Healthy Start to Increase Physical Activity and Improve Healthy Eating in Early Childcare Centres

NCT02375490 | Completed

• 1 other identifier: 6282-15-2010/3381056-RSFS
• Study Type: interventional
• Target: 897
• Locations: 1 country
• Sites: 2

Brief Summary

Childhood obesity is one of the greatest challenges facing public health and recent evidence shows it begins in preschool aged children. It has been suggested that interventions be carried out to improve physical activity and healthy eating behaviour among young children. This study aims to fully evaluate Healthy Start, a multilevel physical activity and healthy eating intervention for preschool aged children. It is hypothesized that the Healthy Start intervention will improve both eating and physical activity behaviors of children attending early childcare centers because of its influence on multiple factors.

Conditions

Pediatric Obesity

Keywords

Exercise; Eating Behavior; Preschool Child; Early Childcare Center; Obesity; Physical Literacy

Outcome Measures

Primary Outcomes (3)

• Physical Activity Level

  Children's physical activity levels are obtained using an Actical accelerometer worn during attendance of ECC for five consecutive days. Accelerometers represent an objective and valid method of measuring physical activity in preschool aged children.

  The intervention spans a period of 6 months. Outcomes are measured before and after intervention.

• Physical Literacy

  Physical literacy and gross motor skills of children will be measured using the Test of Gross Motor Development (TGMD-II). The TGMD-II is a standardized test designed to assess the gross motor functioning in children aged 3 through 10 years

  The intervention spans a period of 6 months. Outcomes are measured before and after intervention.

• Dietary Intake

  Intake analysis provides information on the intake of calories, macronutrients and micronutrients in children attending the centers. This method has been extensively used in studies concerning school-aged children and is considered the most precise measurement of dietary intake. In this study, intake analysis is done using the photography-assisted weighted plate waste method centers.

  The intervention spans a period of 6 months. Outcomes are measured before and after intervention.

Secondary Outcomes (1)

• Early Childcare Center Practices and Policies for Physical Activity and Nutrition

  The intervention spans a period of 6 months. Outcomes are measured before and after intervention.

Other Outcomes (2)

• Body Mass Index

  The intervention spans a period of 6 months. Outcomes are measured before and after intervention.

• Waist circumference

  The intervention spans a period of 6 months. Outcomes are measured before and after intervention.

Study Arms (2)

Intervention arm

EXPERIMENTAL

The intervention arm will participate in Healthy Start.

Behavioral: Healthy Start

Control arm

NO INTERVENTION

Control arm will pursue daily activities at early childcare center as usual.

Interventions

Healthy Start BEHAVIORAL

Healthy Start was designed to promote physical activity and healthy eating among 3-5 year old children. Specifically, Healthy Start attempts to influence factors at the intrapersonal, interpersonal, organizational, community and physical environment and political levels. These levels of influence are targeted such that from an operational stand point, Healthy Start is composed of six interlinked components: 1) intersectoral partnerships that leads to promoting healthy weights in communities and ECC; 2) The Healthy Start guide for educators; 3) customized training, role modelling and monitoring; 4) an evidence-based resource for both families and educators; 5) supplementary resources from governmental partners; and 6) a knowledge development and exchange, and communication strategy.

Intervention arm

Eligibility Criteria

• Age: 3 Years - 5 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Early childcare center must prepare and provide meals for lunch

You may not qualify if:

• Any early childcare center that has already received a physical activity or nutrition promoting intervention in the past to avoid underestimating the effect of the Healthy Start intervention

Sponsors & Collaborators

• Université de Sherbrooke: lead
• University of Saskatchewan: collaborator

Study Sites (2)

Centre de formation médicale du Nouveau-Brunswick

Moncton, New Brunswick, E1A 3E9, Canada

Location

University of Saskatchewan

Saskatoon, Saskatchewan, S7K 2L7, Canada

Location

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• Abobakar L, Engler-Stringer R, Leis A, Vatanparast H. Evaluation of the impact of the Healthy Start/Depart Sante intervention on improving menu planning practices and improving the congruence between planned menus and actual food served in Saskatchewan childcare centres. Prev Med Rep. 2021 May 25;23:101403. doi: 10.1016/j.pmedr.2021.101403. eCollection 2021 Sep.

  PMID: 34136337 DERIVED

• Ward S, Belanger M, Leis A. Comparison between the Healthy Start-Depart Sante online and in-person training of childcare educators to improve healthy eating and physical activity practices and knowledge of physical activity and fundamental movement skills: A controlled trial. Prev Med Rep. 2020 Nov 28;20:101264. doi: 10.1016/j.pmedr.2020.101264. eCollection 2020 Dec.

  PMID: 33354492 DERIVED

• Leis A, Ward S, Vatanparast H, Humbert ML, Chow AF, Muhajarine N, Engler-Stringer R, Belanger M. Effectiveness of the Healthy Start-Depart Sante 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. doi: 10.1186/s12889-020-08621-9.

  PMID: 32306943 DERIVED

• Belanger M, Humbert L, Vatanparast H, Ward S, Muhajarine N, Chow AF, Engler-Stringer R, Donovan D, Carrier N, Leis A. 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-Depart Sante cluster randomised controlled trial study protocol. BMC Public Health. 2016 Apr 12;16:313. doi: 10.1186/s12889-016-2973-5.

  PMID: 27068684 DERIVED

MeSH Terms

Conditions

Pediatric Obesity; Motor Activity; Feeding Behavior; Obesity

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior; Behavior, Animal

Study Officials

• Anne Leis, PhD

  University of Saskatchewan

  PRINCIPAL INVESTIGATOR

• Mathieu Bélanger, PhD

  Université de Sherbrooke

  PRINCIPAL INVESTIGATOR

• Louise Humbert, PhD

  University of Saskatchewan

  PRINCIPAL INVESTIGATOR

• Hassan Vatanparast, PhD

  University of Saskatchewan

  PRINCIPAL INVESTIGATOR

• Nazeem Muhajarine, PhD

  University of Saskatchewan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: February 24, 2015
• First Posted: March 2, 2015
• Study Start: September 1, 2013
• Primary Completion: July 1, 2016
• Study Completion: July 1, 2016
• Last Updated: December 2, 2017

Record last verified: 2017-11

Locations

CA (2)