuador, the prevalence of overweight and obesity among school-age children is more than triple that of preschool-age children; however, preschoolers have not been the target of interventions. Methods We developed an educational and behavioral intervention that included games, sin...

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Main Author: Abril Ulloa, Sandra Victoria
Format: info:eu-repo/semantics/ARTÍCULO
Published: 2018
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Online Access:http://dspace.ucuenca.edu.ec/handle/123456789/31300
https://www.cdc.gov/pcd/issues/2018/18_0053.htm
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spelling oai:localhost:123456789-313002018-10-02T13:07:03Z mproving nutrition habits and reducing sedentary time among preschool-aged children in Cuenca, Ecuador: a trial of a school-based intervention Abril Ulloa, Sandra Victoria IMPROVING NUTRITION HABITS PRESCHOOL-AGED CHILDREN SEDENTARY TIME NUTRITIONAL INTERVENTION Introduction In Ecuador, the prevalence of overweight and obesity among school-age children is more than triple that of preschool-age children; however, preschoolers have not been the target of interventions. Methods We developed an educational and behavioral intervention that included games, singing, and storytelling. Children were recruited from municipal preschools in Cuenca and were enrolled in the pilot intervention (PI) (N=155) for the 2015–2016 school year, which consisted of a 3-month in-school program. For the 2016–2017 school year, a separate group of children was enrolled in the enhanced intervention (EI) (N=152), which consisted of a 7-month program at both school and home. Results Parents in both groups reported a post-intervention reduction in their child’s daily at-home consumption of sugar-sweetened beverages (PI: −23.2%, P < .001; EI: −16.8%, P < .001). Additional beneficial effects of the EI not observed with the PI were an increase in drinking water daily at home (+8.3%, P = .04) and eating fruits and vegetables daily for snacks at home (+21.8%, P < .001), a reduction in excessive weekend screen time (−7.6%, P = .03), and a reduction of 0.11 in mean BMI-for-age z score (P = .003). When comparing the PI and EI, the EI was associated with a greater difference in mean BMI-for-age z score (−0.25; P < .001) and fruit and vegetable consumption (+15.9%; P = .01). Conclusion Our preschool-based intervention appeared to be successful in promoting healthy lifestyle habits, especially when combined with a household component. Further research is needed to determine if the intervention had long-term effects, as well as to adapt it for different settings. 2018-10-02T13:07:02Z 2018-10-02T13:07:02Z 2018 info:eu-repo/semantics/ARTÍCULO 1545-1151 http://dspace.ucuenca.edu.ec/handle/123456789/31300 https://www.cdc.gov/pcd/issues/2018/18_0053.htm es_ES instname:Universidad de Cuenca reponame:Repositorio Digital de la Universidad de Cuenca info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by-nc-sa/3.0/ec/ Preventing Chronic Disease info:eu-repo/semantics/Versión publicada
institution UCUENCA
collection Repositorio UCUENCA
universidades UCUENCA
language
format info:eu-repo/semantics/ARTÍCULO
topic IMPROVING NUTRITION HABITS
PRESCHOOL-AGED CHILDREN
SEDENTARY TIME
NUTRITIONAL INTERVENTION
spellingShingle IMPROVING NUTRITION HABITS
PRESCHOOL-AGED CHILDREN
SEDENTARY TIME
NUTRITIONAL INTERVENTION
Abril Ulloa, Sandra Victoria
mproving nutrition habits and reducing sedentary time among preschool-aged children in Cuenca, Ecuador: a trial of a school-based intervention
description Introduction In Ecuador, the prevalence of overweight and obesity among school-age children is more than triple that of preschool-age children; however, preschoolers have not been the target of interventions. Methods We developed an educational and behavioral intervention that included games, singing, and storytelling. Children were recruited from municipal preschools in Cuenca and were enrolled in the pilot intervention (PI) (N=155) for the 2015–2016 school year, which consisted of a 3-month in-school program. For the 2016–2017 school year, a separate group of children was enrolled in the enhanced intervention (EI) (N=152), which consisted of a 7-month program at both school and home. Results Parents in both groups reported a post-intervention reduction in their child’s daily at-home consumption of sugar-sweetened beverages (PI: −23.2%, P < .001; EI: −16.8%, P < .001). Additional beneficial effects of the EI not observed with the PI were an increase in drinking water daily at home (+8.3%, P = .04) and eating fruits and vegetables daily for snacks at home (+21.8%, P < .001), a reduction in excessive weekend screen time (−7.6%, P = .03), and a reduction of 0.11 in mean BMI-for-age z score (P = .003). When comparing the PI and EI, the EI was associated with a greater difference in mean BMI-for-age z score (−0.25; P < .001) and fruit and vegetable consumption (+15.9%; P = .01). Conclusion Our preschool-based intervention appeared to be successful in promoting healthy lifestyle habits, especially when combined with a household component. Further research is needed to determine if the intervention had long-term effects, as well as to adapt it for different settings.
author Abril Ulloa, Sandra Victoria
author_facet Abril Ulloa, Sandra Victoria
author_sort Abril Ulloa, Sandra Victoria
title mproving nutrition habits and reducing sedentary time among preschool-aged children in Cuenca, Ecuador: a trial of a school-based intervention
title_short mproving nutrition habits and reducing sedentary time among preschool-aged children in Cuenca, Ecuador: a trial of a school-based intervention
title_full mproving nutrition habits and reducing sedentary time among preschool-aged children in Cuenca, Ecuador: a trial of a school-based intervention
title_fullStr mproving nutrition habits and reducing sedentary time among preschool-aged children in Cuenca, Ecuador: a trial of a school-based intervention
title_full_unstemmed mproving nutrition habits and reducing sedentary time among preschool-aged children in Cuenca, Ecuador: a trial of a school-based intervention
title_sort mproving nutrition habits and reducing sedentary time among preschool-aged children in cuenca, ecuador: a trial of a school-based intervention
publishDate 2018
url http://dspace.ucuenca.edu.ec/handle/123456789/31300
https://www.cdc.gov/pcd/issues/2018/18_0053.htm
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score 11,871979