Head Start Wellness Policy Intervention in Hawaii: A Project of the Children's Healthy Living Program

Childhood Obesity
Monica EsquivelRachel Novotny

Abstract

The increased prevalence of childhood overweight and obesity across the United States and the Pacific has become a serious public health concern, with especially high prevalence among Native Hawaiian and Pacific Islander (NHPI) children. This study aimed to measure the effect of a Head Start (HS) policy intervention for childhood obesity prevention. Twenty-three HS classrooms located in Hawaii participated in the trial of a 7-month policy intervention with HS teachers. Classroom- and child-level outcome assessments were conducted, including: the Environment and Policy Assessment and Observations (EPAO) of the classroom environment; plate waste observations to assess child intake of fruit and vegetables; and child growth. The intervention showed a positive and significant effect on classroom EPAO physical activity (PA) and EPAO total scores. Although mean BMI z-score (zBMI) increased at postintervention for both intervention (mean = 0.60; standard deviation [SD], 1.16; n = 114) and delayed-intervention groups (mean = 0.35; SD, 1.17; n = 132), change in zBMI was not significantly different between the groups (p = 0.50; p = 0.48). These findings contribute evidence on the potential for HS wellness policy to improve the PA environm...Continue Reading

Associated Clinical Trials

References

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Citations

Jan 25, 2018·The Cochrane Database of Systematic Reviews·Rebecca K HodderLuke Wolfenden
May 18, 2018·The Cochrane Database of Systematic Reviews·Rebecca K HodderLuke Wolfenden
Sep 26, 2017·The Cochrane Database of Systematic Reviews·Rebecca K HodderLuke Wolfenden
Nov 8, 2019·The Cochrane Database of Systematic Reviews·Rebecca K HodderLuke Wolfenden
Jan 28, 2020·American Journal of Health Promotion : AJHP·Marjorie Rafaela Lima do ValeJessica Thorlakson
Jul 25, 2019·The Cochrane Database of Systematic Reviews·Tamara BrownCarolyn D Summerbell
May 26, 2020·The Cochrane Database of Systematic Reviews·Rebecca K HodderLuke Wolfenden

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Software Mentioned

SAS
EPAO

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