Prevention Research Center, University of New Mexico, 1 University of New Mexico, MSC 11 6145, Albuquerque, NM 87131, USA.
J Sch Health. 2013 Mar;83(3):223-9. doi: 10.1111/josh.12018.
Obesity is a major concern among American Indians and Hispanics. The Child Health Initiative for Lifelong Eating and Exercise (CHILE) is an evidence-based intervention to prevent obesity in children enrolled in 16 Head Start (HS) Centers in rural communities. The design and implementation of CHILE are described.
CHILE uses a socioecological approach to improve dietary intake and increase physical activity. The intervention includes: a classroom curriculum; teacher and food service training; family engagement; grocery store participation; and health care provider support.
Lessons learned from CHILE include the need to consider availability of recommended foods; the necessity of multiple training sessions for teachers and food service; the need to tailor the family events to local needs; consideration of the profit needs of grocery stores; and sensitivity to the time constraints of health care providers.
HS can play an important role in preventing obesity in children. CHILE is an example of a feasible intervention that addresses nutrition and physical activity for preschool children that can be incorporated into HS curricula and aligns with HS national performance standards.
肥胖是美洲印第安人和西班牙裔人群的主要关注点。儿童健康终身饮食与运动倡议（CHILE）是一项基于证据的干预措施，旨在预防参与农村社区 16 个学前教育中心（HS）的儿童肥胖。本研究描述了 CHILE 的设计和实施。
CHILE 采用社会生态学方法来改善饮食摄入并增加身体活动。该干预措施包括：课堂课程；教师和餐饮服务培训；家庭参与；杂货店参与；以及医疗保健提供者的支持。
CHILE 得出的经验教训包括：需要考虑推荐食品的供应情况；教师和餐饮服务人员需要多次培训；需要根据当地需求调整家庭活动；考虑杂货店的盈利需求；以及关注医疗保健提供者的时间限制。
HS 可以在预防儿童肥胖方面发挥重要作用。CHILE 是一个可行的干预措施的例子，针对学龄前儿童的营养和身体活动，可纳入 HS 课程，并符合 HS 国家绩效标准。
