Steenbock Berit, Zeeb Hajo, Rach Stefan, Pohlabeln Hermann, Pischke Claudia R
Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
Health Sciences Bremen, University of Bremen, Bremen, Germany.
BMC Public Health. 2017 Jul 11;18(1):6. doi: 10.1186/s12889-017-4551-x.
The prevention of overweight and obesity during infancy is a highly relevant public health topic given the significant impact of childhood obesity on acute and chronic diseases, general health, and well-being in later stages of life. Apart from the family setting, daycare facilities (DFs) represent a key setting for health promotion among children under the age of six years. "JolinchenKids - Fit and Healthy in Daycare" is a multi-component program promoting physical activity (PA), healthy eating, and mental well-being in 3- to 6-year-old preschoolers at DFs, originally designed by the German health insurance AOK. To evaluate program effectiveness, a cluster-controlled trial involving 68 DFs is currently conducted. The objective of this article is to describe the background, study design, and aims of this trial.
METHODS/DESIGN: Sixty-eight DFs across Germany will be recruited to take part in the study, half of them serving as intervention DFs and half of them as delayed intervention control DFs (which receive the program upon completion of the study). At each DF, height, weight, and body composition, as well as motor skills, will be assessed in twenty 3- to 6-year-old children. Children's eating and PA habits, and mental well-being will be assessed via parental questionnaires. A subsample of children (i.e., at 24 DFs which are randomly selected within a geographic region) will be asked to wear accelerometers at their wrists to objectively measure PA over the course of seven days. To compare changes in body composition, motor skills, eating and PA habits, and mental well-being of children at intervention DFs with those observed among children at delayed intervention control DFs over one year, all measurements will take place at baseline and twelve months after the launch of the program at all DFs.
This study investigates the influence of a health promotion program in the daycare setting on various outcomes, including body composition and objectively measured PA, in a nationwide sample of 3- to 6-year-old preschoolers. This study will provide evidence regarding the effectiveness of a multi-component program for health promotion in this setting and may provide insights into new strategies for preventing obesity in early life.
German Clinical Trials Register DRKS00011065 (Date of registration 16-09-2016).
鉴于儿童肥胖对急性和慢性疾病、总体健康以及生命后期的幸福感有重大影响，婴儿期超重和肥胖的预防是一个高度相关的公共卫生话题。除家庭环境外，日托机构是促进6岁以下儿童健康的关键场所。“乔琳琴儿童日托中心——健康成长”是一项多方面的计划，旨在促进日托机构中3至6岁学龄前儿童的体育活动、健康饮食和心理健康，该计划最初由德国健康保险机构AOK设计。为评估该计划的效果，目前正在进行一项涉及68个日托机构的整群对照试验。本文的目的是描述该试验的背景、研究设计和目标。
方法/设计：将招募德国各地的68个日托机构参与研究，其中一半作为干预日托机构，另一半作为延迟干预对照日托机构（在研究结束后接受该计划）。在每个日托机构，将对20名3至6岁儿童进行身高、体重、身体成分以及运动技能的评估。儿童的饮食和体育活动习惯以及心理健康将通过家长问卷进行评估。将要求儿童的一个子样本（即在一个地理区域内随机选择的24个日托机构中的儿童）在手腕上佩戴加速度计，以客观测量他们在七天内的体育活动情况。为比较干预日托机构中儿童与延迟干预对照日托机构中儿童在身体成分、运动技能、饮食和体育活动习惯以及心理健康方面在一年中的变化，所有测量将在所有日托机构项目启动时的基线和十二个月后进行。
本研究在全国范围内对3至6岁学龄前儿童样本进行调查，以探讨日托环境中的健康促进计划对包括身体成分和客观测量的体育活动在内的各种结果的影响。本研究将为该环境下多方面健康促进计划的有效性提供证据，并可能为预防早期肥胖的新策略提供见解。
德国临床试验注册中心DRKS00011065（注册日期2016年9月16日）。
