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Tooty Fruity Vegie: an obesity prevention intervention evaluation in Australian preschools
Author(s) -
Zask Avigdor,
Kaye Adams Jillian,
Owen Brooks Lyndon,
Frances Hughes Denise
Publication year - 2012
Publication title -
health promotion journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.515
H-Index - 32
eISSN - 2201-1617
pISSN - 1036-1073
DOI - 10.1071/he12010
Subject(s) - medicine , overweight , intervention (counseling) , obesity , anthropometry , childhood obesity , waist , environmental health , audit , health promotion , clinical nutrition , public health , nursing , management , economics
Issues addressed This paper presents the findings from a cluster randomised controlled evaluation of a preschool‐based intervention (children aged 3–6 years), on the North Coast of NSW, which aimed to decrease overweight and obesity prevalence among children by improving fundamental movement skills (FMS), increasing fruit and vegetable intake and decreasing unhealthy food consumption. Methods The Tooty Fruity Vegie in Preschools program was implemented in 18 preschools for 10 months during 2006 and 2007. It included nutrition and physical activity strategies. Pre and post intervention evaluation compared intervention and control children and was conducted at the beginning and end of each year. It included FMS testing, lunch box audits and anthropometric measures of children as well as parents' surveys regarding children's food intake, physical activity and sedentary behaviours. Results In comparison to controls, children in intervention preschools significantly improved movement skills (14.79 units, p<0.001), had more fruit and vegetable serves (0.63 serves, p=0.001) and were less likely to have unhealthy food items (p<0.001) in their lunch boxes following the intervention. There was also a significant difference in waist circumference growth (−0.80 cm, p=0.002) and a reduction of BMI Z scores (−0.15, p=0.022). Conclusions The 10‐month intervention in preschools produced significant changes in children's food intake, movement skills and indicators of weight status. So what? More widespread implementation of similar programs is warranted as the findings indicate such programs could have an impact on childhood obesity prevention. More research regarding the long‐term effects of the program is needed.