Overweight in preschool children: analysis of a possible intervention
DOI:
https://doi.org/10.7322/jhgd.20044Keywords:
preschool children, overweight, nutritional intervention, daycare, physical activityAbstract
INTRODUCTION: Obesity is increasing progressively in childhood. In response to this trend, several institutions have carried out programs to prevent childhood obesity. OBJECTIVE: To develop an intervention project aimed at the overweight prevention in 2-3 year-old children at public daycare centers and analyze the feasibility of its implementation. METHODS: nine daycare centers were randomly selected probabilistically: four composing the sample object of intervention and five in the group without intervention. There have been comments systematized for the recognition of the routine of feeding and physical activity of daycare centers, from which was outlined and implemented an intervention. It was predefined that the intervention should be simple, of low cost, hardly raising the burden of local labor and result in a participatory process. RESULTS: Food was scheduled by the school lunch company outsourced by the city, which offered oversized portions. Physical activities were restricted and without regular schedule. The nutritional intervention adapted the quantity of food served at lunch, also avoiding the repetition of the meal. For physical activities, it was established that they would be daily, during 30 minutes and of high energy expenditure. All changes were designed and implemented with effective participation of staff in the daycare, in a maximum of 12 weeks. CONCLUSION: it is possible to develop and deploy a simple intervention, tailored to local realities of daycare centers, aimed at improving the nutritional status of children.Downloads
References
Meyer F, Mello ED, Luft VC. Obesidade infantil: como podemos ser eficazes? J Pediatr. 2004;80(3): 173-82.
Shoeps DO, de Abreu LC, Valenti VE, Nascimento VG, de Oliveira AG, Gallo PR, Wajnsztejn R, Leone C. Nutritional status of pre-school children from low income families. Nutr J. 2011; 10: 43.
Monteiro CA, Conde WL. Tendência secular da desnutrição e da obesidade na infância na cidade de São Paulo (1974-1996). Rev. Saúde Pública. 2000; 34(6 Supl):52-61.
Medeiros CCM, Cardoso MAA, Pereira RAR, Alves GTA, França ISX, Coura AS, Carvalho DF. Nutritional status and habits of life in school children. J Hum Growth Dev. 2011; 21(3):789-797.
Chinn S, Rona RJ. Prevalence and trends in overweight and obesity in three cross-sectional studies of British children. BMJ. 2001;322(7277): 24-6.
Journet B, Ahluwalia N, Dupuy M, Cristini C, Négre-Pages L, Grandjean H, et al. Prevention of overweight in preschool children: results of kindergarten-based interventions. Int J Obes.2009; 33: 1075-83.
Silveira JA, Taddei JA, Guerra PH, Nobre MR. Effectiveness of school-based nutrition education interventions to prevent and reduce excessive weight gain in children and adolescents: a systematic review. J Pediatr. 2011; 87(5):382-92.
Jacob A. School programs. In: Chen C, Dietz WH, editors. Obesity in childhood and adolescence. Philadelphia: Lippincott Williams & Wilkins. 2002; 257-72.
Summerbell CD, Waters E, Edmunds LD, Kelly S, Brown T, Campbell KJ. Interventions for preventing obesity in children. Cochrane Database of Syst Rev. 2005. Issue 3 n.CD001871.
Bluford DA, Sherry B, Scanlon KS. Interventions to prevent or treat obesity in preschool children: a review of evaluated programs. Obesity. 2007;15:1356-72.
Reilly JJ, Kelly L, Montgomery C, Williamson A, Fisher A, McColl JH et al. Physical activity to prevent obesity in young children: cluster randomized controlled trial. BMJ. 2006; 68:1006-11.
Dietz WH. Childhood weight affects adult morbidity and mortality. J Nutr.1998; 128 (2Sup-pl): S411-14.
Wofford LG. Systematic review of childhood obesity prevention. J Pediatr Nurs. 2008;23: 5-19.
Wabitsch M. Overweight and obesity. In: Koletzko B, editor. Pediatric Nutrition in Practice. Basel: Karger; 2008. p. 151-154.
Ministério da Educação. Resolução/CD/FNDE n.38 de 16 de julho de 2009. Dispõe sobre o aten-dimento da alimentação escolar aos alunos daeducação básica no Programa Nacional de alimentação Escolar-PNAE. Diário Oficial União.17 jul 2009; Seção 1:10.
National Research Council (US), Subcommittee on the tenth edition of the RDAs. RDA -Recommended dietary allowances. Washington(DC): National Academy Press; 1989.p. 24-38.
Phillippi ST, Cruz ATR, Colucci ACA. Pirâmide alimentar para crianças de 2 a 3 anos. Rev. Nutr. 2003; 16(1): 5-19.
Pinheiro ABV, Lacerda EMA, Benzecry EH, Go-mes MCS, Costa VM. Tabela para Avaliação de Consumo Alimentar em Medidas Caseiras. 5.ed. São Paulo: Atheneu. 2005. 131 p.
Universidade Estadual de Campinas, Núcleo de Estudos e Pesquisas em Alimentação. Tabela Brasileira de Composição de Alimentos. 4. ed. Campinas, SP; 2011.161 p.
Alhssan S, Sirard JR, Robinson TN. The effects of increasing outdoor play time on physical activity. Int J Pediatr Obes. 2007; 2: 153-158.
Downloads
Published
Issue
Section
License
CODE OF CONDUCT FOR JOURNAL PUBLISHERS
Publishers who are Committee on Publication Ethics members and who support COPE membership for journal editors should:
- Follow this code, and encourage the editors they work with to follow the COPE Code of Conduct for Journal Edi- tors (http://publicationethics.org/files/u2/New_Code.pdf)
- Ensure the editors and journals they work with are aware of what their membership of COPE provides and en- tails
- Provide reasonable practical support to editors so that they can follow the COPE Code of Conduct for Journal Editors (http://publicationethics.org/files/u2/New_Code.pdf_)
Publishers should:
- Define the relationship between publisher, editor and other parties in a contract
- Respect privacy (for example, for research participants, for authors, for peer reviewers)
- Protect intellectual property and copyright
- Foster editorial independence
Publishers should work with journal editors to:
- Set journal policies appropriately and aim to meet those policies, particularly with respect to:
– Editorial independence
– Research ethics, including confidentiality, consent, and the special requirements for human and animal research
– Authorship
– Transparency and integrity (for example, conflicts of interest, research funding, reporting standards
– Peer review and the role of the editorial team beyond that of the journal editor
– Appeals and complaints
- Communicate journal policies (for example, to authors, readers, peer reviewers)
- Review journal policies periodically, particularly with respect to new recommendations from the COPE
- Code of Conduct for Editors and the COPE Best Practice Guidelines
- Maintain the integrity of the academic record
- Assist the parties (for example, institutions, grant funders, governing bodies) responsible for the investigation of suspected research and publication misconduct and, where possible, facilitate in the resolution of these cases
- Publish corrections, clarifications, and retractions
- Publish content on a timely basis