文章基本信息

标题：Healthy Start--Depart Sante: a pilot study of a multilevel intervention to increase physical activity, fundamental movement skills and healthy eating in rural childcare centres.
本地全文：下载
作者：Chow, Amanda Froehlich ; Leis, Anne ; Humbert, Louise 等
期刊名称：Canadian Journal of Public Health
印刷版ISSN：0008-4263
出版年度：2016
期号：May
出版社：Canadian Public Health Association
摘要：Current research indicates that Canadian early years children (0-5 years) spend a large portion of their day engaging in sedentary behaviour. Moreover, children are not meeting the recommended food guide servings for fruits, vegetables and milk products. (1-3) Combined, these behaviours have been associated with an increased risk of becoming overweight (i.e., body mass index above 25). Children who are overweight before school entry often continue on this unhealthy trajectory and have a significant risk of becoming obese during their youth and adult years. (4)

In Canada, over 50% of children aged 6 months to 5 years attend out-of-home care. (5) These settings include licensed childcare centres, licensed day homes and unlicensed day homes. Licensed childcare centres must meet provincially legislated guidelines. In addition, educators working in these centres must hold an Early Learning and Childcare Diploma. Childcare environments can provide a platform for exploring children's behaviours and thus have been identified as the ideal setting for delivering interventions that provide opportunities to introduce lessons, activities and programming aimed at promoting healthy behaviours. (6)

Larson and colleagues found that only a limited number of interventions have effectively addressed and reported improvements in both the physical activity and healthy eating behaviours of children in childcare settings. (7) However, a recent systematic review showed that nutrition-focused interventions in childcare settings can positively influence children's fruit and vegetable consumption and their nutrition-related knowledge. (8) Similarly, a systematic review of physical activity interventions found that factors such as manipulation of playground equipment, the number of children playing at one time, and goal-setting and reinforcement have the potential to promote physical activity participation among children in childcare. (9)