Mathieu Bélanger|M. Louise Humbert|Hassan Vatanparast|Stéphanie Ward|Nazeem Muhajarine|Amanda Froehlich Chow|Rachel Engler?Stringer|Denise Donovan|Natalie Carrier|Anne Leis
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-Départ Santé cluster randomised controlled trial study protocol
Université de Sherbrooke|University of Saskatchewan|University of Saskatchewan|University of Saskatchewan|Saskatchewan Health|University of Saskatchewan|University of Saskatchewan|Saskatchewan Health|Université de Moncton|University of Saskatchewan|Saskatchewan Health
childhood obesity growing concern public health given majority children many countries spend approximately 30 h per week early childcare centers environment represents promising setting implementing strategies foster healthy behaviours preventing controlling childhood obesity healthy startdpart sant designed promote physical activity physical literacy healthy eating among preschoolers objectives study assess effectiveness healthy startdpart sant intervention improving physical activity levels physical literacy healthy eating among preschoolers attending early childcare centers study follows cluster randomized controlled trial design childcare centers randomly assigned receive intervention serve usual care controls healthy startdpart sant intervention comprised interlinked components aiming enable families educators integrate physical activity healthy eating daily lives young children influencing factors intrapersonal interpersonal organizational community physical environment policy levels intervention period spanning 68 months preceded followed data collections participants recruited 61 childcare centers two canadian provinces new brunswick saskatchewan centers eligible study prepare provide meals lunch least 20 children ages 3 5 centers excluded previously received physical activity nutrition promoting intervention eligible centers stratified province geographical location urban rural language english french recruited randomized using one one protocol stratum data collection ongoing primary study outcomes assessed using accelerometers physical activity levels test gross motor developmentii physical literacy digital photographyassisted weighted plate waste food intake multifaceted approach healthy startdpart sant positions well improve physical literacy dietary physical activity behaviors children attending early childcare centers results study relevance given overwhelming prevalence overweight obesity children worldwide nct02375490 clinicaltrialsgov registry